HomeMy WebLinkAbout20250156.tiffResolution
Approve Amendment #2 to Task Order Contract for Syphilis Field Delivery (FTD)
Program and authorize Chair to sign
Whereas, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
Whereas, the Board has been presented with Amendment #2 to the Task Order Contract
for the Syphilis Field Delivery (FTD) Program between the County of Weld, State of
Colorado, by and through the Board of County Commissioners of Weld County, on behalf
of the Department of Public Health and Environment, and the Colorado Department of
Public Health and Environment, commencing upon full execution of signatures, and
ending June 30, 2025, with further terms and conditions being as stated in said
amendment, and
Whereas, after review, the Board deems it advisable to approve said amendment, a copy
of which is attached hereto and incorporated herein by reference.
Now, therefore, be it resolved by the Board of County Commissioners of Weld County,
Colorado, that Amendment #2 to the Task Order Contract for the Syphilis Field Delivery
(FTD) 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 13th day of January, A.D., 2025:
Perry L. Buck, Chair: Aye
Scott K. James, Pro-Tem: Excused
Jason S. Maxey: Aye
Lynette Peppler: Aye
Kevin D. Ross: Aye
Approved as to Form:
Bruce Barker, County Attorney
Attest:
Esther E. Gesick, Clerk to the Board
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2025-0156
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BOARD OF COUNTY COMMISSIONERS
PASS -AROUND REVIEW
PASS -AROUND TITLE: SYPHILIS FIELD DELIEVERED THERAPY (FDT) PROGRAM - CONTRACT
AMENEDMENT # 2: JAIL -BASED EXPANSION
DEPARTMENT: PUBLIC HEALTH AND ENVIRONMENT DATE: JANUARY 2, 2025
PERSON REQUESTING: JASON CHESSHER, EXECUTIVE DIRECTOR
SHAUN MAY, PHS DIVISION DIRECTOR
Brief description of the problem/issue:
This pass -around seeks approval for a contract amendment and expanded scope of the Syphilis Field
Delivered Therapy (FDT) program in Weld County. The amendment provides $23,773.62 in
supplemental funding from the Colorado Department of Public Health and Environment (CDPHE) to
expand syphilis screening, treatment, and prevention activities to the Weld County Jail population.
The FDT program addresses increasing rates of syphilis in Colorado by providing field -based therapy
for individuals with barriers to accessing clinical care, including those who are unhoused,
underinsured, or incarcerated. This expansion aims to increase testing frequency, include additional
inmate populations, and enhance access to treatment for syphilis within the jail, reducing
transmission rates and improving public health outcomes.
This contract amendment would be effective through June 30, 2025. Activities will be conducted by
current staff; no additional FTE is being requested. The Sheriffs Office is supportive of expanded
testing and treatment for inmates.
What options exist for the Board?
1. Approve the contract amendment to accept supplemental funding and expand the FDT
program to include jail -based testing and treatment.
2. Decline the amendment, continuing the FDT program at its current scope without expanding
jail -based services.
Consequences:
1. If Approved: Weld County will expand syphilis screening and treatment capacity in the jail,
addressing high -risk populations and contributing to statewide efforts to reduce syphilis
transmission. The program will meet CDPHE deliverables and ensure compliance with grant
funding requirements.
2. If Not Approved: The current scope of the FDT program will limit testing and treatment in
high -risk populations, potentially resulting in increased transmission rates.
Impacts:
The amendment enhances access to STI prevention and treatment for high -risk populations in
the jail, improving community health by reducing syphilis transmission and complications from
untreated infections.
2025-0156
t/i3 I�t!c�osg
Costs (Current Fiscal Year / Ongoing or Subsequent Fiscal Years):
Current Fiscal Year: CDPHE supplemental funding of $23,773.62 will cover program
expansion costs, including staffing, supplies, and operational expenses.
Ongoing Costs: The FDT program is fully grant -funded through June 30, 2025, with funding
expected to continue through 2026.
Recommendation: I recommend approval to place this FDT contract amendment # 2 on a future
agenda for formal consideration.
Support Recommendation Schedule
Place on BOCC Agenda Work Session Other/Comments:
Perry L. Buck
Scott K. James
Jason S. Maxey
Lynette Peppier
Kevin D. Ross
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Docusign Envelope ID: 4DDA65EF-19F3-46D1-9DFB-614A04669326
TASK ORDER
State Agency
State of Colorado for the use & benefit of the
Department of Public Health and Environment
4300 Cherry Creek Drive South
Denver CO 80246
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
Main Task Order Contract Number
23 FAA 00051
Task Order Number
2025*0538 OC
Task Order Performance Beginning Date
The later of the Task Order Effective Date or July
1, 2024.
Task Order Maximum Amount
Initial Term
7/1/2024 - 6/30/2025 $125,202.62
Total for All State Fiscal Years $125,202.62
Task Order Expiration Date
June 30, 2025
Except as stated in §2.D., the total duration of this
Contract, including the exercise of any options to
extend, shall not exceed 5 years from its Performance
Beginning Date.
Pricing/Funding
Price Structure: Cost Reimbursement
Contractor Shall Invoice: Monthly
Funding Source:
State $125,202.62
Miscellaneous:
Authority to enter into this Contract exists in:
C.R.S. 25-1.5-101 - C.R.S. 25-1.5-113
Law Specified Vendor Statute (if any): Enter Program
specific
Procurement Method: Select
Solicitation Number (if any): # Enter Solicitation#
State Representative
Lacy Mulleavey, Health Professional IV, Office of STI/HIVNH
Colorado Department of Public Health and Environment
4300 Cherry Creek Drive South
Denver CO 80246
lacy.mulleavey@state.co.us
Contractor Representative
Bill Fritz
Board of County Commissioner of Weld County
1150 "O" Street
Greeley CO 80631
bfritz@weld.gov
Exhibits and Order of Precedence
The following Exhibits and attachments are included with this Contract:
Exhibit A Additional Provisions
Exhibit B Statement of Work
Exhibit C Budget
Contract Purpose
This health project serves to reduce new cases of congenital syphilis by screening, identifying, and treating syphilis in
persons of reproductive age in Colorado.
In accordance with §4.B of the Main Task Order Contract referenced above, Contractor shall complete the following
Project:
1. PROJECT DESCRIPTION
Contractor shall complete the Project described in Exhibit B Statement of Work (SOW) that is attached hereto and
incorporated herein (the "SOW"). All terminology used in this Task Order and the Statement of Work shall be interpreted
in accordance with the Main Task Order Contract unless specifically defined differently in this Task Order. The Statement
Task Order Number: 2025*0538 Original Contract Page 1 of 3
Version 05.02.2022
Docusign Envelope ID: 4DDA65EF-19F3-46D1-9DFB-614A04669326
CONTRACT AMENDMENT # 2
SIGNATURE AND COVER PAGE(S)
State Agency:
Colorado Department Of Public Health and Environment
4300 Cherry Creek Drive South
Denver, Colorado 80246
Original Contract Number:
2025*0538
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*0538 Amendment #2
Contract Performance Beginning Date:
July 1, 2024
Current Contract Expiration Date:
June 30, 2025
CONTRACT MAXIMUM AMOUNT TABLE
Document
Type
Contract
Number
Federal
Funding
Amount
State Funding
Amount
Other Funding
Amount
Term (dates)
Total
Original
Contract
2025°0538
Original
Contract
$0.00
$125,202.62
$0.00
7/1/2024-
6/30/2025
$125,202.62
Amendment #1
2025*0538
Amendment
#1
$0.00
$0.00
$0.00
9/17/2024-
6/30/2025
$0.00
Amendment #2
2025*0538
Amendment
#2
$0.00
$23,773.62
$0.00
1/1/2025—
6/30/2025
$23,773.62
Current Contract Maximum Cumulative Amount
$148,976.24
Amendment Contract Number: 2025*0538 Amendment #2 Page 1 of 4 Ver 08.31.23
Docusign Envelope ID: 4DDA65EF-19F3-46D1-9DF8-614A04669326
SIGNATURE PAGE
THE PARTIES HERETO HAVE EXECUTED THIS AMENDMENT
Each person signing this Amendment represents and warrants that he or she is duly authorized to execute this Amendment
and to bind the Party authorizing his or her signature.
CONTRACTOR
Board of County Commissioners of Weld County
(a political Subdivision of the state of Colorado)
for the use and benefit of the
Weld County Department of Public Health and
Environment
Signed be:
C 'r
"D4F^FOC367F44F
By: Signature
Perry L. Buck
Name of Person Signing for Contractor
Chair
Title of Person Signing for Contractor
Date:
2025-01-13
STATE OF COLORADO
Jared S. Polls, Governor
Colorado Department of Public Health and Environment
Jill Hunsaker Ryan, MPH, Executive Director
DocuSigned by:
Cauksut als
By: Signature
Chelsea Gilbertson
Name of Executive Director Delegate
Procurement & Contracts Section
Title of Executive Director Delegate
Date:
2025-01-16
In accordance with §24-30-202 C.R.S., this Contract is not valid until signed and dated below by the State Controller or
an authorized delegate.
STATE CONTROLLER
Robert Jaros, CPA, MBA, JD
r -Doeusigned by.
K4-1-4-$
noeovc 0B0Dc...
By: Signature
Kurt williams
Name of State Controller Delegate
Controller
Title of State Controller Delegate
2025-01-16
Amendment Effective Date:
Amendment Contract Number: 2025.0538 Amendment #2 Page 2 of 4
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Docusign Envelope ID: 4DDA65EF-19F3-46D1-9DFB-614A04669326
1. PARTIES
This Amendment (the "Amendment") to the Original Contract shown on the Signature and Cover
Page for this Amendment (the "Contract") is entered into by and between the Contractor, and the
State.
2. TERMINOLOGY
Except as specifically modified by this Amendment, all terms used in this Amendment that are
defined in the Contract shall be construed and interpreted in accordance with the Contract.
3. AMENDMENT EFFECTIVE DATE AND TERM
A. Amendment Effective Date
This Amendment shall not be valid or enforceable until the Amendment Effective Date
shown under the State Controller Signature. 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 under the State
Controller Signature or January 1, 2025, whichever is later, and shall terminate on the
termination of the Contract or June 30, 2025, whichever is earlier.
4. PURPOSE
The Parties entered into the agreement to serve to reduce the spread of Human
Immunodeficiency Virus (HIV) throughout Colorado, with a focus on
serving priority populations at increased risk for acquiring HIV within the Service Area.
The Parties now desire to increase funding and change the Statement of Work for the following
reason: to continue the term with additional funding and change the activities in the Statement of
Work.
5. MODIFICATIONS
The Contract and all prior amendments thereto, if any, are modified as follows:
A. 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 Cover Page for
this Amendment.
B. The Contract Initial Contract Expiration Date on the Contract's Signature and Cover Page
is hereby deleted and replaced with the Current Contract Expiration Date shown on the
Signature and Cover Page for this Amendment.
C. The Parties now agree to modify Exhibit B — Statement of Work of the agreement. Exhibit
B — Statement of Work is deleted and replaced in its entirety with Exhibit B — Statement of
Amendment Contract Number: 2025'0538 Amendment #2 Page 3 of 4 Ver 08.31.23
Docusign Envelope ID: 4DDA65EF-19F3-46D1-9DFB-614A04669326
Work, attached to this Amendment for the following reason: to add activities required for
jail screening.
D. The Parties now agree to modify Exhibit C - Budget of the agreement. Exhibit C - Budget
is deleted and replaced in its entirety with Exhibit C - Budget, attached to this Amendment
for the following reason: to add $23,773.62 of additional funding.
6. LIMITS OF EFFECT AND ORDER OF PRECEDENCE
This Amendment is incorporated by reference into the Contract, and the Contract and all prior
amendments or other modifications to the Contract, if any, remain in full force and effect except
as specifically modified in this Amendment. Except for the Special Provisions contained in the
Contract, in the event of any conflict, inconsistency, variance, or contradiction between the
provisions of this Amendment and any of the provisions of the Contract or any prior modification
to the Contract, the provisions of this Amendment shall in all respects supersede, govern, and
control. The provisions of this Amendment shall only supersede, govern, and control over the
Special Provisions contained in the Contract to the extent that this Amendment specifically
modifies those Special Provisions.
Amendment Contract Number: 2025*0538 Amendment #2
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Docusign Envelope ID: 4DDA65EF-19F3-46D1-9DFB-614A04669326
EXHIBIT B
STATEMENT OF WORK
Weld County Combined FDT-Correctional 2025-2026
To Amendment Contract Number 2025*0538 AMD #2
These provisions are to be read and interpreted in conjunction with the provisions of the contract specified above.
I. Entity Name: Weld County Department of Public Health and Environment ("WCDPHE")
II. Project Description:
This health project serves to prevent new cases of syphilis by screening, identifying and treating. In
partnership with a local county jail (Weld County Jail), a program will be implemented to offer syphilis
screenings to women of reproductive age who are currently incarcerated. In addition to automated
screening, Weld County Department of Public Health and Environment will also provide field -delivered
therapy (FDT) to any individual who is otherwise unable to access treatment in a clinical setting due to
barriers. These barriers include, but are not limited to being unhoused, lacking primary or prenatal care,
lacking adequate insurance coverage, transportation barriers, or substance use disorders. The project seeks
to increase early identification of syphilis, access to treatment and referrals, linkage to prenatal care
services, which will reduce the risk and burden of syphilis transmission. This project is being funded to
address the increasing rates of syphilis in Colorado.
III. Definitions:
1. Advertise - To advertise means a read, written, visual, oral, watched, or heard bid for, or call to
attention. Advertisements can be considered communications or marketing based on the intent and
content of the message.
2. Active Referrals- Active referrals are providing assistance to a client(s) with accessing the service
they are referred to, including but not limited to: assisting clients in making an appointment,
completing a Release of Information, providing resources for client to access services, providing
appointment reminders, following up with the agency providing the service to confirm client's
attendance
3. CDC — Centers for Disease Control and Prevention
4. CDPHE — Colorado Department of Public Health and Environment
5. CLIA — Clinical Laboratory Improvement Amendments
6. Client - An individual receiving contracted services by the Contractor.
7. Comprehensive STI Screening - Testing for chlamydia, gonorrhea, syphilis, and HIV
8. DIS - Disease Intervention Specialist
9. FDT Eligibility Criteria- Any individual with a positive syphilis screen or anyone who is a sex
partner to someone who has tested positive for syphilis.
10. FDA — Food and Drug Administration
11. FDT - Field -Delivered Therapy
12. HCV — Hepatitis C Virus
13. HIV — Human Immunodeficiency Virus
14. Indicated Intervention - STI screening, treatment and referrals
15. Jail Screening Eligibility Criteria - Women of Reproductive Age (15-44 years of age) who are
incarcerated and any named sexual partners
16. LPHA - Local Public Health Agency
17. Prenatal care - Medical care, specific to individuals who are pregnant, that is received during
pregnancy; including check-ups and prenatal testing
18. Pregnancy Testing - A test that checks the client or patient's pee or blood for a hormone called
human chorionic gonadotropin (hCG).
19. PrEP — Pre -Exposure Prophylaxis
20. Priority Population: Anyone with a positive syphilis screen, or anyone who is a sex partner to
someone who has tested positive for syphilis
21. Quality Improvement Plan - A set of focused activities designed to monitor, analyze and
improve the quality of processes in order to improve the outcomes of a program.
22. Rapid Syphilis Testing - point of care tests that can be performed outside a laboratory setting,
using a small amount of whole blood collected by a finger prick.
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EXHIBIT B
23. Reactive rapid syphilis result - One of three possible results from a rapid syphilis test. A reactive
result using a rapid syphilis test is also interpreted as `positive'.
24. REDCap — Research Electronic Data Capture: a secure web application for data collection
25. ROI - Release of Information
26. Screen -Assessment of clients to identify the possible presence of and/or risk for additional social,
behavioral, and financial risks including, but not limited to, substance use, intimate partner
violence, medication assistance, and linkage to care.
27. Service area - Boulder, Larimer, Morgan, Weld, Washington, Philips, Logan, Yuma, and
Sedgwick Counties
28. STI- Sexually Transmitted Infection
29. Support Services - Support services may consist of STI/HIV case management, linkage to care
services, housing assistance, food services, mental health treatment, substance use treatment,
transportation assistance, intimate partner violence services, crisis services, and medication
assistance.
30. Technical Assistance (TA) - Guidance provided to LPHAs by sharing written protocols,
reviewing processes and best practices, identification of key partnerships, and assistance with
troubleshooting programmatic challenges. TA may be delivered virtually, through email and/or in
person.
31. VH — Viral Hepatitis
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 the spread of syphilis by providing a continuum
of syphilis prevention intervention services for the priority population in the service area.
Primary Activity #1
The Contractor shall complete the indicated intervention services.
Sub -Activities #1
1. The Contractor shall evaluate incarcerated clients to determine if they meet the jail
screening eligibility criteria for testing services.
2. The Contractor shall offer rapid syphilis screening for all clients who meet the
eligibility criteria.
3. The Contractor shall offer confirmatory testing for all clients with a reactive rapid
syphilis result.
4. The Contractor shall offer pregnancy testing to all females of reproductive age who test
positive for syphilis.
5. The Contractor shall identify topics for technical assistance.
6. The Contractor shall create education materials for distribution.
7. The Contractor shall offer field -delivered therapy to individuals who meet the FDT
eligibility criteria.
8. The Contractor shall complete Monthly Narrative Reports.
9. The Contractor shall complete client -level data REDCap forms.
Primary Activity #2
The Contractor shall evaluate clients for additional support services.
Sub -Activities #2
1. The Contractor shall screen patients for eligible support services.
2. The Contractor shall refer patients to eligible support services.
3. The Contractor shall review the results for each patient screened through the indicated
intervention.
4. The Contractor shall notify the patient of positive results.
5. The Contractor shall facilitate visits for treatment.
6. The Contractor shall document referral information through REDCap
7. The Contractor shall complete Monthly Narrative Reports.
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EXHIBIT B
Primary Activity #3
The Contractor shall complete a Quality Improvement Plan for Field Delivered Therapy...
Sub -Activities #3
1. The Contractor shall create a Quality Improvement Plan
2. The Contractor shall implement the approved Quality Improvement Plan
3. The Contractor shall record the results of Quality Improvement Plan
Primary Activity #4
The Contractor shall deliver technical assistance to LPHAs, upon request.
Sub -Activities #4
1. The Contractor shall respond to TA requests within seven (7) calendar days upon
request.
2. The Contractor shall document TA that was delivered to LPHAs on monthly narrative
reports.
Primary Activity #5
The Contractor shall attend scheduled CDPHE Contract 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 the most recent revisions.
2. The Contractor shall comply with the following rules and regulations when performing
data collection and entry, reporting, and the implementation of activities.
a. The CDPHE Communicable Reportable Conditions Guidelines are located on
the following state of Colorado website. This information is incorporated and
made part of this Contract for reference:
https://www.colorado.gov/paci tic/cdphe/report-a-disease
b. The CDPHE STI and HIV funded partner guidance and policies are identified
below. These documents are incorporated and made part of this Contract for
reference and are available on the following website:
https://www. colorado.gov/paci fic/cdphe/sti-hiv-funded-partner-policies
3. The Contractor shall maintain one (1) of the following for syphilis testing throughout
the life of the project:
a. Valid, non -expired CLIA waiver certificate
b. Valid, non -expired CLIA certificate
4. The Contractor shall use FDA approved testing technology when administering rapid
syphilis testing and adhere to manufacturers' instructions as to use and storage.
5. The Contractor shall request technical assistance via email at
cdphe sthv contractmonitoring(:state.co.us.
6. CDPHE will provide a response to requests for technical assistance to the Contractor
upon request within five (5) business days.
7. The Contractor shall collect a minimum of 90% of required data elements for Syphilis
testing and other funded intervention services and activities.
8. CDPHE or its designated evaluation agency will act as the Contractor's data
administrator for REDCap.
9. The Contractor shall provide access to REDCap, as designated by CDPHE, for a
minimum of one (1) staff person for the purposes of entering Syphilis testing, and
other funded services and activities.
a. This information is incorporated and made part of this Contract by reference.
Access to REDCap can be attained by completion of the REDCap User
Account/Change Request Form:
https://cdphe.redcap.state.co.us/surveys/?s=KFE7RFLH7X
10. The Contractor shall complete the following REDCap instnzments for all client -level
indicated interventions:
a. Client Intake
b. STI Testing
c. HIV Testing
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EXHIBIT B
d. FDT
11. The Contractor shall enter all data related to contracted services into REDCap no later
than ten (10) calendar days of each session or client encounter.
12. The Contractor shall use the required data elements 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.colorado. gov/pacific/cdphe/sti-hiv-funded-partner-policies.
13. The Contractor shall use the REDCap Monthly Narrative Report form for the monthly
progress reports, or other report form as designated by CDPHE.
14. CDPHE will provide the Contractor access to the REDCap Monthly Narrative Report
form via email within 30 days of contract execution.
15. The Contractor's monthly narrative report shall document the following information
about each respective contracted service:
a. Description of how work was implemented for the contracted service
b. Description of barriers or challenges related to providing the contracted
service.
c. Description of technical assistance provided to LPHAs
d. Technical assistance needs
e. Program changes
f. The Contractor shall record the number of clients who refused a syphilis test.
g. The Contractor shall record the reason why a client refused a syphilis test.
16. The Contractor shall adhere to CDC Guidelines when developing HIV/STINH
prevention -related marketing and education materials for distribution. The CDC
Guidelines for HIV/STINH prevention materials are incorporated and made part of
this Contract by reference and is available on the following website: Guidelines and
Recommendations I HIV Nexus J CDC.
17. CDPHE will respond to any request for material review within five (5) business days.
18. The Contractor shall complete active referrals for clients needing syphilis treatment:
a. The Contractor shall work to refer patients for clinical treatment.
b. The Contractor shall work to refer clients to field -delivered therapy (FDT)
for those with a positive syphilis test and have barriers to treatment, as well
as patients who are unable to access treatment in a clinical setting.
c. The Contractor shall work with DIS to refer clients to treatment. This
includes referring patients to other field -delivered therapy programs with
closer geographical proximity, whenever possible.
19. The Contractor's Quality Improvement Plan shall include the following related to the
implementation and delivery of funded intervention services and activities:
a. Evaluate the number of referrals
b. Evaluate the number of individuals adequately treated
c. Evaluate the efficacy of processes to ensure individuals from the priority
populations with a positive syphilis screen are referred appropriately for
follow up services
d. The Contractor shall submit the written draft Quality Improvement Plan to
CDPHE Contract Monitor.
e. CDPHE will provide feedback and make a request for any revisions to the
Contractor within 15 business days of receipt.
f. The Contractor shall complete the request for any suggested changes or
revisions within 30 business days.
g. The Contractor shall submit the final written Quality Improvement Plan.
20. The Contractor shall evaluate the following:
a. The number of FDT referrals
b. The number of individuals from the priority population screened in jail
settings.
c. The efficacy of processes to ensure individuals from the priority populations
are adequately treated
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EXHIBIT B
21. CDPHE will provide a schedule for virtual monitoring calls with the Contractor within
45 days of Contract execution.
22. The Contractor shall submit deliverables to the CDPHE Contract Monitor via email at
cdphe_sthv_contractmonitoring@state.co.us.
Expected Results of
Activity(s)
1. Individuals at risk for acquiring syphilis will increase participation with syphilis
prevention activities.
2. Individuals who have acquired syphilis will increase participation with syphilis
treatment.
Measurement of
Expected Results
1. Number of clients served as tracked in REDCap.
2. Number of clients who are documented as adequately treated in REDCap.
3. Achieve at least 90% treatment completion rate among individuals referred through
indicated intervention.
Completion Date
Deliverables
1. The Contractor shall submit a monthly progress
report.
No later than 30 calendar days
following the last day of each
month for months 1-4
2. The Contractor shall submit the draft written
Quality Improvement Plan.
No later than four (4) months after
the contract start date.
3. The Contractor shall submit draft written
educational materials.
No later than four (4) months after
the contract start date.
4. The Contractor shall submit final written
education material.
No later than five (5) months after
the contract start date.
5. The Contractor shall submit a final written
Quality Improvement Plan to the Contract
Monitor via email.
No later than five (5) months after
the contract start date
6. The Contractor shall submit a final monthly
narrative report.
No later than the contract end date,
to include reporting on the last two
months of the contract.
7. The Contractor shall submit the results of the
Quality Improvement Plan to the Contract
Monitor via email.
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 Contract Monitor. Methods used will include a review of
documentation determined by CDPHE to be reflective of performance to include progress reports, REDCap
reports or reports from other databases as designated by CDPHE, site visits, 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.
Page 5 of 6
Ver.05.31.2022
Docusign Envelope ID: 4DDA65EF-19F3-46D1-9DFB-614A04669326
EXHIBIT B
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 require an extension to the timeline, the Contractor shall
email a request to the CE Contract 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 6 of 6
Amendment Contract Number: 2025'0538 Amendment Ver. 05.31.2022
Docusign Envelop* l0 dOW85EF-t9F3-48O1-9DF&814A04669326
Exhibit C
Colorado Department
of Public Health
and Environment
Colorado Department of Public Health and Environment
BUDGET JUSTIFICATION FORM
Weld County Syphilis Field Delivered Therapy (FDT)
Contract Routing # 2025*0538 Amendment #2
Contractor Name
Weld County Department of Public
Health and Environment
Budget Period
07/01/2024 - 06/30/2025
Project Name
Syphilis Field Delivered Therapy (FDT)
Program Contact Name, Title., Phone
and Email
Annette O'Dell, NP
Program Manager
970-400-2324
aodell@wcld.gov
Fiscal Contact Name, Title, Phone and
Email
Sonya Oster
Business Operations Manager
970-400-2332
soster@weldgov
2025'0538
Contract (CT or PO) Number
Espeaditure Categories
Match or In -Kind (If
Applicable)
�/Jail
Original
Amount
requested
from CDPHE
New
Amount
Total Amount
Requested from
CDPHE
Personal Services
Gross or
Annual
Salary
Fringe
44.34%
Percent of
Actual Time
(FTE) on
Contract/
Purchase
Order
Position Title/Employee Name
Description of Work
(for hourly employees, please include the hourly
rate and number of hours in your description)
RN II
Contacting patients, scheduling dates, times and
location for FDT. Assessing paticnts at first
appointment. Reaching out to patients' partners to
schedule testing and EDT where indicated
$82,424
$36,547
20.00%
EDT
$22,254.48
S 1,539.68
S23,794.16
RN I
Contacting patients, scheduling dates, times and
location for EDT. Assessing patients at first
appointment. Reaching out to patients' partners to
schedule testing and FDT where indicated.
S77,778
$34,487
20.00%
EDT
S21,000.06
S 1,452.89
S22,452.95
Medical Assistant
Assist nurses with supplies and medications for FDT.
Ordering medications for FDT.
S58,903
$26,1 18
20.00%
FDT
S15,903.81
S1,100.31
S 17,004.12
Program Coordinator
Nurse Practitioner
Develop and implement processes and procedures.
Oversee nurses and conduct first 2-5 contacts with the
nurses. Complete monthly narratives and meetings
with CDPHE staff
S153,499
$68,061
15.00%
EDT
$31,083.55
S2,150 52
S33,234.07
Public Health Nurse I
Collect samples, review results, provide navigation and
provide treatment(s) as needed
579,616
$35,302
5.00%
Jail
$0.00
52,872 95
$2,872.95
Public I lealth Nurse II
Collect samples, review results, provide navigation and
provide treatment(s) as needed
586,172
$38,208
5.00%
Jail
S0.00
S3,109 50
S3,109.50
Outreach Program Coordinator
Provide outreach planning and oversight; logistics,
scheduling and operational support for outreach
clinics. Increase local capacity around testing and
treatment for those at greater risk of contracting and/or
transmitting STIs in the community.
$84,891
$37,641
5.00%
Jail
S0.00
S3,063.28
S3,063.28
Medical Assistant
Assist Public Health Nurses with collecting samples
S61,573
$27,301
5.00%
Jail
$0.00
S2,221.85
$2,221.85
Total Personal Services
(including fringe benefits)
$0.00
$90.241.90
S17,510.98
$107,752.88
Supplies & Operating Expenses
Item
Description of Item
Rate
Quantity
Match or In kind (if
applicable)
FDT/JaIl
unwind
Amount
requested
from CDPHE
New
Amount
Total Amount
Requested from
CDPHE
Printing/Postage
Printing and mailing of protocols, program materials, handouts,
letters
100.00
1
FDT
S100.00
S0.00
S100.00
Phone/Fax/Internet
Ccl I Phone w/hotspot - 1 hone w/hotspot S 100/month
f
1200.00
1
FDT
S1,200.00
S0.00
S 1,200.00
supplies necessary to oe toaucnve to In places Tor r in . t_.aptop
and accessories
2785.10
I
FDT
$2,000.00
$785.10
52,785.10
Supplies - FTE
STI Lab Tcsting
STI lab testing for: Syphilis RPR and TPPA confirmation
12.00
40
FDT
S480.00
S0.00
5480.00
CT/GC Lab Testing
CT/GC urine lab test and analysis
23.00
40
FDT
$920.00
S0.00
S920.00
HIV Lab Testing
HIV lab testing combo and dill
6.00
5
EDT
$30.00
$0.00
$30.00
Syphilis treatment
Bicillin per dose
0.22
120
FDT
S26.40
50.00
526.40
.22
Chlamydia treatment
Doxi 3.92 per treatment
3.92
20
FDT
$78.40
$0.00
S78.40
Gonorrhea Treatment
Rocephin .64 per dose
0.64
10
EDT
56.40
S0.00
$6.40
Pregnancy Tests
For the field
3.00
24
FDT
$72.00
$0.00
572.00
Marketing
Marketing and advertisement of program
100.00
1
FDT
S100.00
S0.00
5100.00
Supplies - Jail Based
Testing/program supplies (gloves, lancets, band -aids, cotton balls,
100.00
3
Jail
S0.00
5300.00
5300.00
CT/GC Screening Test Jail Based
CT/GC Screening Test
20.00
270
Jail
50.00
55,400.00
$5,400.00
Syphilis Confirmation Test -Jail Based
TPPA or RPR Titer
12.00
30
Jail
50.00
$360.00
S360.00
11W Confirmation Test -Jail Based
HIV Combo and Dill
6.00
20
Jail
S0.00
S120.00
S120.00
Syphilis treatment -Jail Based
Bicillin
50.22
50
Jail
S0.00
511.00
S11.00
Chlamydia treatment -Jail Based
Doxycyclinc
$3.92
100
Jail
50.00
5392.00
5392.00
Gonorrhea treatment -Jail Based
Cefiriaxonc
$2.23
75
Jail
50.00
S167.25
SI67.25
Pregnancy Tests -Jail Based
Pregnancy tests for pregnancy status
3.00
45
Jail
S0.00
S135.00
S 135.00
Contract Amendment Number 2025'0538 Amendment #2
Page 1 of 2
Docusign Envelope ID 4ODA65EF-19F3-46iO1-9OF&614A04669328
Exhibit C Budget
Total Supplies
& Operating Expenses
$0.00
$5,013.20
57,670.35
$12,683.55
Travel
Item
Description of Item
Rate
Quantity
Match or In kind (if
applicable)
FDT/Jail
Original
Amount
requested
New
Amount
Total Amount
Requested from
CDPHE
Mileage
0.62
4000
FDT
S2,480.00
50.00
52,480.00
Total Travel
50.00
52,480.00
50.00
52,480.00
Other Costs
Item
Description of Item
Rate
Quantity
Match or In kind (if
FDT/Jail
Original
New
Total Amount
Training
STI State Training 3 -day class
250
2
FDT
S500.00
S0.00
S500.00
Total Other Costs
$0.00
5500.00
50.00
S500.00
Contractual (payments to third parties or entities)
Item
Subcontractor Entity Name and/or Description of Item
Rate
Quantity
Match or In kind (if
applicable)
FDT/Jail
Amount
requested
from CDPHE
New
Amount
Total Amount
Requested from
CDPHE
EMR
Use of Electronic Medical Records
1000
1
Jail
S0.00
S1,000.00
S 1,000.00
Total Contractual
S0.00
$0.00
$1,000.00
$1,000.00
SUB=IOTA1.
598,235.10
S26,181.33
S124,416.43
BEFORE INDIRECT
Indirect
Item
Description of Item
tirigmat
Amount
new
Amount
Indirect cost rate
19.74%
FDT
526,967.52
c Sig. I $x,49 1
S20,779.03
Jail
S0.00
S3,780.77
S3,780.77
Total Indirect
$0.00
S26,967.52
(52,407.72)
$24,559.80
I -OT Ul.'SI k 1(11 Olt IN KIND
50.00
TOTAL
5125.202.62
S23,773.61
S148,976.24
Expenditure Categories
Personal Services Including Fringe Benefits
SI07,752.88
Supplies and Operating Expenses
S12,683.55
Travel
$2,480.00
Other Costs
S500.00
Contractual Payments
51,000.00
Subtotal Before Indirect
S124,416.43
Indirect 19.74%
S24,559.80
Total Contract_
I
S148,976.24
Category of Service
Direct Costs
Indirect Coss
Total Costs
EDT
S 105.263.60
$20,779.03
S 126,042.63
Lail
S 19,152.83
S3.780.77
522,933.60
S124,416.41
S24,559.80
S148,976.24
Contract Amendment Number 2025'0538 Amendment #2 Page 2 of 2
Contract Form
Entity Information
Entity Name *
COLORADO DEPT OF PUBLIC
HEALTH/ENVIRONMENT
Entity ID*
@00001926
O New Entity?
Contract Name* Contract ID
SYPHILIS FIELD DELIVERED THERAPY CONTRACT 9007
AMENDMENT #2
Contract Status
CTB REVIEW
Contract Lead *
BFRITZ
Contract Lead Email
bfritz@weld.gov;Health-
Contracts@weld.gov
Contract Description*
SYPHILIS FIELD DELIVERED THERAPY CONTRACT AMENDMENT #2
Contract Description 2
Contract Type* Department
GRANT HEALTH
Amount*
$23,773.62
Renewable*
NO
Automatic Renewal
Grant
IGA
Department Email
CM-Health@weld.gov
Department Head Email
CM-Health-
DeptHead@weld.gov
County Attorney
GENERAL COUNTY
ATTORNEY EMAIL
County Attorney Email
CM-
COUNTYATTORNEY@WEL
D.GOV
If this is a renewal enter previous Contract ID
If this is part of a MSA enter MSA Contract ID
Parent Contract ID
Requires Board Approval
YES
Department Project #
Requested BOCC Agenda Due Date
Date* 01/09/2025
01/13/2025
Will a work session with BOCC be required?*
NO
Does Contract require Purchasing Dept. to be
included?
Note: the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts
are not in OnBase
Contract Dates
Effective Date
Termination Notice Period
Contact Information
Review Date *
05/01/2025
Committed Delivery Date
Renewal Date
Expiration Date*
06/30/2025
Contact Info
Contact Name Contact Type Contact Email Contact Phone 1 Contact Phone 2
Purchasing
Purchasing Approver Purchasing Approved Date
Approval Process
Department Head Finance Approver Legal Counsel
JASON CHESSHER CHERYL PATTELLI BYRON HOWELL
DH Approved Date Finance Approved Date Legal Counsel Approved Date
01/09/2025 01/09/2025 01/09/2025
Final Approval
BOCC Approved Tyler Ref #
AG 011325
BOCC Signed Date Originator
BFRITZ
BOCC Agenda Date
01/13/2025
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