HomeMy WebLinkAbout20242540.tiffMariah Higgins
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Bill Fritz
Friday, September 26, 2025 7:29 AM
CTB
Jason Chessher
MCH OL#4 for Communication
MCH 2026 OL#4.pdf
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Good morning, I have attached the option letter for the states portion of the MCH (Maternal and Child Health) grant
for communication to the board. Please let me know if you need anything else. Thanks Bill
COUNTY, CO
Bill Fritz
Finance Manager
Weld County Department of Public Health and Environment
Desk: 970-400-2122
1555 North 17' Ave., Greeley, CO 80631
00000
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20.24-2540
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STATE OF COLORADO
DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
OPTION LETTER #4
State Agency:
Colorado Department of Public Health and Environment
4300 Cherry Creek Drive South
Denver, Colorado 80246
Original Contract Number:
2022*0912
Main Task Order Contract Number:
23 FAA 00051
Contractor:
Board of County Commissioners of Weld County
(a political subdivision of the state of Colorado)
Option Letter Contract Number:
2022*0912 Option Letter #4
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
Contract Performance Beginning Date:
October 1, 2021
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
2022*0912
$186,054.00
$0.00
$0.00
10/1/2021-
9/30/2022
$186,054.00
Original
Contract
2022*0912
$0.00
$133,000.00
$0.00
10/1/2021-
6/30/2022
$133,000.00
Option Letter #1
2022*0912
Option Letter #1
$186,054.00
$0.00
$0.00
10/1/2022-
9/30/2023
$186,054.00
Option Letter #1
2022*0912
Option Letter #1
$0.00
$133,000.00
$0.00
10/1/2022-
6/30/2023
$133,000.00
Option Letter #2
2022*0912
Option Letter #2
$153,592.80
$0.00
$0.00
10/1/2023-
9/30/2024
$153,592.80
Option Letter #2
2022*0912
Option Letter #2
$0.00
$165,461.20
$0.00
10/1/2023-
6/30/2024
$165,461.20
Option Letter Contract Number: 2022*0912 Option Letter #4
Page 1 of 3 Version OSCA12.24/CDPHE A1.25
✓JULIblyII CI VCIVF/C 1✓, ICI !Y✓VJ-U4r1r-Y%..✓✓-.70.7J-:JJ✓0%.LYOV4M0
Option Letter #3
2022*0912
Option Letter #3
$152,054.00
$0.00
$0.00
10/1/2024-
9/30/2025
$152,054.00
Option Letter #3
2022*0912
Option Letter #3
$0.00
$167,000.00
$0.00
10/1/2024-
6/30/2025
$167,000.00
Option Letter #4
2022*0912
Option Letter #4
$0.00
$115,604.00
$0.00
10/1/2025-
6/30/2026
$115,604.00
Current Contract Maximum Cumulative Amount
$1,391,820.00
1. OPTIONS:
A. Option to extend for an Extension Term
B. Option to change the quantity of Services under the Contract
2. REQUIRED PROVISIONS:
A. In accordance with Section 2C of the Original Main Task Order Contract referenced above, the State
hereby exercises its option for an additional term, beginning October 1, 2025 and ending on the
current contract expiration date shown above, at the rates stated in the Original Task Order Contract,
as amended for the following reason: to extend the contract into Fiscal Year 2026.
B. In accordance with Section 5Bv of the Original Main Task Order Contract referenced above, the State
hereby exercises its option to increase the quantity of the services at the rates stated in the Original
Task Order Contract, as amended. Exhibit C- Budget is deleted and replaced in its entirety with
Exhibit C- Budget attached to this Option Letter, for the following reason: to add funds supporting
the Statement of Work activities and deliverables for the renewal term.
C. The Contract Maximum Amount table on the Contract's Cover Page is hereby deleted and replaced
with the Current Contract Maximum Amount table shown above.
3. OPTION EFFECTIVE DATE:
A. The effective date of this Option Letter is upon approval of the State Controller or October 1, 2025,
whichever is later.
Option Letter Contract Number: 2022*0912 Option Letter #4
Page 2 of 3 Version OSCA12.24/CDPHE A1.25
Docusign Envelope ID: 1E774D03-D4AF-4CDD-9695-55D8C24894A8
STATE OF COLORADO
Jared S. Polls, Governor
Colorado Department of Public Health and Environment
Jill Hunsaker Ryan, MPH, Executive Director
Doe uSgned b/y:!.`/DocuuSlgned'bly:-CaaStA LIMN t NJt&
In accordance with §24-30-202 C.R.S., this Option is not
valid until signed and dated below by the State Controller or
an authorized delegate.
STATE CONTROLLER
Robert Jaros, CPA, MBA, JD
EK4.44 W+�.t a i
711II5FdddAMITIC
nnaait41.14tn...
By: Signature
Chelsea Gilbertson
By: Signature
Kurt Williams
Name of Executive Director Delegate
Procurement & Contracts Section
Name of State Controller Delegate
Controller
Title of Executive Director Delegate
Date: 2025-09-16
Title of State Controller Delegate
Option Effective Date: 2025-09-25
Option Letter Contract Number: 2022*0912 Option Letter #4
Page 3 of 3 Version OSCA12.24/CDPHE A1.25
Docusign Envelope ID: 1E774D03-D4AF-4CDD-9595-55D8C24894A8
Exhibit C- Budget
COLORADO
Department of Public
Health & Environment
PREVENTION SERVICES DIVISION -12 MONTH BUDGET WITH JUSTIFICATION FORM
Original Contract Routing # 2022`0912
Contractor Name
Weld County
Program Contact Name,
Thle, Phone and Email
Hailey Byington
Community Health Programs Manager
970-400-2322
hbyington@weld.gov
Bill Fritz
Finance Manager
bfritz@weld.gov
970.400.2122
Budget Period
10/01/2025-06/30/2026
Fiscal Contact Name,
Title, Phone and Email
Project Name
Maternal and Child Health
Contract (CT or PO)
Number
CT FHLA 2022'0912
Expenditure Categories
Personal Services
Salaried Employees
Position Title
Description of Work
Gross or
Annual
Salary
Fringe
Percent of
Time on
Project
Total Amount Requested
from CDPHE
HCP Program Manager
Provides direct oversight and supervision of HCP care coordination
program and staff, directs care coordination activities, oversees HCP
program planning, reporting, evaluation, and budgetary activities,
participates in HCP program outreach and represents HCP on several
community -based groups and state HCP/MCH workgroups. Full time
employee in the MCH program. Remainder of the time and effort is county-
funded.
116,004.00
43,931.00
16.3%
26,077.42
Public Health Nurse Care
Coordinator
Provides care coordination services to HCP clients, assists with HCP
program outreach and attends HCP community/state meetings. MCH/HCP
FTE is 1.0 funded through the state.
90,757.00
33,733.00
36.2%
45,106.92
Personal Services
Hourly Employees
Position Title
Description of Work
...Wage
Fringe
'FT,:
Total # of
Hours on
Project
Total Amount Requested
from CDPHE
HCP Office Tech
Administrative support to HCP program coordinator and team.
Responsibilities include interpretation and translation, CDS data entry,
EMR data entry, materials preparation, assists HCP staff with care
coordination activities, etc.. MCH/HCP FTE is 6.5.
25.14
9.52
326.0
11,302.64
HCP Public Health Case Worker
Provides care coordination services to HCP program clients. Provides
HCP population -based program outreach as assigned by HCP program
coordinator. MCH/HCP FTE is 0.3 but will likely work more in this program
as county -funded.
35.47
13.18
260.0
12,691.82
Total Personal Services (including fringe benefits)
95,178.80
Supplies & Operating Expenses
Item
Description of Item
Two HCP billed $65.355 line.
Rate
$130.71
Quantity
4.3
Total Amount Requested
from CDPHE
568.33
Communications -Cell Phone
Translation Services
staff work cells phones at per month per phone
Translation services: five per month ($36.74 per service).
183.70
4.30
798.73
Tote Supplies _8, Operating
1,367.06
Travel
Item
Description of Item
Rate
Quantity
Total Amount Requested
from CDPHE
Total Travel
-
Contractual
Subcontractor Name
Description of Item
Rate
Quantity
Total Amount Requested
from CDPHE
To l,Contractual
Option Letter Contract Number: 202,0912 Option Letter #4
Page 1 oft
Design Envelope ID: tE774D03-O4AF-4CDD-9895-55D8C24894A8
Exhibit C- Budget
SUB -TOTAL OF DIRECT COSTSI 96545.86
Less: Expenses per OMB 2 CFR 200
Subcontractor in excess of $50,000
Rent
$-
$-
Equipment in excess of $10,000
Other Unallowable expenses
5 -
5 -
Total Expenses per OMB 2 CFR 200
Modified Total Direct Costs (MTDC)
$-
$95,545.86
Indirect
Item
Description of Item
Percentage
Total Amount Requested from
CDPHE
C.. Negotiated Indirect Cost Rate
Modified total direct costs, consisting of all salaries and wages, fringe benefits, materials and
supplies, services, travel, and sub grants and subconVacts up to the first $50,000 of each sub grant
or subcontract (regardless of the period covered by the sub grant or subcontract). Equipment, capital
expenditures, charges for patient care, tuition remission, rental costs, scholarships, and felowships,
participant support costs and the portion of each sub grant and subcontract in excess of $0,000 shall
be excluded from modified total direct costs.
19.74/
19,058.14
Total Indirect
19,058.14
TOTAL
,115,604:00
Option Letter Contract Number: 202,0912 Option Letter.
Page 2 of 2
Mariah Higgins
From:
Sent:
To:
Cc:
Subject:
Attachments:
Amanda Gomez
Monday, September 23, 2024 8:45 AM
CTB
Health Contracts
Communication Item: 9/25/2024
2022-0912 Option Letter #3 MCH.pdf
Good morning,
Attached is an Option Letter to add as a communication item for Wednesday's agenda, please.
Please let me know if you need anything else.
Thank you,
Amanda Gomez
Health Finance and Contracts
Weld County Department of Public Health & Environment
1555 North 17th Avenue, Greeley, CO 80631
Direct 970-400-2100
Main Switchboard 970-400-6410
Fax 970-304-6412
agomezAweld.gov
health-ap@weld.gov
health-contracts(cweld. gov
www.weldhealth.gov
IM®
APlease think green before printing this email.
Public Health
Confidentiality Notice: This electronic transmission and any attached documents or otherwritings are intended only for the person or entity
to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have
received this communication in error, please immediately notify sender by retum e-mail and destroy the communication. Any disclosure,
copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than
the named recipient is strictly prohibited.
CoMMun;Coo-t-;an5
01/25/2y
cc : kL, RCMP/eh)
09/23f2K
2024-2540
I -11-O051
Docusign Envelope ID: CEE0DB49-7C29-4DAF-8589-F3A344798DB5
STATE OF COLORADO GRANT AGREEMENT
DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
OPTION LETTER #3
State Agency:
Colorado Department Of Public Health and Environment
4300 Cherry Creek Dr S
Denver, CO 80246
Original Agreement Number:
2022*0912
Option Letter Agreement Number:
2022*0912 Option Letter #3
Grantee:
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
Agreement Performance Beginning Date:
October 1, 2021
Current Agreement Expiration Date:
September 30, 2025
Agreement Authority:
FAIN & Short Description: B0440120
Maternal and Child Health Services
Federal Award Date: TBD
Subaward Period of Performance: 10/01/2020-09/30/2025
Subaward Budget Period: 10/01/2024-09/30/2025
Total Federal Funds Obligated: TBD
CFDA # & Title: 93.994
Maternal and Child Health Services Block Grant to the States
Solicitation Information: Exempt
Fund Expenditure End Date:
September 30, 2025
Document
Type
Agreement
Number
Federal
Funding
Amount
State Funding
Amount
Other Funding
Amount
Term (dates)
Total
Original
Contract
2022*0912
$186,054.00
$0.00
$0.00
10/1/2021-
9/30/2022
$186,054.00
Original
Contract
2022*0912
$0.00
$133,000.00
$0.00
10/1/2021-
6/30/2022
$133,000.00
Option Letter#1
2022*0912
Option Letter #1
$186,054.00
$0.00
$0.00
10/1/2022-
9/30/2023
$186,054.00
Option Letter #1
2022*0912
Option Letter #1
$0.00
$133,000.00
$0.00
10/1/2022-
6/30/2023
$133,000.00
Page 1 of 3
Grant Agreement Option Letter Number: 2022*0912 Option Letter #3
Ver.A 27.01.20
Docusign Envelope ID: CEE0DB49-7C29-4DAF-8589-F3A344798DB5
Option Letter#2
2022*0912
$153,592.80
$0.00
$0.00
10/1/2023-
$153,592.80
Option Letter #2
9/30/2024
Option Letter #2
2022*0912
$0.00
$165,461.20
$0.00
10/1/2023-
$165,461.20
Option Letter #2
6/30/2024
Option Letter #3
2022*0912
Option Letter #39/30/2025
$152,054.00
$0.00
$0.00
10/1/2024-$152,054.00
Option Letter #3
2022*0912
$0.00
$167,000.00
$0.00
10/1/2024-
$167,000.00
Option Letter #3
6/30/2025
Current Agreement Maximum
$1,276,216.00
Cumulative Amount
1) OPTIONS
A. Option to extend for an Extension Term.
B. Option to change quantity of services under the Agreement.
2) REQUIRED PROVISIONS:
A. In accordance with Section 2C of the Original Main Task Order Contract referenced above, the
State hereby exercises its option for an additional term, beginning October 1, 2024 and ending on
the current contract expiration date shown above, at the rates stated in the Original Task Order
Contract, as amended for the following reason: To extend the contract into Fiscal Year 2025.
B. In accordance with Section 5Bv of the Original Main Task Order Contract referenced above, the
State hereby exercises its option to increase the quantity of the services at the rates stated in the
Original Task Order Contract, as amended. Exhibit C is deleted and replaced in its entirety with
Exhibit C attached to this Option Letter, for the following reason: To add funds supporting the
Statement of Work activities and deliverables for the renewal term.
C. Exhibit E - Federal Provisions, is deleted and replaced in its entirety with Exhibit E - Federal
Provisions, attached to this Option Letter, for the following reason: to reflect changes to the
federal award identification information.
D. The Agreement Maximum Amount table is deleted and replaced with the Current Agreement
Maximum Amount table shown above.
2) OPTION EFFECTIVE DATE:
A. The effective date of this Option Letter is upon approval of the State Controller or October 1,
2024, whichever is later.
Page 2 of 3 Ver.A 27.01.20
Grant Agreement Option Letter Number: 2022*0912 Option Letter #3
Docusign Envelope ID: CEE0DB49-7C29-4DAF-B589-F3A344798DB5
SIGNATURE PAGE
STATE OF COLORADO
Jared S. Polis, Governor
Colorado Department of Public Health and Environment
Jill Hunsaker Ryan, MPH, Executive Director
EDocuSigned by:
aul,sta aitku4sok,
20.1391241657.1
In accordance with §24-30-202 C.R.S., this Option is not
valid until signed and dated below by the State Controller or
an authorized delegate.
STATE CONTROLLER
Robert Jaros, CPA, MBA, JD
DocuSigned by:
EIG..4 tlidt4#.4.
73365F4A4ADA4PC
By: Signature
Chelsea Gilbertson
By: Signature
Kurt Williams
Name of Executive Director Delegate
Procurement & Contracts Section
Name of State Controller Delegate
Controller
Title of Executive Director Delegate
2024-09-03
Data
Title of State Controller Delegate
2024-09-20
Option Effective Date:
-- Signature Page End --
Page 3 of 3 Ver.A 27.01.20
Grant Agreement Option Letter Number: 2022*0912 Option Letter #3
Docusign Envelope ID: CEE0DB49-7C29-4DAF-8589-F3A344798DB5
Exhibit C
PREVENTION SERVICES DIVISION- 12 MONTH BUDGET WITH JUSTIFICATION FORM
Original Contract Routing # 2022*0912
MCH Contract Budget
Contractor Name
Weld County
Program Contact Name, Title, Phone
and Email
Shaun May
smay@weld.gov
970.400.2309
Budget Period
10/1/2024-9/30/2025
Fiscal Contact Name, Title, Phone
and Email
Bill Fritz
bfritz@weld.gov
970.400.2122
Project Name
Maternal and Child Health
Contract (CT or PO) Number
CT FHLA 2022*0912
'Expenditure Categories
Personal Services
Position Title
Description of Work
Annual Salary
Annual
Fringe
Percent of
Time on
Project
Total Amount
Requested from
CDPHE
HCP Program Manager
Provides direct oversight and supervision of HCP care coordination
program and staff, tlirects care coordination activities, oversees
HCP program planning, reporting, evaluation, and budgetary
activities, participates in HCP program outreach antl represents
HCP on several communit-based groups antl state HCP/MCH
workgroups. Full time employee in the MCH program. Remaintler of
the time and effort is county -funded.
$ 118,801.00
$ 41,580.00
60%
$ 96,228.60
PHS RN
Provides care coordination services to HCP clients, assists
with HCP program outreach and attends HCP
community/state meetings. MCH/HCP FTE is 1.0 funded
through the state.
$ 93,349.00
$ 32,672.00
100%
$ 126,021.00
Personal Services
Position Title
Description of Work
Hourly Wage
Hourly
Fringe
Total # of
Hours on
Project
Total Amount
Requested from
CDPHE
HCP Office Tech
Administrative support to HCP program coordinator and
team. Responsibilities include interpretation and translation,
CDS data entry, EMR data entry, materials preparation,
assists HCP staff with care coordination activities,etc.
MCH/HCP FTE is 0.5.
$ 29.97
$ 10.49
934.0
$ 37,789.64
Social Worker
Provides social work services to HCP program clients upon
request from HCP staff, available to provide HCP population -
based program outreach as assigned by HCP program
coordinator. MCH/HCP FTE is 0.01 but will likely work more
in this program as county -funded.
$ 33.67
$ 11.79
120.0
$ 5,455.20
Total Personal Services (including fringe benefits)
$ 265,494.44
Supplies & Operating Expenses
Item
Description of Item
Rate
Quantity
Total Amount
Requested from
CDPHE
Meeting expense
Room rental fees for meetings with key community partners
$ 225.00
4.00
$ 900.00
Cell Phone
Work cell phone for staff
$ 1.00
1208.32
$ 1,208.32
Language line
Translation services by phone
$ 50.00
12.00
$ 600.00
Total Supplies & Operating
$ 2,708.32
Travel
Item
Description of Item
Rate
Quantity
Total Amount
Requested from
CDPHE
Total Travel
$
Contractual
Subcontractor Name
Description of Item
Rate
Quantity
Total Amount
Requested from
CDPHE
Total Contractual
$
SUB -TOTAL OF DIRECT COSTS
$ 268,202.76
Indirect
Grant Agreement Option Letter Number. 2022"0912 Option Letter #3
Page 1 of 2
Dacus. Envelope ID: CEE0DB49-7C29-4DA,B589-F3A344798DB5
Exhibit C
Item
Description of Item
Total Amount
Requested from
CDPHE
CDPHENegotiated Indirect
Cost Rate
18.96% negotiated Indirect Rate for 2024 Modified total direct costs, consisting of all salaries and wages, fringe benefits,
materials and supplies, services, travel, and sub grants and subcontracts up to the first $25,000 of each sub grantor
subcontract (regardless of the period covered by thesub grant or subcontract, Equipment, capital expenditures, charges
for patient care, tuition remission, rental costs, scholarships, and fellowships, participant support costs and the portion of
each sub grant and subcontract in excess of $25,000 shall be excluded from modified total direct costs.
$ 50,851.24
Total Indirect
$ 50,851.24
TOTAL
$ 319,054.00
Grant Agreement Option Letter Number. 2022'0912 Option Letter tt3
Page 2 of 2
Docusign Envelope ID: CEE0DB49-7O29-4DAF-8589-F3A344798DB5
Exhibit E
Federal Provisions — Maternal and Child Health Services
For the purposes of this Exhibit only, Contractor is also identified as "Subrecipient." This Contract has
been funded, in whole or in part, with an award of Federal funds. In the event of a conflict between the
provisions of these Supplemental Provisions for Federal Awards, the Special Provisions, the Contract or
any attachments or exhibits incorporated into and made a part of the Contract, the Supplemental
Provisions for Federal Awards shall control. In the event of a conflict between the Supplemental
Provisions for Federal Awards and the FFATA Supplemental Provisions (if any), the FFATA
Supplemental Provisions shall control.
1) Federal Award Identification.
a. Subrecipient: Weld County Department of Public Health and Environment
b. Subrecipient Unique Entity Identification Number:
• SAM Unique Entity ID (UEI): MKKXT9U9MTV5
c. The Federal Award Identification Number (FAIN) is B0440120
d. The Federal award date is TBD
e. The subaward period of performance start date is 10/1/2020 and end date is 9/30/2025.
f. Federal Funds:
Federal Budget Period
Total Amount of Federal
Funds Awarded
Amount of Federal Funds
Obligated to CDPHE
10/1/2024 — 9/30/2025
TBD
TBD
g. Federal award title of project or program: Maternal and Child Health Services.
h. The name of the Federal awarding agency is: United States Department of Health and
Human Services (USDHHS) Health Resources and Services Administration
(HRSA) and the contact information for the awarding official is Leon Harrison, Phone:
301.443.5809; Email: larrison@hrsa.gov; the name of the pass -through entity is the State of
Colorado, Department of Public Health and Environment (CDPHE), and the contact
information for the CDPHE official is Risa Friedman (CDPHE) Project Director.
i. The Catalog of Federal Domestic Assistance (CFDA) number is 93.994 and the grant name is
Maternal and Child Health Services Block Grant to the States.
j. This award is not for research & development.
k. Subrecipient is not required to provide matching funds. In the event the Subrecipient is
required to provide matching funds, Section 8 of this Attachment applies.
1. The indirect cost rate for the Federal award (including if the de minimis rate is charged per 2
CFR §200.414 Indirect (F&A) costs) is pre -determined based upon the State of Colorado and
CDPHE cost allocation plan.
Page 1of4
Grant Agreement Option Letter Number: 2022*0912 Option Letter #3
Ver. 25.02.20
Docusign Envelope ID: CEE0DB49-7O29-4DAF-B589-F3A344798DB5
2) Subrecipient shall at all times during the term of this contract strictly adhere to the requirements under
the Federal Award listed above, and all applicable federal laws, Executive Orders, and implementing
regulations as they currently exist and may hereafter be amended.
3) Any additional requirements that CDPHE imposes on Subrecipient in order for CDPHE to meet its
own responsibility to the Federal awarding agency, including identification of my required fmancial and
performance reports, are stated in the Exhibits.
4) Subrecipient's approved indirect cost rate is as stated in the Exhibits.
5) Subrecipient must permit CDPHE and auditors to have access to Subrecipient's records and fmancial
statements as necessary for CDPHE to meet the requirements of 2 CFR §200.331 Requirements for pass -
through entities, §§ 200.300 Statutory and National Policy Requirements through §200.309 Period of
performance, and Subpart F -Audit Requirements of this Part.
6) The appropriate terms and conditions concerning closeout of the subaward are listed in Section 16 of
this Attachment.
7) Performance and Final Status. Subrecipient shall submit all fmancial, performance, and other
reports to CDPHE no later than 45 calendar days after the period of performance end date or sooner
termination of this Contract containing an evaluation and review of Subrecipient's performance and the
final status of Subrecipient's obligations hereunder.
8) Matching Funds. Subrecipient shall provide matching funds as stated in the Exhibits. Subrecipient
shall have raised the full amount of matching funds prior to the Effective Date and shall report to CDPHE
regarding the status of such funds upon request. Subrecipient's obligation to pay all or any part of any
matching funds, whether direct or contingent, only extends to funds duly and lawfully appropriated for the
purposes of this Contract by the authorized representatives of the Subrecipient and paid into the
Subrecipient's treasury or bank account. Subrecipient represents to CDPHE that the amount designated as
matching funds has been legally appropriated for the purposes of this Contract by its authorized
representatives and paid into its treasury or bank account. Subrecipient does not by this Contract
irrevocably pledge present cash reserves for payments in future fiscal years, and this Contract is not
intended to create a multiple -fiscal year debt of the Subrecipient. Subrecipient shall not pay or be liable for
any claimed interest, late charges, fees, taxes or penalties of any nature, except as required by
Subrecipient's laws or policies.
9) Record Retention Period. The record retention period previously stated in this Contract is replaced
with the record retention period prescribed in 2 CFR §200.333.
10) Single Audit Requirements. If Subrecipient expends $750,000 or more in Federal Awards during
Subrecipient's fiscal year, Subrecipient shall procure or arrange for a single or program -specific audit
conducted for that year in accordance with the provisions of Subpart F -Audit Requirements of the Uniform
Guidance, issued pursuant to the Single Audit Act Amendments of 1996, (31 U.S.C. 7501-7507). 2 CFR
§200.501.
11) Contract Provisions. Subrecipient shall comply with and shall include all of the following applicable
provisions in all subcontracts entered into by it pursuant to this Contract:
a. Office of Management and Budget Circulars and The Common Rule for Uniform
Administrative Requirements for Grants and Cooperative Agreements to State and Local
Governments, as applicable;
b. when required by Federal program legislation, the "Davis -Bacon Act", as amended (40
U.S.C. 3141-3148) as supplemented by Department of Labor Regulations (29 CFR Part 5,
"Labor Standards Provisions Applicable to Contracts Covering Federally Financed and
Assisted Construction");
Page 2 of 4
Grant Agreement Option Letter Number: 2022*0912 Option Letter #3
Ver_ 25.02.20
Docusign Envelope ID: CEE0DB49-7C29-4DAF-B589-F3A344798DB5
c. when required by Federal program legislation, the Copeland "Anti -Kickback" Act (40 U.S.C.
3145), as supplemented by Department of Labor regulations (29 CFR Part 3, "Contractors
and Subcontractors on Public Building of Public Work Financed in Whole or in Part by Loans
or Grants from the United States").
d. 42 U.S.C. 6101 et sue, 42 U.S.C. 2000d, 29 U.S.C. 794 (regarding discrimination);
e. the "Americans with Disabilities Act" (Public Law 101-336; 42 U.S.C. 12101, 12102, 12111
- 12117, 12131 - 12134, 12141 - 12150, 12161 - 12165, 12181 - 12189, 12201 - 12213 and 47
U.S.C. 225 and 47 U.S.C. 611);
f. when applicable, the Contractor shall comply with the provisions of the "Uniform
Administrative Requirements for Grants and Cooperative Agreements to State and Local
Governments" (Common Rule);
g. The Federal Funding Accountability and Transparency Act of 2006 (Public Law 109-282), as
amended by §6062 of Public Law 110-252, including without limitation all data reporting
requirements required there under. This Act is also referred to as FFATA.
h. Contractor shall comply with the provisions of Section 601 of Title VI of the Civil Rights Act
of 1964, as amended.
i. Except as otherwise provided under 41 CFR Part 60, all contracts that meet the definition of
"federally assisted construction contract" in 41 CFR Part 60-1.3 comply with the equal
opportunity clause provided under 41 CFR 60-1.4(b), in accordance with Executive Order
11246, "Equal Employment Opportunity: (30 FR 12319, 12935, 3 CFR Part, 1964-1965
Comp., p. 339), as amended by Executive Order 11375, "Amending Executive Order 11246
Relating to Equal Employment Opportunity," and implementing regulations at 41 CFR part
60, "Office of Federal Contract Compliance Programs, Equal Employment Opportunity,
Department of Labor.
j. where applicable, Contract Work Hours and Safety Standards Act (40 U.S.C. 3701-3708).
k. if the Federal award meets the definition of "funding agreement" under 37 CFR § 401.2 (a)
and the recipient or subrecipient wishes to enter into an agreement with a small business firm
or nonprofit organization, comply with the requirements of 37 CFR Part 401, "Rights to
Inventions Made by Nonprofit Organizations and Small Business Firms Under Government
Grants, Contracts and Cooperative Agreements," and any implementing regulations issued by
the awarding agency.
the Clean Air Act (42 U.S.C. 7401-7671q.) and the Federal Water Pollution Control Act (33
U.S.C. 1251-1387), as amended.
if applicable, comply with the mandatory standards and policies on energy efficiency
contained within the State of Colorado's energy conservation plan issued in compliance with
the Energy Policy and Conservation Act, 42 U.S.C. 6201.
the Contractor and all principals are not presently debarred, suspended, proposed for
debarment, declared ineligible, or voluntarily excluded from covered transactions by any
federal department or agency; the Contractor and all principals shall comply with all
applicable regulations pursuant to Executive Order 12549 (3 CFR Part 1986 Comp., p. 189)
and Executive Order 12689 (3 CFR Part 1989 Comp., p. 235), Debarment and Suspension;
and,
the Contractor shall comply where applicable, the Byrd Anti -Lobbying Amendment (31
U.S.C. 1352).
Page 3 of 4
Grant Agreement Option Letter Number: 2022'0912 Option Letter #3
Ver. 25.02.20
Docusign Envelope ID: CEE0DB49-7C29-4DAF-B589-F3A344798DB5
12) Compliance. Subrecipient shall comply with all applicable provisions of The Office of Management
and Budget Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal
Awards (Uniform Guidance), including but not limited to these Supplemental Provisions for Federal
Awards. Any revisions to such provisions automatically shall become a part of these Supplemental
Provisions, without the necessity of either party executing any further instrument. CDPHE may provide
written notification to Subrecipient of such revisions, but such notice shall not be a condition precedent to
the effectiveness of such revisions.
13) Procurement Procedures. Subrecipient shall use its own documented procurement procedures which
reflect applicable State, local, and Tribal laws and regulations, provided that the procurements conform to
applicable Federal law and the standards identified in the Uniform Guidance, including without limitation,
§§200.318 through 200.326 thereof.
14) Certifications. Unless prohibited by Federal statutes or regulations, CDPHE may require
Subrecipient to submit certifications and representations required by Federal statutes or regulations on an
annual basis (2 CFR §200.208). Submission may be required more frequently if Subrecipient fails to meet
a requirement of the Federal award. Subrecipient shall certify in writing to CDPHE at the end of the
Contract that the project or activity was completed or the level of effort was expended. 2 CFR
§200.201(b)(3). If the required level of activity or effort was not carried out, the amount of the Contract
must be adjusted.
15) Event of Default. Failure to comply with the Uniform Guidance or these Supplemental Provisions for
Federal Awards shall constitute an event of default under the Contract pursuant to 2 CFR §200.339 and
CDPHE may terminate the Contract in accordance with the provisions in the Contract.
16) Close- Out. Subrecipient shall close out this Contract within 45 days after the End Date. Contract
close out entails submission to CDPHE by Subrecipient of all documentation defined as a deliverable in
this Contract, and Subrecipient's fmal reimbursement request. If the project has not been closed by the
Federal awarding agency within 1 year and 45 days after the End Date due to Subrecipient's failure to
submit required documentation that CDPHE has requested from Subrecipient, then Subrecipient may be
prohibited from applying for new Federal awards through the State until such documentation has been
submitted and accepted.
17) Erroneous Payments. The closeout of a Federal award does not affect the right of the Federal
awarding agency or CDPHE to disallow costs and recover funds on the basis of a later audit or other
review. Any cost disallowance recovery is to be made within the record retention period.
EXHIBIT END
Page 4 of 4
Grant Agreement Option Letter Number: 2022*0912 Option Letter #3
Ver. 25.02.20
DocuSign Envelope ID: 5D967D6F-85C6-41E3-A86F-2AC85824DB7E
OPTION LETTER #: 2
State Agency:
Colorado Department of Public Health and Environment
4300 Cherry Creek Drive South
Denver, Colorado 80246
Original Contract Number:
2022*0912
Option Letter Contract Number:
2022*0912 Option Letter #2
Contractor:
Board of County Commissioners of Weld County
(a political subdivision of the state of Colorado)
1150 "O" Street
Greeley, CO 80631
for the use and benefit of the
Weld County Department of Public Health and Environment
1555 North 17°' Avenue
Greeley, CO 80631
Contract Performance Beginning Date:
October 1, 2021
Current Contract Expiration Date:
September 30, 2024
CONTRACT MAXIMUM AMOUNT TABLE
Document Type
Contract Number
Federal Funding
State Funding
Other Funding
Term (dates)
Total
Original Contract
2022*0912
$186,054.00
$0.00
$0.00
10/1/21-9/30/22
$186,054.00
Original Contract
2022*0912
$0.00
$133,000.00
$0.00
10/1/21-6/30/22
$133,000.00
Option Letter #1
2022*0912
Option Letter #1
$186,054.00
$0.00
$0.00
10/1/22-9/30/23
$186,054.00
Option Letter #1
2022*0912
Option Letter #1
$0.00
$133,000.00
$0.00
10/1/22-6/30/23
$133,000.00
Option Letter #2
2022*0912
Option Letter #2
$153,592.80
$0.00
$0.00
10/1/23-9/30/24
$153,592.80
Option Letter #2
2022*0912
Option Letter #2
$0.00
$165,461.20
$0.00
10/1/23-6/30/24
$165,461.20
Current Contract Maximum
Cumulative Amount
$957,162.00
1) OPTIONS
A. Option to extend for an Extension Term
B. Option to change quantity of services under the Contract
2) REQUIRED PROVISIONS:
A. In accordance with Exhibit A, Additional Provisions, Paragraph 9 of the Original Contract referenced
above, the State hereby exercises its option for an additional term, beginning October 1, 2023 and ending on
the current contract expiration date shown above, at the rates stated in the Original Contract, as amended for
the following reason: To continue developing, implementing and evaluating evidence -based Maternal and
Child Health (MCH) local action plans that promote and contribute to healthy outcomes for Colorado
women, children and youth.
B. In accordance with Exhibit A, Additional Provisions, Paragraph 10 of the Original Contract referenced
above, the State hereby exercises its option to increase the quantity of services at the rates stated in the
Original Contract as amended. Exhibit C, Budget, is deleted and replaced in its entirety with Exhibit C,
Budget, attached to this Option Letter, for the following reason: To increase funding in support of the new
term.
Page 1 of 3
Option Letter Contract Number: 2022*0912 Option Letter #2 Ver. 27.01.20
DocuSign Envelope ID: 5D967D6F-85C6-41E3-A86F-2AC85824DB7E
C. Exhibit E, Federal Provisions, is deleted and replaced in its entirety with Exhibit E, Federal Provisions,
attached to this Option Letter, for the following reason: To reflect changes to the federal award identification
information.
D. The Contract Maximum Amount table is deleted and replaced with the Current Contract Maximum
Amount table shown above.
3) OPTION EFFECTIVE DATE:
The effective date of this Option Letter is upon approval of the State Controller or October 1, 2023 ,
whichever is later.
Page 2 of 3
Option Letter Contract Number: 2022*0912 Option Letter #2 Ver. 27.01.20
DocuSign Envelope ID: 5D967D6F-85C6-41 E3-A86F-2AC85824DB7E
SIGNATURE PAGE
STATE OF COLORADO
Jared S. Potts, Governor
Colorado Department of Public Health and Environment
Jill Hunsaker Ryan, MPH, Executive Director
DocuSlpned by:
LILiSa httrobv,WIA,
2EDF870AtA7D4FC...
In accordance with §24-30-202 C.R.S., this Option is not
valid until signed and dated below by the State Controller or
an authorized delegate.
STATE CONTROLLER
Robert Jaros, CPA, MBA, JD
DocuSioned by:
Cle4441 Wt..
7,3115P4444P84 w
TLYCSa freer
By: Signature
Lisa McGovern
By: Signature
Kurt Williams
Name of Executive Director Delegate
Procurement & contracts Section Director ft
Name of State Controller Delegate
controller
Title of Executive Director Delegate
2023-09-07
Date:
Title of State Controller Delegate
2023-09-08
Option Effective Date:
-- Signature Page End --
Page 3 of 3
Option Letter Contract Number: 2022*0912 Option Letter #2 Ver. 03.01.20
DocuSign Envelope ID: 5D967D6F-85C6-41E3-A86F-2AC85824DB7E
Exhibit C Budget
atte
COLORADO
Department of Public
Health Et Environment
PREVENTION SERVICES DIVISION- 12 MONTH BUDGET WITH JUSTIFICATION FORM
Original Contract Routing # 2022*0912
Contractor Name
Weld County Dept of Public Health
Program Contact Name, Title, Phone
and Email
Shaun May, CCH Division Director,
970-400-2309, smay@weld.gov
Budget Period
10/1/2023 - 9/30/2024
Fiscal Contact Name, Title, Phone and
Email
Tanya Geiser, Director Finance &
Administration tgeiser@weld.gov
Project Name
Maternal & Child Health
Contract (CT or PO) Number
CT FHLA 2022*0912
Expenditure Categories
Personal Services
Salaried Employees
Position Title
Description of Work
Gross or Annual
Salary
Fringe
Percent of Time
on Project
Total Amount
Requested from
CDPHE
Health Communication
Specialist II
Provides direct oversight of MCH Positive Children
and Youth Development priority staff activities.
Oversees program planning, reporting, evaluation,
and budget.
$ 82,676.45
$ 36,658.74
62.0%
$ 73,987.82
Division Director
Provides oversight of MCH Positive Children and
Youth Development priority and program and staff.
$ 135,315.71
$ 59,998.99
1.0%
$ 1,953.15
Supervisor
Provides oversight of MCH Positive Children and
Youth Development priority and staff, participates in
reporting and evaluation of priorities.'
$ 94,157.37
$ 41,749.38
1.0%
$ 1,359.07
Health Data Specialist Al
Provides data analysis and evaluation expertise for
MCH Positive Children and Youth Development
priority.
$ 123,807.86
$ 54,896.41
1.0%
$ 1,787.04
HCP Program Coordinator
Provides direct oversight and supervision of HCP care
coordination program and staff, directs HCP care
coordination services, and oversees program
planning, reporting, evaluation, and budgetary
activities, participates in HCP program outreach and
represents HCP on several community -based groups
and state HCP/MCH workgroups. MCH/HCP FTE is
.27 (including .05 FTE commitment to CYSHCN
exploratory activities), but will work approximately
1.0 in the MCH program with the remainder of the
time county -funded.
$ 114,997.18
$ 50,989.75
27.0%
$ 44,816.47
HCP RN Care Coordinator
Provides care coordination services to HCP clients,
assists with HCP program outreach and attends HCP
community/state meetings.
$ 81,492.55
$ 36,133.80
81.0%
$ 95,277.34
Director of Clinical &
Community Health Services
Provides oversight of HCP program and HCP staff,
participates in reporting and evaluation of HCP
program. MCH/HCP FTE is .01 but will likely work
more in this program as county -funded.
$ 135,315.71
$ 59,998.99
1.0%
$ 1,953.15
Chief Nursing Officer
Provides oversight of HCP program and HCP staff,
participates in reporting and evaluation of HCP
program. MCH/HCP FTE is .01 but will likely work
more in this program as county -funded (including
.025 FTE commitment to CYSHCN exploratory
activities).:,
"z
`�:: 162,451.19
•
`
: `.:•
$ 72,030.86
1.0%
$ 2,344.82
Option Letter Contract Number: 2022*0912 Option Letter #2 Page 1 of 2
DocuSign Envelope ID: 5D967D6F-85C6-41E3-A86F-2AC85824DB7E
Exhibit C Budget
Public Health Social
Worker
Provides social work services to HCP program clients
upon request from HCP staff, available to provide
HCP population -based program outreach as assigned
by HCP program coordinator. MCH/HCP FTE is 0.01
but will likely work more in this program as county -
funded.
$ 81,467.49
$ 36,122.69
1.0%
$ 1,175.90
Personal Services
Hourly Employees
Position Title
Description of Work
Hourly Wage
Hourly Fringe
Total # of Hours
on Project
Total Amount
Requested from
CDPHE
HCP Office Technician
Administrative support to HCP program coordinator
and team. Responsibilities include interpretation and
translation, CDS data entry, EMR data entry,
materials preparation, assists HCP staff with care
coordination activities,etc. MCH/HCP FTE is 0.5.
$ 25.35
$ 11.24
1039.92
$ 38,050.86
Total Personal Services (including fringe benefits)
$ 262,705.62
Supplies & Operating Expenses
Item
Description of Item
Rate
Quantity
Total Amount
Requested from
CDPHE
Meeting supplies/materials
Program outreach materials for systems building activities. May include
allocations for MCH printing and office supplies (i.e. brochures,
handouts, etc.). $699.69 for the year.
$ 699.69
1.00
$ 699.69
Phone
HCP program phone is utilized to improve communication with HCP
clients/families. 12 months @$60/month).
$ 60.00
12.00
$ 720.00
Language Line
Line utilized to communicate with non-English speaking MCH clients
$ 15.00
20.00
$ 300.00
Total Supplies & Operating
$ 1,719.69
Travel
Item
Description of Item
Rate
Quantity
Total Amount
Requested from
CDPHE
Mileage
Travel to and from childcare centers and community/coalition meetings
to implement action plan & travel to CYSHCN trainings/meetings
reimbursed at $0.635/mile.
$ 0.635
2567.54
$ 1,630.39
Total Travel
$ 1,630.39
Contractual
Subcontractor Name
Description of Item
Rate
Quantity
Total Amount
Requested from
CDPHE
$
Total Contractual
$
SUB -TOTAL OF DIRECT COSTS
$ 266,055.70
Indirect
Item
Description of Item
Total Amount
Requested from
CDPHE
CDPHE-Negotiated Indirect
Cost Rate
2023 Indirect Rate = 19.92%. Modified total direct costs, consisting of all salaries and wages, fringe
benefits, materials and supplies, services, travel, and subgrants and subcontracts up to the first $25,000 of
each subgrant or subcontract (regardless of the period covered by the subgrant or subcontract).
Equipment, capital expenditures, charges for patient care, tuition remission, rental costs, scholarships,
and fellowships, participant support costs and the portion of each subgrant and subcontract in excess of
$25,000 shall be excluded from modified total direct costs.
$ 52,998.30
Total indirect
$ 52,998.30
TOTAL
$ 319,054.00
Option Letter Contract Number: 2022*0912 Option Letter #2 Page 2 of 2
DocuSign Envelope ID: 5D967D6F-85C6-41E3-A86F-2AC85824DB7E
Exhibit E
Federal Provisions — Maternal and Child Health Services
For the purposes of this Exhibit only, Contractor is also identified as "Subrecipient." This Contract has
been funded, in whole or in part, with an award of Federal funds. In the event of a conflict between the
provisions of these Supplemental Provisions for Federal Awards, the Special Provisions, the Contract or
any attachments or exhibits incorporated into and made a part of the Contract, the Supplemental
Provisions for Federal Awards shall control. In the event of a conflict between the Supplemental
Provisions for Federal Awards and the FFATA Supplemental Provisions (if any), the FFATA
Supplemental Provisions shall control.
1) Federal Award Identification.
a. Subrecipient: Weld County Department of Public Health and Environment
b. Subrecipient Unique Entity Identification Number:
• SAM Unique Entity ID (UEI): MKKXT9U9MTV5
c. The Federal Award Identification Number (FAIN) is B0440120
d. The Federal award date is TBD
e. The subaward period of performance start date is 10/1/2020 and end date is 9/30/2024.
f. Federal Funds:
Federal Budget Period
Total Amount of Federal
Funds Awarded
Amount of Federal Funds
Obligated to CDPHE
10/1/2023 — 9/30/2024
TBD
$5,552,376.00 (est)
g. Federal award title of project or program: Maternal and Child Health Services.
h. The name of the Federal awarding agency is: United States Department of Health and
Human Services (USDHHS) Health Resources and Services Administration
(HRSA) and the contact information for the awarding official is Leon Harrison, Phone:
301.443.5809; Email: larrison@hrsa.gov; the name of the pass -through entity is the State of
Colorado, Department of Public Health and Environment (CDPHE), and the contact
information for the CDPHE official is Risa Friedman (CDPHE) Project Director.
i. The Catalog of Federal Domestic Assistance (CFDA) number is 93.994 and the grant name is
Maternal and Child Health Services Block Grant to the States.
j. This award is not for research & development.
k. Subrecipient is not required to provide matching funds. In the event the Subrecipient is
required to provide matching funds, Section 8 of this Attachment applies.
1. The indirect cost rate for the Federal award (including if the de minimis rate is charged per 2
CFR §200.414 Indirect (F&A) costs) is pre -determined based upon the State of Colorado and
CDPHE cost allocation plan.
2) Subrecipient shall at all times during the term of this contract strictly adhere to the requirements under
the Federal Award listed above, and all applicable federal laws, Executive Orders, and implementing
regulations as they currently exist and may hereafter be amended.
Page 1 of 4
Option Letter Contract Number: 2022*0912 Option Letter #2 Ver. 25.02.20
DocuSign Envelope ID: 5D967D6F-85C6-41E3-A86F-2AC85824DB7E
3) Any additional requirements that CDPHE imposes on Subrecipient in order for CDPHE to meet its
own responsibility to the Federal awarding agency, including identification of any required financial and
performance reports, are stated in the Exhibits.
4) Subrecipient's approved indirect cost rate is as stated in the Exhibits.
5) Subrecipient must permit CDPHE and auditors to have access to Subrecipient's records and financial
statements as necessary for CDPHE to meet the requirements of 2 CFR §200.331 Requirements for pass -
through entities, §§ 200.300 Statutory and National Policy Requirements through §200.309 Period of
performance, and Subpart F —Audit Requirements of this Part.
6) The appropriate terms and conditions concerning closeout of the subaward are listed in Section 16 of
this Attachment.
7) Performance and Final Status. Subrecipient shall submit all financial, performance, and other
reports to CDPHE no later than 45 calendar days after the period of performance end date or sooner
termination of this Contract containing an evaluation and review of Subrecipient's performance and the
final status of Subrecipient's obligations hereunder.
8) Matching Funds. Subrecipient shall provide matching funds as stated in the Exhibits. Subrecipient
shall have raised the full amount of matching funds prior to the Effective Date and shall report to CDPHE
regarding the status of such funds upon request. Subrecipient's obligation to pay all or any part of any
matching funds, whether direct or contingent, only extends to funds duly and lawfully appropriated for the
purposes of this Contract by the authorized representatives of the Subrecipient and paid into the
Subrecipient's treasury or bank account. Subrecipient represents to CDPHE that the amount designated as
matching funds has been legally appropriated for the purposes of this Contract by its authorized
representatives and paid into its treasury or bank account. Subrecipient does not by this Contract
irrevocably pledge present cash reserves for payments in future fiscal years, and this Contract is not
intended to create a multiple -fiscal year debt of the Subrecipient. Subrecipient shall not pay or be liable for
any claimed interest, late charges, fees, taxes or penalties of any nature, except as required by
Subrecipient's laws or policies.
9) Record Retention Period. The record retention period previously stated in this Contract is replaced
with the record retention period prescribed in 2 CFR §200.333.
10) Single Audit Requirements. If Subrecipient expends $750,000 or more in Federal Awards during
Subrecipient's fiscal year, Subrecipient shall procure or arrange for a single or program -specific audit
conducted for that year in accordance with the provisions of Subpart F -Audit Requirements of the Uniform
Guidance, issued pursuant to the Single Audit Act Amendments of 1996, (31 U.S.C. 7501-7507). 2 CFR
§200.501.
11) Contract Provisions. Subrecipient shall comply with and shall include all of the following applicable
provisions in all subcontracts entered into by it pursuant to this Contract:
a. Office of Management and Budget Circulars and The Common Rule for Uniform
Administrative Requirements for Grants and Cooperative Agreements to State and Local
Governments, as applicable;
b. when required by Federal program legislation, the "Davis -Bacon Act", as amended (40
U.S.C. 3141-3148) as supplemented by Department of Labor Regulations (29 CFR Part 5,
"Labor Standards Provisions Applicable to Contracts Covering Federally Financed and
Assisted Construction");
c. when required by Federal program legislation, the Copeland "Anti -Kickback" Act (40 U.S.C.
3145), as supplemented by Department of Labor regulations (29 CFR Part 3, "Contractors
and Subcontractors on Public Building of Public Work Financed in Whole or in Part by Loans
or Grants from the United States").
Page 2 of 4
Option Letter Contract Number: 2022*0912 Option Letter #2 Ver. 25.02.20
DocuSign Envelope ID: 5D967D6F-85C6-41E3-A86F-2AC85824DB7E
d. 42 U.S.C. 6101 et sue, 42 U.S.C. 2000d, 29 U.S.C. 794 (regarding discrimination);
e. the "Americans with Disabilities Act" (Public Law 101-336; 42 U.S.C. 12101, 12102, 12111
-12117,12131-12134,12141-12150,12161-12165,12181-12189,12201-12213 and 47
U.S.C. 225 and 47 U.S.C. 611);
f. when applicable, the Contractor shall comply with the provisions of the "Uniform
Administrative Requirements for Grants and Cooperative Agreements to State and Local
Governments" (Common Rule);
g. The Federal Funding Accountability and Transparency Act of 2006 (Public Law 109-282), as
amended by §6062 of Public Law 110-252, including without limitation all data reporting
requirements required there under. This Act is also referred to as FFATA.
h. Contractor shall comply with the provisions of Section 601 of Title VI of the Civil Rights Act
of 1964, as amended.
i. Except as otherwise provided under 41 CFR Part 60, all contracts that meet the definition of
"federally assisted construction contract" in 41 CFR Part 60-1.3 comply with the equal
opportunity clause provided under 41 CFR 60-1.4(b), in accordance with Executive Order
11246, "Equal Employment Opportunity: (30 FR 12319, 12935, 3 CFR Part, 1964-1965
Comp., p. 339), as amended by Executive Order 11375, "Amending Executive Order 11246
Relating to Equal Employment Opportunity," and implementing regulations at 41 CFR part
60, "Office of Federal Contract Compliance Programs, Equal Employment Opportunity,
Department of Labor.
j. where applicable, Contract Work Hours and Safety Standards Act (40 U.S.C. 3701-3708).
k. if the Federal award meets the defmition of "funding agreement" under 37 CFR § 401.2 (a)
and the recipient or subrecipient wishes to enter into an agreement with a small business firm
or nonprofit organization, comply with the requirements of 37 CFR Part 401, "Rights to
Inventions Made by Nonprofit Organizations and Small Business Firms Under Government
Grants, Contracts and Cooperative Agreements," and any implementing regulations issued by
the awarding agency.
1. the Clean Air Act (42 U.S.C. 7401-7671q.) and the Federal Water Pollution Control Act (33
U.S.C. 1251-1387), as amended.
m. if applicable, comply with the mandatory standards and policies on energy efficiency
contained within the State of Colorado's energy conservation plan issued in compliance with
the Energy Policy and Conservation Act, 42 U.S.C. 6201.
n. the Contractor and all principals are not presently debarred, suspended, proposed for
debarment, declared ineligible, or voluntarily excluded from covered transactions by any
federal department or agency; the Contractor and all principals shall comply with all
applicable regulations pursuant to Executive Order 12549 (3 CFR Part 1986 Comp., p. 189)
and Executive Order 12689 (3 CFR Part 1989 Comp., p. 235), Debarment and Suspension;
and,
o. the Contractor shall comply where applicable, the Byrd Anti -Lobbying Amendment (31
U.S.C. 1352).
12) Compliance. Subrecipient shall comply with all applicable provisions of The Office of Management
and Budget Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal
Awards (Uniform Guidance), including but not limited to these Supplemental Provisions for Federal
Awards. Any revisions to such provisions automatically shall become a part of these Supplemental
Provisions, without the necessity of either party executing any further instrument. CDPHE may provide
Page 3 of 4
Option Letter Contract Number: 2022*0912 Option Letter #2 Ver. 25.02.20
DocuSign Envelope ID: 5D967D6F-85C6-41E3-A86F-2AC85824DB7E
written notification to Subrecipient of such revisions, but such notice shall not be a condition precedent to
the effectiveness of such revisions.
13) Procurement Procedures. Subrecipient shall use its own documented procurement procedures which
reflect applicable State, local, and Tribal laws and regulations, provided that the procurements conform to
applicable Federal law and the standards identified in the Uniform Guidance, including without limitation,
§§200.318 through 200.326 thereof.
14) Certifications. Unless prohibited by Federal statutes or regulations, CDPHE may require
Subrecipient to submit certifications and representations required by Federal statutes or regulations on an
annual basis (2 CFR §200.208). Submission maybe required more frequently if Subrecipient fails to meet
a requirement of the Federal award. Subrecipient shall certify in writing to CDPHE at the end of the
Contract that the project or activity was completed or the level of effort was expended. 2 CFR
§200.201(b)(3). If the required level of activity or effort was not carried out, the amount of the Contract
must be adjusted.
15) Event of Default. Failure to comply with the Uniform Guidance or these Supplemental Provisions for
Federal Awards shall constitute an event of default under the Contract pursuant to 2 CFR §200.339 and
CDPHE may terminate the Contract in accordance with the provisions in the Contract.
16) Close- Out. Subrecipient shall close out this Contract within 45 days after the End Date. Contract
close out entails submission to CDPHE by Subrecipient of all documentation defined as a deliverable in
this Contract, and Subrecipient's fmal reimbursement request. If the project has not been closed by the
Federal awarding agency within 1 year and 45 days after the End Date due to Subrecipient's failure to
submit required documentation that CDPHE has requested from Subrecipient, then Subrecipient may be
prohibited from applying for new Federal awards through the State until such documentation has been
submitted and accepted.
17) Erroneous Payments. The closeout of a Federal award does not affect the right of the Federal
awarding agency or CDPHE to disallow costs and recover funds on the basis of a later audit or other
review. Any cost disallowance recovery is to be made within the record retention period.
EXHIBIT END
Page 4 of 4
Option Letter Contract Number: 2022*0912 Option Letter #2 Ver. 25.02.20
DocuSign Envelope ID: F53B02AB-78EF-4B8A-8DC7-6587B9857776
OPTION LETTER #: 1
State Agency:
Colorado Department of Public Health and Environment
CYF/MCH
4300 Cherry Creek Drive South
Denver, Colorado 80246
Original Contract Number:
2022*0912
Option Letter Contract Number:
2022*0912 Option Letter #1
Contractor:
Board of County Commissioners of Weld County (a political subdivision
of the state of Colorado) 1150 "O" Street, Greeley, CO 80631 for the use
and benefit of the Weld County Department of Public Health and
Environment, 1555 North 17. Avenue, Greeley, CO 80631
Contract Performance Beginning Date:
October 1, 2021
Current Contract Expiration Date:
September 30, 2023
CONTRACT MAXIMUM AMOUNT TABLE
Document Type
Contract Number
Federal Funding
State Funding
Other Funding
Term (dates)
Total
Original Contract
2022*0912
$186,054.00
$0.00
$0.00
10/1/21-9/30/22
$186,054.00
Original Contract
2022*0912
$0.00
$133,000.00
$0.00
10/1/21-6/30/22
$133,000.00
Option Letter #1
2022*0912
Option Letter #1
$186,054.00
$0.00
$0.00
10/1/22-9/30/23
$186,054.00
Option Letter #1
2022°0912
Option Letter #1
$0.00
$133,000.00
$0.00
10/1/22-6/30/23
$133,000.00
Current Contract Maximum
Cumulative Amount
$638,108.00
1) OPTIONS
A. Option to extend for an Extension Term
B. Option to change quantity of services under the Contract
2) REQUIRED PROVISIONS:
A. In accordance with Exhibit A, Additional Provisions, Paragraph 9 of the Original Contract referenced
above, the State hereby exercises its option for an additional term, beginning October 1, 2022 and ending on
the current contract expiration date shown above, at the rates stated in the Original Contract, as amended for
the following reason: To continue developing, implement and evaluate evidence -based Maternal and Child
Health (MCH) local action plans that promote and contribute to healthy outcomes for Colorado women,
children and youth.
B. In accordance with Exhibit A, Additional Provisions, Paragraph 10 of the Original Contract referenced
above, the State hereby exercises its option to increase the quantity of services at the rates stated in the
Original Contract as amended. Exhibit C, Budget, is deleted and replaced in its entirety with Exhibit C,
Budget, attached to this Option Letter, for the following reason: To increase funding in support of the new
term .
C. Exhibit E, Federal Provisions, is deleted and replaced in its entirety with Exhibit E, Federal Provisions,
attached to this Option Letter, for the following reason: To reflect changes to the federal award identification
information.
D. The Contract Maximum Amount table is deleted and replaced with the Current Contract Maximum
Amount table shown above.
3) OPTION EFFECTIVE DATE:
The effective date of this Option Letter is upon approval of the State Controller or October 1, 2022 ,
whichever is later.
Page 1 of 2
Option Letter Contract Number: 2022*0912 Option Letter #1 Ver. 27.01.20
DocuSign Envelope ID: F53B02AB-78EF-4B8A-8DC7-0587B9857776
SIGNATURE PAGE
STATE OF COLORADO
Jared S. Polls, Governor
Colorado Department of Public Health and Environment
Jill Hunsaker Ryan, MPH, Executive Director
DocuSipned by:
2EDF870A1A7D4FC...
In accordance with §24-30-202 C.R.S., this Option is not
valid until signed and dated below by the State Controller or
an authorized delegate.
STATE CONTROLLER
Robert Jams, CPA, MBA, JD
DocuSipned by:
UtAsfit,
n e c e7 O
C 8 5d0 B Da05
By: Signature
Lisa McGovern
By: Signature
Justin Weigle
Name of Executive Director Delegate
Procurement & Contracts Section Director ft
Name of State Controller Delegate
Health Divisions Controller
Title of Executive Director Delegate
2022-09-12
Date:
Title of State Controller Delegate
2022-09-19
Option Effective Date:
-- Signature Page End --
Page 2 of 2
Option Letter Contract Number: 2022.0912 Option Letter #1 Ver. 03.01.20
a 4.,
Exhibit C Budget
COLORADO
Department of Public
Health & Environment
PREVENTION SERVICES DIVISION- 12 MONTH BUDGET WITH JUSTIFICATION FORM
Original Contract Routing # 2022"0912
Contractor Name
- -
Weld County Department of Public Health
Program Contact Name; Title,
phone and Email
Shaun May
smay@weldgov.com
970-400-2309
Budget Period
10/1/2022 - 9/30/2023
Fiscal Contact Name, Title, Phone
and Email
Tanya Geiser, Finance Director
tgeiser@weldgov.com
970-400-2122
Project Name
Maternal and Child Health
Contract (CT or PO) Number
CT, FHLA, 20220912
Expenditure Categories
Personal Services
Salaried Employees
Position Title
Description of Work
Gross or Annual
Salary
Fringe
Percent of Time
on Project
Total Amount
Requested from
CDPHE
HCP Program Coordinator
Provides direct oversight and supervision of HCP care
coordination program and staff, directs care
coordination activities, oversees HCP program
planning, reporting, evaluation, and budgetary
activities, participates in HCP program outreach and
represents HCP on several community -based groups
and state HCP/MCH workgroups. Full time employee
in the MCH program. Remainder of the time and
effort is county -funded.
$ 107,096.51
$ 41,692.67
294
$ 43,148.86
HCP RN Care Coordinator
Provides care coordination services to HCP clients,
assists with HCP program outreach and attends HCP
community/state meetings. MCH/HCP FTE is
0.99 funded through the state.
$ 74,810.34
$ 29,123.67
99.0%
$ 102,894.67
Director of Clinical &
Community Health
Services
Provides oversight of HCP program and HCP staff,
participates in reporting and evaluation of HCP
program. MCH/HCP FTE is .01 but will likely work
more in this program as county -funded.
$ 124,169.71
$ 48,339.27
1.0%
$ 1,725.09
chief Nursing Officer
Provides oversight of HCP program and HCP staff,
Participates in reporting and evaluation fl HCP
program. MCH/HCP FTE is Al but will likely work
more in this program as county -funded.
$ 152,955.83
$ 59,545.70
1.0%
$ 2,125.02
Public Health Social
Worker
Provides social work services to HCP program clients
upon request from HCP staff, available to provide
HCP population -based program outreach as assigned
by HCP program coordinator. MCH/HCP FTE is 0.01
but will likely work more in this program as county -
funded.
$ 76,699.09
$ 29,858.96
Cl%
$ 1,065.58
Health Communication
Specialist
Provides direct oversight of MCH Positive Children
and Youth Development priority. Oversees program
planning, reporting, evaluation, and budget.
$ 77,004.00
$ 29,977.66
69.0%
$ 73,817.35
Supervisor
Provides oversight of MCH Positive Children and
Youth Development priority, participates in
reporting and evaluation of priorities.
$ 86,381.20
$ 33,628.20
CO%
$ 1,20009
HCEP Division Director
Prooof M
Youthvides Developmenversightt priorityCH andPositive programChildren and sandtaff.
$ 127,265.20
$ 49,544.34
1.0%
$ 1,768.10
Data Specialist
Provides data analysis and evaluation expertise for
MCH Positive Children and Youth Development
priority.
$ 116,570.34
$ 45,380.83
1.0%
$ 1,619.51
Personal Services
Hourly Employees
Position Title
Description of Work
Hourly Wage
Hourly Fringe
Total # of Hours
on Project
Total Amount
Requested from
CDPHE
HCP Office Technician
Administrative support to HCP program coordinator
and team. Responsibilities include interpretation and
translation, CDS data entry, EMR data entry,
materials preparation, assists HCP staff with care
coordination activities, etc. MCH/HCP FTE is 0.5.
$ 23.87
$ 9.29
1040.0000
$ 34,486.40
T0tafPersonal,Services`(mcfuding#ringel/en',efits)
$ ;:;;263,USUiG7=';
Supplies & Operating Expenses
Item
Description of Item
Rate
Quantity
Total Amount
Requested from
CDPHE
Option Letter Contract Number: 2022*0912 Option Letter #1
Page 1 of 2
Meeting supplies/materials
Program outreach and promotional materials for systems building
activities. May include allocations for MCH printing and office supplies
(i.e. brochures, handouts, etc.).
$ 1,325.000
1.00
Exhibit
$ 1,325.00
Phones
An HCP program cell phone would be utilized to improve
communication with HCP clients and families. While at visits RNs could
also use phone to call/research resources and community partners to
coordinate services. A phone would also enable staff to meet client
requests to text appointment information and client updates to
guardians throughout the care coordination process. (12 months @
$60/month)
$ 60.00
12.00
$ 720.00
Total Supplies & Operating
$ 2,045.00
Travel
Item
Description off Item
Rate
Quantity
Total Amount
Requested from
CDPHE
Mileage
Travel to meetings and outreach opportunities such as early childhood
council meetings and childcare centers. Mileage is reimbursed at
$0.565/mile.
$ 0.565
2770.25
$ 1,565.19
Total Travel
$ 1,565.19
Contractual
Subcontractor Name
Description of Item
Rate
Quantity
Total Amount
Requested from
CDPHE
Total Contractual
$
5UB-TOTAL OF DIRECT COSTS
$ 267,460.86
Indirect
Item
Description of Item
Total Amount
Requested from
CDPHE
CDPHE-Negotiated Indirect
Cost Rate
CY22 negotiated indirect rate with CDPHE is 19.29% of Modified total direct costs, consisting of all
salaries and wages, fringe benefits, materials and supplies, services, travel, and sub grants and
subcontracts up to the first $25,000 of each sub grant or subcontract (regardless of the period covered
by the sub grantor subcontract). Equipment, capital expenditures, charges for patient care, tuition
remission, rental costs, scholarships, and fellowships, participant support costs and the portion of each
sub grant and subcontract in excess of $25,000 shall be excluded from modified total direct costs.
$ 51,593.14
Total indirect
$ 51,593.14
TOTAL
$ 319,054.00
Budget
Option Letter Contract Number: 2022*0912 Option Letter #1 Page 2 of 2
DocuSign Envelope ID: F53B02AB-78EF-4B8A-8DC7-6587B9857776
Exhibit E
Federal Provisions - Maternal and Child Health Services
For the purposes of this Exhibit only, Contractor is also identified as "Subrecipient." This Contract has
been funded, in whole or in part, with an award of Federal funds. In the event of a conflict between the
provisions of these Supplemental Provisions for Federal Awards, the Special Provisions, the Contract or
any attachments or exhibits incorporated into and made a part of the Contract, the Supplemental
Provisions for Federal Awards shall control. In the event of a conflict between the Supplemental
Provisions for Federal Awards and the FFATA Supplemental Provisions (if any), the FFATA
Supplemental Provisions shall control.
1) Federal Award Identification.
a. Subrecipient: Weld County Department of Public Health and Environment
b. Subrecipient Unique Entity Identification Number:
• SAM Unique Entity ID (UEI): MKKXT9U9MTV5
c. The Federal Award Identification Number (FAIN) is B0440120
d. The Federal award date is TBD
e. The subaward period of performance start date is 10/1/2022 and end date is 9/30/2023.
£ Federal Funds:
Federal Budget Period
Total Amount of Federal
Funds Awarded
Amount of Federal Funds
Obligated to CDPHE
10/1/2022 — 9/30/2023
TBD
TBD
g. Federal award title of project or program: Maternal and Child Health Services.
h. The name of the Federal awarding agency is: United States Department of Health and
Human Services (USDHHS) Health Resources and Services Administration
(HRSA) and the contact information for the awarding official is Leon Harrison, Phone:
301.443.5809; Email: larrison@hrsa.gov; the name of the pass -through entity is the State of
Colorado, Department of Public Health and Environment (CDPHE), and the contact
information for the CDPHE official is Risa Friedman (CDPHE) Project Director.
i. The Catalog of Federal Domestic Assistance (CFDA) number is 93.994 and the grant name is
Maternal and Child Health Services Block Grant to the States.
j. This award is not for research & development.
k. Subrecipient is not required to provide matching funds. In the event the Subrecipient is
required to provide matching funds, Section 8 of this Attachment applies.
1. The indirect cost rate for the Federal award (including if the de minimis rate is charged per 2
CFR §200.414 Indirect (F&A) costs) is pre -determined based upon the State of Colorado and
CDPHE cost allocation plan.
2) Subrecipient shall at all times during the term of this contract strictly adhere to the requirements under
the Federal Award listed above, and all applicable federal laws, Executive Orders, and implementing
regulations as they currently exist and may hereafter be amended.
Page l of 4
Option Letter Contract Number: 2022*0912 Option Letter #1 Ver. 25.02.20
DocuSign Envelope ID: F53B02AB-78EF-4B8A-8DC7-658769857776
3) Any additional requirements that CDPHE imposes on Subrecipient in order for CDPHE to meet its
own responsibility to the Federal awarding agency, including identification of any required financial and
performance reports, are stated in the Exhibits.
4) Subrecipient's approved indirect cost rate is as stated in the Exhibits.
5) Subrecipient must permit CDPHE and auditors to have access to Subrecipient's records and financial
statements as necessary for CDPHE to meet the requirements of 2 CFR §200.331 Requirements for pass -
through entities, §§ 200.300 Statutory and National Policy Requirements through §200.309 Period of
performance, and Subpart F —Audit Requirements of this Part.
6) The appropriate terms and conditions concerning closeout of the subaward are listed in Section 16 of
this Attachment.
7) Performance and Final Status. Subrecipient shall submit all financial, performance, and other
reports to CDPHE no later than 45 calendar days after the period of performance end date or sooner
termination of this Contract containing an evaluation and review of Subrecipient's performance and the
fmal status of Subrecipient's obligations hereunder.
8) Matching Funds. Subrecipient shall provide matching funds as stated in the Exhibits. Subrecipient
shall have raised the full amount of matching funds prior to the Effective Date and shall report to CDPHE
regarding the status of such funds upon request. Subrecipient's obligation to pay all or any part of any
matching funds, whether direct or contingent, only extends to funds duly and lawfully appropriated for the
purposes of this Contract by the authorized representatives of the Subrecipient and paid into the
Subrecipient's treasury or bank account. Subrecipient represents to CDPHE that the amount designated as
matching funds has been legally appropriated for the purposes of this Contract by its authorized
representatives and paid into its treasury or bank account. Subrecipient does not by this Contract
irrevocably pledge present cash reserves for payments in future fiscal years, and this Contract is not
intended to create a multiple -fiscal year debt of the Subrecipient. Subrecipient shall not pay or be liable for
any claimed interest, late charges, fees, taxes or penalties of any nature, except as required by
Subrecipient's laws or policies.
9) Record Retention Period. The record retention period previously stated in this Contract is replaced
with the record retention period prescribed in 2 CFR §200.333.
10) Single Audit Requirements. If Subrecipient expends $750,000 or more in Federal Awards during
Subrecipient's fiscal year, Subrecipient shall procure or arrange for a single or program -specific audit
conducted for that year in accordance with the provisions of Subpart F -Audit Requirements of the Uniform
Guidance, issued pursuant to the Single Audit Act Amendments of 1996, (31 U.S.C. 7501-7507). 2 CFR
§200.501.
11) Contract Provisions. Subrecipient shall comply with and shall include all of the following applicable
provisions in all subcontracts entered into by it pursuant to this Contract:
a. Office of Management and Budget Circulars and The Common Rule for Uniform
Administrative Requirements for Grants and Cooperative Agreements to State and Local
Governments, as applicable;
b. when required by Federal program legislation, the "Davis -Bacon Act", as amended (40
U.S.C. 3141-3148) as supplemented by Department of Labor Regulations (29 CFR Part 5,
"Labor Standards Provisions Applicable to Contracts Covering Federally Financed and
Assisted Construction");
c. when required by Federal program legislation, the Copeland "Anti -Kickback" Act (40 U.S.C.
3145), as supplemented by Department of Labor regulations (29 CFR Part 3, "Contractors
and Subcontractors on Public Building of Public Work Financed in Whole or in Part by Loans
or Grants from the United States").
Page 2 of 4
Option Letter Contract Number: 2022*0912 Option Letter #1 Ver. 25.02.20
DocuSign Envelope ID: F53B02AB-78EF-4B8A-8DC7-658769857776
d. 42 U.S.C. 6101 et s,, 42 U.S.C. 2000d, 29 U.S.C. 794 (regarding discrimination);
e. the "Americans with Disabilities Act" (Public Law 101-336; 42 U.S.C. 12101, 12102, 12111
- 12117, 12131 - 12134, 12141 - 12150, 12161 - 12165, 12181 - 12189, 12201 - 12213 and 47
U.S.C. 225 and 47 U.S.C. 611);
f. when applicable, the Contractor shall comply with the provisions of the "Uniform
Administrative Requirements for Grants and Cooperative Agreements to State and Local
Governments" (Common Rule);
g. The Federal Funding Accountability and Transparency Act of 2006 (Public Law 109-282), as
amended by §6062 of Public Law 110-252, including without limitation all data reporting
requirements required there under. This Act is also referred to as FFATA.
h. Contractor shall comply with the provisions of Section 601 of Title VI of the Civil Rights Act
of 1964, as amended.
i. Except as otherwise provided under 41 CFR Part 60, all contracts that meet the definition of
"federally assisted construction contract" in 41 CFR Part 60-1.3 comply with the equal
opportunity clause provided under 41 CFR 60-1.4(b), in accordance with Executive Order
11246, "Equal Employment Opportunity: (30 FR 12319, 12935,3 CFR Part, 1964-1965
Comp., p. 339), as amended by Executive Order 11375, "Amending Executive Order 11246
Relating to Equal Employment Opportunity," and implementing regulations at 41 CFR part
60, "Office of Federal Contract Compliance Programs, Equal Employment Opportunity,
Department of Labor.
j. where applicable, Contract Work Hours and Safety Standards Act (40 U.S.C. 3701-3708).
k. if the Federal award meets the defmition of "funding agreement" under 37 CFR § 401.2 (a)
and the recipient or subrecipient wishes to enter into an agreement with a small business firm
or nonprofit organization, comply with the requirements of 37 CFR Part 401, "Rights to
Inventions Made by Nonprofit Organizations and Small Business Firms Under Government
Grants, Contracts and Cooperative Agreements," and any implementing regulations issued by
the awarding agency.
1. the Clean Air Act (42 U.S.C. 7401-7671q.) and the Federal Water Pollution Control Act (33
U.S.C. 1251-1387), as amended.
if applicable, comply with the mandatory standards and policies on energy efficiency
contained within the State of Colorado's energy conservation plan issued in compliance with
the Energy Policy and Conservation Act, 42 U.S.C. 6201.
the Contractor and all principals are not presently debarred, suspended, proposed for
debarment, declared ineligible, or voluntarily excluded from covered transactions by any
federal department or agency; the Contractor and all principals shall comply with all
applicable regulations pursuant to Executive Order 12549 (3 CFR Part 1986 Comp., p. 189)
and Executive Order 12689 (3 CFR Part 1989 Comp., p. 235), Debarment and Suspension;
and,
the Contractor shall comply where applicable, the Byrd Anti -Lobbying Amendment (31
U.S.C. 1352).
12) Compliance. Subrecipient shall comply with all applicable provisions of The Office of Management
and Budget Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal
Awards (Uniform Guidance), including but not limited to these Supplemental Provisions for Federal
Awards. Any revisions to such provisions automatically shall become a part of these Supplemental
Provisions, without the necessity of either party executing any further instrument. CDPHE may provide
Page 3 of 4
Option Letter Contract Number: 2022*0912 Option Letter #1 Ver. 25.02.20
DocuSign Envelope ID: F53B02AB-78EF-4B8A-8DC7-6587B9857776
written notification to Subrecipient of such revisions, but such notice shall not be a condition precedent to
the effectiveness of such revisions.
13) Procurement Procedures. Subrecipient shall use its own documented procurement procedures which
reflect applicable State, local, and Tribal laws and regulations, provided that the procurements conform to
applicable Federal law and the standards identified in the Uniform Guidance, including without limitation,
§§200318 through 200.326 thereof.
14) Certifications. Unless prohibited by Federal statutes or regulations, CDPHE may require
Subrecipient to submit certifications and representations required by Federal statutes or regulations on an
annual basis (2 CFR §200.208). Submission maybe required more frequently if Subrecipient fails to meet
a requirement of the Federal award. Subrecipient shall certify in writing to CDPHE at the end of the
Contract that the project or activity was completed or the level of effort was expended. 2 CFR
§200.201(b)(3). If the required level of activity or effort was not carried out, the amount of the Contract
must be adjusted.
15) Event of Default. Failure to comply with the Uniform Guidance or these Supplemental Provisions for
Federal Awards shall constitute an event of default under the Contract pursuant to 2 CFR §200.339 and
CDPHE may terminate the Contract in accordance with the provisions in the Contract.
16) Close- Out. Subrecipient shall close out this Contract within 45 days after the End Date. Contract
close out entails submission to CDPHE by Subrecipient of all documentation defined as a deliverable in
this Contract, and Subrecipient's final reimbursement request. If the project has not been closed by the
Federal awarding agency within 1 year and 45 days after the End Date due to Subrecipient's failure to
submit required documentation that CDPHE has requested from Subrecipient, then Subrecipient maybe
prohibited from applying for new Federal awards through the State until such documentation has been
submitted and accepted.
17) Erroneous Payments. The closeout of a Federal award does not affect the right of the Federal
awarding agency or CDPHE to disallow costs and recover funds on the basis of a later audit or other
review. Any cost disallowance recovery is to be made within the record retention period.
EXHIBIT END
age4of4
Option Letter Contract Number: 2022*0912 Option Letter #1 Ver. 25.02.20
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