HomeMy WebLinkAbout20252401.tiffResolution
Approve Amendment #1 to Task Order Contract for High -Impact Human
Immunodeficiency Virus (HIV) Prevention 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 #1 to the Task Order Contract
for the High -Impact Human Immunodeficiency Virus (HIV) Prevention 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 May 31, 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 #1 to the Task Order Contract for the High -Impact Human
Immunodeficiency Virus (HIV) Prevention 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 25th day of August, A.D., 2025:
Perry L. Buck, Chair: Aye
Scott K. James, Pro-Tem: Aye
Jason S. Maxey: Aye
Lynette Peppier: Aye
Kevin D. Ross: Aye
Approved as to Form:
Bruce Barker, County Attorney
Attest:
Esther E. Gesick, Clerk to the Board
cc I-IL(3c/BF/SM'l
04 /o f(42.S
2025-2401
HL0058
Cor ac- - -g353
BOARD OF COUNTY COMMISSIONERS
PASS -AROUND REVIEW
PASS -AROUND TITLE: CDPHE HIGH -IMPACT HIV GRANT AMENDMENT # 1
DEPARTMENT: PUBLIC HEALTH AND ENVIRONMENT DATE: August 14, 2025
PERSON REQUESTING: JASON CHESSHER, EXECUTIVE DIRECTOR
SHAUN MAY, PHS DIVISION DIRECTOR
Brief description of the problem/issue:
Weld County continues to rank among the top six counties in Colorado for new HIV diagnoses. A combination
of state and federal funding was made available in 2024 to develop a High -Impact HIV Prevention Program,
which provides HIV/STI testing, PrEP/PEP navigation, community engagement, and linkage to care. The grant
supports evidence -based services for populations at increased risk. This contract amendment renews the
federal portion of funding for 2025/26.
What options exist for the Board?
• Approve the amendment to accept continued grant funding
Decline the amendment and decline awarded funds
Consequences:
Declining this amendment would result in the loss of nearly $90,000 in federal funding and reduce Weld
County's capacity to deliver targeted HIV prevention and treatment services.
Impacts:
Approval allows Weld County to continue the High -Impact HIV Prevention Program at current service
levels.
Costs (Current Fiscal Year / Ongoing or Subsequent Fiscal Years):
This amendment adds $89,956.04 in new funding, bringing the total active funding for FY25-26 to
approximately $110,000. No new FTEs are requested; existing staff will support the project.
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
3/Z5
Other/Comments:
2025-2401
Docusign Envelope ID: C3C242AC-520E-4FF9-A9A1-ABD73F6475E7
FOR SUBRECIPIENTS ONLY
This is a supporting document for Contract Number: 2025"1841
The updated information provided here does not modify the original contract or original task order in any way. The
information provided here informs the grantee of updated items that are required under 2 CFR 200.332.
Data Required by 2 CFR 200.332 (All pass through entities must ensure that every subaward is clearly identified to
the subrecipient as a subaward and includes the following information at the time of the subaward. If any of these
data elements change, the changes are to be reflected in subsequent subaward modification. When some of this
information is not available, the pass -through entity must provide the best available information when some of the
information below is unavailable. A pass -through entity must provide the unavailable information when it is
obtained.):
A. Subrecipient name (which must match the name associated with its unique entity identifier):
Shown in Contractor box on cover page of original contract and subsequent modifications.
B. Subrecipient's unique entity identifier: Y3WEW9MQ6NH5
C. Federal Award Identification Number (FAIN): NU62PS924801
D. Federal Award Date (when Federal award was signed by authorized official of the Federal
awarding agency): 06/23/2025
E. Subaward Period of Performance Start and End Date: Start date shown on cover page of original
contract and end date shown on cover page of original contract, as updated by any subsequent
modifications.
F. Subaward Budget Period Start and End Date: Start date shown on cover page of original contract
and end date shown on cover page of original contract, as updated by any subsequent
modifications.
G. Amount of Federal Funds Obligated by this action by the pass -through entity to the subrecipient:
Shown on Budget Exhibit in column matching this contract modification.
H. Total Amount of Federal Funds Obligated to the subrecipient by the pass -through entity including
the current financial obligation: Shown on cover page of this contract modification and on Budget
Exhibit.
I. Total Amount of the Federal Award committed to the subrecipient by the pass -through entity:
Shown on cover page of this contract modification and on Budget Exhibit.
J. Federal award project description, as required to be responsive to the Federal Funding
Accountability and Transparency Act (FFATA): Colorado High Impact HIV Prevention and
Surveillance
K. Pass -through entity is shown on the cover page in the State Agency box. Name of Federal
awarding agency: Office of Federal Assistance Management (OFAM). Contact information for
the awarding official of the Pass -through entity:
Jessica Forsyth
jessica.forsyth6Thb,state.co.us
forsyth(a; state.co. us
303-692-2700
L. Assistance Listing number and Title; the pass -through entity must identify the dollar amount made
available under each Federal award and the Assistance Listing Number at time of disbursement:
93.940/ HIV Prevention Activities Health Department Based
M. Identification of whether the award is R&D: No
N. Indirect cost rate for the Federal award (including if the de minimis rate is charged) per § 200.414:
Shown on Budget Exhibit as indicated by indirect rate and amount.
Ver 10/2024
LAJUUDlylI CI IVellJpe -"DU/Jr VY/:JC/
STATE OF COLORADO
DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
CONTRACT AMENDMENT #1
SIGNATURE AND COVER PAGE
State Agency:
Colorado Department of Public Health and Environment
4300 Cherry Creek Drive South
Denver, Colorado 80246
Original Contract Number:
2025*0283
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:
2025* 1841 Amendment #1
Contract Performance Beginning Date:
August 1, 2024
Current Contract Expiration Date:
May 31, 2026
CONTRACT MAXIMUM AMOUNT TABLE
Document
Type
Contract
Number
Federal
Funding
Amount
State Funding
Amount
Other Funding
Amount
Term (dates)
Total
Original
Contract
2025*0283
$85,522.72
$0.00
$0.00
8/1/2024-
5/31/2025
$85,522.72
Option
Letter
#1
2025*0283
Option
Letter #1
$14,434.61
$0.00
$0.00
09/01/2024-
5/31/2025
$14,434.61
Option
Letter
#2
2025*0283
Option
Letter #2
$0.00
$0.00
$0.00
06/01/2025-
06/30/2025
$0.00
Option
Letter #3
2025°1841
Option Letter
#3
$19,999.96
$0.00
$0.00
07/01/2025-
08/31/2025
$19 999.96
'
Amendment
#1
2025°1841
Amendment#
$84,357.99
$0.00
$5,598.04
08/01/2025-
05/31 /2026
$89,956.04
Current Contract Maximum
Cumulative Amount
$209,913.33
Contract Amendment:2025 * 1841 Amendment#1 Page 1 of 4
Version OSC A11.24/CDPHE A1.23.25
LJUUUDnylI CI IVellIpe ILJ, l,JI,LYLMI,-JLUC-ffrl-V-M.7M I-MOU/Jf U'i/JC/
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
f --Signed by: Environment
Piny t° , (Lt uur
`-404FDi DC361F44F... By: Signature
Perry L. Buck, Chair
Name of Person Signing for Contractor
Chair
Title of Person Signing for Contractor
Date: 2025-08-25
STATE OF COLORADO
Jared S. Polis, Governor
Colorado Department of Public Health and Environment
Jill Hunsaker Ryan, MPH, Executive Director
r-DocuSigned by:
aulsut
\--1(.9391141b5d4t31... By: signature
Chelsea Gilbertson
Name of Executive Director Delegate
Procurement & Contracts Section
Title of Executive Director Delegate
Date: 2025-08-25
In accordance with §24-30-202 C.R.S., this Contract is not valid until signed and dated below by the State Controller or
an authorized delegate.
STATE CONTROLLER
Robert Jaros, CPA, MBA, JD
,---DocuSigned by:
KuuJ W
"-73365F4A4A084BC... By: Signature
Kurt Williams
Name of State Controller Delegate
Controller
Title of State Controller Delegate
Amendment Effective Date: 2025-08-26
Contract Amendment:2025.1841 Amendment#1 Page 2 of 4
Version OSC A11.24/CDPHE A1.23.25
2015 Z401
Docusign Envelope ID: C3C242AC-520E-4FF9-A9A1-ABD73F6475E7
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 August 1, 2025, whichever is later, and shall
terminate on the termination of the Contract or May 31, 2026, whichever is earlier.
4. PURPOSE
The Parties entered into the agreement to reduce the spread of Human Immunodeficiency Virus
(HIV) throughout Colorado, with a focus on serving priority populations vulnerable to acquiring
HIV.
The Parties now desire to replace the current term Statement of Work, to increase the
quantity of services for the current term, and to extend the term of the Contract.
The Contract and all prior amendments thereto, if any, are modified as follows:
A. 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.
B. The Contract Maximum Amount table on the Contract's cover Page is hereby deleted and
replaced with the Current Contract Maximum Amount table 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 Work, attached to this Amendment for the following reason: to add
additional activities to the contract.
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 fund additional activities.
5. LIMITS OF EFFECT AND ORDER OF PRECEDENCE
This Amendment is incorporated by reference into the Contract, and the Contract and all prior
amendments or other modifications to the Contract, if any, remain in full force and effect except
Contract Amendment:2025.1841 Amendment#1 Page 3 of 4 Version OSC A11.24/CDPHE A1.23.25
Docusign Envelope ID: C3C242AC-520E-4FF9-A9A1-ABD73F6475E7
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.
Contract Amendment:2025*1841 Amendment#1 Page 4 of 4 Version OSC A11.24/CDPHE A1.23.25
Docusign Envelope ID: C3C242AC-520E-4FF9-A9A1-ABD73F6475E7
EXHIBIT B
STATEMENT OF WORK
To Amendment Contract Number 2025* 1841 Amendment #1
These provisions are to be read and interpreted in conjunction with the provisions of the contract specified above.
I. Entity Name: Weld County Department of Public Health and Environment
II. Project Description:
This project serves to reduce the spread of Human Immunodeficiency Virus (HIV) throughout Colorado,
with a focus on serving priority populations vulnerable to acquiring HIV within Weld County. This will be
accomplished through HIV testing in healthcare settings, HIV testing in non -healthcare community settings,
PrEP/PEP/HIV navigation and linkage to care, community engagement, condom distribution, and syringe
access services. This project will address barriers to care and prevention of people living with HIV (PLWH)
and without HIV. The purpose is to diagnose, treat, and prevent HIV.
This project is funded by the Centers for Disease Control and Prevention (CDC) using PS24-0047 funds
for High Impact HIV Prevention to implement a comprehensive HIV prevention program with a focus on a
comprehensive whole -person approach that supports scientifically proven, cost-effective, and scalable
structural, behavioral, and biomedical interventions to prevent new HIV infections and improve the health
of persons living with HIV. The CDC PS24-0047 funding supports HIV/STI/HCV testing, as well as
PrEP/PEP/HIV navigation and linkage to care services.
This project is also funded by the Substance Abuse and Mental Health Services Administration
(SAMHSA) using State Opioid Response (SOR) funds to address the opioid overdose crisis by supporting
the continuum of prevention, harm reduction, treatment, and recovery support services for opioid use
disorder (OUD) and other concurrent substance use disorders to serve people who use drugs (PWUD) and
people who inject drugs (PWID). The SAMHSA SOR funding supports syringe access and HIV/STI/HCV
testing services.
This project is also funded by Ryan White Rebate funding to support targeted HIV testing of early
identification of persons living with HIV.
III. Definitions:
1. ART - Antiretroviral Treatment
2. Advertise - To advertise means a written, visual, oral, watched, heard bid for, or call to attention.
Advertisements can be considered communications or marketing based on the intent and content
of the message.
3. AIDS — Acquired Immunodeficiency Syndrome
4. Allied Providers — Providers of either medical or behavioral health that accept and make referrals
to the contracted agency and have established a system for verifying follow-up of referrals.
5. CDC — Centers for Disease Control and Prevention
6. CDPHE — Colorado Department of Public Health and Environment
7. CDPHE Work Plan - This is a template completed by the Contractor, which outlines each funded
service the Contractor will complete throughout the contract period, and includes numeric and
desired outcomes the Contractor will strive to achieve for each funded service.
8. CHADS Portal - Colorado HIV/AIDS Data System
9. Client - An individual receiving contracted services by the Contractor.
10. CLIA — Clinical Laboratory Improvement Amendments
11. Community Engagement - This funded service increases awareness and availability of HIV
testing, PrEP, and PEP services among the priority populations to be served. Community
engagement can include but is not limited to outreach, education, marketing, and social
networking activities.
12. Evidence -based interventions — CDC -approved interventions designed for priority populations
who require more intensive one-on-one or group services to reduce risk of acquiring HIV.
Page 1 of 8
Amendment Contract Number: 2025* 1841 Amendment #1 Ver. 03.28.2025
Docusign Envelope ID: C3C242AC-520E-4FF9-A9A1-ABD73F6475E7
EXHIBIT B
13. FDA — United States Food and Drug Administration
14. HCV - Hepatitis C virus
15. HIV — Human Immunodeficiency Virus
16. HIV prevention education - HIV -related information provided to individuals in writing or
verbally and includes: information about HIV transmission modes, HIV prevention strategies,
importance of HIV testing, HIV treatment options and viral suppression.
17. HIV Support Services — Support services consist of HIV case management, HIV medical
treatment, PrEP care, HIV/STINH testing, linkage to care services, housing assistance, food
services, mental health treatment, substance use treatment, transportation assistance, intimate
partner violence services, crisis services, medication assistance.
18. Linkage to care (LTC) — A limited -term service which includes an assessment of HIV -related
care needs, and assistance to the client for navigating the available HIV -related care systems and
connecting with a provider. Linkage to Care supports individuals newly diagnosed, or dealing with
their HIV diagnosis, and not in care, or not virally suppressed, to attend their first medical
appointment to establish HIV care within 30 calendar days, enroll in any available patient
assistance programs, health insurance enrollment, patient navigation services, and actively refer
clients to link with a provider for other needed support services, like mental health services,
substance use treatment services, and/or housing assistance needs.
19. Navigation Services — Navigation services support individuals who are HIV -negative and
interested in accessing PrEP or PEP to attend their first medical appointment; enroll in any
available patient assistance programs, including PHIP; health insurance enrollment; patient
navigation services; and actively refer clients to link with a provider for other needed support
services.
20. Non -Healthcare Community Settings- Non -Healthcare Community Settings, also referred to as
non -clinical settings, are sites where medical, diagnostic, and/or treatment services are not
routinely provided. This includes HIV testing at fixed venues or outreach sites, such as a person's
home, community -based organizations, home -test kits, mobile testing units, churches, bathhouses,
parks, shelters, syringe services programs, businesses, and other social service organizations. Non -
clinical settings are easily accessible and comfortable for populations who might not access
medical services regularly.
21. NHM&E — National HIV Prevention Program Monitoring and Evaluation
22. PEP — Post -Exposure Prophylaxis
23. PEP Prescriber - Clinical healthcare provider who prescribes PEP
24. PHIP — Public Health Intervention Program
25. PLWH — People living with HIV
26. PrEP — Pre -Exposure Prophylaxis
27. Priority Population — The priority populations are communities who are vulnerable to acquiring
HIV and the following specifically: individuals who identify as Black/African American,
Latino/Latina/Latine/Latinx, women (including cisgender and transgender women), Transgender
individuals (including nonbinary and gender -nonconforming individuals), Rural populations
(outside of the Denver metropolitan area), men who have sex with men, people who inject/use
drugs, Spanish-speaking communities, Youth (15 - 24 years old), and Native Americans.
28. PrEP Prescriber - Clinical healthcare provider who prescribes PrEP
29. PWID — People Who Inject Drugs
30. PWUD — People Who Use Drugs
31. REDCap — Research Electronic Data Capture: a secure web application for data collection.
32. SAP - Syringe Access Program
33. Screen - Assessment using evidence -based tools to identify the possible presence of and/or risk
for HIV/STINH. Screening can include additional social, behavioral, and financial risks
including, but not limited to, substance use, intimate partner violence, medication assistance, and
linkage to care.
34. Service area — Weld County
35. STI - Sexually Transmitted Infection including syphilis, gonorrhea, and chlamydia.
36. VH - Viral Hepatitis
Page 2 of 8
Amendment Contract Number: 2025' 1841 Amendment #1 Ver. 03.28.2025
Docusign Envelope ID: C3C242AC-520E-4FF9-A9A1-ABD73F6475E7
EXHIBIT B
IV. Work Plan:
Goal #1: Provide high -quality HIV, STI, and VH prevention services to increase the priority population's access to
testing, education, and treatment, and reduce the acquisition of HIV/STI/VH throughout Colorado in order to disrupt
health inequities.
Objective #1: No later than the expiration date of the contract, reduce HIV acquisition through a continuum of HIV
prevention intervention services for the priority population in the service area.
Primary Activity #1
The Contractor shall evaluate clients for HIV -related support services.
1. The Contractor shall screen clients for support services.
2. The Contractor shall complete a client support services referral to Allied Providers.
Sub -Activities #1
3. The Contractor shall identify topics for technical assistance.
4. The Contractor shall maintain a current referral list.
5. The Contractor shall document referrals in REDCap.
Primary Activity #2
The Contractor shall complete HIV testing services.
1. The Contractor shall obtain a valid CLIA Certificate.
2. The Contractor shall implement an HIV testing recruitment strategy.
3. The Contractor shall advertise HIV testing services among the priority population.
4. The Contractor shall provide HIV tests to individuals in non -healthcare community
settings, according to the CDPHE Work Plan.
Sub -Activities #2
5. The Contractor shall offer rapid syphilis testing alongside HIV testing to individuals in
non -healthcare community settings, according to the CDPHE Work Plan.
6. The Contractor shall provide HIV tests to individuals in healthcare settings using routine
opt -out screenings, according to the CDPHE Work Plan.
7. The Contractor shall complete confirmatory testing for individuals with a reactive rapid
test result.
8. The Contractor shall document client -level data in REDCap.
Primary Activity #3
The Contractor shall complete HIV Linkage to Care services.
1. The Contractor shall implement an HIV linkage to care protocol.
2. The Contractor shall maintain a list of active HIV medical providers.
3. The Contractor shall refer individuals who receive a reactive test result for HIV to Ryan
Sub -Activities #3
White Core and Support services.
4. The Contractor shall refer individuals who receive a reactive test for HIV to HIV medical
care.
5. The Contractor shall educate clients who test HIV positive about HIV.
6. The Contractor shall document client -level LTC data in REDCap.
Primary Activity #4
The Contractor shall complete Community Engagement services.
1. The Contractor shall create distributable HIV prevention education materials.
2. The Contractor shall distribute approved HIV prevention education materials.
3. The Contractor shall provide Community Engagement Services as outlined in the CDPHE
Sub -Activities #4
Workplan.
4. The Contractor shall refer individuals for additional HIV support services.
5. The Contractor shall record aggregate individuals reached data in the REDCap monthly
narrative report.
Primary Activity #5
The Contractor shall provide PrEP Navigation to eligible individuals.
1. The Contractor shall educate priority populations about PrEP.
2. The Contractor shall advertise PrEP Navigation Services.
3. The Contractor shall maintain a list of current PrEP prescribers.
Sub -Activities #5
4. The Contractor shall screen each client to determine PrEP services eligibility.
5. The Contractor shall investigate eligible financial resources available to pay for PrEP
services, including PHIP and available patient assistant programs.
6. The Contractor shall assist PrEP-eligible clients to attend their first PrEP medical
appointment, according to the CDPHE Work Plan.
Page 3 of 8
Amendment Contract Number: 2025* 1841 Amendment #1
Ver. 03.28.2025
Docusign Envelope ID: C3C242AC-520E-4FF9-A9A1-ABD73F6475E7
EXHIBIT B
7. The Contractor shall document PrEP Navigation activities provided to clients.
8. The Contractor shall record completed client referrals made to PrEP clinical prescribers
9. The Contractor shall complete client -level REDCap data.
Primary Activity #6
The Contractor shall provide PEP Navigation to eligible individuals.
Sub -Activities #6
1. The Contractor shall educate priority populations about PEP.
2. The Contractor shall maintain a list of current PEP prescribers.
3. The Contractor shall assist PEP -eligible clients in accessing PEP services.
4. The Contractor shall investigate eligible financial resources available to pay for PEP
services including available patient assistance programs.
5. The Contractor shall assist PEP -eligible clients to obtain and pick up a PEP prescription.
6. The Contractor shall document PEP Navigation activities provided to clients.
7. The Contractor shall record completed client referrals made to PEP clinical prescribers
8. The Contractor shall complete client -level REDCap data.
Primary Activity #7
The Contractor shall distribute no -cost, sexual risk -reduction materials.
Sub -Activities #7
The Contractor shall record aggregate distribution data in the REDCap monthly narrative
report.
Primary Activity #8
The Contractor shall complete Quality Assurance for funded services.
Sub -Activities #8
1. The Contractor shall review dashboards.
2. The Contractor shall review data entry in REDCap for accuracy and completeness.
Primary Activity #9
The Contractor shall complete CDPHE Office of HIV/STINH Training requirements.
Sub -Activities #9
1. The Contractor's staff shall attend required CDPHE training courses.
2. The Contractor shall maintain records of course completion from staff.
Primary Activity #10
The Contractor shall complete monthly narrative reports.
Primary Activity #11
The Contractor shall virtually attend CDPHE monitoring calls.
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.
2. The Contractor shall maintain consistency of service with the CDPHE Standards for
HIV/STI/VH Prevention and Harm Reduction Services. This information is incorporated
and made part of this contract by reference and is available on the following website:
https://cdphe.colorado.gov/sti-hiv-funded-partner-policies.
3. The Contractor shall maintain a current referral list to minimally include the following:
a. Local HIV/STI/HCV testing locations
b. Local treatment options for HIV, HCV and STI
c. Local syringe access programs
d. Local mental health providers
e. Local substance use providers
f. Local shelters for unhoused individuals
g. Local housing resources
h. Local food security services
i. Local PrEP prescribers
j. Local PEP prescribers
k. Local HIV medical treatment providers
l. Local Ryan White Core and Support service providers
4. The Contractor shall request technical assistance via email at
cdphe sthv contractmonitoring@state.co.us.
5. CDPHE will provide a response to requests for technical assistance to the Contractor upon
request within five (5) business days.
Page 4 of 8
Amendment Contract Number: 2025.1841 Amendment #1
Ver. 03.28.2025
Docusign Envelope ID: C3C242AC-520E-4FF9-A9A1-ABD73F6475E7
EXHIBIT B
6. The Contractor shall comply with the requirements listed in the CDPHE Work Plan. This
document is incorporated and made part of this contract by reference and is available on
the following website:
https://docs.google.com/spreadsheets/d/ l N V TuZO6ub7FrN8TztJ9y l aU7d W OC-
p7A/edit?usp=drive link&ouid=101995846527911250783&rtpof=true&sd=true.
7. The Contractor shall comply with the requirements stated in the Clinical Laboratory
Improvement Amendments by maintaining one (1) valid CLIA Certificate throughout the
life of the project. This information is located on the Clinical Laboratory Improvement
Amendments website https://cdphe.colorado.gov/clia-clinical-laboratory-improvement-
amendments and is incorporated and made part of this Contract by reference.
8. The Contractor shall comply with the requirements stated in the FDA -approved testing
technology requirements when administering point -of -care testing and adhere to
manufacturers' instructions as to use and storage. This list of approved tests are located on
the Complete List of Donor Screening Assays for Infectious Agents and HIV Diagnostic
Assays website https://www.cdc.gov/hiv/partners/testing/laboratorytests.html and are
incorporated and made part of this Contract by reference.
9. The Contractor shall comply with the requirements for delivering HIV Testing stated in
CDC's Guidance for HIV Testing in Non -Clinical Settings. This document is incorporated
and made part of this Contract by reference and is available on the following website:
https://www.cdc.gov/hiv/pdf/testing/CDC HIV Implementing HIV Testing in Nonclini
cal Settings.pdf.
10. The Contractor shall maintain an HIV Testing Recruitment Strategy which should include:
a. List of specific activities that be used to the Contractor's priority populations
within the Contractor's service area
b. Barriers: Description of anticipated barriers the Contractor may encounter for
engaging priority populations for HIV testing
c. Priority Population Input Plan: description of how the Contractor will utilize
input from priority population; how will feedback be gathered, documented and
evaluated
d. Monitoring and Evaluation: description of how the Contractor will utilize
collected data to improve HIV testing services
e. The Contractor's plan to use incentives to engage priority populations, if
applicable.
11. The Contractor shall maintain an HIV Linkage to Care Protocol for individuals who have
a reactive HIV test result that includes:
a. Process for individuals to have access to confirmatory HIV testing.
b. Process for individuals to have assistance accessing an HIV medical provider
within 7 days of receiving reactive HIV test results.
c. Process to ensure individuals have access to early ART.
d. Process to ensure individuals have access to HIV support services.
12. The Contractor shall comply with Community Engagement service delivery regulations as
stated by the CDC. This information is located on the CDC Compendium/Intervention
Research for HIV website
https://www.cdc.gov/hiv/research/interventionresearch/compendium/index.html and is
incorporated and made part of this Contract by reference.
13. The Contractor shall comply with CDC Guidelines when developing HIV prevention -
related marketing and education materials for distribution. This information is located on
the CDC Guidelines and Recommendations for HIV website
https://www.cdc.gov/hiv/clinicians/guidelines/index.html and are incorporated and made
part of this Contract by reference.
14. The Contractor shall comply with the guidance provided by Harm Reduction Coalition
when developing Harm Reduction -related marketing and education materials for
distribution. This information is located on the Harm Reduction Issues website
https://harmreduction.org/issues/ and is incorporated and made part of this Contract by
reference.
Page 5 of 8
Amendment Contract Number: 2025 * 1841 Amendment #1
Ver. 03.28.2025
Docusign Envelope ID: C3C242AC-520E-4FF9-A9A1-ABD73F6475E7
EXHIBIT B
15. The Contractor shall submit draft, distributable materials by email to CDPHE for approval
thirty (30) calendar days prior to implementation.
a. The types of materials shall be submitted:
i. Education materials developed by the Contractor for contracted services
ii. Advertising materials developed by the Contractor for contracted
services
16. CDPHE will respond to material submissions within five (5) business days.
17. CDPHE will provide the following no -cost items to the Contractor based on contractual
goals for funded services, price, available CDPHE funding, and product availability.
a. Syringes
b. Fentanyl test strips
c. Xylazine test strips
d. Wound Care kits
e. Condoms
f. Lubricants
g. HIV/STI/HCV test kits
h. Other risk reduction materials
18. The Contractor shall maintain the following staff throughout the contract period:
a. Public Health Nurse II at nine (9) hours per week.
b. Medical Assistant at four (4) hours per week.
c. Program Supervisor at four (4) hours per week.
d. Outreach Coordinator at six (6) hours per week.
19. CDPHE will act as the Contractor's data administrator for the REDCap database.
20. The Contractor shall provide access to REDCap for at least one (1) staff person for the
purposes of entering contracted intervention services and activities, no later than 30 days
following contract execution.
a. The Contractor shall obtain access by completing the REDCap User
Account/Change Request Form. This information is located on the CDPHE
Intranet website https://cdphe.redcap.state.co.us/surveys/?s=KFE7RFLH7X and
is incorporated and made part of this Contract by reference.
21. The Contractor shall comply with data entry requirements and timelines as outlined in the
Data Reporting Requirements for Contractors guidance document. This information is
located on the STI and HIV funded partner forms website https://cdphe.colorado.gov/sti-
hiv-funded-partner-policies and is incorporated and made part of this Contract by
reference.
22. The Contractor shall use the required data described in the sample document NHM&E
Data Variables and Values. This document is incorporated and made part of this Contract
by reference and is available on the following website:
https://www.co lorado.gov/pacific/cdphe/sti-hiv-funded-partner-policies.
23. The Contractor shall use the REDCap Monthly Narrative Report form for the monthly
progress reports, made available within the REDCap Database.
The monthly progress report will document the following information about each
respective contracted service:
i. Description of implemented contracted services.
ii. Description of challenges related to providing the contracted services.
iii. Description of missing data issues.
iv. Number of individuals who received the contracted services.
v. Unique number of individuals served in the contract year for each
contracted service.
vi. Staffing updates
24. The Contractor's service delivery quality assurance activities shall include:
a. A plan for supervisors to observe contracted service delivery a minimum of two
(2) times during the contract period.
b. A process for supervisors to document observations of quality -related findings.
c. A quality improvement plan to address service delivery issues.
Page 6 of 8
Amendment Contract Number: 2025* 1841 Amendment #1
Ver. 03.28.2025
Docusign Envelope ID: C3C242AC-520E-4FF9-A9A1-ABD73F6475E7
EXHIBIT B
d. A process for implementing education curricula revisions in order to address the
priority population needs.
25. CDPHE will provide the Contractor access to a contract performance dashboard, via the
CHADS Portal, within 60 days of contract execution that includes at minimum the
following information:
a. Service delivery outcomes
b. Data completeness
26. The Contractor shall review contract performance dashboards, at minimum quarterly, to
identify areas of missing data for the Contractor to complete and to ensure service delivery
outcomes are on track per the CDPHE Work Plan.
27. The Contractor shall address and resolve missing data within 30 days of the identified
issue.
28. The Contractor shall verify staff providing the contracted services receive a Certificate of
Course Completion from CDPHE's Office of HIV/STINH Training Unit.
29. The Contractor shall comply with the mandatory training for contracted services in the
General Training Requirements of the CDPHE Standards for HIV Prevention Services.
This information is located on the CDPHE intranet https://cdphe.colorado.gov/sti-hiv-
funded-partner-policies and is incorporated and made part of this Contract
by reference.
30
distributing
of this
via email at
30. CDPHE will provide a schedule for monitoring calls with the Contractor within
calendar days of contract execution.
31. The Contractor shall comply with CDPHE's Use of Incentive Guideline when
incentives for contracted services. This form is incorporated and made part
Contract by reference and is available at the following website:
https://cdphe.colorado.gov/sti-hiv-funded-partner-policies.
32. The Contractor shall submit deliverables to the CDPHE Contract Monitor
cdphe sthv contractmonitoring@state.co.us.
Expected Results of
Activity(s)
1. Individuals vulnerable to acquiring HIV will increase participation in HIV prevention
activities.
2. Individuals newly diagnosed, or dealing with their HIV diagnosis, and not in care, or not
virally suppressed will increase participation in accessing HIV medical care services.
Measurement of
Expected Results
1. Number of clients served as tracked in REDCap.
2. Documented progress of HIV prevention services delivered included in the REDCap
Monthly Narrative reports.
Completion
Date
Deliverables
1. The Contractor shall submit the valid CLIA testing certificate.
No later than
30 calendar
days after the
Contract start
date.
2. The Contractor shall submit draft, distributable materials.
No later than
120 calendar
days after the
Contract start
date.
3. The Contractor shall submit the monthly narrative reports.
No later than
30 calendar
days following
the last day of
each month,
for months one
Page 7 of 8
Amendment Contract Number: 2025* 1841 Amendment #1
Ver. 03.28.2025
Docusign Envelope ID: C3C242AC-520E-4FF9-A9A1-ABD73F6475E7
EXHIBIT B
through ten (1-
10).
4. The Contractor shall submit the final monthly narrative report.
No later than
the Contract
end date.
V. Monitoring:
CDPHE's monitoring of this Contract for compliance with performance requirements will be conducted
throughout the contract period by the CDPHE Contracts Monitor. Methods used will include a review of
documentation determined by CDPHE to be reflective of performance to include progress reports, invoices,
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 timeline for completion will be documented in writing and agreed to by both parties. If
extenuating circumstances arise that requires an extension to the timeline, the Contractor must email a request
to the CDPHE Contracts Monitor and receive approval for a new due date. The State will oversee the
completion/implementation of the action(s) to ensure timelines are met and the issue(s) is resolved. If the
Contractor demonstrates inaction or disregard for the agreed upon compliance resolution plan, the State may
exercise its rights under the provisions of this Contract.
Page 8 of 8
Amendment Contract Number: 2025' 1841 Amendment #1 Ver. 03.28.2025
Docusign Envelope ID: C3C242AC-520E-4FF9-A9A1-ABD73F6475E7
Exhibit C Budget
ISTIFICATION FORM
Colorado Department
of Publi= Health
and Environment
Colorado Department of Public Health and Environment
Contract Routing - CT 20251'1841 AMD1
Contractor Name
Weld County Department of Public
Health
Budget Period
07/01/2025-05/31/2026
Project Name
High Impact HIV Prevention
Program Contact Name, Title,
Phone and Email
Baylee Morrison, Public Health Nurse, bmorriosn@weldgov
Fiscal Contact Name, Title,
Phone and Email
Bill Fritz, Finace Manager, bfritzg.weld.gov
Contract Number
CT 20251'1841
Expenditure Categories
Personal Services
Gross or Monthly
Salary
Fringe
37.87%
Percent of
Actual Time
(FTE) on
Contract/
Purchase
Order
Service
ype
HI�P7.,
Match or
In -Kind (If
Applicable
)
Orginal
Amount
Requested
from CDPHE
Amount to
Add
Total
Amount
Request from
CDPHE.
PREP,
SYAC
Position Title/Employee Name
Description of Work (for hourly
employees, please include the hourly
rate and number of hours in your
description)
Public Health Nurse II
Strategy 1. collect samples, review
results, provide navigation, provide
treatement if needed
$88,354.00
$33,460
18%
HIVT
53,654.33
$16,444.50
$20,098.83
Public Health Nurse 11
Strategy 1: collect samples, review
results, provide navigation, provide
treatement if needed
$88,354 00
$33,460
5%
PREP
$1,015.17
$4,568.25
$5,583 42
Medical Assistant
Strategy I • process and collect smaples
and prepare them for lab, referal and
navigation support
$63,569.00
$24,074
5%
HIVT
$730.33
$3,286.50
$4,016.83
Medical Assistant
Strategy 1: process and collect smaples
and prepare them for lab, referal and
navigation support
$63,569.00
$24,074
5%
PREP
$730.33
$3,286.50
$4,016 83
Program Supervisor
Strategy 2: provide outreach planning and
oversight, logistical, scheduling, and
operational support for outreach clinics.
Increase local capcity around testing and
treatement for those at greatest risk of
contracting and/or transmitting HIV in the
community.
$159,734.00
$60,491
5%
HIVT
$1,835.17
$8,258.25
$10,093 42
Program Supervisor
Strategy 2. provide outreach planning and
oversight; logistical, scheduling, and
operational support for outreach clinics.
Increase local capcity around testing and
treatement for those at greatest risk of
rnntrartinu aurl/nr trancmittusn WV in the
$159,734.00
$60,491
5%
PREP
$1,835.17
$8,258.25
$10,093.42
Outreach Coordinator
Strategy I . Provide program oversight,
run reports, and submit data to CDPHE
for grant
$76,243.00
$28,873
8.0%
HIVT
$1,401 50
$6,306.75
$7,708 25
Outreach Coordinator
Strategy 1: Provide program oversight,
run reports, and submit data to CDPHE
$76,243.00
$28,873
S 000
PREP
$1,401.50
$6,306.75
$7,708.25
Total Personal Services (including fringe benefits)
$0.00
$12,603.50
$56,715.75
$69,319.25
Supplies
& Operating Expenses
Item
Description of Item
Annual Rate
Quantity
Service
Type
HINT,
PREP,
SYAC
Match or In
kind (if
applicable)
Orginal
.Amount
Requested
from CDPHE
Amount to
Add
Total
Amount
Request from
CDPHE
HIV Confirmatory Testing
Serum test after positive rapid HIV test
$6.00
5
HIVT
$5 00
$22.50
$27 50
HIV Rapid Tests
HIV rapid test
$549 00
15
HIVT
$1,372.50
$6,132.46
$7,504.96
Syphilis Rapid Test
Syphilis rapid test
$225.00
40
HIVT
$1,500.00
$6,750.00
$8,250.00
Syphilis Confirmatory Test
YP
Serum test afterpositive s syphilis test
rapid YP
$11 00
20
HIVT
$36.67
$165.00
$201.67
Testing supplies
gloves, cotton balls, bandaids, lancets, sharps containers. chux,
$500.00
2
HIVT
$166 67
$750.00
$916.67
2025-1841 Amendment #1
Page 1
Docusign Envelope ID: C3C242AC-520E-4FF9-A9A1-ABD73F6475E7
Exhibit C Budget
Education Materials
Patient handouts
$0.50
314
PREP
$26.17
$117.75
$143 92
Risk reduction materials
Condoms (internal and external), dental
dams, lubricants
$500.00
2
HIVT
$166.67
$750.00
$916.67
$0.00
$0.00
$0 00
$0.00
$0.00
$0 00
Total Supplies &Operating' Expenses
$0.00
$3,273.67
$14,687.71
$17,961.38
Travel
Item
Description of Item
Annual Rate
Quantity
Service
Type
HIVT,
PREP,
SYAC
Match or In
kind (if
applicable)
Orginal
Amount
Requested
from CDPHE
Amount to
Add
Total
Amount
Request from
CDPHE
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Total Travel
$0.00
$0.00
$0.00
$0.00
Other Costs
Item
Description of Item
Annual Rate
Quantity
Service
Type
HIVT,
PREP,
SYAC
Match or In
kind (if
applicable)
Orginal
Amount
Requested
from CDPHE
Amount to
Add
Total
Amount
Request from
CDPHE
$0 00
$0.00
$0 00
$000
$0.00
$000
$0.00
$0.00
$0 00
Total Other Costs
$0.00
$0.00
$0.00
$0.00
Contractual (payments to third parties or entities)
Item
Subcontractor Entity Name and/or Description
of Item
Annual Rate
Quantity
Service
Type
HIVT,
PREP,
SYAC
Match or In
kind (if
applicable)
Orginal
Amount
Requested
from CDPHE
Amount to
Add
Total
Amount
Request from
CDPHE
$0.00
$0.00
$0.00
$0.00
$0.00
$0 00
$0.00
$0.00
$0.00
Total Contractual
$0.00
$0.00
$0.00
$0.00
SUB -TOTAL BEFORE INDIRECT
$15,877.17
$71,403.46
$87,280.63
Indirect
Item
Description
of Item
Service
Type
HIVT,
PREP,
SYAC
Match or In
kind (if
applicable)
Orginal
Amount
Requested
from CDPHE
Amount to
Add
Total
Amount
Request from
CDPHE
Indirect Rate negotiated
with CDPHE - 19 74%
HINT
$3,134.14
$14,103.68
$17,237.82
PREP
$988.65
$4,448.90
$5,437.55
SYAC
$0.00
$0.00
$0.00
Total Indirect
$0.00
$4,122.79
$18,552.58
$22,675.37
TOTAL MATCH OR IN KIND
$0.00
TOTAL
$19,999.96
$89,956.04
$109,956.00
Expenditure Categories
Match or In
kind (if
applicable)
Total Amount Requested from CDPHE
_
Personal Services Including Fringe Benefits
$69,319.25
Supplies and Operating
Expenses
$17,961.38
Travel
$0.00
Other Costs
$0.00
Contractual Payments
$0.00 .
Subtotal Before Indirect
$87,280.63
Indirect
$22,675.37
Total
$109,956.00
Reporting Categories
Category of Service
Percentage Split l
Direct Costs
Indirect
Total Costs
HIVT
HIV Testing
70.00%
$59,734 79
$17,237 82
$76,972 61
PREP
PrEP/PEP Navigation
30.00%
$27,545.83
$5,437.55
$32,983.38
SYAC
Syringe Access
0.00%
$0.00
$0.00
$0.00
100.00%
$87,280.63
$22,675.38
S 109,956.00
2025-1841 Amendment #1
Page 2
Contract Form
Entity Information
Entity Name *
COLORADO DEPT OF PUBLIC
HEALTH /ENVIRONMENT
Entity ID*
@00001926
Q New Entity?
Contract Name * Contract ID
CDPHE HIGH IMPACT HIV GRANT AMENDMENT #1 9853
Contract Status
CTB REVIEW
Contract Description *
CDPHE HIGH IMPACT HIV GRANT AMENDMENT #1
Contract Description 2
Contract Type*
GRANT
Amount*
$89,956.04
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
Contract Lead *
BFRITZ
Contract Lead Email
bfritz@weld.gov;Health-
Contracts@weld.gov
Parent Contract ID
Requires Board Approval
YES
Department Project #
Requested BOCC Agenda Due Date
Date* 08/23/2025
08/27/2025
Will a work session with BOCC be required?*
NO
Does Contract require Purchasing Dept. to be
included?
Note: the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts
are not in OnBase
Contract Dates
Effective Date
Termination Notice Period
Contact Information
Contact Info
Review Date*
05/01/2026
Committed Delivery Date
Renewal Date
Expiration Date*
06/30/2026
Contact Name Contact Type Contact Email Contact Phone 1 Contact Phone 2
Purchasing
Purchasing Approver Purchasing Approved Date
Approval Process
Department Head
JASON CHESSHER
DH Approved Date
08/21/2025
Final Approval
BOCC Approved
BOCC Signed Date
BOCC Agenda Date
08/25/2025
Finance Approver
CHERYL PATTELLI
Legal Counsel
BYRON HOWELL
Finance Approved Date Legal Counsel Approved Date
08/21/2025 08/21/2025
Tyler Ref #
AG 082525
Originator
BFRITZ
Hello