HomeMy WebLinkAbout20233678.tiff RESOLUTION
RE: APPROVE TASK ORDER CONTRACT FOR WISEWOMAN CHRONIC DISEASE
PREVENTION PROGRAM AND AUTHORIZE CHAIR PRO-TEM TO SIGN AND SUBMIT
ELECTRONICALLY
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 a Task Order Contract for the
WISEWOMAN Chronic Disease Prevention Program between the County of Weld, State of
Colorado,by and through the Board of County Commissioners of Weld County,on behalf of the
Department of Public Health and Environment,and the Colorado Department of Health and
Environment,commencing upon full execution of signatures,and ending September 29,2024,
with further terms and conditions being as stated in said contract,and
WHEREAS,after review,the Board deems it advisable to approve said contract,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 the Task Order Contract for the WISEWOMAN Chronic Disease
Prevention Program between the County of Weld,State of Colorado,by and through the Board
of County Commissioners of Weld County,on behalf of the Department of Public Health and
Environment, and the Colorado Department of Health and Environment, be, and hereby is,
approved.
BE IT FURTHER RESOLVED by the Board that the Chair Pro-Tem be,and hereby is,
authorized to sign said contract electronically.
The above and foregoing Resolution was,on motion duly made and seconded,adopted
by the following vote on the 13th day of December,A.D.,2023.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY,COLORADO
ATTEST: didido EXCUSED
Mik eman,Chair
Weld County Clerk to the Board
Bl� , 1QA(I» r- Per LE 131;";,Pro-Tem
Deputy Clerk to the Board UL
EL K.
APP ED A •
Ross
Con A ney -
1 ZJ /za Saine
Date of signature: Ia
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O2/13`24 HL0056
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BOARD OF COUNTY
COMMISSIONERS PASS-
AROUND REVIEW
PASS-AROUND TITLE:CDPHE WISEWOMAN Chronic Disease Prevention Contract Amendment#I
DEPARTMENT: PUBLIC HEALTH AND ENVIORNMENT
PERSON REQUESTING: Jason Chessher,Executive Director DATE:November 29,2023
urr,May,CFinicaFF&Community Health Division Director-
Brief description of the problem/issue:
For the Board's review and approval is the WISEWOMAN Chronic Disease Prevention Contract
Amendment*I between the Colorado Department of Public Health and Environment(CDPHE)and the
Board of County Commissioners of Weld County for the use and benefit of the Weld County Department of
Public Health and Environment(WCDPHE).
The goal of the WISEWOMAN project is to reduce chronic disease, including but not limited to,
cardiovascular disease(CVD),prediabetes,diabetes,and high cholesterol among underserved populations in
Colorado and Weld County.This includes delivery of CVD and diabetes screenings to eligible clients and
implementing healthy behavior support services such as individualized health coaching.
The purpose of this Amendment it 1 is to extend the contract to continue to perform chronic disease
prevention work.The period of performance is January 1,2024,to September 29,2024,and the maximum
amount payable by the State for the work to be performed by the WCDPHE during this term is
$9,665.00.This funding supports indirect costs,patient/office supplies,and staff development and training.
Screenings,diagnostic test,and staff time spent performing health coaching are reimbursed directly from
CDPHE by way of their eCast system.
Program services will remain at current levels,no additional staff are requested as a part of the contract
amendment.
What options exist for the Board?
With the approval of the Board,this contract amendment will allow WCDPHE to continue these important
chronic disease screenings and individualized health coaching sessions so that healthy life-long changes can
be made among underserved women in Weld County.
If the Board declines approving this contract amendment,it will result in turning-away funding to screen women
for CVD and diabetes as well as missed opportunities to support women in modifying poor diets,physical
inactivity,and excessive alcohol and tobacco use,all of which are modifiable risk factors for CVD and diabetes.
Consequences: Declining this contract amendment could lead to an increase in preventable diseases with
high morbidity rates for a potentially vulnerable subset of our local population.Heart disease and stroke
together kill more Coloradans than any other disease,with uncontrolled high blood pressure as the leading
cause(Colorado Health Information Dataset[CoHID],2021).
2023-3678
Impacts: Eligible Weld County residents will benefit from this project by receiving services to prevent and
manage cardiovascular disease, including addressing related social determinants of health.Goals of the
program are to improve blood pressure control,reduce disparities in blood pressure control,and
increase utilization of social support services among populations at highest risk of cardiovascular
disease.
Costs(Current Fiscal Year/Ongoing or Subsequent Fiscal Years):This contract amendment extends
the Master Task Order Contract#23 FAA 0051 an additional 9 months from January 1,2024,to
September 29,2024,with an additional$9,665.00 offunding during that period.
Recommendation:I recommend approval ofthis CDPHE WISEWOMAN contractamendment#1.
Support Recommendation Schedule
Place on BOCC Agenda Work Session Other/Comments:
Perry L.Buck,Pro-Tern
Mike Freeman,Chair �r
Scott K.James
Kevin D.Ross
Lori Saine U A'ft-m(1
DocuSign Envelope ID:1B3183B7-CC66-4B60-BF64-1F3620A9C628
TASK ORDER
State Agency Contractor
State of Colorado for the use&benefit of thq Board of County Commissioners of Weld County
Department of Public Health and Environment (a political subdivision of the state of Colorado)
4300 Cherry Creek Drive South 1150"O"Street
Denver CO 80246 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
Master Task Order Contract Number Task Order Performance Beginning Date
23 FAA 00051 The later of the Task Order Effective Date or
January 1,2024
Task Order Number
2024*2833
Task Order Maximum Amount Task Order Expiration Date
Initial Term September 29,2024
State Fiscal Year 2024 $9,665.00
Except as stated in§2.O.,the total duration of this
Contract,including the exercise of any options to
Total for All State Fiscal Years $9,665.00 extend,shall not exceed 5 years from its Performance
Beginning Date.
Pricing/Funding Miscellaneous:
Price Structure:Cost Reimbursement Authority to enter into this Contract exists in:
Contractor Shall Invoice:Monthly C.R.S.25-1.5-101-C.R.S.25-1.5-113
Funding Source: Law Specified Vendor Statute(if any):N/A
Federal $9,665.00
Procurement Method:RFA
Solicitation Number(if any):41969
State Representative Contractor Representative
Nicole Brasseur Tanya Geiser
WISEWOMAN Program Manager Director
PSD,HSCB Weld County Department of Public Health and
Colorado Department of Public Health and Environment Environment
4300 Cherry Creek Drive South 1555 North 17th Avenue
Denver,CO 80246 Greeley CO 80631
nicole.brasseur@state.co.us tanya.geiser@co.weld.co.us
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
Exhibit D Federal Provisions
Contract Purpose
This project serves to implement strategies to address cardiovascular disease prevention,management,and health
disparities.
In accordance with§4.B of the Master Task Order Contract referenced above,Contractor shall complete the following
Project:
1.PROJECT DESCRIPTION
Task Order Number:2024'2833 Page 1 of 3 Version 02.24.2022
0C20'1.3—..c.,107I
DocuSign Envelope ID:1 B3183B7-CC66-4B60-BF64-1 F3620A9C628
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 Master Task Order Contract unless specifically defined differently in this Task Order.The
Statement of Work and Budget are incorporated herein,made a part hereof and attached hereto as Exhibit B-Statement
of Work and Exhibit C-Budget.
2.PAYMENT
The State shall pay Contractor the amounts shown in Exhibit C-Budget that is attached hereto and incorporated herein,
in accordance with the requirements of the Statement of Work and the Master Task Order Contract.The State shall not
make any payment for a State Fiscal Year that exceeds the Task Order Maximum Amount shown above for that State
Fiscal Year.
3.PERFORMANCE PERIOD
Contractor shall complete all Work on the Project described in this Task Order by the Task Order Expiration Date stated
above.Contractor shall not perform any Work described in the Statement of Work prior to the Task Order Performance
Beginning Date or after the Task Order Expiration Date stated above.
4.TASK ORDER EFFECTIVE DATE:
The Effective Date of this Task Order is upon approval of the State Controller or January 1,2024,whichever is later.
Task Order Number:2024*2833 Page 2 of 3 Version 02.24.2022
DocuSign Envelope ID:1B3183B7-CC66-4B60-BF64-1F3620A9C628
THE PARTIES HERETO HAVE EXECUTED THIS CONTRACT
Each person signing this Contract represents and warrants that he or she is duly authorized
to execute this Contract and to bind the Party authorizing his or her signature.
STATE OF COLORADO
CONTRACTOR Jared S.Polls,Governor
Board of County Commissioners of Weld County Colorado Department of Public Health and Environment
(a political subdivision of the state of Colorado) Jill Hunsaker Ryan,MPH,Executive Director
for the use and benefit of the
Weld County Department of Public Health and DocuSigned by:
Environment l�" '°kG(,i IA,
-21.15"'"'"54'...
By:Signature
DocuSigned by:
LfLYVtl I I Lisa McGovern
E��^flB�B^fl'1e6�
By:Signature Name of Executive Director Delegate
Perry L Buck Procurement&Contracts Section Director ft
Name of Person Signing for Contractor Title of Executive Director Delegate
Commissioner Pro Tem
2023-12-13
Title of Person Signing for Contractor Date:
2023-12-13
Date:
In accordance with§24-30-202,C.R.S.,this Option is not valid until signed and dated below by the State Controller or an
authorized delegate.
STATE CONTROLLER
Robert Jaros,CPA,MBA,JD
DocuSigned by:
JNAIL{it,SCa SriVh
-8CA04014348748A..
By:Signature
Jannette Scarpino
Name of State Controller Delegate
chief Financial Officer
Title of State Controller Delegate
2023-12-13
Effective Date:
—Signature Page End--
Task Order Number:2024*2833 Page 3 of 3 Version 02.24.2022
DocuSign Envelope ID:1B318367-CC66-4560-BF64-1F3620A9C628
EXHIBIT A
ADDITIONAL PROVISIONS
To Master Task Order Contract Dated 07/01/2022 Task Order Routing Number 2024*2833
These provisions are to be read and interpreted in conjunction with the provisions of the Contract specified above.
1. To receive compensation under the Contract,the Contractor shall submit a signed Monthly CDPHE
Reimbursement Invoice Form.This form is accessible from the CDPHE internet website
https://www.colorado.gov/pacific/cdphe/standardized-invoice-form-and-links and is incorporated and made
part cf this Contract by reference.CDPHE will provide technical assistance in accessing and completing
the form.The CDPHE Reimbursement Invoice Form and Expenditure Details page must be submitted no
later than forty-five(45)calendar days after the end of the billing period for which services were rendered.
Expenditures shall be in accordance with the Statement of Work and Budget.
Scan the completed and signed CDPHE Reimbursement Invoice Form into an electronic document.Email
the scanned invoice and Expenditure Details page to:cdphe_wisewoman@state.co.us
Final billings under the Contract must be received by the State within a reasonable time after the expiration
or termination of the Contract;but in any event no later than forty-five(45)calendar days from the
effective expiration or termination date of the Contract.
Unless otherwise provided for in the Contract,"Local Match",if any,shall be included on all invoices as
required by funding source.
The Contractor shall not use federal funds to satisfy federal cost sharing and matching requirements unless
approved in writing by the appropriate federal agency.
2. If identified in the Action Plan under this Contract,the Contractor shall provide WISEWOMAN
cardiovascular screening,risk reduction counseling,social needs assessments,referrals and healthy
behavior support services to eligible clients during the term of this Contract in order to receive
compensation for WISEWOMAN services provided to eligible individual clients.
a. eCaST Data System
Data entered into the electronic cancer surveillance and tracking(eCaST)data system are the basis for
calculating reimbursement for each client receiving WISEWOMAN services.To be considered for
payment,all WISEWOMAN services must be entered into eCaST within thirty(30)days of service being
performed.WISEWOMAN services that negatively affect the program's Performance Measures may or
may not be reimbursed at the discretion of the State.Contractors shall only be paid for WISEWOMAN
services that meet eligibility,performance and data requirements.Based on performance,the
WISEWOMAN Program may unilaterally change the groups of eligible clients who maybe served.
b. Bundled Payment System(BPS)
The Contractor shall be paid in accordance with rates as outlined in the WISEWOMAN Bundled Payment
System.This document is incorporated and made a part of this Contract by reference and is available on the
following WISEWOMAN website at hops://cdphe.colorado.gov/wisewoman/provider-resources.
Contractors shall be paid only for WISEWOMAN services that meet eligibility,performance and data
requirements.Rates maybe revised or updated during the contract term.Reimbursement policies are
defined in the WISEWOMAN Program Manual.This manual is located at the following website:at
httpsvicdphe.colorado.gov/wisewoman/provider-resources and is incorporated and made a part of this
Contract by reference.
c. Payment Procedures
Page 1 of 3
I ask Order Number 2024'2 3 Ver.04.15.22
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EXHIBIT A
Payment to Contractor for WISEWOMAN services 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.
Payment to Contractor for expenses not included in the WISEWOMAN BPS is made from available funds
encumbered and in accordance with the Statement of Work and Budget set forth under this Contract.
d. WISEWOMAN service expenditure cap
CDPHE will set the individual Contractor WISEWOMAN service expenditure cap for each budget period.
CDPHE may increase or decrease the Contractor service expenditure cap at its sole discretion based on the
Contractor's spending rate.The Contractor may request to increase or decrease this service expenditure
cap.Once the service expenditure cap is reached or the shared program funds are fully expended,the State
will not reimburse for additional expenses incurred by the Contractor unless CDPHE opts to increase the
cap.
3. Time Limit For Acceptance Of Deliverables.
a. Evaluation Period.The State shall have fifteen(15)calendar days from the date a deliverable is
delivered to the State by the Contractor to evaluate that deliverable,except for those deliverables
that have a different time negotiated by the State and the Contractor.
b. Notice of Defect.If the State believes in good faith that a deliverable fails to meet the design
specifications for that particular deliverable,or is otherwise deficient,then the State shall notify
the Contractor of the failure or deficiencies,in writing,within fifteen(15)calendar days of:1)the
date the deliverable is delivered to the State by the Contractor if the State is aware of the failure or
deficiency at the time of delivery;or 2)the date the State becomes aware of the failure or
deficiency.The above time frame shall apply to all deliverables except for those deliverables that
have a different time negotiated by the State and the Contractor in writing pursuant to the State's
fiscal rules.
c. Time to Correct Defect.Upon receipt of timely written notice of an objection to a completed
deliverable,the Contractor shall have a reasonable period of time,not to exceed fifteen(15)
calendar days,to correct the noted deficiencies.
4. Health Insurance Portability and Accountability Act(HIPAA)Business Associate Determination.
The State has determined that this Contract does not constitute a Business Associate relationship under
HIPAA.
5. Contractor shall request prior approval in writing from the State for all modifications to the Statement of
Work/Work Plan,or for any modification to the direct costs in excess of twenty-five percent(25%)of the
total budget for direct costs,or for any modifications to the indirect cost rate.Any request for
modifications to the Budget in excess of twenty-five percent(25%)of the total budget for direct costs,or
any modifications to indirect cost rates,shall be submitted to the State at least ninety(90)days prior to the
end of the contract period and will require a modification.
6. Contractor agrees to provide services to all Program participants and employees in a smoke-free
environment in accordance with Public Law 103-227,also known as"the Pro-Children Act of 1994",(Act).
Public Law 103-227 requires that smoking not be permitted in any portion of any indoor facility owned or
leased or contracted for by an entity and used routinely or regularly for the provision of health,day care,
early childhood development services,education or library services to children under the age of eighteen
(18),if the services are funded by Federal programs either directly or through State or local governments,
by Federal grant,contract,loan,or loan guarantee.
Page 2 of 3
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EXHIBIT A
7. The State of Colorado,specifically the Colorado Department of Public Health and Environment,shall be
the owner of all equipment as defined by Federal Accounting Standards Advisory Board(FASAB)
Generally Accepted Accounting Principles(GAAP)purchased under this Contract.At the end of the term
of this Contract,the State shall approve the disposition of all equipment.
8. Contractor shall not use State funds provided under this Contract for the purpose of lobbying as defined in
Colorado Revised Statutes(C.R.S.)24-6-301(3.5)(a).
9. All data collected,used or acquired shall be used solely for the purposes of this Contract.The Contractor
and its subcontractors agree not to release,divulge,publish,transfer,sell,or otherwise make known any
such data to unauthorized persons without the express prior written consent of the State or as otherwise
required by law.This includes a prior written request by the Contractor to the State for submission of
abstracts or reports to conferences,which utilize data collected under this Contract.
Notwithstanding the foregoing,the Contractor shall be entitled to retain a set of any such data collected or
work-papers necessary to perform its duties under this Contract and in accordance with professional
standards.
10.Neither the U.S.Department of Health and Human Services(HHS)nor the Centers for Disease Control
(CDC)logo maybe displayed on any conference materials if such display would cause confusion as to the
conference source or give false appearance of Government endorsement.Use of the HHS name or logo is
governed by U.S.C.1320b-10,which prohibits misuse of the HHS name and emblem in written
communication.A non-federal entity is unauthorized to use the HHS name or logo governed by U.S.C.
1320E-10.The appropriate use of the HHS logo is subject to review and approval of the Office of the
Assistant Secretary for Public Affairs(OASPA).
11.Notwithstanding the Contractor shall comply with the provisions of Section 601 of Title VI of the Civil
Rights Act of 1964,as amended,which states that"no person in the United States shall on the grounds of
race,color or national origin,be excluded from participation in,be denied the benefits of,or be subjected to
discrimination under any program actively receiving Federal financial assistance."The Office for Civil
Rights has established that it is the responsibility of any program that is a recipient of federal funds to
ensure that any Limited English Proficient(LEP)person or beneficiary have meaningful access to
programs,services and information.The Contractor and contract personnel shall adopt and implement
policies and procedures in which reasonable steps are taken to provide language assistance in order to
ensure equal access to LEP persons or beneficiaries.The Contractor and contract personnel shall advise
LEP individuals that language assistance will be provided at no cost to the LEP person or beneficiary.
12.Notwithstanding the Contractor shall protect the confidentiality of all applicant or recipient records and
other materials that are maintained in accordance with this Contract.Except for purposes directly
connected with the administration of this Contract,no information about or obtained from any applicant or
recipient shall be disclosed in a form identifiable with the applicant or recipient without the prior written
consent of the applicant or recipient,or the parent or legal guardian of a minor applicant or recipient with
the exception of information protected by Colorado Statute as it applies to confidentiality for adolescent
services in which case the adolescent minor and not the parent or legal guardian must provide consent or as
otherwise properly ordered by a court of competent jurisdiction.Contractor shall have written policies
governing access,duplication,and dissemination of all such information.Contractor shall advise its
employees,agents,servants,and any subcontractors that they are subject to these confidentiality
requirements.
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Tauk Orc(er\umbel 21? ?;3 Ver.04.15.22
DocuSign Envelope ID:1 B3183B7-CC66-4060-BF64-1 F3620A9C628
EXHIBIT B
STATEMENT OF WORK
To Original Contract Number 2024*2833
These provisions are to be read and interpreted in conjunction with the provisions of the contract specified above.
I. Entity Name:Weld County Department of Public Health and Environment
II. Project Description:
This project serves to implement strategies to address cardiovascular disease prevention,management,and health
disparities.Heart disease and stroke together kill more Coloradans than any other disease,with uncontrolled high
blood pressure as the leading cause(Colorado Health Information Dataset[CoHID],2021).The strategies
incorporated into this project include direct screening,social needs assessment and referrals,outreach,health
improvement strategies and programs,and systems-level interventions for underserved populations relating to the
prevention and management of cardiovascular and related chronic diseases.The aim of this work is for health care
systems and community-based organizations to prevent and manage chronic disease,leading to improved health
outcomes.
Citizens of Colorado in the Contractor's service area will benefit from this project by receiving services to prevent
and manage cardiovascular disease,including addressing related social determinants of health.CDPHE is funding
this project to meet the goals of improving blood pressure control,reducing disparities in blood pressure control,
and increasing utilization of social support services among populations at highest risk of cardiovascular disease.
III. Definitions:
1. Action Plan:Identifies the strategy(ies)the Contractor is approved to plan or implement and the detailed
steps the Contractor will take to address the objectives of this agreement.
2. CDPHE:Colorado Department of Public Health and Environment.
3. CDPHE Contract Monitor:CDPHE staff member assigned to monitor the contract.
4. Healthy Behavior Support Service:Evidence-based lifestyle program,health coaching or community
resource that supports self-management and healthy lifestyle changes.
5. WISEWOMAN:Well-Integrated Screening and Evaluation for WOMen Across the Nation;a
cardiovascular disease prevention program for low-income women run by the Colorado Department of
Public Health and Environment,Prevention Services Division.
IV. Work Plan:
Goal#1:Improve the health,well-being and equity of all Coloradans through health promotion,prevention and ensuring
access to health care by focusing on reducing the rate of chronic disease risk among Coloradans.
Objective#1:No later than the expiration date of this contract,draft and execute an action plan that will result in a reduction
of cardiovascular disease within Colorado.
The Contractor shall develop an action plan,in collaboration with the CDPHE Contract
Monitor,outlining:
Primary Activity#1 a. the strategy(ies)in which the project will focus;and
b. the detailed steps and tasks which the Contractor shall take to address the
objectives of this agreement.
1. The Contractor shall provide a signature on the final action plan agreed upon with
Sub-Activities#1 CDPHE.
2. The Contractor shall update the action plan annually,at a minimum.
The Contractor shall implement one(1)or more strategies and sub-strategies to address
Primary Activity#2
cardiovascular disease in Colorado.
1. The Contractor shall implement at least one(1)of the following strategies and sub-
strategies to address cardiovascular disease in Colorado,as approved by CDPHE in
Sub-Activities#2 the action plan.
a. WISEWOMAN clinical services
b. Community-based services for WISEWOMAN participants
Page l of 3
Task Order Number:2024*2833 Ver.01.1 I.19
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EXHIBIT B
2. The Contractor shall report required data related to the strategies listed in the approved
action plan.
Primary Activity#3 The Contractor shall attend CDPHE-required meetings.
Primary Activity#4 The Contractor shall complete progress reports.
itt".,w'' },,,:wyomgsssrismoovr::::ogCanllfitfallitarl:NtatVVBNSNOSVgeMi
1. The content of electronic documents located on CDPHE and non-CDPHE websites and
information contained on CDPHE and non-CDPHE websites may be updated periodically
during the contract term.The contractor shall monitor documents and website content for
updates and comply with all updates.
2. The Contractor shall comply with changes to any aspect of relevant programs subject to
changes,revisions,inclusions,exclusions,etc.as needed and/or pursuant to directives or
changes required by rule,regulation,statute or guidance.
3. The Contractor shall comply with all program activities and requirements stated in the
action plan and its referenced documents.
4. The Contractor Program Manager shall sign the action plan at any point it is updated.
Signatures can be made by ink or electronically.
5. The Contractor shall attend a post-award meeting provided by CDPHE as well as other
required meetings,trainings,webinars and telephone calls for the purpose of information-
sharing,training,technical assistance and contract monitoring,as outlined in the action
plan.
6. The Contractor shall comply with mandatory program reporting processes such as online
written reports or progress calls at an interval outlined in the action plan.
7. The Contractor shall participate in CDPHE evaluation and performance measurement
efforts.
8. The Contractor shall use all CDPHE-required forms.
9. The Contractor shall adhere to the following regulations for the action plan:
a. The Contractor shall develop an annual action plan to adopt and implement
prioritized strategies approved by CDPHE.CDPHE will inform the Contractor of
necessary modification or provide approval of the action plan within 30 business
Standards and days.
Requirements b. The Contractor shall modify the action plan in collaboration with the CDPHE
Contract Monitor,as needed.
c. The Contractor shall obtain approval from CDPHE prior to beginning activities
outlined in the action plan.
d. The Contractor shall use the action plan developed with CDPHE.
e. CDPHE's evaluation of the Contractor's performance will be determined by the
Contractor's adherence to the established action plan.
10.The Contractor shall identify and support key personnel as outlined in the action plan and
referenced documents.
11.The Contractor shall notify CDPHE within 15 days of a change in key staff responsible for
the performance of services provided during the contract period.
12.The Contractor shall have new staff members receive required training within two(2)
months of hire.
13.The Contractor shall report all subcontractor changes during the contract period to the
WISEWOMAN Program within 15 calendar days of occurrence.
14.If purchasing gift cards,the Contractor shall provide written procedures related to gift card
purchasing and handling to CDPHE upon request.At a minimum,the procedures must
include the following:
a. How the gift card inventory is tracked and maintained
b. Gift card storage and safeguards against theft
c. The primary person responsible for securing and distribution of gift cards
d. A gift card distribution log that records:
i. each gift card number
ii. each gift card dollar amount,and
iii. the printed name and signature of each gift card recipient
Page 2 of 3
Task Order Number:2024*2833 Ver.01.11.19
DocuSign Envelope ID 1B3183B7-CC66-4B60-BF64-1F3620A9C628
EXHIBIT B
15 When corresponding with CDPHE,the Contractor shall use all privacy and security
measures to protect the client's personal health information Accepted forms of
communication include
a Unencrypted email conversations using the client identification number,
b Mail or fax clearly marked"Confidential"and using the client identification
number,
c HIPAA compliant files transmitted via secure File Transfer Protocol(FTP)sites,
and
d Secure encrypted email
16 The Contractor shall submit all deliverables,unless otherwise stated,via email to the
CDPHE Contract Monitor
17 The Contractor shall not begin activities outlined in the action plan until approved by
CDPHE
1 Increased number of individuals screened for cardiovascular disease
2 Increased number of quality cardiovascular disease screenings provided within priority
Expected Results of populations
3 Increased number of individuals participating in evidence-based healthy behavior support
Activity(s)
services
4 Improved cardiovascular disease outcome measurements among service delivery
populations
1 Data from required program submissions,including
Measurement of a progress reports,
b data submissions,
Expected Results
c annual assessments,and
d evaluation information
Completion Date
1 The Contractor shall submit an action plan No later than the
last business day in
September,
Deliverables annually
2 The Contractor shall submit a draft budget to coincide with the No later than the
action plan last business day in
September,
annually
3 The Contractor shall submit a progress report in a CDPHE No later than the
approved format last business day in
September,
annually
V Monitoring.
CDPHE's monitoring of this contract for compliance with performance requirements will be conducted throughout
the contract period by CDPHE Contract Monitor Methods used will include a review of documentation
determined by CDPHE to be reflective of performance to include progress reports and other fiscal and
programmatic documentation as applicable The Contractor's performance will be evaluated at set intervals and
communicated to the contractor A Final Contractor Performance Evaluation will be conducted at the end of the
life of the contract
VI Resolution of Non-Compliance
The Contractor will be notified in writing within 15 calendar days of discovery of a compliance issue Within 30
calendar days of discovery,the Contractor and the State will collaborate,when appropriate,to determine the
action(s)necessary to rectify the compliance issue and determine when the action(s)must be completed The
action(s)and timeline for completion will be documented in writing and agreed to by both parties If extenuating
circumstances arise that requires an extension to the timeline,the Contractor must email a request to the CDPHE
Contract Monitor and receive approval for a new due date The State will oversee the completion/action 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 3 of 3
Task Order Number 2024*2833 Ver 01 11 19
Exhibit C Budget
DocuSign Envelope ID: 1 B3183B7-OC66-4B 30-BF64-1 F3620A9C628
Cs
COLORADO
42 Department of Public
CDPHE Health & Environment
Version 6. 2023
PREVENTION SERVICES DIVISION - LESS THAN 12 MONTH BUDGET WITH JUSTIFICATION FORM
Original Contract Routing # 2024*2833
Sonya Oster
Weld County Department of Public Health and Program Contact Name, Business Operations Manager
Contractor Name
Environment Title, Phone and Email 970.400. 2332
soster@weld .gov
Tanya Geiser
Fiscal Contact Name, Title, Finance/Admin Director
Budget Period 1/1/2024 through 9/29/2024 Phone and Email 970.400. 2122
tgeiser@weld .gov
WISEWOMAN Clinical and Community- Based Contract (CT or PO)
Project Name CT FHLA 2024* 2833
Services Number
Expenditure Categories
Personal Services
Salaried Employees
Percent of Total Amount
Gross or Number of
Position Title Description of Work Fringe Time on Months Requested from
Annual Salary
Project CDPHE
Health Coach 1 Attend program meetings & training events $ 133,998. 77 $ 59,415 .05 0.5% 9 .0 $725 . 30
Health Coach 2 Attend program meetings & training events $ 94, 562 . 24 $ 41,928 . 90 0. 5% 9 .0 $511 . 84
Program coordination, reporting, program
Management Staff $ 111, 745 . 37 $ 49, 547. 90 0.5% 9 .0 $604.85
meetings, fiscal & data reporting
Personal Services
Hourly Employees
Total # of Total Amount
Hourly
Position Title Description of Work Hourly Wage Hours on Requested from
Fringe
Project CDPHE
Attend program meetings & training events. Identify and develop
Health Coach 3 $ 25 . 22 $ 11 . 18 9 .0 $327 . 62
nevi. processes and workflows for social needs assessment work
Attend program meetings & training events. Identify and develop
Health Coach 4 $ 25 . 22 $ 11 . 18 9 .0 $327 . 66
nev, processes and workflows for referrals
Health Coach 5 Attend program meetings & training events $ 23 .80 $ 10. 55 9 . 5 $326.40
Program coordination to include data prep for site visits, program
Program Coordinator meetings and reporting requirements of the program . Help with $ 24.48 $ 10.85 10.0 $353 . 31
social needs processes & workflows .
Total Personal Services (including fringe benefits) $3,176.98
Supplies & Operating Expenses
Task Order Number : 2024* 2833 Page 1 of 3 March 2018
Exhibit C Budget
DocuSign Envelope ID: 1 B3183B7-CC66-4B60-BF64-1 F3620A9C628
Total Amount
Item Description of Item Rate Quantity Requested from
CDPHE
Point of service device testing supplies
- A1c Cassettes ($ 155 . 62/bx x 8 bxs = $ 1, 244.96)
- lipid cartridges ($ 140.58/bx x 10 bxs = $ 1405 . 80)
Point of Service - A1c controls, ( 3 @ $60.09 ea = $ 180. 27)
$ 3,300 . 51 1 . 0 $3,300. 51
Supplies - lipid controls (3 @ $ 115 .56 ea = $346. 68)
- gloves/alcohol wipes/lancets (combined $75 .00 total )
- optics check cartridge for lipid point of service device ( 2 cartridges @ $23 .90/ea
= $47.80)
Staff Training Chronic Disease Management education class for the Nurse Practitioner ($ 50.00 x
$ 386. 16 1 .00 $386. 16
Registration Fees 1 training); Training for 4 Health Coaches ( Registration Costs)
Translation of materials as needed for culturally and linguistically appropriately
Translation Services relevant small media and education materials to be distributed for educational $ 50. 00 1 . 00 $50.00
benefits for the community.
Participant Support Items to be given to clients after health coaching to include :
- 82 water bottles w/ WELD stickers ( $358 . 34)
Participant Support
- Resistance Bands for 50 clients ( $299 .00) $ 847 . 71 1 . 00 $847. 71
Items
- Meal Prep Containers for 43 clients ( $ 134 . 32 )
- Knife Set for 5 clients ($56.05)
Total Supplies & Operating $4,584.38
Travel
Total Amount
Item Description of Item Rate Quantity Requested from
CDPHE
Mileage Post Award meeting in Denver - RT $ 0. 635 140.0 $88.90
Overnight stay for grant manager to attend post-award meeting in Denver.
Lodging $ 200.00 1 .00 $200.00
Estimate is based on current government per diem rate for Denver of $200/night.
Meals Meals x 2 @ $25 each $ 50.00 1 .00 $50.00
Total Travel $338.90
Contractual
Total Amount
Subcontractor Name Description of Item Rate Quantity Requested from
CDPHE
Interpretation services in person or via telephone to assist with education, direct
CTS Language Line $ 50.00 2 .0 $ 100.00
assistance or screening services.
Total Contractual $100.00
SUB-TOTAL OF DIRECT COSTS $8,200.26
Indirect
Total Amount
Item Description of Item Requested from
CDPHE
Task Order Number: 2024 * 2833 Page 2 of 3 March 2018
DocuSign Envelope ID 1B31B3B7 CC66-4860-BF64-1F3620A9C628 Exhibit C Budget
Weld County's CDPHE-negotiated indirect cost rate for CY2024 is 19 92%of Modified total direct costs,
consisting of all salaries and wages,fringe benefits,materials and supplies,services,travel,and subgrants and
CDPHE-Negotiated subcontracts up to the first$25,000 of each subgrant or subcontract(regardless of the period covered by the
Indirect Cost Rate subgrant or subcontract)Equipment,capital expenditures,charges for patient care,tuition remission,rental $1,464 74
costs,scholarships,and fellowships,participant support costs and the portion of each subgrant and
subcontract in excess of$25,000 shall be excluded from modified total direct costs
Total Indirect $1,464 74
-- TOTAL $9,665 00
Task Order Number 2024'2833 Page 3 of 3 March 2018
DocuSign Envelope ID:183183B7-CC66-4B60-BF64-1 F3620A9C628
Exhibit D
Federal Provisions—Colorado WISEWOMAN Program
For the purposes of this Exhibit only,Contractor is also identified as"Subrecipient."This Contract has
been funded,in whole or in part,with an award of Federal funds.In the event of a conflict between the
provisions of these Supplemental Provisions for Federal Awards,the Special Provisions,the Contract or
any attachments or exhibits incorporated into and made a part of the Contract,the Supplemental
Provisions for Federal Awards shall control.In the event of a conflict between the Supplemental
Provisions for Federal Awards and the FFATA Supplemental Provisions(if my),the FFATA
Supplemental Provisions shall control.
1) Federal Award Identification.
a. Subrecipient:Weld County Department of Public Health and Environment
b.Subrecipient Unique Entity Identification Number:
• SAM Unique Entity ID(UEI):TBD
c. The Federal Award Identification Number(FAIN)is NU58DP007665
d.The Federal award date is 08/30/2023.
e.The subaward period of performance start date is 09/30/2023 and end date is 09/29/2028.
f. Federal Funds:
Federal Budget Period Total Amount of Federal Amount of Federal Funds
Funds Awarded Obligated to CDPHE
09/30/2023 -09/29/2024 $1,133,333.00 $1,133,333.00
g. Federal award title of project or program:Colorado WISEWOMAN Program.
h. The name of the Federal awarding agency is:Department of Health and Human Services,
Centers for Disease Control and Prevention and the contact information for the awarding
official is Andrea Washington(agw7@cdc.gov);the name of the pass-through entity is the
State of Colorado,Department of Public Health and Environment(CDPHE),and the contact
information for the CDPHE official is Nicole Brasseur(nicole.brasseur@state.co.us).
i. The Catalog of Federal Domestic Assistance(CFDA)number is 93.436 and the grant name is
WELL-INTEGRATED SCREENING AND EVALUATION FOR WOMEN ACROSSTHE
NATION(WISEWOMAN).
j. This award is not for research&development.
k.Subrecipient is required to provide matching funds.In the event the Subrecipient is required to
provide matching funds,Section 8 of this Attachment applies.
1. The indirect cost rate for the Federal award(including if the de minimis rate is charged per 2
CFR§200.414 Indirect(F&A)costs)is pre-determined based upon the State of Colorado and
CDPHE cost allocation plan.
2)Subrecipient shall at all times during the term of this contract strictly adhere to the requirements under
the Federal Award listed above,and all applicable federal laws,Executive Orders,and implementing
regulations as they currently exist and may hereafter be amended.
Page 1 of
Task Order Number:2024*2833 Ver.25.02.20
DocuSign Envelope ID:1B3183B7-CC66-4B60-BF64-1F3620A9C628
3) Any additional requirements that CDPHE imposes on Subrecipient in order for CDPHE to meet its
own responsibility to the Federal awarding agency,including identification of any required financial and
performance reports,are stated in the Exhibits.
4) Subrecipient's approved indirect cost rate is as stated in the Exhibits.
5) Subrecipient must permit CDPHE and auditors to have access to Subrecipient's records and financial
statements as necessary for CDPHE to meet the requirements of 2 CFR§200.331 Requirements for pass-
through entities,§§200.300 Statutory and National Policy Requirements through§200.309 Period of
performance,and Subpart F-Audit Requirements of this Part.
6) The appropriate terms and conditions concerning closeout of the subaward are listed in Section 16 of
this Attachment.
7) Performance and Final Status.Subrecipient shall submit all financial,performance,and other
reports to CDPHE no later than 45 calendar days after the period of performance end date or sooner
termination of this Contract containing an evaluation and review of Subrecipient's performance and the
final status of Subrecipient's obligations hereunder.
8) Matching Funds.Subrecipient shall provide matching funds as stated in the Exhibits.Subrecipient
shall have raised the full amount of matching funds prior to the Effective Date and shall report to CDPHE
regarding the status of such funds upon request.Subrecipient's obligation to pay all or any part of any
matching funds,whether direct or contingent,only extends to funds duly and lawfully appropriated for the
purposes of this Contract by the authorized representatives of the Subrecipient and paid into the
Subrecipient's treasury or bank account.Subrecipient represents to CDPHE that the amount designated as
matching funds has been legally appropriated for the purposes of this Contract by its authorized
representatives and paid into its treasury or bank account.Subrecipient does not by this Contract
irrevocably pledge present cash reserves for payments in future fiscal years,and this Contract is not
intended to create a multiple-fiscal year debt of the Subrecipient.Subrecipient shall not pay or be liable for
any claimed interest,late charges,fees,taxes or penalties of any nature,except as required by
Subrecipient's laws or policies.
9) Record Retention Period.The record retention period previously stated in this Contract is replaced
with the record retention period prescribed in 2 CFR§200.333.
10)Single Audit Requirements.If Subrecipient expends$750,000 or more in Federal Awards during
Subrecipient's fiscal year,Subrecipient shall procure or arrange for a single or program-specific audit
conducted for that year in accordance with the provisions of Subpart F-Audit Requirements of the Uniform
Guidance,issued pursuant to the Single Audit Act Amendments of 1996,(31 U.S.C.7501-7507).2 CFR
§200.501.
11)Contract Provisions.Subrecipient shall comply with and shall include all of the following applicable
provisions in all subcontracts entered into by it pursuant to this Contract:
a. Office of Management and Budget Circulars and The Common Rule for Uniform
Administrative Requirements for Grants and Cooperative Agreements to State and Local
Governments,as applicable;
b. when required by Federal program legislation,the"Davis-Bacon Act",as amended(40
U.S.C.3141-3148)as supplemented by Department of Labor Regulations(29 CFR Part 5,
"Labor Standards Provisions Applicable to Contracts Covering Federally Financed and
Assisted Construction");
c. when required by Federal program legislation,the Copeland"Anti-Kickback"Act(40 U.S.C.
3145),as supplemented by Department of Labor regulations(29 CFR Part 3,"Contractors
and Subcontractors on Public Building of Public Work Financed in Whole or in Part by Loans
or Grants from the United States").
Page 2 of 4
Task Order Number:2024*2833 Ver.25.02.20
DocuSign Envelope ID:1 B3183B7-CC66-4B60-BF64-1 F3620A9C628
d. 42 U.S.C.6101 et sue,42 U.S.C.2000d,29 U.S.C.794(regarding discrimination);
e. the"Americans with Disabilities Act"(Public Law 101-336;42 U.S.C.12101,12102,12111
-12117,12131-12134,12141-12150,12161-12165,12181-12189,12201-12213 and 47
U.S.C.225 and 47 U.S.C.611);
f. when applicable,the Contractor shall comply with the provisions of the"Uniform
Administrative Requirements for Grants and Cooperative Agreements to State and Local
Governments"(Common Rule);
g. The Federal Funding Accountability and Transparency Act of 2006(Public Law 109-282),as
amended by§6062 of Public Law 110-252,including without limitation all data reporting
requirements required there under.This Act is also referred to as FFATA.
h. Contractor shall comply with the provisions of Section 601 of Title VI of the Civil Rights Act
of 1964,as amended.
i. Except as otherwise provided under 41 CFR Part 60,all contracts that meet the definition of
"federally assisted construction contract"in 41 CFR Part 60-1.3 comply with the equal
opportunity clause provided under 41 CFR 60-1.4(b),in accordance with Executive Order
11246,"Equal Employment Opportunity:(30 FR 12319,12935,3 CFR Part,1964-1965
Comp.,p.339),as amended by Executive Order 11375,"Amending Executive Order 11246
Relating to Equal Employment Opportunity,"and implementing regulations at 41 CFR part
60,"Office of Federal Contract Compliance Programs,Equal Employment Opportunity,
Department of Labor.
j. where applicable,Contract Work Hours and Safety Standards Act(40 U.S.C.3701-3708).
k. if the Federal award meets the definition of"funding agreement"under 37 CFR§401.2(a)
and the recipient or subrecipient wishes to enter into an agreement with a small business firm
or nonprofit organization,comply with the requirements of 37 CFR Part 401,"Rights to
Inventions Made by Nonprofit Organizations and Small Business Firms Under Government
Grants,Contracts and Cooperative Agreements,"and any implementing regulations issued by
the awarding agency.
1. the Clean Air Act(42 U.S.C.7401-7671q.)and the Federal Water Pollution Control Act(33
U.S.C.1251-1387),as amended.
m. if applicable,comply with the mandatory standards and policies on energy efficiency
contained within the State of Colorado's energy conservation plan issued in compliance with
the Energy Policy and Conservation Act,42 U.S.C.6201.
n. the Contractor and all principals are not presently debarred,suspended,proposed for
debarment,declared ineligible,or voluntarily excluded from covered transactions by any
federal department or agency;the Contractor and all principals shall comply with all
applicable regulations pursuant to Executive Order 12549(3 CFR Part 1986 Comp.,p.189)
and Executive Order 12689(3 CFR Part 1989 Comp.,p.235),Debarment and Suspension;
and,
o. the Contractor shall comply where applicable,the Byrd Anti-Lobbying Amendment(31
U.S.C.1352).
12)Compliance.Subrecipient shall comply with all applicable provisions of The Office of Management
and Budget Uniform Administrative Requirements,Cost Principles,and Audit Requirements for Federal
Awards(Uniform Guidance),including but not limited to these Supplemental Provisions for Federal
Awards.Any revisions to such provisions automatically shall become a part of these Supplemental
Provisions,without the necessity of either party executing any further instrument.CDPHE may provide
Page 3 of 4
Task Order Number:2024*2833 Ver.25.02.20
DocuSign Envelope ID:1 B3183B7-CC66-4B60-BF64-1 F3620A9C628
written notification to Subrecipient of such revisions,but such notice shall not be a condition precedent to
the effectiveness of such revisions.
13)Procurement Procedures.Subrecipient shall use its own documented procurement procedures which
reflect applicable State,local,and Tribal laws and regulations,provided that the procurements conform to
applicable Federal law and the standards identified in the Uniform Guidance,including without limitation,
§(200.318 through 200.326 thereof.
14)Certifications.Unless prohibited by Federal statutes or regulations,CDPHE may require
Subrecipient to submit certifications and representations required by Federal statutes or regulations on an
annual basis(2 CFR§200.208).Submission may be required more frequently if Subrecipient fails to meet
a requirement of the Federal award.Subrecipient shall certify in writing to CDPHE at the end of the
Contract that the project or activity was completed or the level of effort was expended.2 CFR
§200.201(b)(3).If the required level of activity or effort was not carried out,the amount of the Contract
must be adjusted.
15)Event of Default.Failure to comply with the Uniform Guidance or these Supplemental Provisions for
Federal Awards shall constitute an event of default under the Contract pursuant to 2 CFR(200.339 and
CDPHE may terminate the Contract in accordance with the provisions in the Contract.
16)Close-Out.Subrecipient shall close out this Contract within 45 days after the End Date.Contract
close out entails submission to CDPHE by Subrecipient of all documentation defined as a deliverable in
this Contract,and Subrecipient's final reimbursement request.If the project has not been closed by the
Federal awarding agency within 1 year and 45 days after the End Date due to Subrecipient's failure to
submit required documentation that CDPHE has requested from Subrecipient,then Subrecipient may be
prohibited from applying for new Federal awards through the State until such documentation has been
submitted and accepted.
17)Erroneous Payments.The closeout of a Federal award does not affect the right of the Federal
awarding agency or CDPHE to disallow costs and recover funds on the basis of a later audit or other
review.Any cost disallowance recovery is to be made within the record retention period.
EXHIBIT END
Page 4 of 4
Task Order Dumber:2024*2833 Ver.25.02.20
Contract For
Entity Information
Entity Name* Entity ID" Q New Entity?
COLORADO DEPT OF PUBLIC @00001926
HEALTH/ENVIRONMENT
Contract Name* Contract ID Parent Contract ID
WISEWOMAN CHRONIC DISEASE PREVENTION 7675
CONTRACT AMENDMENT#1
Contract Lead* Requires Board Approval
Contract Status KJAKUS-HOTCHKISS YES
CTB REVIEW
Contract Lead Email Department Project#
kjakus-
hotchkiss@weldgov.com;
tgeiser@weld.gov;Health
-Contracts@weld.gov
Contract Description*
CONTRACT AMENDMENT#1 FOR THE FY24 WISEWOMAN CHRONIC DISEASE PREVENTION PROGRAM
Contract Description 2
TASK ORDER 2024-2833;PREVIOUS 2019-3454A2;2019-3454,AMENDMENT#1;19 FHLA 1 1351 1;18 FHLA
100917;16 FHLA 87648;15 FHLA 77061
Contract Type* Department Requested BOCC Agenda Due Date
GRANT HEALTH Date* 12/14/2023
12/18/2023
Amount* Department Email
$9,665.00 CM-Health@weldgov.com Will a work session with BOCC be required?*
NO
Renewable* Department Head Email
NO CM-Health- Does Contract require Purchasing Dept.to be
DeptHead@weldgov.com included?
Automatic Renewal
NO
NO County Attorney
GENERAL COUNTY
Grant ATTORNEY EMAIL
YES
County Attorney Email
IGA CM-
NO COUNTYATTORNEY@WEL
DGOV.COM
Grant Deadline Date
If this is a renewal enter previous Contract ID
4131
If this is part of a MSA enter MSA Contract ID
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 Review Date* Renewal Date
01/01/2024 06/30/2024
Termination Notice Period Committed Delivery Date Expiration Date*
09/29/2024
Contact Information
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 MATTHEW CONROY
DH Approved Date Finance Approved Date Legal Counsel Approved Date
12/08/2023 12/08/2023 12/08/2023
Final Approval
BOCC Approved Tyler Ref#
AG 121323
BOCC Signed Date Originator
KJAKUS-HOTCHKISS
BOCC Agenda Date
12/13/2023
Hello