HomeMy WebLinkAbout20251566.tiffResolution
Approve Amendment #2 to Intergovernmental Agreement for Nurse Home Visitor
Program (NHVP)/Nurse-Family Partnership (NFP) and Authorize Chair to Sign
Whereas, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
Whereas, the Board has been presented with Amendment #2 to the Intergovernmental
Agreement for the Nurse Home Visitor Program (NHVP)/Nurse-Family Partnership (NFP)
between the County of Weld, State of Colorado, by and through the Board of County
Commissioners of Weld County, on behalf of the Department of Public Health and
Environment, and the Colorado Department of Early Childhood, commencing upon full
execution of signatures, and ending June 30, 2026, with further terms and conditions
being as stated in said amendment, and
Whereas, after review, the Board deems it advisable to approve said amendment, a copy
of which is attached hereto and incorporated herein by reference.
Now, therefore, be it resolved by the Board of County Commissioners of Weld County,
Colorado, that Amendment #2 to the Intergovernmental Agreement for the Nurse Home
Visitor Program (NHVP)/Nurse-Family Partnership (NFP) between the County of Weld,
State of Colorado, by and through the Board of County Commissioners of Weld County,
on behalf of the Department of Public Health and Environment, and the Colorado
Department of Early Childhood, 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 9th day of June, A.D., 2025:
Perry L. Buck, Chair: Aye
Scott K. James, Pro-Tem: Aye
Jason S. Maxey: Aye
Lynette Peppler: Aye
Kevin D. Ross: Aye
Approved as to Form:
Bruce Barker, County Attorney
Attest:
Esther E. Gesick, Clerk to the Board
cc : 1-11-. Oc/csvisM)
06 /tot/25
2025-1566
HL0058
Conit�C� C-�I'Dl�J}�
BOARD OF COUNTY COMMISSIONERS
PASS -AROUND REVIEW
PASS -AROUND TITLE: FY25-26 NURSE FAMILY PARTERNSHIP CONTRACT AMENDMENT
DEPARTMENT: PUBLIC HEALTH AND ENVIRONMENT DATE: MAY 28, 2025
PERSON REQUESTING: JASON CHESSHER, EXECUTIVE DIRECTOR
SHAUN MAY, PHS DIVISION DIRECTOR
Brief description of the problem/issue:
For the Board's approval is the FY25-26 Nurse Family Partnership (NFP) contract amendment between the
Colorado Department of Early Childhood (CDEC) and the Board of County Commissioners of Weld County on
behalf of the Weld County Department of Public Health and Environment (WCDPHE).
At no cost to the client, specially trained registered nurses provide home visits to vulnerable, low-income, first-
time mothers residing in Weld County, beginning in pregnancy and continuing until the child reaches age two.
Clients receive education on maternal and child health, developmental milestones, effective parenting, and
pathways to economic self-sufficiency. This evidence -based program has demonstrated multi -generational
positive outcomes that benefit both families and the broader community.
What options exist for the Board?
• Approve the contract amendment as presented.
• Decline to approve the contract amendment.
Consequences: Approval will ensure continued funding for the NFP program at current service levels.
Declining the contract would result in the loss of funding for this program.
Impacts: This funding ensures Weld County families receive critical early support during pregnancy
and early childhood promoting healthier births, stronger parent -child bonds, and long-term family
health & stability.
Costs (Current Fiscal Year / Ongoing or Subsequent Fiscal Years): This contract provides
$1,329,691.91 in grant funding for FY25-26. This new annual contract includes a 2% increase in
funding from the previous year.
Recommendation: I recommend approval to place this contract amendment on a future BOCC agenda for
formal consideration.
S upport Recommendation Schedule
P lace on BOCC Agenda Work Session Other/Comments:
Perry L. Buck
Scott K. James
Jason S. Maxey
Lynette Peppier
Kevin D. Ross
2025-1566
(c/9 -\-L0U313
Karla Ford
From:
Sent:
To:
Cc:
Subject:
Scott James
Friday, May 30, 2025 10:40 AM
Jason Chessher
Karla Ford
RE: Pass Arounds
Fine with all- and Karla, I approve all.
COUNTY, CO
Scott K. James
Weld County Commissioner
Office: 970-400-4200/Cell : 970-381-7496
P.Q. Box 758, 1150 O St., Greeley, CO 80632
OD 0
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From: Jason Chessher <jhessher@weld.gov>
Sent: Friday, May 30, 2025 10:38 AM
To: Scott James <sjames@weld.gov>
Subject: Pass Arounds
Good morning Commissioner,
Since we're not meeting next Tuesday, I have five PA's to run by you bere sending to the Board.
First is the Nurse Family Partnership grant renewal, This is the largest and most stable grant that we have. It's just
over $1.3 million and includes a 2% increase rAr 2026.
Second is a contract r imaging services :_tr our Women's Wellness Connection program. ICI during a WWC visit,
our providers find reason to send a client [fir imaging, this contract provides another location in WC Cdr those
services. VVWC at the state level is billed MN imaging services so that payment doesn't pass through us.
Third is our annual Flied Delivered Therapy(FDT) and Sexually Transmitted Initction (STI) renewal. This is an
existing program that combats syphilis and other sexually transmitted inLtctions and has coding specifically AN
services in the WC jail.
1
fit
COLORADO
Department of Early Childhood
Colorado Department of Early Childhood
Vendor Contact Information Sheet
Legal Name of Vendor as it should appear on the
Contract/Purchase Order including any doing business as Weld County Department of Public Health
(dba): and Environment
Street Address including City, State and Zip Code: 1555 N. 17th Avenue, Greeley, CO 80631
Mailing Address including City, State and Zip Code (if
different from Street Address):
County Agency is in: Weld County
Federal Entity Identification Number (FEIN) or Tax ID Number
(TIN): 84-6000813
State of Incorporation: Colorado
Secretary of State Identification/Document Number: n/a
Fiscal Year End Date (Month and Day - format MM/DD): 12/31
All Vendors must have a SAM.gov Unique Entity Identification
(UEI) number (except individuals). SAM UEI number: MKKXT9U9MTV5
Does your Agency hire any current or former State Employees
to work on this project? no
If yes, did they end employment with the State within the
last 6 months? n/a
Does your agency have a Federally Negotiated or State
Negotiated indirect Rate? yes
If yes, please send a copy of the approval letter with
this form.
What type of Entity is your Agency? Individual
Professional Corporation (PC)
Sole Proprietor
Not -for -Profit Corporation
Limited Liability Company (LLC)
Joint Venture
For -Profit
Limited Liability Partnership (LLP)
Government
Primary Contact to Receive ALL Correspondence's Name:
Primary Contact's Title:
Primary Contact's Email Address:
Primary Contact's Phone Number:
Dana Garvey
Program Coordinator
dgarvey®weld. gov
970-400-2405
Financial Contact's Name: Bill Fritz
Financial Contact's Title: Finance Manager
Page 1 of 3 Revised 1/27/2025
4t COLORADO
Department of Early Childhood
Financial Contact's Email Address:
Financial Contact's Phone Number:
Invoice Contact's Name:
Invoice Contact's Title:
Invoice Contact's Email Address:
Invoice Contact's Phone Number:
Individual Signing the Contract's Name:
Individual Signing the Contract's Title:
Individual Signing the Contract's Email Address:
Individual Signing the Contract's Phone Number:
The Colorado Department of Early Childhood Collects
signatures via DocuSign. Please list below any individuals
that need to be included in the DocuSign process (examples:
Director's Assistant, Attorney, etc.)
Additional Contact's Name:
Additional Contact's Title:
Additional Contact's Email Address:
Additional Contact's Phone Number:
What does this person need to do?
Are there any specific instructions for emails requesting
preliminary approval or order of DocuSign for signature
(examples: enter the internal routing number in the note in
DocuSign for the Individual Signing the Contract; Please send
in DocuSign in the following order; Please send for
preliminary approval to Primary Contact only; etc.)?
Is your agency set up for Electronic Fund Transfer (EFT) with
the State of Colorado?
If yes, please list the last 4 digits of the account number
payments should be sent to:
How long does your agency and/or board need to complete a
preliminary review of the contract?
How long does your agency and/or board need to sign the
contract in DocuSign?
bfritz®weld.gov _
970-400-2122
Bill Fritz
Finance Manager
bfritz®weld.gov
970-400-2122
Perry L. Buck
Chair, Weld County BOCC
Bocc-contracts®weld. gov
970-400-2122
Bill Fritz
Finance Manager
bfritzCweld.gov
970-400-2122
Sign before Individual Signing Contract
and receive a copy upon execution
Sign after Individual Signing Contract
and receive a copy upon execution
Receive Copy Prior to Signer and upon
execution
Approve Prior to Signer and receive a
copy upon execution
Receive Copy upon execution only
1. Please send to Bill Fritz at
bfritz@weld.gov for preliminary
approval.
2. Please send DocuSign to Bill Fritz at
bfritz@weld.gov to mark as
approved and set permissions for
him to specify signature authority.
He will route for internal Weld
County clearance and then specify
the signer and send it when it has
been approved.
yes
6 weeks
6 weeks
Page 2 of 3 Revised 1/27/2025
COLORADO
Department of Early Childhood
Date This Form Was Completed: 02/10/2025
Page 3 of 3 Revised 1/27/2025
LJULiUDRyII GI IVCIUNC ILJ. GG IO4OVM-OYOf1-HGVJ-VJUU-UOG/ LIDO., V IJ
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CDEr
COLORADO
STATE OF COLORADO INTERGOVERNMENTAL
AGREEMENT MODIFICATION
INTERGOVERNMENTAL AGREEMENT AMENDMENT #2
State Agency
Colorado Department of Early Childhood
710 South Ash Street, Building C
Glendale, CO 80246
Contractor
Weld County Department of Public Health and
Environment
1555 North 17th Avenue
Greeley, Colorado 80631
Original Agreement Number
25 QAAA 190699
CT QAAA 2025-1072
GAE QAAA 2025-184
Amendment Agreement Number
CT QAAA 2026-748 Am2
GAE QAAA 2026-100
Agreement Performance Beginning Date
August 8, 2024
Current Agreement Expiration Date
June 30, 2026
Current Agreement Maximum Amount
Initial Term
State Fiscal Year 2025 $1,307,904*^
CT QAAA 2025-1072
GAE QAAA 2025-184
*And a $90,000 pooled General Accounting
Encumbrance (GAE) shared amongst various
Contactors/Grantees as described in this Contract,
see Exhibit C, Section 11.
"Any amount paid against Holdover CT QAAA
2025-1072 HL prior to the execution of this
Contract shall be reduced from the Contract
maximum amount.
Extension Terms
State Fiscal Year 2026 $1,329,870.32*
CT QAAA 2026-748
GAE QAAA 2026-100
*And a $90,000 pooled General Accounting
Encumbrance (GAE) shared amongst various
Contactors/Grantees as described in this Contract,
see Exhibit C, Section 11.
Total for All State Fiscal Years $2,637,774.32
Signature Page Begins on Next Page
THE REST OF THIS PAGE IS INTENTIONALLY LEFT BLANK
Amendment Agreement Number:CT QAAA 2026-748 Am2 Page 1 of 4
Version 07.2024
LAJUUbly II DI IVelLIDC IU. LD ILIYOU 1-O4DM-4LUJ-UOUV-LIO./LIDO./ V IJ
Stint 6.4) autir
404h ULJK h
By: eny uck, Chair , Chair, Weld County BOCC
Date: 6/9/2025
nnDocuSigned by:
JeQ.nn� S�
LIuvaasryuoueaan...
COLORADO
Department of Early Childhood
SIGNATURE PAGE
THE PARTIES HERETO HAVE EXECUTED THIS AMENDMENT
Each person signing this Amendment represents and warrants that he or she is duly authorized to
execute this Amendment and to bind the Party authorizing his or her signature.
CONTRACTOR
Weld County Department of Public Health and
Environment
STATE OF COLORADO
Jared S. Polis, Governor
Lisa Roy, Ed.D., Executive Director
Colorado Department of Early Childhood
Signed by: DocuSigned by:
�FagC
ra..
By: ,..isa ,astiglia, Deputy Chief Financial Officer
STATE CONTROLLER
Robert Jaros, CPA, MBA, JD
Date:
6/9/2025
By: Jeanni Stefanik, Acting CDEC Controller
Amendment Effective Date: 6/12/2025
In accordance with §24-30-202, C.R.S., this Amendment is not valid until signed and dated above by the State
Controller or an authorized delegate.
Amendment Agreement Number:CT QAAA 2026-748 Amt Page 2 of 4
Version 07.2024
ZO25-151.0
413t COLORADO
, I Department of Early Childhood
1. PARTIES
This Amendment (the "Amendment") to the Original Agreement shown on the Signature and
Cover Page for this Amendment (the "Agreement") is entered into by and between the
Contractor, and the State.
2. TERMINOLOGY
Except as specifically modified by this Amendment, all terms used in this Amendment that are
defined in the Agreement shall be construed and interpreted in accordance with the Agreement.
3. AMENDMENT EFFECTIVE DATE AND TERM
A. Amendment Effective Date
This Amendment shall not be valid or enforceable until the Amendment Effective Date
shown on the Signature and Cover Page for this Amendment. The State shall not be bound
by any provision of this Amendment before that Amendment Effective Date and shall have
no obligation to pay Contractor for any Work performed or expense incurred under this
Amendment either before or after the Amendment term shown in §3.B of this Amendment.
B. Amendment Term
The Parties' respective performances under this Amendment and the changes to the
Contract contained herein shall commence on the Amendment Effective Date shown on the
Signature and Cover Page for this Amendment or July 1, 2025, whichever is later, and shall
terminate on the termination of the Contract.
4. PURPOSE
Weld County Department of Public Health and Environment (WCDPHE) Nurse -Family
Partnership shall positively impact pregnancy outcomes, child health and development, and
economic self-sufficiency of enrolled families in Weld County by delivering high -quality nursing
services that comply with Nurse -Family Partnership (NFP) model fidelity. This Amendment
extends the expiration date for State Fiscal Year (SFY) 2026, increases funds for SFY 2026,
amends Exhibits A and B, and replaces Exhibit C.
5. MODIFICATIONS
The Agreement and all prior amendments thereto, if any, are modified as follows:
A. Extend the Contract Expiration Date from June 30, 2025, to June 30, 2026.
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. Increase the Agreement Amount for State Fiscal Year (SFY) 2026 by $1,329,870.32
and Increase the Maximum Amount for All State Fiscal Years from $1,307,904 to
$2,637,774.32.
The Agreement Maximum Amount table on the Agreement's Signature and Cover Page is
hereby deleted and replaced with the Current Agreement Maximum Amount table shown
on the Signature and Cover Page for this Amendment.
Amendment Agreement Number:CT QAAA 2026-TBD Amt Page 3 of 4
Version 07.2024
COLORADO
Department of Early Childhood
C. Exhibit A — Statement of Work
Exhibit A — Amendment #2, which is attached and incorporated by this Amendment, shall
be added to Exhibit A of the Original Contract.
D. Exhibit B — Budget
Exhibit B — Amendment #2, which is attached and incorporated by this Amendment, shall
be added to Exhibit B of the Original Agreement.
E. Exhibit C- Additional Provisions
Exhibit C - Amendment #2, which is attached and incorporated by this Amendment, shall
replace Exhibit C - Amendment #1 of the Original Agreement.
6. LIMITS OF EFFECT AND ORDER OF PRECEDENCE
This Amendment is incorporated by reference into the Agreement, and the Agreement and all
prior amendments or other modifications to the Agreement, if any, remain in full force and effect
except as specifically modified in this Amendment. Except for the Special Provisions contained
in the Agreement, in the event of any conflict, inconsistency, variance, or contradiction between
the provisions of this Amendment and any of the provisions of the Agreement or any prior
modification to the Agreement, the provisions of this Amendment shall in all respects supersede,
govern, and control. The provisions of this Amendment shall only supersede, govern, and
control over the Special Provisions contained in the Agreement to the extent that this
Amendment specifically modifies those Special Provisions.
Amendment Agreement Number:CT QAAA 2026-TBD Amt Page 4 of 4
Version 07.2024
COLORADO
Department of Early Childhood
Statement of Work
Weld County Department of Public Health and Environment
Nurse Home Visitor Program
CDEC PROGRAM CONTRACT MANAGER
• Bitel Beyette, Nurse Home Visitor Program Administrator, bitel.beyette@state.co.us
ABBREVIATIONS
• CAB - Community Advisory Board
• CCT - Colorado Coordination Team
• CDEC - Colorado Department of Early Childhood
• C.R.S. - Colorado Revised Statutes
• FY - Fiscal Year
• HCPF - Health Care Policy Et Finance
• IIK - Invest in Kids
• NFP - Nurse -Family Partnership
• NFPNSO - Nurse -Family Partnership National Service Office
• NHVP - Nurse Home Visitor Program
• NHVs - Nurse Home Visitors
• NS - Nurse Supervisor
• SOW - Statement of Work
• WIC - Women, Infants, and Children
GLOSSARY
Exhibit A - Amendment #2
• Active clients are defined by the NFPNSO as:
o Clients whose "Program End Date" in the NFP data system is null or occurs after the last day of the reporting period.
o Clients who had a completed visit within 180 days prior to the last day of reporting period.
o Clients who have a child not over 26 months on the last day of the reporting period.
Page 1 of 12 Revised 1/6/2025
COLORADO
Department of Early Childhood
Exhibit A - Amendment #2
o Clients who have not been in the program for over two years and 11 months on the last day of the reporting period.
Colorado Coordination Team - A team comprised of four agencies who work together to administer NFP in Colorado. The CCT
is comprised of CDEC, which is responsible for financial administration of the program; the University of Colorado health
sciences facility, which is responsible for programmatic and clinical support, as well as selection, evaluation, and monitoring
of the implementation sites (these duties are subcontracted to the Nurse -Family Partnership National Service Office and
Invest in Kids); Invest in Kids (IIK) which provides program oversight, nurse consultation, site development, and program
advocacy; and the NFPNSO which holds the NFP model curriculum and data collection system and provides ongoing nurse
training and evaluation.
INTRODUCTION/BACKGROUND
The Nurse Home Visitor Program (NHVP), authorized through sections 26.5-3-501 through 26.5-3-508 C.R.S., established a
statewide nurse home visitor program in Colorado beginning in FY 2000. Per the program requirements outlined in statute,
the NHVP utilizes the Nurse -Family Partnership (NFP) model. NFP is an evidence -based, voluntary, community health nursing
program aimed at improving the lives of families expecting their first child. The program is open to all first-time parents
living with an annual income below 200% of the federal poverty level. Clients are partnered with a registered nurse early in
their pregnancy and receive home visits until the child turns two.
The goals of the program are:
o Improve pregnancy outcomes by providing education and resources for preventative health practices including prenatal
care, nutrition, and reducing the use of habit-forming substances including cigarettes, alcohol, and illegal substances.
Improve child health and development by providing education and resources for healthy attachment, parenting skills,
and helping parents provide responsible and competent care for their children.
Improve the economic self-sufficiency of the family by supporting parents to develop a vision for their own future,
plan future pregnancies, continue their education and find work.
Per section 26.5-3-502 (2) C.R.S., responsibility for implementing the program is divided between CDEC, which is responsible
for financial administration of the program, and a health sciences facility at the University of Colorado, which is responsible
for programmatic and clinical support, evaluation, and monitoring of the program. CDEC and the University of Colorado
health sciences facility shall work collaboratively for successful implementation of the program; however, neither party is
responsible for the other entity's statutorily prescribed duties.
Page 2 of 12 Revised 1/6/2025
ise COLORADO
Department of Early Childhood
SCOPE OF WORK
Exhibit A - Amendment #2
• Weld County Department of Public Health and Environment Nurse -Family Partnership, referred to in this SOW as the
Contractor, shall positively impact pregnancy outcomes, child health and development, and economic self-sufficiency of
enrolled families in Weld County by delivering high quality nursing services that comply with NFP model fidelity.
• Weld County Department of Public Health and Environment's goal for this project is to improve maternal and child health,
prevent child abuse and neglect, encourage positive parenting and promote child health and school readiness through the
provision of high -quality NFP home visiting services.
PERIOD OF PERFORMANCE
• July 1, 2025 - June 30, 2026
WHERE SERVICES WILL BE PERFORMED
• Weld County
WORK PLAN
Work Plan
Outcomes, Benchmarks, and Milestones
Outcome Statement #1: Weld County Department of Public Health and Environment NFP shall positively impact pregnancy outcomes,
child health and development, and economic self-sufficiency of enrolled families in the specified service area by delivering high -
quality nursing services that comply with model fidelity.
Contractor shall adhere to the NFPNSO program requirements to meet program objectives and model fidelity.
Key Activity A1:
Provide ongoing training, supervision, and professional development for all NHVP staff, including model -
specific training and state required trainings and events, including those offered by the Early Childhood
Council.
Page 3 of 12
Revised 1/6/2025
COLORADO
Department of Early Childhood
Exhibit A - Amendment #2
Tasks
Time Period
Deliverable
Measurement
Pasitionfs3 Responsible
Budget Category
A1-1:In collaboration
with each NHVP staff,
identify learning
needs and develop a
plan for professional
development.
Ongoing
Staff receive ongoing
professional development to
ensure proficiency in delivering
high -quality NFP services and
meet model fidelity
requirements established by the
NFPNSO.
100% of NHVP NFP staff
have professional
development goals
identified annually.
Nurse Supervisors (NS)
Training and
Technical
Assistance
A1-2:Secure approved
contract and/or
internal staffing for
mental health
consultation.
September
30, 2025
Nursing professional
development, nurse retention,
and compassion fatigue, and/or
other identified professional
development training needs.
# of completed mental
health case conferences
as noted in the NFP Flo
database.
NFP Program
Administrator
Personnel
Contract services
A1-3:Provide
resources for prenatal
medical care and
coordinate referrals
to maternal health
care and community
services, such as
Women, Infants, and
Children (WIC) and
Early Intervention
Colorado.
Ongoing
Contractor implements referral
coordination between NFP and
maternal and child health care
programs and services.
# of referrals received
from community services
# of referrals sent to
community services
NS
Nurse Home Visitors
(NHVs)
Personnel
Operating
A1-4: NHVP staff shall
attend all mandatory
calls and meetings
facilitated by state
intermediary, Invest
in Kids (IIK), and the
CDEC.
Ongoing
NHVP staff receive information,
understand and comply with the
NHVP SOW, fiscal and
contractual expectations, and
the NFP model expectations, to
provide high -quality NFP
services to clients and
administer the program
efficiently and effectively.
# of required calls and
meetings attended
# of staff who attended
NS
Personnel
Operating
Page 4 of 12
Revised 1 /6/2025
COLORADO
Department of Early Childhood
Exhibit A - Amendment #2
Tasks
Time Period
Deliverable
Measurement
Position(s) Responsible
Budget Category
A1-5:NHVP staff shall
Ongoing
All NHVs and NS shall hold and
100% of NHVP NFP staff
NS
Personnel
adhere to NFPNSO
maintain current nursing
have current licenses
NHVs
Training and
guidelines for training
requirements and
retain documentation
of all necessary
trainings and nursing
licenses.
licenses and comply with
NFPNSO training requirements.
and training.
Technical
Assistance
Key Activity B 1:
Provide voluntary NFP home visits and services to enrolled families following NFPNSO program
requirements and caseload guidelines.
Page 5 of 12 Revised 1 /6/2025
COLORADO
Department of Early Childhood
Exhibit A - Amendment #2
Tasks
Time Period
Deliverable
Measurement
Positionisj Responsible
Budget Category
B1-1:Review NFP
Ongoing
At -risk NFP-eligible clients are
100% of clients meet NFP
NS
Personnel
enrollment,
disenrollment, re-
enrolled in the NFP program
during pregnancy and no later
population of focus at
enrollment, as noted on
NHVs
Administrative
Operating
enrollment, and dual
enrollment policies
and procedures to
ensure voluntary
participation and
prioritization of NHVP
enrollments for
clients identified as
high -risk with the NFP
population of focus.
than 30 days post-partum, per
Colorado NFP program
guidelines.
Maintain proof of income
records for all mothers
participating in the program to
ensure eligibility requirements
are met.
NFP client application.
Documentation of
eligibility is maintained.
Assistants
Implement strategies
to address inactive or
disengaged clients.
Implement strategies
to enroll new clients
in anticipation of
upcoming client
graduations and to
replace inactive
clients.
Reasonable efforts shall be
made to re-engage clients while
maintaining voluntary client
participation in the program.
Monitor client status and
increase referral outreach as
needed.
After 180 days with no
client contact, a Client
Dismissal form shall be
completed and entered
into the NFPNSO data
system.
# of active clients is
monitored
B1-2: Provide NFP
Ongoing
Conduct family -centered home
# of client visits
NS
Personnel
visits (in -person and
telehealth as
appropriate) to
enrolled NFP clients
per the NFP standard
visit schedule or
agreed upon
alternative visit
schedule.
visits in accordance with the
NFP model guidelines.
completed
# of clients enrolled by
28 weeks pregnancy and
# enrolled after 28
weeks pregnancy
# of clients retained in
the program
NHVs
Page 6 of 12
Revised 1 /6/2025
COLORADO
Department of Early Childhood
Exhibit A - Amendment #2
Tasks`
Time Period
Deliverable
Measurement
Position(s) Responsible
Budget Category
B1-3: Adhere to
NFPNSO caseload
guidelines.
Ongoing
NHVs maintain their funded
caseload. Full time NHV
caseload is 25 clients. Part time
caseload is pro -rated
accordingly.
New NHVs shall follow a
caseload ramp -up, adding new
clients gradually over a 9 -month
period to get to their full
caseload.
Contractor shall maintain 85%
active caseload out of the 100%
funded caseload for the fiscal
year.
# of active caseload
NHVs
NS
Personnel
B1-4: Monitor
caseloads on a
consistent schedule.
Ongoing
Track and report active
caseload numbers in the
NFPNSO database. Active
caseload numbers will be
monitored quarterly by the
Colorado Coordination Team
(CCT).
# of active caseload
reported in NFPNSO
database
NHVs
NS
Administrative Assistant
and/or Data Staff
Personnel
Operating
B1-5: Implement
transition plans for
NHV turnover.
Ongoing, as
needed
In collaboration with CDEC and
IIK, develop a transition plan
for transferring clients when a
nurse leaves the program to
minimize client attrition.
Plan for NHV turnover is
in place. In the event a
nurse leaves the
program, Contractor
shall contact CDEC and
IIK as soon as possible.
NS
Personnel
Key Activity Cl:
Ensure accurate and timely data collection as specified by the NFPNSO and utilize data reports to assess
and guide program implementation.
Page 7 of 12
Revised 1 /6/2025
COLORADO
Department of Early Childhood
Exhibit A - Amendment #2
Tasks
Time Period
Deliverable
Measurement
Position(s) Responsible
Budget Category
Personnel
Operating
C1-1: Enter data into
NFP data collection
system and monitor
data utilizing reports
from the NFPNSO and
IIK.
Ongoing
Data collected in accordance
with NFPNSO guidelines to track
performance and identify
measurable improvements at
site level.
NFP database reflects
data collected and
reported.
NHVs
NS
Administrative Assistant
and/or Data Staff
Key Activity D1: I Collaborate with other NFP sites and community partners to best serve families.
Tasks
Time Period
Deliverable
Measurement
Position(s) Responsible
Budget Category
D1-1: NHVP staff shall
Ongoing, as
NS and/or NFP Program
Email communication
NS
Personnel
establish and
needed
Administrator shall connect
with CDEC NHVP
NFP Program
maintain contact with
neighboring NFP
implementation
partners for site
referrals.
with neighboring NFP
implementation sites to develop
a plan for exchanging referrals
when geographically necessary
to arrange the best fit for
families.
Program Administrator
and IIK Nurse Consultant.
Administrator
Contractor shall track referrals
that are referred to neighboring
programs.
# of transferred referrals
D1-2: Establish and
Ongoing
Maintain relationships and
# of contacts
NS
Personnel
maintain relationship
contact information for CAB
NFP Program
Operating
with an NFP
Community Advisory
Board (CAB) and
other community
partners and referral
sources.
members, community partners,
and referral sources,
List is maintained and
with current contact
information.
Administrator
Work Plan
Outcomes, Benchmarks, and Milestones
Outcome Statement #2: Contractor shall adhere to CDEC NHVP fiscal and contracting processes, as well as NFP budget guidance, for
effective fiscal administration of the NHVP.
Page 8 of 12
Revised 1 /6/2025
COLORADO
Department of Early Childhood
Exhibit A - Amendment #2
Key Activity A2:
CDEC contract and invoicing processes are adhered to, and document submission and trainings are
completed by specified deadlines for effective fiscal administration of the program.
Tasks''
Time Period '
Deliverable
,Measurement
Position(s) Responsible
I3udget Category
A2-1: Contractor shall
Ongoing
Contractor shall adhere to
# of monthly invoices
NS
Personnel and/or
submit invoices
Invoices
NHVP and State of Colorado
submitted to CDEC
NFP Program
Indirect
monthly to CDEC.
shall be
submitted no
more than
45 days
following the
end of each
month
fiscal processes. Invoices shall
be submitted no later than 45
days following the end of each
month using the OnBase system,
unless otherwise specified.
Administrator
Accounting and/or
Administrative Staff
A2-2: Complete and
submit NHVP year-
June 30,
2026, or as
Final invoices for the fiscal year
are required on a shortened
Final invoice or estimate
of final expenditures
NS
NFP Program
Personnel and/or
Indirect
end statements and
specified by
timeline. A final invoice
submitted on time
Administrator
invoices per CDEC
requirements.
CDEC
submission deadline shall be
communicated by the CDEC
Accounting and/or
Administrative Staff
NHVP Program Administrator
and CDEC fiscal staff no later
than June 30, 2026. If a final
invoice is not available by the
specified date, an estimate of
final expenditures must be
provided at that time.
Page 9 of 12
Revised 1 /6/2025
COLORADO
Department of Early Childhood
Exhibit A - Amendment #2
Tasks
Time Period
Deliverable
Measurement
Position(s) Responsible
Budget Category
A2-3: NHVP staff shall
Ongoing, as
Contractor shall adhere to
Documentation of prior
NS
Personnel and/or
contact the CDEC
needed
NHVP and State of Colorado
approval of changes is
NFP Program
indirect
NHVP Program
Administrator
regarding requests for
budget modifications
prior to expending
grant funds to ensure
compliance with
NHVP fiscal
requirements. This
includes any salary
changes that are not
accounted for in the
contract budget.
fiscal and contracting processes
for any modifications to the
budget or SOW.
Prior written approval from
CDEC NHVP Program
Administrator is obtained for
any modifications to the budget
or SOW in this contract.
Depending upon the changes
requested, a formal
Amendment may be required.
maintained.
If a formal Amendment
is required, Amendment
is not effective until it
has been executed by all
parties.
Administrator
Accounting staff
A2-4: New NHVP staff
Ongoing, as
NS shall alert the CDEC NHVP
NS informs CDEC NHVP
NS
Personnel and/or
whose job duties
needed
Program Administrator about
Program Administrator of
Accounting and/or
indirect
include assisting with
preparing budgets,
invoices, or grant
management for this
project shall meet
with the CDEC NHVP
Program
any new staff who assist with
preparation of the budget,
invoices, or grant
administration within 45 days of
hire to set up a grant
orientation.
new staff within 45 days
of hire.
Grant orientation for
new staff has been
completed within 90
days of hire.
administrative staff
Administrator for
NHVP grant
orientation.
Key Activity B2: I Contractor shall bill Medicaid for eligible NFP services.
Page 10 of 12
Revised 1 /6/2025
COLORADO
Department of Early Childhood
Exhibit A - Amendment #2
Tasks
Time Period
Deliverable
Measurement
Position(s) Responsible
Budget Category
B2-1: Contractor shall
be an active Medicaid
Provider during the
Period of
Performance and
adhere to Medicaid
requirements.
July 1, 2025
- June 30,
2026
Contractor is an active Medicaid
Provider with an assigned
Medicaid consulting physician
by July 31, 2025.
All NHVs are enrolled as
Medicaid providers.
Contractor is an active
Medicaid Provider and
all NHVs are enrolled.
NS
NFP Program
Administrator
Personnel
Indirect
Operating
B2-2: Bill Medicaid
when clients receive
eligible services,
including Targeted
Case Management,
tobacco cessation,
maternal depression
screenings, and
preventative
counseling.
Ongoing
Medicaid billing occurs.
HCPF reporting
NS
NHVs
Administrative staff
Personnel
B2-3: Medicaid
revenue shall be
reviewed with CDEC
to ensure accuracy.
December
31, 2025,
and ongoing
as needed
Contractor shall meet with
CDEC NHVP Program
Administrator to review HCPF
Medicaid revenue report for
accuracy. Discrepancies shall be
reported to HCPF for
correction. Contractor shall
comply with requests from
CDEC and HCPF for information
on claims to resolve
discrepancies.
Meeting is held and, if
necessary, issues have
been reported to HCPF.
NS
NFP Program
Administrator
Administrative Staff
Personnel
SCHEDULE/MILESTONES
• Weld County Department of Public Health and Environment's NFP program is affiliated with the NFPNSO and works closely
with Invest in Kids, Colorado's State intermediary, to ensure the program is delivered in compliance with model fidelity. Weld
County Department of Public Health and Environment shall adhere to all the NFP model elements which demonstrate
implementation with fidelity to the model.
Page 11 of 12
Revised 1 /6/2025
x
COLORADO
Department of Early Childhood
ACCEPTANCE CRITERIA
Exhibit A - Amendment #2
The acceptance of all deliverables shall reside with the CDEC, NHVP. The designated program manager shall monitor all
deliverables in order to ensure the completeness of each stage of the project and that the scope of work has been met. The CDEC
program manager shall either sign off on the approval, or reply to the vendor, in writing, advising what tasks must still be
accomplished. Any dates outside the Period of Performance in the statement of work or other exhibit that are prior to the execution
date or extend beyond the Contract Expiration Date are for planning and informational purposes only, and do not formally extend
the Contract Begin Date or Expiration Date.
Page 12 of 12 Revised 1 /6/2025
Exhibit 8 - Amendment 02
Ca*
COLORa DO
$... .V NAM
Colorado Department of Early Childhood (CDEC)
BUDGET Willi JUSTIFICATION FORM
Contractor Name
Weld County Depvvnem of Public Health and Environment
Budget Period
July 1, 2025 • June 30. 2026
Project Name
Nurse Home Visitor Program (NHVP)
Counters Served
Weld County
Program Contact Name, Title
Dana Garvey, Nurse Home Visitor Program Coordinatzu, Public Health Snakes
/lore
970400.2405
Email
dgarvey eto.weld.co.na
Fiscal Contact Name, Title
Bill Fritz, Public Health Finance Manager
Plane
9704002122
twill
bfrR2lltrreW.pv
Funded Caseload
150
Abbrev la Hon%
CDEC
MIX
SFY
NFP
xrfv
NHVP
DANCE
PIPE
Definition
Colorado Department of Fatty Childhood
.modified foul Direct Colts
Stitt Fiscal Year
Nine -Family Partnership
Nurse Home Visitor
Nun. Home Visitor Program
Dyadtc Assetuinent or Naturalistic Caregver-Child Eran+e►tces
Partner in Parenting Education
Expenditure Categories
Personnel Services - Salaried Employees
SFT 2026
Position Title
Description of Work
Description of Fringe BenNits
Gross or Annual
Salary
Fnnga
Percent of
Time on
Project
Total Amount For
Project
A. Other Sources
of Funding
B. Medicaid
Revenue
C. CDEC Funding
NHVP
NHV 1
Delivers Mme visiting services to mothers and families in weld County.
**deice, unemployment, workers
compensation, retirement, life and
accidental death and disability
Insurance, health insurance, and
paid time off.
550.629.00
519,173,00
100.00%
569,802 00
50.00
50.00
$69,802.00
NHV 2
Delvers home visiting services to mothers and rambles in Weld County.
Medicare. unemployment, wulers
eompcvsation, retirement, Ilfe and
accidental death and disability
Nevem., health insurance, alai
paid time off.
S9B.715.00
537,381.00
100.00%
$136,098.00
50.00
SO.00
Si 36,098.00
Niel 3
Delvers Mme visiting sennces to mothers and Wellies in Weld County.
Medicare, Inemplose rent, workers
compensation, retirement, hie and
accidental death and disability
Insurance, health insurance, and
paid time off
594,870.00
535,927.00
100.00%
$130.797.00
50.00
50.00
$130,797.00
NHV 4
Delivers mime uniting services to mothers and famines in Weld County.
Medicare, unemployment, workers
compensation, retirement, hie and
accidental death and disability
Insurance, health usurance, and
pad time off.
593,917.00
535,566.00
100.001
5129,483 00
50.00
50.00
$129,443.00
NHV S
Delivers home wrong Writes to mothers and famines In Weld Cotetly.
Medicare, unemployment. workers
compensation. retirement, lie and
accidental death and disability
aeuraree, health insurance, and
paid time off.
591.353.00
514.595.00
100.00%
5125,948.00
$0.00
50.00
5525.948.00
NHV 6
Delivers home visiting services to mothers and families In Weld County.
Medicare, unemployment, worker's
compensation, retirement, life and
accidental death and disability
assurance, health insurance, and
paid time off.
$90.435.00
$31,248.00
100.008
S124,643.00
$0.00
50.00
$124,663.00
NHV 7
Delivers home visiting services td mother' and families in Weld County. Delivers home visiting services to
Spanish-speaking families Includes bilingual pay differential.
Medicare. inemploy+lent, workers
Compensation, retirement, the and
accidental death and disability
ruVaele, health insurance, and
pled time off.
542,511.00
516,107.00
100.008
S91,638 CO
50.00
50.00
558.638.00
NW Sarno,
Provides oversight and assistance to NHS% to implement program within fidelity requirements,
aAeOKare. unemployment, workers
conversation, retirement• life and
accidental death and disability
reulrente, health insurance, and
pad time oil.
$119,319.00
$45.186.00
100.00%
$164.505 00
$0.00
50.00
$164.505.00
Community Health Programs Manger
Provides oversight to ensure fidelity and quality of program delivery and assists tie NSW.
Medicare, unemployment, workers
compensation. retirement. We and
accidental death and disability
insurance, health Insurance, and
pad time off _
$114,200.00
543,240.00
10.00%
$15,744.00
50.00
50.00
515,744.00
Of fee Technician
Prorates assntarice in data aploadng and general support for the program. NHVs. ant NHV Supervsor. Uses
Spanish language in role Includes bilingual pay differental
Medicare, vicvnployrnent• worklt S
compensation, retirement, life and
accdentai death and disability
insurance, health insurance, and
paid time all
563,071.00
513,685.00
100.00%
566.956.00
50.00
SO.00
$86.956.00
I. Total Personnel Services (Including tree benefits)
51.042,654.00
$0.00
$0.00
$/,042,654.00
Supplies 8 Operating Expenses
SFY 2026
Item
Description of Item
A. Other Sources
of Funding
B. Medicaid
Revenue
C. CDEC Funding
MVP
Office Operating Expenses (i.e. supplies)
General office supplies and pnntinlg_necessary to_perform critical lunctions of theprogram.
50.00
50.00
$1,000.00
Client Support Materials
Boob, educational toys, video clips, and other similar Items fix client support.
$0.00
50.00
$7,500.00
translation Services
Translation services tO serve clients with various language deeds.
50.00
$0.00
$1,500.00
Postal 1s Shipping Services
Shipping COMA.
.Do
50.00
5150.00
Communications (cellular, network smites)
Includes cell phones and sever ptans, and will for 7 laptops. Thn allows the idles to communicate with taco
other and clients. enure their safety in the /Md. and allows them to complete charting in tie farad thrash
the use of twee call phone hot spot capabilities.
50.00
50.00
56,800.00
Medical Supplies
50.00
50.00
5500.00
General medical supplies such as hared metier. %Opts. blood pressure ails, thermometers, and other 'wilier
items necessary for program delivery.
Outside Services
Costs associated wett, calibration and servicing of baby scales teed during home visits.
50.00
50.00
51,000 00
Electronic Medical Records
Electronic Medical Record licenses and technical support.
50.00
50.00
52,500.00
Subtotal
$0.00
$0.00
521,950.00
Rows fathuded from Modified Total Direct Costs (MTDC): (Rental costs, tuition, sctiolangdpalfelboahlgi.
_participant support. equipment, capital r riditures)
hem
Description of Item
A. Other Sources
of Funding
B. Medicaid
Revenue
C. CDEC Funding
IOM
NAP National Service Office Program Support
Fee
MOPS lee rpr the program.
_
50.00
S0.O0
577,984.00
Subtotal items removed Iron AUK
50.00
$0.00
527,984.00
2_
Tool Sprees 0 Operating Caperton
SO.00
$0.00
$49,934.00
Training and Technical AWstannce
SFY 2024
Item
Desorption of Item
M
Fee
a
Total
A. Other Sources
of Funding
B. Medicaid
Revenue
C. CDEC Funding
MVP)
DANCE Education
Cost covers rewired NFP training
WHY
$425.00
/
5425.00
$0.00
$0.00
5425 00
DANCE Licensing
Cosa covers •eaaued NFP training materials _
NHry
$72.00
6
5432.00
$0.00
50.00
Sill 00
Professional Development
Coven cost or additional trairuna for Hires
Nwt5spevvisor
5600.00
a
54.800.00
50.00
50.130
54.800.00
3. TSUI Tralrittattd Tec hMrai Assistance
$3,657.00
$0.00
50.00
$5,657.00
Travel
SFY 2024
Item
Description of item
A. Other Sources
of Funding
B. Medicaid
Revenue
C. CDEC Funding
*VP
Visit Outreach Meese.
Mileage reimbursement to travel to client visits, community outreach, and trankngs.
SO 00
57, 332.00
515,000.00
NFP Supervisor Meetings
Mileage reimbursement, per diem, and lodging rf necessary for three state nurse supervisor meetings.
50.00
50.00
5250.00
NEP Nurse Practice Council Meetings
Mileage reunburtement, per diem, and lodging if necessary for three nurse practice council meetings.
50,00
50.00
5150.00
4, Total Travel
$0.00
$7,332.00
$15,500.00
ContractorsKonsutants (payments be triad parties or amines)
SFY 2026
Name
Description of Item
Allowable M
saroC
calculation
Un/tllowable In
YTDC Calculation
A. Other Sources
of Funding
B. Medicaid
Revenue
C. CDEC Funding
1081P
Mental Health Consultation
Coeers the cast of most, maternal/fetal mental health specialist consultation services to help arses address
complex Mations math clients.
51,500.00
$0.00
50 00
50.00
SI.SCO CO
5. Total CoatractorsKamltenb
$1.500.00
$0.00
$0..00
$0.00
$1.500.00
TOTAL DIRECT COSTS
$0.00,
$7.332.00
$1,115,245,00
MODMED TOTAL DIRECT COSTS (MTDC) MOOIFIED TOTAL DIRECT COSTS (MTDC)
Uniform Guidance • 2 Code of Federal Regulations 200.1 (2 CF'R 200.11 'Modified Total Direct Cost IM7DCl--
(neiro all direct salaries and wages. applicable fringe benefits. materials and supplies. services, bevel, and up
to the test $50,000 of each subevard (n9ga►dless of the period of performance of the subawards under the
award). MTDC excludes equipment, capita experoitures, charges for patient care, rental costs, tuition
remission, sch olanhlps and lellowshlps, participant support costs and the portion of each subaward in excess
of $50,000. Other Items may only be excluded when necessary to avoid a serious inequity In the dlstributi n of
Indirect costs, and with the appreval of the cognizant agency for indirect cats
$0.00
$7,332.00
$1,067,261.00
Indirect Costs
[rot to exceed 15% unless Negotiated Federal Indirect Cost rate or Negotiated State Indirect Cost rate is
attached]
SFY 2026
hem
I Description of Item
j
Rate %
A. Other Sources
of funding
B. Medicaid
Revenue
C. CDEC Fading
ferVP
Slate Federal Indirect cost rate i
%gigot ated ind rr;:: •ltd or 19,741 of MTDC.
19.74%
50.00
50.00
$214,625.32
Total Indirect
50.00
50.00
$214,625.)2
TOTAL _
Sax_ $7,332.00
$1,329,870.32
Date : DI 1 rites 2;.1; 1"ii
it
fin•
CDEC
COLORADO
Department of Early Childhood
Additional Provisions
1. SERVICE PROVISIONS
Exhibit C - Amendment #2
A. The Contractor shall provide the services according to the plans submitted in the
"Statement of Work", attached and incorporated herein by this reference as EXHIBIT A.
In all cases, the descriptions, plans, timetables, tasks, duties, and responsibilities of the
Contractor as described in the Statement of Work, shall be adhered to in the performance
of the requirements of this contract. In the event of a conflict, the terms and conditions
of this contract shall control over the Statement of Work. Any significant changes to the
Statement of Work (SOW) require an amendment to the contract.
2. GOALS AND OBJECTIVES
A. The Contractor shall be responsible for the achievement of any goals and objectives as
specified within the Statement of Work (EXHIBIT A) of this contract unless written notice
of any modifications are furnished by the State to the Contractor allowing adequate time
for compliance during the term of this contract.
3. COPY OF SUBCONTRACT
A. The Contractor shall provide to the State a copy of any executed subcontract between the
Contractor and any provider of services to fulfill any requirements of this contract.
Subcontracts shall be emailed to the Contract Representative upon execution.
4. PAYMENT
A. In consideration of the provision of services and reporting and subject to all payment and
price provisions and further subject to verification by the State of full and satisfactory
compliance with the terms of this contract, the State shall pay to the Contractor an
amount not to exceed the amount specified in the Budget (EXHIBIT B), of this contract.
B. The Contractor shall submit requests for payment to the OnBase Invoice Submission
Process no less than monthly on forms prescribed and provided by the State.
i. Link to Frequently Asked Questions about the OnBase Invoice Submission Process.
ii. Link to Vendor Invoice Guidance
a) Under this Contract, the Vendor shall submit their invoices by selecting
NHVP - Nurse Home Visitor Program.
iii. For technical issues please contact the OnBase Administrator at
CDEC_OnBase_Admin@state.co.us.
iv. For invoice issues, including but not limited to questions about which program to
select or program manager emails to enter, please contact
CDEC_Invoicing@state.co.us.
Page 1 of 6 Revision Date 03/20/2025
Se
COLORADO
Department of Early Childhood
Exhibit C - Amendment #2
C. Payment shall be made on a cost reimbursement basis for services rendered.
D. It is understood any vacancy savings in the personnel category and/or any savings in any
other category shall require written approval from the State prior to any redistribution of
any savings by the Contractor. ANY COST SAVINGS THAT ARE REDISTRIBUTED BY
CONTRACTOR WITHOUT WRITTEN APPROVAL SHALL NOT BE REIMBURSED BY THE STATE.
E. IT IS UNDERSTOOD ANY COSTS THAT EXCEED THE CONTRACTED AMOUNT SHALL NOT BE
PAID BY CDEC. If Contractor has a legitimate need for additional funds, the Contractor
shall request additional funds from the CDEC 60 days prior to projected depletion of
contracted funds. CDEC shall review each request and notify Contractor in writing of
approval or denial. Approval of additional funds shall require an official modification to
the Contract by Amendment or Option Letter.
F. Timely Invoicing - Invoices shall be submitted no later than 30 days following the last day
of the month. End of State Fiscal Year invoices are on a compressed timeframe. Invoices
for all services provided prior to June 30th shall be invoiced by July 5th. Contractors who
are unable to provide the invoice by July 5th shall notify the state of the amount to be
booked as accounts payable by July 13th by sending an email to OnBase Invoice
Submission Process. Final invoices for services prior to June 30th shall be submitted by
September 14th. Invoices received after September 14th may not be paid.
G. The Contractor shall maintain source documentation to support all payment requested
pursuant to this contract. All source documentation shall be provided to the State by the
Contractor upon request.
H. It is understood that the State reserves the right to offset funds pursuant to this contract
based on the discovery of overpayment or improper use of funds by the Contractor.
Overpayment or improper use of funds is interpreted to apply to specific terms of prior
year contracts and includes without limitation requirements of the Generally Accepted
Accounting Principles (GAAP) issued by the American Institute of Certified Public
Accountants, and applicable sections of the Colorado Revised Statutes.
I. The State shall review monthly invoices throughout the fiscal year. If, after a number of
months, the State determines the Contractor is not needing/using the funding allocated
for the Contractor's work in the Contract, the State shall remove these funds from the
contract budget by Option Letter for a proportional reduction of services with prior
written notification to the Contractor. This provision does not allow for a reduction in the
rate of pay. Additionally, the state shall have the ability to issue this option letter for a
reduction, allowing the vendor to submit a revised budget for CDEC approval that aligns
with the reduction within 30 days.
5. PARTICIPATION
A. The Contractor representative(s) is required to participate in any Department of Early
Childhood sponsored meetings related to this contract.
Page 2 of 6 Revision Date 03/20/2025
COLORADO
Department of Early Childhood
6. SUPPLANTING
Exhibit C - Amendment #2
A. Payments made to the Contractor under this contract shall supplement and not supplant
other state, local or federal expenditures for services associated with this contract.
7. BUDGET CHANGES
A. Contractor may request in writing adjustments to the direct costs in the current year
budget (EXHIBIT B) not to exceed 15% of the total budget. Requests shall be made in the
form of a written budget revision request to the appropriate program staff. Written
approval for the budget revision shall be required prior to any changes to the budget
related to the budget revision request. The total dollar amount of the contract budget
cannot be changed as a result of the budget revision request. Budget adjustment
requests over 15%, adding new expense lines, and/or changes to the total dollar amount
of the budget require a formal amendment. No adjustments to the Indirect Costs portion
of the budget are allowable without a formal amendment.
B. Contractor may request in writing up to a 5% increase to the "Gross or Annual Salary" of
an individual employee if a position currently listed in the contract becomes vacant and
the new incoming employee shall be hired at a higher or lower salary. No increase
within the salary range is authorized without prior written approval from CDEC. Adding
additional staff requires an amendment to the contract. Vacancy savings cannot be used
to change salary amounts for existing personnel without an amendment. Any change to
personnel, including revisions to allow payments for personnel covering vacancies,
requires prior written approval from CDEC staff. This process shall never change the
Contract Maximum Amount. Contractor must use available unused funds from either
vacancy savings or another category within the contract. The revision request may not
at any time compromise the integrity of the funded program as determined by CDEC
program staff.
C. OPTION LETTER
i. Option Letter to modify existing State Contract as listed in the executed Contract
as follows:
a) The State, at its discretion, shall have the option to revise the budget over
15% to correct typographical errors; add or remove lines within the budget;
increase gross or annual salary of positions listed under Personnel; revisions
to personnel; changes between lines of the budget that exceed 15%; and
changes to negotiated indirect rates through an Option Letter. In order to
exercise this option, the State shall obtain an email agreeing to the changes
and follow up with written notice to Contractor in a form substantially
equivalent to Exhibit E - Sample Option Letter, of the original contract, and
any new rates table or exhibit shall be effective as of the effective date of
that notice unless the notice provides for a different date.
b) The Option Letter shall not be allowed for changes in the Statement of
Work.
Page 3 of 6 Revision Date 03/20/2025
Se
8. TRAVEL
COLORADO
Department of Early Childhood
Exhibit C - Amendment #2
A. Travel costs must be listed in Exhibit B - Budget under travel including airfare, hotel,
mileage and per diem costs.
B. Mileage shall not exceed the State mileage rate per
https://www.colorado.Rov/pacific/osc/travel-fiscal-rule.
C. Per Diem shall not exceed Federal GSA per diem rates for the area of travel per
https://www.gsa.gov/travel-resources or State per diem rate for the area of travel per
https://www.colorado.gov/pacific/osc/travel-fiscal-rule.
D. Hotel rates cannot exceed any rate established for conference attendance.
E. Usage of airfare or Out of State Travel requires pre -approval from CDEC.
9. CRITICAL INCIDENT REPORTING
A. Within 48 hours of the occurrence of a critical incident involving any child or family
and/or an on -duty agency staff member of any family support program staff funded
through the Department of Early Childhood (CDEC), the agency must report in writing
the details of the critical incident to the CDEC Program Manager for the involved family
support program. Critical incidents may include, but are not limited to, awareness of an
egregious incident of abuse and/or neglect, near fatality, or fatality of any child
currently enrolled in a family support program; involuntary termination of a program
staff's employment; criminal allegations involving program staff and related to his/her
employment; negative media attention about the family support program; any major
injury or threat to the security of an agency staff member while on duty and visiting an
enrolled child or family.
10. MANDATED REPORTING
A. All program staff are required by law to report suspected child abuse and neglect.
Mandatory reporters must report suspected child abuse and neglect to the local county
child welfare agency, the local law enforcement agency, or by calling the child abuse
reporting hotline system at 1-844-CO-4KIDS (1-844-264-5437).
B. All program staff are required to take the online mandatory reporter training on the
Colorado Department of Human Services (CDHS) Child Welfare Training System:
https: //www.coloradocwts.com/mandated-reporter-training.
11. GENERAL ACCOUNTING ENCUMBRANCE (GAE)
A. The funds under this GAE will be utilized for the following items:
• Nurse Family Partnership (NFP) training costs, often sites experience staff turnover in
a fiscal year and they will be permitted to use the GAE to cover costs of NFP required
training that was not included in their State Fiscal Year (SFY) 26 budget.
Page 4 of 6 Revision Date 03/20/2025
Se
COLORADO
Department of Early Childhood
Exhibit C - Amendment #2
Travel costs associated with NFP training. For example, if a site hires a new Nurse
Home Visitor, and this staff member is required to attend NFP orientation, the site
will be able to bill the GAE for the training registration and travel expenses for the
training. Travel costs may include mileage, hotel accommodations and per diem for
the staff member attending the training.
Operational items not included in their SFY26 budget such as cell phones, tablets,
laptops. Due to staff turnover, sites are to not include potential operational item
expenses in their SFY26 budgets but rather utilize the GAE in order to purchase
necessary items for new staff.
Transition salaries to pay new staff during the overlap with the staff member leaving
in order to provide time for adequate training. Once the original staff member leaves,
the new staff member's salary would be paid against the existing line in their SFY26
budget.
Translation and interpretation services to serve clients who are deaf or hard of
hearing, and those whose primary language is not English when interpretation needs
cannot be planned for in advance using their SFY26 budget.
i. Please refer to Page 1 for the amount available under the GAE for the current fiscal
year.
B. Payment to Contractor is made from available funds encumbered and shared across
multiple contractors. The State may increase or decrease the total funds encumbered at
its sole discretion and without formal notice to Contractor. No minimum payment is
guaranteed to Contractor. The liability of the State for such payments is limited to the
encumbered amount remaining of such funds.
C. Invoices shall be submitted separately for pre -approved expenditures.
i. The Contractor shall submit requests for payment to OnBase Invoice Submission
Process.
12. GIFT CARDS
A. To comply with federal guidelines, purchasing gift cards with funds from CDEC contract
funds is not allowed. Please see citations 45CFR75.406 and 45CFR75.302.A for more
13. SAM.GOV REQUIREMENT FOR STATE FUNDED CONTRACTS
A. Individuals who are excluded from participation in federal health care programs are
also prohibited from participating in federal government procurement and non -
procurement programs according to title 2 of the Code of Federal Regulations (CFR) S
376.147 and 42 CFR part 1001, which clarifies that this applies to individuals and
entities.
B. Any individual or entity excluded from participation in Medicare, Medicaid, and other
Federal health care programs under Title XI of the Social Security Act, 42 U.S.C. 1320a -
Page 5 of 6 Revision Date 03/20/2025
it ce
. ,....
COLORADO
Department of Early Childhood
Exhibit C - Amendment #2
7, 1320a -7a, 1320c-5, or 1395ccc, and implementing regulation at 42 CFR part 1001,
will be subject to the prohibitions against participating in covered transactions, as set
forth in this part and part 180, and is prohibited from participating in all Federal
Government procurement programs and non -procurement programs.
C. Contractor shall have a formal written policy regarding SAM.gov checks for all staff
upon hiring and not less than annually including procedures for maintaining records of
the evidence of this check.
14. ACCESSIBILITY REQUIREMENTS.
A. All work performed must comply with all applicable provisions of 524-85-101, of the
Colorado Revised Statutes (C.R.S.), et seq., and the Accessibility Standards for
Individuals with a Disability, as established by the Office Of Information Technology
(OIT) pursuant to §24-85-103 (2.5), C.R.S. and all State of Colorado technology
standards related to technology accessibility and with Level AA of the most current
version of the Web Content Accessibility Guidelines (WCAG), incorporated in the State
of Colorado technology standards. https://oit.colorado.Rov/standards-policies-
guides/technical-standards-policies.
Page 6 of 6 Revision Date 03/20/2025
Contract For
Entity Information
Entity Name* Entity ID*
COLORADO DEPARTMENT OF @00004256
EARLY CHILDHOOD
Q New Entity?
Contract Name* Contract ID
FY 25-26 NURSE FAMILY PARTNERSHIP CONTRACT 9548
AMENDMENT
Contract Status
CTB REVIEW
Contract Lead*
BFRITZ
Contract Lead Email
bfritz@weld.gov;Health-
Contracts@weld.gov
Contract Description*
FY 25-26 NURSE FAMILY PARTNERSHIP CONTRACT AMENDMENT
Contract Description 2
Contract Type*
GRANT
Amount*
$1,329,691.91
Renewable*
NO
Automatic Renewal
Grant
IGA
Department
HEALTH
Department Email
CM-Health@weld.gov
Department Head Email
CM-Health-
DeptHead@weld.gov
County Attorney
GENERAL COUNTY
ATTORNEY EMAIL
County Attorney Email
CM-
COUNTYATTORNEY@WEL
D.GOV
If this is a renewal enter previous Contract ID
If this is part of a MSA enter MSA Contract ID
Parent Contract ID
Requires Board Approval
YES
Department Project #
Requested BOCC Agenda Due Date
Date* 06/05/2025
06/09/2025
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
06/03/2025
Final Approval
BOCC Approved
BOCC Signed Date
BOCC Agenda Date
06/09/2025
Finance Approver
CHERYL PATTELLI
Legal Counsel
MATTHEW CONROY
Finance Approved Date Legal Counsel Approved Date
06/04/2025 06/04/2025
Tyler Ref #
AG 060925
Originator
BFRITZ
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