HomeMy WebLinkAbout20251654.tiffResolution
Approve Amendment #2 to Task Order Contract for Tuberculosis Prevention and
Control Program and Authorize Chair to Sign
Whereas, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
Whereas, the Board has been presented with Amendment #2 to the Task Order Contract
for Tuberculosis Prevention and Control Program between the County of Weld, State of
Colorado, by and through the Board of County Commissioners of Weld County, on behalf
of the Department of Public Health and Environment, and the Colorado Department of
Public Health and Environment, commencing upon full execution of signatures, and
ending June 30, 2026, with further terms and conditions being as stated in said
amendment, and
Whereas, after review, the Board deems it advisable to approve said amendment, a copy
of which is attached hereto and incorporated herein by reference.
Now, therefore, be it resolved by the Board of County Commissioners of Weld County,
Colorado, that Amendment #2 to the Task Order Contract for Tuberculosis Prevention
and Control Program between the County of Weld, State of Colorado, by and through the
Board of County Commissioners of Weld County, on behalf of the Department of Public
Health and Environment, and the Colorado Department of Public Health and
Environment, be, and hereby is, approved.
Be it further resolved by the Board that the Chair be, and hereby is, authorized to sign
said amendment.
The 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 16th day of June, A.D., 2025:
Pent' L. Buck, Chair: Aye
Scott K. James, Pro-Tem: Aye
Jason S. Maxey: Aye
Lynette Peppler: Aye
Kevin D. Ross: Aye
Approved as to Form:
Bruce Barker, County Attorney
Attest:
Esther E. Gesick, Clerk to the Board
cc: HL(sc/13F/SM)
.74o/25
2025-1654
H L0058
Conivaci-ID*clac9
BOARD OF COUNTY COMMISSIONERS
PASS -AROUND REVIEW
PASS -AROUND TITLE: CDPHE FY 25-26 TUBERCULOSIS PREVENTION AND CONTROL CONTRACT
AMENDMENT #2
DEPARTMENT: PUBLIC HEALTH AND ENVIRONMENT DATE: JUNE 6, 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 a contract amendment between the
Colorado Department of Public Health and Environment (CDPHE) and the Weld County Board of County
Commissioners on behalf of the Weld County Department of Public Health and Environment (WCDPHE).
This contract amendment # 2 is for the continuation of the Tuberculosis (TB) Prevention and Control program
in Weld County. The term for this amendment is from July 1, 2025, to June 30, 2026, and the contract provides
up to $65,000 in funding for TB programs. Program activities include testing, diagnostic services, case and
contract investigation and monitoring, treatment for latent and active TB, and providing education and outreach
regarding TB prevention and control.
What options exist for the Board?
• Approve the contract amendment as presented.
Decline to approve the contract amendment.
Consequences: Approval will ensure continued funding for TB prevention and control activities in Weld
County at current service levels. Declining the contract amendment would results in the loss of external
funding to provide the public health core service of TB prevention and control in Weld County.
Impacts: This funding supports Weld County's efforts to prevent and control active and latent TB
disease. The TB program has seen an over 100% increase in confirmed and suspect TB cases over
the past 5 years. If the WCDPHE does not provide this service, Weld County residents would likely
have to go to a Denver Metro County health department to receive services.
Costs (Current Fiscal Year / Ongoing or Subsequent Fiscal Years):
This contract provides $65,000 in grant funding for FY 2025-2026. There is no required local match.
Recommendation: I recommend approval to place this contract amendment on a future BOCC agenda for
formal consideration.
Support Recommendation Schedule
Place on BOCC Agenda Work Session
Perry L. Buck
Scott K. James
Jason S. Maxey
Lynette Peppier
Kevin D. Ross
LOA lQ
Other/Comments:
2025-1654
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STATE OF COLORADO
DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
CONTRACT AMENDMENT #2
SIGNATURE AND COVER PAGE
State Agency:
Colorado Department Of Public Health and Environment
4300 Cherry Creek Drive South
Denver, Colorado 80246
Original Contract Number:
2024*0008
Contractor:
Board of County Commissioners of Weld County
(a political subdivision of the state of Colorado)
1150 "O" Street
Greeley CO 80631
for the use and benefit of the
Weld County Department of Public Health and Environment
1555 North 17th Avenue
Greeley CO 80631
Amendment Contract Number:
2026*0077 Amendment #2
Contract Performance Beginning Date:
July 1, 2023
Current Contract Expiration Date:
June 30, 2026
CONTRACT MAXIMUM AMOUNT TABLE
Document
Type
Contract
Number
Federal
Funding
Amount
State Funding
Amount
Other Funding
Amount
Term (dates)
Total
Original
Contract
2024*0008
$0.00
$50,000.00
$0.00
07/01/2023-
06/30/2024
$50,000.00
Amendment
#1
2025*0070
$0.00
$46,000.00
$0.00
07/01/2024-
06/30/2025
$46,000.00
Amendment #2
2026*0077
$0.00
$65,000.00
$0.00
07/01/2025-
06/30/2026
$65,000.00
Current Contract Maximum
Cumulative Amount
$161,000.00
Amendment Contract Number: 2026*0077 Amendment #2 Page 1 of 4 Version OSC A11.24/CDPHE A1.23.25
LAJ,UDIyII CIIVCIVFIC IL./. Jr,c,ii IU-LJUCC,JJr-MDLJL-YFUL./UMLF,Fr I
SIGNATURE PAGE
THE PARTIES HERETO HAVE EXECUTED THIS AMENDMENT
Each person signing this Amendment represents and warrants that he or she is duly authorized to execute this Amendment
and to bind the Party authorizing his or her signature.
CONTRACTOR
Board of County Commissioners of Weld County
(a political subdivision of the state of Colorado)
for the use and benefit of the
Weld County Department of Public Health and
Environment
Signed by:
P �• tuck, (,I.t,a it
404rD
'3G1 -441 -
By: Signature
Perry L. Buck, Chair
Name of Person Signing for Contractor
Chair
Title of Person Signing for Contractor
2025-06-16
Date:
STATE OF COLORADO
Jared S. Polis, Governor
Colorado Department of Public Health and Environment
Jill Hunsaker Ryan, MPH, Executive Director
p-DocuSigned by:
(,IaSt,a. aktAiSiNA,
By: Signature
Chelsea Gilbertson
Name of Executive Director Delegate
Procurement & Contracts Section
Title of Executive Director Delegate
2025-06-18
Date:
In accordance with §24-30-202 C.R.S., this Contract is not valid until signed and dated below by the State Controller or
an authorized delegate.
STATE CONTROLLER
Robert Jaros, CPA, MBA, JD
EK444.1
DocuuSignedby: WatZ44 04
73385F4A4A084BC... By: Signature
Kurt wi11iams
Name of State Controller Delegate
Controller
Title of State Controller Delegate
Amendment Effective Date:
2025-06-27
Amendment Contract Number: 2026*0077 Amendment #2 Page 2 of 4 Version OSC A11.24/CDPHE A1.23.25
Z OZS-L (054
Docusign Envelope ID: 3FC24716-D0EE-433F-ABD2-4F6D0A2F34F1
1. PARTIES
This Amendment (the "Amendment") to the Original Contract shown on the 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 the 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 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 or July 1, 2025, whichever is later, and shall terminate
on the termination of the Contract or June 30, 2026, whichever is earlier.
4. PURPOSE
The Parties entered into the agreement to provide diagnostic, patient education and treatment
services for individuals with suspected/known latent TB infection (LTBI) and those classified
with Class A and Class B TB status or who are suspected of having active TB. Also for
individuals who are identified as newly arrived refugees, asylees and other high risk persons with
LTBI.
The Parties now desire to renew for an additional term and change the current Contract
Maximum Total following reason: to renew for an additional term.
5. MODIFICATIONS
The Contract and all prior amendments thereto, if any, are modified as follows:
A. The Contract Maximum Amount table is deleted and replaced with the Current Contract
Maximum Amount table shown on the Cover Page for this Amendment.
B. The Contract Initial Contract Expiration Date on the Contract's Signature and Cover Page
is hereby deleted and replaced with the Current Contract Expiration Date shown on the
Signature and Cover Page for this Amendment.
C. The Parties now agree to modify Exhibit B — Statement of Work of the agreement. Exhibit
B — Statement of Work is deleted and replaced in its entirety with Exhibit B- Statement of
Amendment Contract Number: 2026*0077 Amendment #2 Page 3 of 4 Version OSC A11.24/CDPHE A1.23.25
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Work, attached to this Amendment for the following reason: to update the work plan for
the renewal period.
D. The Parties now agree to modify Exhibit C - Budget of the agreement. Exhibit C — Budget,
is deleted and replaced in its entirety with Exhibit C - Budget, attached to this Amendment
for the following reason: to add funds for the renewal period.
6. LIMITS OF EFFECT AND ORDER OF PRECEDENCE
This Amendment is incorporated by reference into the Contract, and the Contract and all prior
amendments or other modifications to the Contract, if any, remain in full force and effect except
as specifically modified in this Amendment. Except for the Special Provisions contained in the
Contract, in the event of any conflict, inconsistency, variance, or contradiction between the
provisions of this Amendment and any of the provisions of the Contract or any prior modification
to the Contract, the provisions of this Amendment shall in all respects supersede, govern, and
control. The provisions of this Amendment shall only supersede, govern, and control over the
Special Provisions contained in the Contract to the extent that this Amendment specifically
modifies those Special Provisions.
Amendment Contract Number: 2026*0077 Amendment #2 Page 4 of 4 Version OSC A11.24/CDPHE A1.23.25
Docusign Envelope ID: 3FC24716-D0EE-433F-ABD2-4F6D0A2F34F1
EXHIBIT B
STATEMENT OF WORK
To Original Contract Number: 2024*0008
Amendment Contract Number: 2026*0077 Amendment #2
These provisions are to be read and interpreted in conjunction with the provisions of the contract specified above.
I. Entity Name: Weld County Department of Public Health and Environment
Term: 07/01/2025 - 6/30/2026
II. Project Description: This project serves to address a health concern related to Tuberculosis
(TB). TB is spread from person to person through the air, can affect the lungs or other parts
of the body, and can cause serious illness or death. TB remains the primary infectious disease
killer in the world. The Colorado Department of Public Health and Environment (CDPHE) is
funded by state general fund dollars and the Centers for Disease Control and Prevention
(CDC) to reduce the impact of TB on individuals and communities throughout Colorado. The
Division of Disease Control and Public Health Response (DCPHR) supports TB health
service activities as a part of the mandatory Class A and B medical testing process for
Refugees and Immigrants entering the United States. This project seeks to reduce TB in
Colorado by providing TB screening, testing, treatment, and preventive services to people
who are at elevated risk for TB. Patients with active TB disease can complete a full course of
treatment. To support TB treatment completion, the project will utilize incentives and enablers
to aid patients with treatment adherence. Incentives may include gift cards for food to support
nutrition and reduce medication -related side effects. Enablers include support for
transportation or access to a smartphone to facilitate directly observed therapy as required by
Colorado statute for people with pulmonary TB. The project will collect vital statistics, and
provide the technological capability needed to evaluate and manage patients with confirmed
or suspected TB.
III. Definitions
1. AFB — Acid -fast bacilli smear; a rapid test used to detect infectious mycobacteria
2. Asylee — individuals who, on their own, travel to the United States and subsequently apply
for and receive a grant of asylum.
3. Class A — All applicants who have tuberculosis disease. This also includes applicants with
extrapulmonary tuberculosis who have a chest x-ray suggestive of pulmonary tuberculosis
disease, regardless of sputum smear and culture results. These applicants are not cleared
for travel until completion of treatment unless a waiver is granted.
4. Class B1 TB, Pulmonary — Applicants who have signs or symptoms, physical exam, or
chest x-ray findings suggestive of tuberculosis disease, or have known HIV infection, but
have negative AFB sputum smears and cultures and are not diagnosed with tuberculosis
disease. This classification also includes applicants who were diagnosed with tuberculosis
disease by the panel physician, refused DOT treatment, and are returning after treatment
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EXHIBIT B
and completion of 1 -year wait. If all parts of the examination are complete, travel
clearance is valid for 3 months from the date final cultures are reported as negative.
5. Class B1 TB, Extrapulmonary - Applicants diagnosed with extrapulmonary tuberculosis
with a normal chest x-ray and negative sputum smears and cultures. Travel clearance is
valid for 3 months from the date final cultures are reported as negative.
6. Class B2 TB, LTBI Evaluation — Applicants who have a positive IGRA or TST but
otherwise have a negative evaluation for tuberculosis. The IGRA result or size of the TST
reaction, the applicant's status with respect to LTBI treatment, and the medication(s) used
must be documented. For applicants who had more than one IGRA or TST, all dates and
results and whether the applicant's IGRA or TST converted must be documented.
Contacts with a positive IGRA or TST >5 mm must receive this classification in addition
to a Class B3, Contact Evaluation classification (if they are not already Class BO TB,
Pulmonary, B1 TB, Pulmonary, B1 TB, Extrapulmonary, or Class A TB). Travel
clearance is valid for 6 months from the time the evaluation is complete.
7. DOT — Directly Observed Therapy
8. Enablers - therapy facilitation support, including but not limited to support for
transportation or access to a smart phone for people with pulmonary TB.
9. Endemic- a disease that is always present in a population within a geographic area,
typically year around.
10. HIV— Human Immunodeficiency Virus
11. IGRA — interferon gamma (y) release assay (whole blood TB test)
12. LEP — limited English proficiency ( (OPI) provider only)
13. LTBI — Latent Tuberculosis Infection
14. OPI — over -the -phone interpretation
15. Refugee — any person who is outside his or her country of nationality or habitual residence
and is unable or unwilling to return to or seek protection of that country due to a well-
founded fear of persecution based on race, religion, nationality, membership in a particular
social group, or political opinion.
16. RVCT — Report of Verified Case of Tuberculosis
17. TB -18 — CDPHE's TB surveillance form
18. TBTrax — CDPHE Tuberculosis Database
19. U.S. — United States
IV. Work Plan
Goal #1: Respond to infectious diseases through prevention controls, monitoring, investigation, and
disease surveillance.
Objective #1: No later than the expiration date of the contract, support Tuberculosis prevention
controls.
Primary Activity #1: The Contractor shall evaluate and treat all patients with suspected or confirmed
TB.
Sub- Activity #1
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1. The Contractor shall provide the following to individuals with suspected or confirmed TB:
a. Chest x-rays
b. Interpretations
2. The Contractor shall collect mycobacteriology specimens to individuals suspected of having TB.
3. The Contractor shall transport specimens to the state lab for testing.
4. The Contractor shall coordinate the placement of patients that require isolation.
a. The Contractor shall contact CDPHE TB Program for assistance.
b. The Contractor shall contact CDPHE to request reimbursement from CDPHE for those
costs incurred by the Contractor in isolating a patient.
5. The Contractor shall provide patient treatment.
a. The Contractor shall use the following when completing TB treatment
i. incentives
ii. enablers
6. The Contractor shall record 95% of all HIV testing result rates among suspect and confirmed
cases of active TB disease.
7. The Contractor shall provide an HIV antibody test to individuals diagnosed with active TB
disease.
a. The Contractor shall provide an HIV antibody test for those clients with a test result rate
>95%, regardless of their age or the apparent absence of risk factors for HIV infection.
8. The Contractor shall monitor and evaluate individuals once a month for suspected or confirmed
active TB disease using an in -person assessment.
Primary Activity #2
The Contractor shall identify and evaluate newly identified infectious TB cases.
Sub- Activity #2
1. The Contractor shall perform an assessment on confirmed contacts to patients with pulmonary
TB.
2. The Contractor shall provide the following to newly identified TB infection or symptoms of
active TB:
a. Chest x-rays
b. Interpretations
3. The Contractor shall provide treatment to contacts diagnosed with TB infection.
4. The Contractor shall provide an HIV antibody test to persons that have the following:
a. TB infection
b. HIV risk factors
c. Originate from an area where HIV is endemic
5. The Contractor shall inform all individuals that refuse testing of the risks associated with the
following:
a. HIV
b. TB co -infection
6. The Contractor shall monitor individuals with TB infection during treatment.
7. The Contractor shall evaluate individuals that develop symptoms of medication -related toxicity.
8. The Contractor shall communicate with all TB patients about the following:
a. current health insurance enrollment
b. materials to become insured if not currently insured
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9. The Contractor shall record preliminary and final information for each confirmed TB investigation
to the CDPHE TB Program electronically.
Primary Activity #3
The Contractor shall provide the TB evaluation of newly arrived refugees, asylees, and other eligible
individuals with a Class B TB designation.
Primary Activity #4
The Contractor shall identify, investigate, and evaluate persons with a high risk of LTBI including
close contacts to pulmonary TB patients and Class B designates.
Sub- Activity #4
1. The Contractor shall provide an HIV antibody test to 100% of persons with LTBI and HIV
antibody test with a test result rate >80%.
2. The Contractor shall record 80% of all HIV antibody testing result rates for
3. LBTI patients into the CDPHE EpiTrax (TBTrax) database.
4. The Contractor shall monitor and evaluate individuals once a month with LTBI during treatment.
Primary Activity #5
The Contractor shall provide clients with printed resources and referral materials that direct them to
the nearest community Medicaid and Connect for Health Colorado enrollment location(s), including
online enrollment options.
Sub -Activities #5
1. The Contractor shall discuss with each client health insurance enrollment if not currently
insured.
a. The Contractor shall provide insurance enrollment resources.
b. The Contractor shall communicate with TB clients about current health insurance
enrollment status including Medicaid.
c. The Contractor shall document TB clients that were asked about health insurance
enrollment.
Primary Activity #6
The Contractor shall complete semi-annual progress reports.
Standards and Requirements
1. The content of electronic documents located on CDPHE and non-CDPHE websites and
information contained on CDPHE and non-CDPHE websites may be updated periodically
during the contract term. The contractor shall monitor documents and website content for
updates and comply with all updates.
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2. CDPHE will provide templates and instructions for any additional information requests.
Report forms are subject to revision and the Contractor agrees to use the most recent version.
3. CDPHE will reimburse for DOT provision at the current year's tiered rates as funds allow.
4. CDPHE will reimburse for approved diagnostic and testing services at no higher than
Colorado Medicaid rate as funds allow. This information is located on the Colorado
Department of Health Care Policy and Financing Provider Rates and Fee Schedule website,
and is incorporated and made part of this Contract by reference.
5. CDPHE will reimburse for over -the -phone interpretation as funds allow.
6. The Contractor shall include the following when conducting a confirmed TB assessment:
a. focused history
b. symptom review
c. TB testing •
7. The contractor shall use the following as incentives and enablers when addressing barriers to
evaluation or treatment:
a. gift cards for groceries
b. mobile phone support
c. transportation to and from the clinic
8. The Contractor shall share data of suspected or confirmed active TB disease results, and
include the following information in the state TB database or similar electronic health record:
a. reason for initiating
b. patient name
c. date of birth
d. country of birth
e. date arrived in the U.S.
f. demographic information
g. locating information
h. provider information
i. TB risk factors
j. results of diagnostic testing
k. results of mycobacteriology including susceptibility results
1. dates of infectious period
m. treatment information
n. changes in patients' status
o. diagnosis
p. any other information as appropriate
9. The Contractor shall report the following information for individuals identified with active
TB:
a. patient name
b. date of birth
c. country of birth
d. date arrived in the U.S.
e. demographic information
f. locating information
g. provider information
h. TB risk factors
i. results of diagnostic testing
j. treatment information
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k. any other information deemed appropriate by the Contractor
10. The Contractor shall complete tests including the following:
a. smears for acid -fast bacilli, (using concentrated fluorescent method)
b. isolation of mycobacteria (using rapid methods)
c. identification of Mycobacterium Tuberculosis complex (MTB) (using rapid methods)
d. susceptibility testing (isoniazid, rifampin, ethambutol, and pyrazinamide) on isolates
of MTB
11. The Contractor shall obtain and document an HIV testing result for 95% of suspect and
confirmed cases of active TB disease and enter that information into the Contractor's
electronic medical record before TB treatment begins, and no later than the end date of this
contract.
12. The Contractor shall obtain and document an HIV testing result for 80% of all LBTI patients
in the Contractor's electronic medical record no later than the end date of this contract.
13. The Contractor shall provide culturally appropriate patient education and information
pertaining to TB treatment and the follow-up plan.
14. The Contractor shall use the CDPHE TB Manual when completing the appropriate treatment.
This information is located on the CDPHE TB Manual and is incorporated and made part of
this Contract by reference.
15. The Contractor shall make efforts to increase the percentage of persons that complete LTBI
treatment and maintain or improve on that rate thereafter.
16. The Contractor shall provide services in patient's preferred language using medical
interpretation resource.
17. The Contractor shall complete 100% of all RVCT fields no later than the end date of this
contract.
18. The Contractor shall provide a final report via email or CDPHE EpiTrax (TBTrax) database to
the TB Program's Data Coordinator when a contact investigation is completed.
19. The Contractor shall provide all other necessary laboratory testing and medical evaluation
services to identify TB.
20. The Contractor shall report information as requested by CDPHE via a secure web -based TB
case/contact management system (CDPHE TB database (TBTrax) database or the
Contractor's electronic medical record).
21. The Contractor shall use the Center for Disease Control Report of Verified Case of
Tuberculosis for TB confirmed investigation cases. This document is incorporated and made
part of this contract by reference and is available on the following link Report of Verified
Case of Tuberculosis (RVCT).
22. The Contractor shall provide CDPHE with medical insurance information for patients that have
medical insurance.
23. The Contractor shall provide consultation services, as needed, to providers in its service area
regarding the following:
a. TB reporting
b. TB screening
c. Treatment
d. follow-up
24. The Contractor shall provide printed resource, referral and Medicaid and Connect for
Health Colorado enrollment materials for clients with Limited English Proficiency
(LEP).
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a. Contractors that routinely offer enrollment services on -site are exempt from this
requirement because the services provided go beyond this minimum requirement.
25. The Contractor shall use LEP, Over -the -Phone Interpretation (OPI) to communicate
with clients.
26. The Contractor shall provide a monthly reimbursement DOT/Diagnostic invoice according to
the following criteria:
a. The monthly DOT/Diagnostic invoice must be provided
with supporting documentation confirming use is TB -related.
b. The Contractor shall request monthly DOT/Diagnostic reimbursement no
later than the last business day of the month following the invoicing month.
27. The Contractor shall use the following resource when enrolling in health insurance. This
information is located on the Colorado Department of Health Care Policy and Financing
Member Forms website and is incorporated and made part of this contract by reference.
28. The Contractor shall use the following resource when enrolling in health insurance. This
information is located on the Connect for Health Insurance Marketplace website, and is
incorporated and made part of this contract by reference.
29. The Contractor shall use the Colorado Department of Public Health Tuberculosis Semi- Annual
Progress report when completing the Semi Annual Progress. This document is incorporated and
made part of this contract by reference and is available on the following link Tuberculosis Semi -
Annual Progress Report.
a. The Contractor shall report within the following timeframes on semi-annual progress
reports:
i. July - December
ii. January - June
Expected Results of Activity(s)
a. Patients with existing or newly diagnosed TB or LTBI shall be treated, as appropriate.
b. Newly arrived refugees, asylees, and other eligible individuals with Class B TB designation
receive appropriate TB or TB infection treatment.
Measurement of Expected Results
1. Data contained in the CDPHE TBTrax database.
2. Data collected from semi-annual progress reports.
Deliverables
Description
Completion Date
1. The Contractor shall submit semi-annual
progress reports covering July -December and
January -June to the CDPHE Contract Monitor
via email.
The last day of the month following
each period, January 31 and July 31
of the following year respectively.
V. Monitoring
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CDPHE's monitoring of this contract for compliance with performance requirements will be
conducted throughout the contract period by the CDPHE Contract Monitor. Methods used will
include a review of documentation determined by CDPHE to be reflective of performance to
include progress reports, invoices, evidence of data entered by the contractor into an
automated statewide system statewide EpiTrax (TBTrax) database, timeliness and quality of
recommendations provided and other fiscal and programmatic documentation as applicable.
The Contractor's performance will be evaluated at set intervals and communicated to the
Contractor. A Final Contractor Performance Evaluation will be conducted at the end of the
life of the contract.
VI. Resolution of Non -Compliance
The Contractor will be notified in writing within 15 calendar days of discovery of a compliance
issue. Within 30 calendar days of discovery, the Contractor and the State will collaborate, when
appropriate, to determine the action(s) necessary to rectify the compliance issue and determine
when the action(s) must be completed. The action(s) and time line for completion will be
documented in writing and agreed to by both parties. If extenuating circumstances arise that
requires an extension to the time line, the Contractor must email a request to the CDPHE
Contract Monitor and receive approval for a new due date. The State will oversee the
completion/implementation of the action(s) to ensure time lines are met and the issue(s) is
resolved. If the Contractor demonstrates inaction or disregard for the agreed upon compliance
resolution plan, the State may exercise its rights under the provisions of this contract.
Page 8 of 8
n ndin rt t n?r<< i Numb, ?U?,}077 Ver.2.15.24
Docusign Envelope ID: 3FC24716-D0EE-433F-ABD2-4F6D0A2F34F1
EXHIBIT C
FY 2026 Budget
Weld County Public Health and Environment
Description
TB Prevention and Control
State
Funding Source
Amount
$65,000
$65,000
Total
Amendment Contract Number: 2026*0077 Amendment #2 Page 1 of 1
tract Form
Entity Information
Entity Name*
COLORADO DEPT OF PUBLIC
HEALTH/ENVIRONMENT
Entity ID*
@00001926
Q New Entity?
Contract Name* Contract ID
CDPHE FY 25-26 TUBERCULOSIS PREVENTION AND 9569
CONTROL CONTRACT
Contract Status
CTB REVIEW
Contract Lead*
BFRITZ
Contract Lead Email
bfritz@weld.gov;Health-
Contracts@weld.gov
Contract Description*
CDPHE FY 25-26 TUBERCULOSIS PREVENTION AND CONTROL CONTRACT
Contract Description 2
Contract Type*
CONTRACT
Amount*
$65,000.0C
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* 06/12/2025
06/16/2025
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
Review Date*
05/01/2026
Committed Delivery Date
Renewal Date
Expiration Date*
06/30/2026
Contact Info
Contact Name Contact Type Contact Email Contact Phone 1 Contact Phone 2
Purchasing
Purchasing Approver Purchasing Approved Date
Approval Process
Department Head Finance Approver Legal Counsel
JASON CHESSHER CHERYL PATTELLI BYRON HOWELL
DH Approved Date Finance Approved Date Legal Counsel Approved Date
06/10/2025 06/10/2025 06/10/2025
Final Approval
BOCC Approved Tyler Ref #
AG 061625
BOCC Signed Date Originator
BFRITZ
BOCC Agenda Date
06/16/2025
Hello