HomeMy WebLinkAbout20231631.tiffRESOLUTION
RE: APPROVE TASK ORDER CONTRACT FOR COMMUNITY TOBACCO INITIATIVES
PROJECT / AMENDMENT 35 TOBACCO USE PREVENTION AND CESSATION
EDUCATION, AND AUTHORIZE CHAIR 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 Community
Tobacco Initiatives Project / Amendment 35 Tobacco Use Prevention and Cessation Education
between the County of Weld, State of Colorado, by and through the Board of County
Commissioners of Weld County, on behalf of the Weld County Department of Public Health and
Environment, and the Colorado Department of Public Health and Environment, Prevention
Services Division (Tobacco), commencing July 1, 2023, and ending June 30, 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 Community Tobacco Initiatives Project /
Amendment 35 Tobacco Use Prevention and Cessation Education between the County of Weld,
State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf
of the Weld County Department of Public Health and Environment, and the Colorado Department
of Public Health and Environment, Prevention Services Division (Tobacco), be, and hereby is,
approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized
to electronically sign and submit said contract.
CC: -tL
o7/t2/23
2023-1631
HL0056
TASK ORDER CONTRACT FOR COMMUNITY TOBACCO INITIATIVES PROJECT /
AMENDMENT 35 TOBACCO USE PREVENTION AND CESSATION EDUCATION
PAGE 2
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 12th day of June, A.D., 2023.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
ATTEST: dittiv w
Weld County Clerk to the Board
BY: C )atu,f OCultoia
Deputy Clerk to the Board
ti
man, Chair
Per ra L. B
Pro-Tem
tt K. James
APP:: i D A USED
‘'County A orney
Date of signature: '(z 51 ZD
2023-1631
HL0056
Currlva c�- t D14"703(Q
BOARD OF COUNTY COMMISSIONERS
PASS -AROUND REVIEW
TITLE: CDPHE FY23-24 A35 Tobacco Use Prevention & Cessation Education Task Order Contract
DEPARTMENT: PUBLIC HEALTH & ENVIRONMENT DATE: May 24, 2023
PERSON REQUESTING: Jason Chessher, Executive Director
Brief description of the problem/issue:
For the Board's review and approval is a renewal task order contract 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), for the Tobacco Use Prevention & Cessation
Education program.
Tobacco use continues to be one of the main causes of death and disability in Colorado and Weld County. The State
Health Department provides tobacco use prevention and cessation funding to local public health agencies from monies
received via Amendment 35, a voter approved initiative to use a portion of state tobacco excise taxes to fund prevention
and cessation activities.
The contract for year one becomes effective July 1, 2023 and ends June 30, 2024. The budget amount for one year is
$330,134.00, all of which is State funding. Activities will be conducted by current staff; no additional FTE is being
requested.
What options exist for the Board? (include consequences, impacts, costs, etc. of options):
Approval of this contract by the Board, will enable the continuation of various tobacco use prevention and cessation
activities primarily for youth.
If the Board declines approving this contract, the County will lose $330,134.00 of state tobacco tax monies designated for
tobacco use prevention and cessation activities within Weld County. Youth tobacco use may increase because of lost
prevention activities, adults who want to quit may have less incentive or resources to quit, and subsequently there may be
an increase in cardiovascular disease in Weld County residents.
Recommendation: I recommend approval of this renewal contract with CDPHE.
Approve Schedule
Recommendation Work Session Other/Comments:
Perry L. Buck, Pro-Tem
Mike Freeman, Chair
Scott K. James
Kevin Ross
Lori Saine
2023-1631
DocuSign Envelope ID: 00B97F91-A1 E6-48EA-BE56-ED8937167D03
TASK ORDER
State Agency
State of Colorado for the use & benefit of the
Department of Public Health and Environment
Prevention Services Division - Tobacco
4300 Cherry Creek Drive South
Denver CO 80246
Contractor
Board of County Commissioners of Weld County
(a political subdivision of the state of Colorado)
1150 "O" Street
Greeley CO 80631
for the use and benefit of the
Weld County Department of Public Health and
Environment
1555 North 17th Avenue
Greeley CO 80631
Master Task Order Contract Number
23 FAA 00051
Task Order Number
2024*0171
Task Order Performance Beginning Date
The later of the Task Order Effective Date or July 1,
2023
Task Order Maximum Amount
Initial Term
State Fiscal Year 2024 $330,134.00
Task Order Expiration Date
June 30, 2024
Except as stated in §2.D., the total duration of this
Contract, including the exercise of any options to
extend, shall not exceed 5 years from its Performance
Beginning Date.
Pricing/Funding
Price Structure: Cost Reimbursement
Contractor Shall Invoice: Monthly
Funding Source:
Federal $0.00
State $330,134.00
Other $0.00
Miscellaneous:
Authority to enter into this Contract exists in:
C.R.S. 25-1.5-101- C.R.S. 25-1.5-113
Procurement Method: Exempt
Solicitation Number (if any): N/A
State Representative
Natalya Verscheure
Branch Manager
Prevention Services Division, Health Promotion and Chronic
Disease Prevention
Colorado Department of Public Health and Environment
4300 Cherry Creek Drive South
Denver, CO 80246
natalya.verscheure@state.co.us
Contractor Representative
Melanie Cyphers
Program Manager
Weld County Department of Public Health and
Environment
1555 North 17th Avenue
Greeley CO 80631
mcyphers@weldgov.com
Exhibits and Order of Precedence
The following Exhibits and attachments are included with this Contract:
Exhibit A Additional Provisions
Exhibit B Statement of Work
Exhibit C Budget
Contract Purpose
This public health project serves to reduce the burden of tobacco use as well as prevent the initiation of tobacco use
among Coloradans.
Task Order Number: 2024*0171
Page 1 of 3
Version 02.24.2022
DocuSign Envelope ID: 00097F91-A1E6-48EA-BE56-ED8937167D03
In accordance with §4.B of the Master Task Order Contract referenced above, Contractor shall complete the following
Project:
1. PROJECT DESCRIPTION
Contractor shall complete the Project described in Exhibit B Statement of Work (SOW) that is attached hereto and
incorporated herein ("the SOW"). All terminology used in this Task Order and the Statement of Work shall be interpreted
in accordance with the 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 July 1, 2023, whichever is later.
Task Order Number: 2024*0171
Page 2 of 3 version 02.24.2022
DocuSign Envelope ID: 00B97F91-A1E6-48EA-BE56-ED8937167D03
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.
CONTRACTOR
Board of County Commissioners of Weld County
(a political subdivision of the state of Colorado)
for the use and benefit of the
Weld County Department of Public Health and
Environment
STATE OF COLORADO
Jared S. Polis, Governor
Colorado Department of Public Health and Environment
Jill Hunsaker Ryan, MPH, Executive Director
DocuSigned by:
fikk...
recnvoruoxanvc
hat, FVt..twtatA.
By: Signature
Lisa McGovern
cU44b/Ub4anc'o,... By: Signature
Mike Freeman
Name of Executive Director Delegate
Name of Person Signing for Contractor
Procurement & Contracts Section Director ft
BOCC Chair
Title of Executive Director Delegate
Title of Person Signing for Contractor
2023-06-12
Date:
2023-06-12
Date:
In accordance with §24-30-202, C.R.S., this Option is not va id until signed and dated below by the State Controller or an
authorized delegate.
STATE CONTROLLER
Robert Jaros, CPA, MBA, JD
p-DocuSigned by:
,.--BCA04B145.740A...
By: Signature
Jannette Scarpino
Name of State Controller Delegate
Chief Financial Officer
Title of State Controller Delegate
2023-06-12
Effective Date:
--Signature Page End --
Task Order Number: 2024*0171 Page 3 of 3
Version 02.24.2022
020023 -/Co3
DocuSign Envelope ID: 00B97F91-A1E6-48EA-BE56-ED8937167D03
EXHIBIT A
ADDITIONAL PROVISIONS
To Master Task Order Contract Dated 06/29/2022 Task Order Routing Number 2024*0171
These provisions are to be read and interpreted in conjunction with the provisions of the Master Task Order 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 of 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 with the Excel workbook containing the Expenditure Details page to: Tobacco Program
Generalist via email at cdphe stepp_pg(alistate.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. Time Limit For Acceptance Of Deliverables.
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. If the Contractor fails to correct such deficiencies within fifteen (15) calendar
days, the Contractor shall be in default of its obligations under this Task Order Contract and the State, at
its option, may elect to terminate this Task Order.
3. 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.
4. 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
Task Order Number: 2024*0171 Page 1 of 2 Version 02.24.2022
DacuSign Envelope ID: 00B97F91-A1E6-48EA-BE56-ED8937167D03
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.
5. 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.
6. 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).
7. 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.
8. If Contractor indicates full expenditure of funds under this Contract by March 31st of each grant year and the full
expenditure does not occur, CDPHE has the option to reduce current or upcoming Contract by said amount or a
percent deemed reasonable by CDPHE. CDPHE will notify the Contractor of the potential need to decrease the
current or upcoming budget. If the Contractor indicates at a later date than March 31st of each grant year an
expectation of surplus of funds or inability to fully expend said funds for unforeseen circumstances that Contractor
had not anticipated by March 31st, CDPHE will reallocate unspent funds without any penalties to the Contractor.
Upon receipt of timely written notice of an objection by the State for inability to fully expend funds, the
Contractor shall have a reasonable period of time not to exceed ten (10) calendar days to respond to the action. If
no dispute is received by the State within ten (10) calendar days, the State has the option to reduce the current
budget for the current year and any upcoming budget for future contractual agreements.
9. Funds provided under this Contract may not be used to: supplant funding for any existing programs/ models;
develop new cessation programs/models; develop curricula for youth or adults not reviewed and approved by the
State; pay for individual cessation aids or nicotine replacement therapy; fund capital improvements; or fund costs
of enforcement of state or local laws and ordinances unless approved by CDPHE.
10. Contractor affirms that it maintains no affiliations or contractual relationships, direct or indirect, with tobacco
companies, owners, affiliate, subsidiaries, holding companies or companies involved in any way in the production,
processing, distribution, promotion, sales, or use of tobacco.
Publications, presentations, or public events resulting from Amendment 35 Tobacco Grants Program funding must
include the following acknowledgment of grant support and disclaimer:
Funding for this event/project/program was provided (in part) by Amendment 35 Tobacco Education,
Prevention and Cessation Grant Program funding. The views expressed do not necessarily reflect the
official policies of, nor does the mention of imply endorsement by, the Colorado Department of Public
Health and Environment.
Task Order Number: 2024*0171
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EXHIBIT B
STATEMENT OF WORK
To Original Contract Number CT FHLA 2024*0171
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 public health project serves to reduce the burden of tobacco use as well as
prevent the initiation of tobacco use among Coloradans. In Colorado, tobacco use is the single most
preventable cause of death as well as disease, accounting for more than 5,100 deaths each year. In addition,
it costs the state more than $1.8 billion in health care expenditures as well as more than $1 billion in lost
productivity each year. The 2030 Education, Prevention and Cessation Tobacco Strategic Plan recommends
taking steps to accelerate the decline in tobacco use among populations that have not equitably benefited
from commercial tobacco control efforts to date. Through evidence -based, culturally -responsive strategies
that prevent, postpone, and treat chronic disease, improve health promotion and prevention policy,
transform health care delivery and integrate community as well as clinical care prevention efforts through
creating in addition to maintaining comprehensive tobacco control programming to benefit communities in
the Contractor's catchment area.
Comprehensive commercial tobacco control strategies are designed to lower the number of illnesses,
disabilities, as well as fatalities caused by tobacco use. A multi -pronged approach will be used to
accomplish:1) Community education on policies that influence tobacco use/reduce health disparities; 2)
Authentic community engagement to create community -specific tobacco prevention activities; 3)
Promotion of culturally -tailored tobacco treatment resources; 4) Education on survey data specific to
tobacco priority populations; 5) Building/maintenance of the Contractor's tobacco subject matter expertise ;
6) Implementation of evidence -based tobacco program interventions as identified in the CDPHE-provided
local public health agency framework.
The goal of this health project is to promote community -based commercial tobacco control work as
identified by the Tobacco Education, Prevention and Cessation Program. Funding of this project was
created by Colorado Revised Statutes 25-3.5-804 that supports funding for community -based and statewide
tobacco education programs designed to reduce initiation of tobacco use by youth, promote cessation of
tobacco use among youth, as well as reduce exposure to secondhand smoke as well as vapor.
III. Definitions:
1. Authentic Community Engagement: a two-way exchange of information/ideas/resources to offer
opportunities for communities to exercise power in decision -making
2. Business Days: means any day in which the State is open and conducting business, but shall not
include Saturday, Sunday or any day on which the State observes one of the holidays listed in §24-11-
101(1), C.R.S.
3. Catchment Area: geographic area(s) in which the Contractor performs tobacco grant work.
4. CDC: Centers for Disease Control and Prevention
5. CDPHE: Colorado Department of Public Health and Environment
6. Commercial Tobacco: Harmful products that are made and sold by tobacco companies. This is
distinct from "traditional tobacco" used by Native American people and other groups for religious or
ceremonial purposes.
7. Equitable enforcement: a process of ensuring compliance with law and policy that considers and
minimizes harm to people affected by health inequities.
8. Healthy Kids Colorado Survey: a survey on the health/well-being of young people and school health
policies/practices that support youth health
9. Implementation Plan: documented steps needed to implement the Contractor's tobacco project plan
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EXHIBIT B
10. LPHA: Local Public Health Agency
11. Organizational Policy: a course or method of action selected by an organization to guide decisions on
matters of public interest/social concern.
12. Place -Based: Approaches, community and stakeholder agencies collaborate to address health and
contextual factors influencing the social well-being of a population within a defined geographic
location.
13. Priority Populations: populations disparately affected due to higher tobacco use/prevalence and that
will be affected by an intervention.
14. Quarterly:
a. Quarter 1: July 1 — September 30
b. Quarter 2: October 1 — December 31
c. Quarter 3: January 1 — March 31
d. Quarter 4: April 1 — June 30
15. Quit Attempts: attempt to stop smoking
16. Second Chance program: a web -based, interactive, self -directed alternative to a suspension education
program for youth who have violated a tobacco policy at school or a tobacco law in the community.
17. SFY: State Fiscal Year. Means a 12 -month period beginning on July 1 of each calendar year and
ending on June 30 of the following calendar year.
a. FY24: July 1, 2023 through June 30, 2024
b. FY25: July 1, 2024 through June 30, 2025
c. FY26: July 1, 2025 through June 30, 2026
18. STEPP: State Tobacco Education and Prevention Partnership
19. STEPP Project Officer: STEPP program contact
20. Strategic Plan: 2030 Colorado Commercial Tobacco Control Strategic Plan
21. TTA: Training and Technical Assistance
22. TFCP: Tobacco -focused Community Profile
23. Tobacco Grants Program: STEPP
24. Youth: individuals between ages 18 to 24 years old
25. Workflow: a series of tasks — how tasks are accomplished, in what order, and by whom
IV. Work Plan:
Goal #1: Advance health and racial equity by improving the health of all Coloradans, with a specific focus on priority populations,
through strategies that focus on health promotion, prevention, as well as access to health care.
Objective #1: No later than the expiration date of this contract, advance the implementation of evidence -based, culturally
responsive, community -oriented tobacco control strategies that align with the 2030 Education, Prevention and Cessation Tobacco
Strategic Plan.
Primary Activity
#1
The Contractor shall complete a tobacco -focused community profile (TFCP).
Sub -Activities #1
1. The Contractor shall conduct a community needs/readiness assessment to identify the most
appropriate opportunities related to the following:
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EXHIBIT B
a. tobacco policy change.
b. improving accessibility of tobacco treatment.
c. improving utilization of tobacco treatment.
d. advancing youth -oriented awareness of the dangers of tobacco products.
e. community education.
f. reductions in exposure to second-hand smoke as well as vapor.
Primary Activity
#2
The Contractor shall, in collaboration with the designated Colorado Department of Public Health and
Environment (CDPHE) STEPP Program Officer, draft an implementation plan outlining the following:
1. The strategy(ies) in which the project will focus, based on the information in the TFCP.
2. The detailed steps which the Contractor shall take to address the objective of this agreement.
Sub -Activities #2
1. The Contractor shall plan to sign the final implementation plan agreed upon with CDPHE.
2. The Contractor shall update the implementation plan at a minimum annually.
3. The Contractor shall prepare to sign the implementation plan each time the plan changes.
Primary Activity
#3
The Contractor shall implement activities listed in the CDPHE-approved annual implementation plan.
Primary Activity
#4
The Contractor shall implement capacity -building activities as identified in the CDPHE-provided local
public health agency framework.
Primary Activity
#5
The Contractor shall facilitate the reduction of tobacco -related health disparities among priority populations
in the Contractor's catchment area.
Sub -Activities #5
1. The Contractor shall build community understanding of the following as tobacco control strategies
are introduced at the local level:
a. tobacco -related health disparities among priority populations
b. importance of policies that influence tobacco use.
Primary Activity
#6
The Contractor shall implement the tobacco policy change processes designed to reduce
prevalence/initiation of tobacco use through the adoption of tobacco policy changes.
Sub -Activities #6
1. The Contractor shall use the CDPHE-provided local public health agency framework.
2. The Contractor shall build community understanding of tobacco policy changes designed to reduce
prevalence/initiation of tobacco use.
3. The Contractor shall use the promotion of tobacco -free social norms to prevent tobacco use
initiation among youth/young adults through.
4. The Contractor shall promote tobacco treatment as part of tobacco policy change activities.
Primary Activity
#7
The Contractor shall implement the tobacco policy change processes designed to reduce exposure to
secondhand smoke as well as vapor, through the adoption of tobacco policy changes.
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EXHIBIT B
Sub -Activities #7
1. The Contractor shall use the CDPHE-provided local public health agency framework.
2. The Contractor shall build community understanding of tobacco policy changes designed to reduce
exposure to secondhand smoke/vapor.
3. The Contractor shall provide education to community members that facilitates the following:
a. Adoption of place -based smoke/vapor/tobacco-free policies
b. Implementation of place -based smoke/vapor/tobacco-free policies
c. Equitable enforcement of place -based smoke/vapor/tobacco-free policies
d. Promotion of tobacco treatment resources.
4. The Contractor shall provide a copy of the following in the event that the Contractor's catchment
area passes new local tobacco ordinances as well as tobacco -related organizational policies:
a. local tobacco ordinances
b. local tobacco -related organizational policy
Primary Activity
#8
The Contractor shall facilitate access to/uptake of evidence -based tobacco treatment services through the
use of culturally -appropriate strategies.
Sub -Activities #8
1. The Contractor shall use the CDPHE-provided local public health agency framework.
2. The Contractor shall promote widespread adoption of tobacco treatment interventions, including
environmental approaches, in a variety of clinical/community settings.
3. The Contractor shall provide education/technical assistance to:
a. maximize opportunities to screen for tobacco use
b. link tobacco users to evidence -based tobacco treatment.
4. The Contractor shall implement the reduction of barriers to accessing cessation services by
collaborating with clinical/community entities to:
a. assess the current status of tobacco screening/intervention
b. integrate treatment/referral processes into existing medical/social care settings
c. promote the availability of low/no cost cessation benefits, including those offered through
the:
i. Colorado QuitLine
ii. Medicaid.
d. Where applicable, the Contractor shall support the adoption of tobacco -free policies.
Primary Activity
#9
The Contractor shall complete all required grant reporting requirements.
Sub -Activities #9
1. The Contractor shall complete quarterly progress reports on a CDPHE-approved Quarterly
Progress Report template.
2. The Contractor shall complete annual progress reports on a CDPHE-approved Annual Progress
Report template.
3. The Contractor shall complete a final project report on a CDPHE-approved Report template.
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EXHIBIT B
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 adhere to the Best Practices User Guides. This information is located on
Tobacco Free CO website http://www.tobaccofreeco.org and made a part of this contract by
reference.
Standards and
Requirements
3. The Contractor shall adhere to the requirements in the CDPHE-provided local public agency
framework. This information is located on Centers for Disease Control and Prevention website
https://www.cdc.gov/tobacco/stateandcommunity/guides/pdfs/best-practices youth-engagement-
user-guide.pdf and made a part of this contract by reference.
4. CDPHE will provide the Contractor with the local public health agency framework at the
beginning of each SFY.
5. The Contractor shall plan to prioritize priority populations as defined in the Strategic Plan as well
as CDPHE local public health framework in all work to reduce tobacco use in settings to include:
a. schools.
b. multi -unit housing.
c. behavioral health care systems.
d. social services settings.
e. municipal settings.
f. other settings, as identified by community needs.
This information is located on the Tobacco Free Colorado website
https://drive.google.com/file/d/ l vBTrhurde7KSkJOYtDAS4YTe l DM-wTQy/view?usp=sharing and
is incorporated and made a part of this contract by reference.
6. The Contractor shall use the Best Practices User Guide, in all efforts to educate the
community/policy makers about tobacco control policies which reduce tobacco use, utilize a
youth/adult task force model of community mobilization.
7. The Contractor shall obtain approval from CDPHE prior to beginning activities outlined in the
implementation plan.
8. CDPHE will review the implementation plan within 21 business days of submission.
9. The Contractor shall prepare to make any necessary modifications to the implementation plan
within 30 business days of notification by CDPHE.
10. CDPHE will approve the implementation plan within 21 business days of submission.
11. The Contractor shall plan to work with the following to draft/update the implementation plan:
a. CDPHE-approved Technical Assistance provider(s)
b. STEPP Project Officer
12. The Contractor shall, based on activities identified in the implementation plan, utilize CDPHE-
approved technical assistance providers. This information is incorporated and made part of this
contract by reference and is located at the following website:
https://www.tobaccofreeco.org/grantee/grantee-resources/2018-ta-providers-list-2/
13. The Contractor shall follow best practices using required resources. This information is
incorporated and made part of this contract by reference and are located at the following websites:
a. CDC's Evidence -Based Guides for States available at the following website:
https://www.cdc.gov/tobacco/stateandcommunity/zuides/index.htm
Page 5 of 10
Task Ord, \umber i24*(;I?i
Ver. 01.11.19
DocuSign Envelope ID: 00B97F91-A1 E6-48EA-BE56-ED8937167D03
EXHIBIT B
b. Best Practices for Comprehensive Tobacco Control Programs at the Local Level
(NACCHO), available at the following website:
https://www. naccho.org/uploads/down loadable-resources/Tobacco-Report-2022.pdf
c. US Public Health Service Clinical Practice Guideline: Treating Tobacco Use and
Dependence - 2008 Update, available at the following website:
http://www.ncbi.nlm.nih.gov/books/NBK63952/
d. CDC's Best Practices User Guide: Health Equity in Tobacco Prevention and Control,
available at the following website: https://www.cdc.gov/tobacco/stateandcommunity/best-
practices-health-equity/pdfs/bp-health-equity.pdf
14. The Contractor shall use the following references to assess the tobacco problem in the Contractors
catchment area. This information is incorporated and made part of this contract by reference and
are located at the following websites:
a. The Attitudes and Behaviors Survey (TABS) available on the following website:
http://www.tobaccofreeco.org
b. Healthy Kids Colorado Survey available on the following website:
http://www.tobaccofreeco.org
c. CDPHE Tobacco Retailer Access Colorado available on the following website:
https://trac-cdphe.opendata.arcgis.com/
d. FDA Compliance Check Inspections of Tobacco Product Retailers available on the
following website:
https://www.accessdata.fda.gov/scripts/oce/inspections/oce insp searching.cfm
e. Colorado QuitLine information is available on the following website:
https://www.coquitline.org/
f. Colorado QuitLine reports are available on the following website:
http://www.tobaccofreeco.org
STEPP Implementation Plan Template is available on the following website:
http://www.tobaccofreeco.org
h. STEPP Tobacco Focused Community Profile guidance is available on the following
website: http://www.tobaccofreeco.orgL
i. Authentic Community Engagement to Advance Equity available on the following
website: https://www.colorado.gov/pacific/sites/default/files/Authentic-Community-
Engagement-to-Advance-Equity.pdf
15. The Contractor shall facilitate the development of Tobacco -free Schools Policies that are
consistent with Colorado's Tobacco Free Schools Law (C.R.S. 25.14.103.5). This information is
located on Tobacco Free CO website https://www.tobaccofreeco.org/wp-
content/uploads/2018/03/Overview-of-Tobacco-free-Schools-TFS-Law.pdf and made a part of this
contract by reference.
16. The Contractor shall prepare to notify the STEPP Point of Contact within five (5) business days of
passage in the Contractor's catchment area of any:
a. Tobacco control municipal ordinance
b. Tobacco -related organizational policy issue
17. The Contractor shall prepare to collaborate with STEPP in determining a local strategy approach to
promote environmental change processes to reduce tobacco initiation/use/exposure to secondhand
smoke/vapor among the Contractor's most tobacco -burdened populations.
18. The Contractor shall prepare to participate in evaluation activities that include the following:
a. Evaluation -related TTA as recommended by CDPHE.
b. Develop an evaluation plan using the guidance created by the CDPHE Evaluation
Contractor.
0•
Page 6 of 10
Task Order Number. 202,0171
Ver. 01.11.19
DocuSign Envelope ID: 00B97F91-A1E6-48EA-BE56-ED8937167D03
EXHIBIT B
c. Coordinate with the CDPHE Evaluation Contractor to provide project information/data.
d. Comply with data reporting requirements established by CDPHE's Evaluation Contractor.
e. Attend, at a minimum, quarterly meeting with CDPHE's Evaluation Contractor to
provide:
i. program updates.
ii. review evaluation progress.
iii. review project successes.
iv. review project barriers.
19. The Contractor shall prepare to notify the STEPP Project Officer within 15 business days of
updating the evaluation plan.
20. The Contractor shall provide metrics/measures/project progress information in the following
reports using the reporting tool provided by CDPHE's Evaluation Contractor:
a. Quarterly progress reports
b. Annual Reports
c. Final project report
21. CDPHE will perform aggregate data through the CDPHE's Evaluation Contractor as part of the
macro -evaluation of the Tobacco Grants Program.
22. CDPHE will provide the Contractor will the following Reporting templates:
a. Quarterly Progress Report
b. Annual Progress Report
c. Final Project Report
23. The Contractor shall use standardized survey tools to assess the current status of tobacco use
screening/intervention and advance tobacco treatment integration in clinical and community
settings. This information is incorporated and made part of this contract by reference and is
available on the following websites:
a. http://www.tobaccofreeco.org
b. https://millionhearts.hhs.gov/tools-protocols/action-guides/tobacco-change-
package/index.html
24. The Contractor shall attend bi-monthly STEPP Update calls.
25. The Contractor shall attend scheduled Learning Community Calls specific to evidence -based
tobacco program interventions in which the Contractor works during the contract period.
26. The Contractor shall develop a media plan with guidance and prior approval from the CDPHE
Tobacco Communications Specialist prior to:
a. Placement of any media buys
b. Implementation of any communication plan through media mechanisms.
27. CDPHE will approve media plans within 15 business days of submission.
28. The Contractor shall use existing, customizable media materials. Media materials are incorporated
and made part of this contract by reference and are located on the following website:
https://cdphe.pica9.com/cd/index/home
29. The Contractor shall prepare to inform the STEPP Project Officer within 15 business days of hire
of any new tobacco program staff.
30. CDPHE's STEPP Project Officer will set up one (1) telephone/webinar appointment with the
Contractor's new tobacco program staff to discuss STEPP roles/responsibilities within 15 business
days of notification by the Contractor.
Page 7 of 10
Task Order Number: 2024.0171
Ver. 01.11.19
DocuSign Envelope ID: 00B97F91-A1E6-48EA-BE56-ED8937167D03
EXHIBIT B
31. The Contractor shall communicate to all new tobacco program staff the requirement to participate
in the STEPP New Employee Orientation training within three (3) to six (6) months of hire. This
training is incorporated and made part of this contract by reference and is available at the following
website: http://www.tobaccofreeco.org
32. The Contractor shall communicate to all new tobacco program staff the requirement to complete
Public Health 101 training within three (3) months of hire. This training is incorporated and made
part of this contract by reference and is available at the following website:
http://www.tobaccofreeco.org.
33. The Contractor shall communicate to all new tobacco program staff the requirement to complete
tobacco -specific training modules as identified by the STEPP Program Officer.
34. The Contractor shall communicate to all new tobacco program staff the requirement to engaged in
Strategy 1.1 of the CDPHE-provided local public health agency framework in addition to complete
the Responsible Tobacco Sales module within six (6) months of hire. This module is incorporated
and made part of this contract by reference and is available at the following website:
https://www.tobaccofreeco.org
35. The Contractor shall plan to participate in a minimum of two (2) STEPP-approved
trainings/capacity building opportunities, annually.
36. The Contractor shall obtain from each subcontractor a Memorandum of Understanding/other
binding contractual agreement.
37. The Contractor shall, upon request, provide CDPHE with copies of subcontractors' Memoranda of
Understanding/other binding contractual agreement within 15 business days of request.
38. If purchasing gift cards, the Contractor shall, upon request, provide to CDPHE written procedures
related to gift card purchasing/handling. At a minimum, procedures shall include the following:
a. How the gift card inventory is tracked/maintained?
b. Gift card storage/safeguards against theft
c. The primary person responsible for securing/distribution of gift cards
d. A gift card distribution log that records:
i. Each gift card number
ii. Gift card dollar amount
iii. Printed name of each gift card recipient
iv. Signature of each gift card recipient
39. The Contractor shall prepare to return to STEPP all equipment less than three (3) years old
purchased with STEPP grant funds by no later than the end of the contract period.
40. The Contractor shall, unless otherwise indicated, submit deliverables via email to the STEPP
Project Officer at cdphe steep pga,state.co.us
Expected Results
of Activity(s)
1. Decrease in tobacco use among priority populations through increased access to culturally -
appropriate tobacco treatment services.
2. Decrease in tobacco prevalence/initiation of tobacco use by youth/young adults through increased
promotion of tobacco -free social norms such as school -based tobacco -free policies.
3. Decrease in exposure to secondhand smoke/vapor through increase in community/place-based
smoke-free/vapor-free policies.
4. Decrease in number of tobacco -related diseases through increased implementation of evidence -
based tobacco program interventions.
Page 8 of 10
Task Order Number 2024''01 71
Ver. 01.11.19
DocuSign Envelope ID: 00B97F91-A1 E6-48EA-BE56-ED8937167D03
EXHIBIT B
5. Documented progress toward primary activities based upon the implementation plan.
6. Documented engagement of clinical/community partners in evidence -based tobacco control
efforts.
7. New community policy(ies) leading to the progress of overall programmatic goals identified in
objectives above.
8. Decrease in tobacco -use prevalence, especially among priority populations.
9. Increase in use of tobacco treatment, particularly among priority populations.
10. Increase in the number of place-based/school-based tobacco -free policies.
Measurement of
Expected Results
I. CDPHE received the creation of the Tobacco -Focused Community Profile.
2. CDPHE received the signed implementation plan that identifies strategies in which the Contractor
will engage.
3. CDPHE received Quarterly Progress Reports.
4. CDPI-IE received Annual Reports.
5. CDPHE receives data and measurement reported to the STEPP Evaluation Contractor.
Completion Date
Deliverables
1. The Contractor shall submit a Tobacco -Focused Community
Profile.
No later than 10/31/2023
2. The Contractor shall submit a draft implementation plan.
No later than 11/15/2023
3. The Contractor shall submit a final signed implementation plan.
No later than 12/15/2023
4. The Contractor shall submit an updated, signed annual
implementation plan.
No later than 7/30, annually
5. The Contractor shall submit quarterly progress report using the
CDPHE-provided reporting tool.
No later than 10/15, 1/15,
and 4/15 annually
6. The Contractor shall submit an annual report using the CDPHE
provided reporting tool.
No later than 6/30, annually
7. The Contractor shall submit a final project report using the
CDPHE-approved reporting tool.
No later than the end of the
contract period
8. The Contractor shall submit language related to:
a. local tobacco ordinances
b. local tobacco -related organizational policy
No later than five (5)
business days after
publication
V. Monitoring:
CDPHE's monitoring of this contract for compliance with performance requirements will be conducted
throughout the contract period by the STEPP Project Officer. 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
Page 9 of 10
Task Order Number, 2024.0 171
Ver. 01.11.19
DocuSign Envelope ID: 00B97F91-A1 E6-48EA-BE56-ED8937167D03
EXHIBIT B
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 STEPP Project Officer and receive approval for a new due date. The State will
oversee the completion/implementation of the action(s) to ensure timelines are met and the issue(s) is
resolved. If the Contractor demonstrates inaction or disregard for the agreed upon compliance resolution
plan, the State may exercise its rights under the provisions of this contract.
Page 10 of 10
Task Order Number: 2024*0171 Ver. 01.11.19
DocuSign Envelope ID: 00B97F91-A1 E6-48EA-BE56-ED8937167D03
Exhibit C Budget
a
COLORADO
Department of Public
Health £t Environment
PREVENTION SERVICES DIVISION- 12 MONTH BUDGET WITH JUSTIFICATION
FORM
Original Contract Routing # 2024*0171
Contractor
Name
Weld
County
and
Department
of
Environment
Public
Health
Program
Title,
Phone
Contact
and
Name,
Email
Melanie
Abuse
mcyphers@weldgov.com
Cyphers,
Prevention
970-400-2423,
Substance
Manager,
BudgetPeriod
I
7/1/2023-6/30/2024
Fiscal
Phone
Contact
and
Name,
Title,
Admininstration
tgeiser@co.weld.co.us
Tanya Geiser,
970-400-2122
Director
&
Finance
Email
Project
Name
Community
Tobacco
Initiatives
Contract
(CT
or PO) Number
CT
FHLA
2024*0171
Categories
Expenditure
Salaried
Personal
Employees
Services
Position Title
Description
of
Work
Gross
Annual
or
Salary
Fringe
Percent
Time
on
Project
of
Requested
Total
CDPHE
Amount
from
Health
Specialist
Education
I
including
Coordinates
tobacco
government,youth,
g-
collaboration
organizations.
implementation
working
activities
with
with
community
employers,and
related
municipal
plan
to
and
based
the
contract
$ 67,487.37
$ 29,923.90
99.0%
$ 96,437.16
Health
Specialist
Education
II
including
Coordinates
tobacco
government,youth,
g•
collaboration
organizations.
implementation
working
activities
with
with
employers,and
community
related
municipal
plan
to
and
based
the
contract
$ 75,133.76
$ 33,314.31
99.0%
$ 107,363.59
Task Order Number: 2024*0171
Page 1of6
DocuSign Envelope ID: 00B97F91-A1 E6-48EA-BE56-ED8937167D03
Exhibit C Budget
Health
Communication
Supervisor
Coordinates
to
contract
government,youth,
g•
collaboration
organizations.
of
the
2.0
tobacco
FTE
including
tobacco
and
implementation
with
Will
oversees
community
working
provide
staff.
employers,and
activities
with
staff
based
plan
municipal
supervision
related
and
$ 93,801.14
$ 41,591.43
46.0%
$ 62,280.58
Division
Director
Provides
budget
to the
management,
tobacco
overall
program.
program
and
administration,
staff
supervision
$ 134,324.39
$ 59,559.43
1.0%
$
1,938.84
Bilingual
Education
Specialist
Health
Bilingual
tobacco
Spanish
speaking
health
program
educator
in
populations.
conducting
will
support
outreach
to
$ 86,548.92
$ 38,375.79
1.0%
$ 1,249.25
Data
Evaluation
Specialist
and
including
Gathers
Community
provides
and
County
Plan
evaluation
(CHIP)
and
Community
assistance
the
Health
and
provides
Community
coordination
grant
Assessment
on
Health
local
applications.
workplan
Profile,
data
Improvement
as
such
(CHA)
activities
needed
Weld
as
and
the
$ 78,568.24
$ 34,837.16
1.0%
$ 1,134.05
Fringe
insurance,
2023
components
worker's
holidays,
Fringe
compensation,
and
health
benefits
are:
sick
Medicare,
insurance,
leave.
are
44.34%.
PERA,
unemployment,
vacation,
life
Included
$ -
Personal
Hourly
Services
Employees
Position
Title
Description of Work
Hourly
Wage
Hourly
Fringe
Total
Hours
Project
# of
on
Requested
Total
CDPHE
Amount
from
$
$ -
Total
Personal
Services (including
fringe
benefits)
$ 270,403.47
Supplies
& Operating
Expenses
Item
Description
of
Item
Rate
Quantity
Total
Requested
CDPHE
Amount
from
Task Order Number: 2024*0171
Page 2of6
DocuSign Envelope ID: 00B97F91-A1 E6-48EA-BE56-ED8937167D03
Exhibit C Budget
Printing/Copies
Printing
on
$165;
may
$20/month).
historical
also
color
and
include
$0.06/copy
photocopying
usage:
allocated
black
x
and
1250
for
costs
tobacco
white
=
$75.
for
$0.02/copy
($165
printing.
program.
+
(Average
Costs
x 8,250
$75 = $240);
based
=
$ 20.00
12.0
$ 240.00
General
office
supplies
purchased
will
be
those
most
commonly
utilized
by tobacco
program staff.
However,
general
office
supply
needs
vary
throughout
the
year;
purchases
will
vary
based
on needs
and
depend
on market
prices and
availability.
Based
on
historical
usage, items
may
include:
highlighters
(24
pack)
@ $11.79/box;
sticky
notes
(24
pack)
@ $18.34/pack(
3 x $18.34
= 55.02);
pens (60
pack)
$
138.60
@ $7.89/pack
(3 x $7.89 = $23.67);
legal
note
pads
(12
pack)
@ $12.98/pack(
3 x $12.98
= $38.94);
paper
clips
(1,000
piece
pack)
@ $6.70/pack=$6.70;
and
staples
(10,000
piece
pack)
@ $2.30/pack=$2.30.
It may also
include
allocated
General
Office
office
supply
costs.
Total
estimated
expense
= $138.60
for
12
Supplies
months;
avg. $11.55/month)
$ 11.55
12.00
I
Monthly
cell
phone
usage ($60.00 monthly
charge)
for
Health
Communication Supervisor
billed
at
46%
based
on
FTE
$ 331.20
Phone
on
tobacco
work.
$ 27.60
12.00
Promotional
materials
will
be
pre -approved
ay STEPP
and
used
as community engagement
tools
with
community
medical
providers
to
promote
the
utilization
of
cessation
resources and
services, such
as the
Quitline,
at
public
outreach
events
to educate
individuals
on
tobacco
price,
smoke
-free
policy
expansion,
and
cessation resources, and
for tobacco
-free
schools
education/youth
engagement
with
local
schools.
Specific
items
may include
but
are not
limited
to stickers*,
travel
-size
hand
sanitizers*,
pens*,
grocery
totes*,
chapstick*,
play
dough,
and
sunflower
seeds.
Exact
price
of
specific
promotional
items and
amounts may vary
based
on
prices, availability,
and
intended
event or
market
audience.
Based
on
historical
usage, estimated
costs
are: 200
$ 1,104.00
stickers
@ $.65/sticker=$130;
180
hand
sani:izer
bottles
@
$1.80/bottle=$324,
500
pens @ $.35/pen
= 5175,
150
grocery
totes @$1.30/tote
= $195,
150 chapstick
@.80/chapstick
= $120,
160 small
play
dough
@$.50/container =$80, 200
bags of
sunflower
seeds
at
$.40/bag
=$80 (avg $92/month
for
12 months)
Specialty
items
such
as
those
designated
with
an asterisk
are ordered
or created
with
program
branding
of
"Weld
County
Tobacco
Education
and
Prevention."
Items not
branded
are
part of
a
larger
engagement
quit
kit,
including
branded
materials
and
informational
brochures
about
the
Colorado
Quitline
and
the
Promotional
Weld
County
Tobacco
Education
and
Prevention
Program
Materials
services.
$ 92.00
12.00
Task Order Number: 2024*0171
Page :,of6
DocuSign Envelope ID: 00B97F91-A1 E6-48EA-BE56-ED8937167D03
Exhibit C Budget
Food
groups
groups
for support
and
focus
($9.38
focus
Light
participation
focus
Freedom
classes
mealtimes
coming
break
vary
number
and
FFS
count),
for
and
participants
FFS
consisting
classes
costs
class
48
classes
based
cheese
King
snacks
groups
=
groups
first.
count),
are
for
x
$200.00).
directly
of
$16.99
pretzels
Soopers.)
8
From
(i.e.
80
of
sessions
1.5-2
Purchase
on
participants,
trays
x
will
and
(for
8
and
current
granola
count).
with
4
sessions
Smoking
over
from
sessions
be
beverages
hours
(only
x
($14.98
attendance
work
8=$135.92),
10
offered
Total
WCTEPP
x
the
work
of
(*Price
people
5
on
in
prices,
offered
bars(
participants
food
(FES)
dinner
exact
but
for
x
with
length,
the
$2.00/person
quarterly
and/or
$13.98
will
may
60
estimates
will
estimated
about
expenses:
for
classes.
food
availability,
Community
first
popcorn
be
hour).
count),
host
in
and
include
school,
items
provided
-person
and
for
5
x
with
may
approximately
participants
$1.25/
These
Most
string
32
for
$80
last
($15.78
are
and
items
food
and
count),
each
Profile)
be
without
each.
tobacco
attendees
session
from
+
to
focus
person
$200=$280.
held
amounts
specific
cheese
cost=
such
quarter
encourage
for
Sams
and
(10
each.
and
groups
close
a
$80.00).
food
program
as:
of
36
four
meal
($9.98
each
water
Club
will
may
(4
to
meat
and
be
i
$ 35.00
8.00
$ 280.00
$ -
$
Supplies
& Operating
$ 2,093.80
Total
Task Order Number: 2024*0171 Page 4 of 6
DocuSign Envelope ID: 00B97F91-A1 E6-48EA-BE56-ED8937167D03
Exhibit C Budget
Travel
Item
Description of
Item
Rate
Quantity
Requested
Total
CDPHE
Amount
from
Mileage
Project
to
conferences
Metro
round
2023
attend
County
-related
Area
trip).
tobacco
for
Cost
located
reimbursement
the
mileage
estimates
-related
STEPP
locally
for
tobacco
meetings,
in
Grantee
are
rate
Weld
based
of
Conference
program
County,
trainings,
on
$0.635.
historical
staff
and
and
in
the
(112
for
need
Denver
travel
miles
and
$ 0.635
1750.9
$
1,111.82
Lodging
Grantee
Conference
for STEPP
Hotel
the
($199/night
based
STEPP
costs
on
Grantee
Denver/Metro
for 2
x 2
people
FT
Health
Conference
x
GSA
Educator
2 nights
(gsa.gov)
in
the
=
staff
$796.00)
Denver/Metro
members
Hotel
rates
to attend
area.
$ 199.00
4.00
$ 796.00
Meals
Grantee
Conference
for STEPP
One
provided
members
Denver
$30/meal.
off
-site
/Metro
at
to
meal
conference)
attend
($30
area
x
2
per
the
people
day
based
STEPP
for
(Breakfast
2
on
x 2
FT
Grantee
Weld
days
Health
County
=
provided
$120.00)
Conference
Educator
oer
at
diem
hotel,
staff
in
the
rate
lunch
of
$ 30.00
4.00
$ 120.00
$ -
$ -
$ -
Total
Travel
$ 2,027.82
Contractual
Subcontractor
Name
Description
of
Item
Rate
Quantity
Total
Requested
CDPHE
Amount
from
i
TBD
-
Media
Purchase
community
prevention,
using
media
from
$1000.00.)
platforms).
of
paid
needs
cessation
when
advertising
media
to
Tobacco
available.
educate
resources,
tailored
community
(i.e.
prevention
($1000.00
to
and/or
radio,
Weld's
digital
ads
x
treatment
population
on
will
1 media
tobacco
and
be
/social
utilized
platform
options
and
=
$ 1,000.00
1.0
$ 1,000.00
broadcast
CDPHE
$ -
$ -
Total
Contractual
$ 1,000.00
SUB
-TOTAL
OF
DIRECT
COSTS
$ 275,525.09
Task Order Number: 2024*0171
Page 5 of 6
DocuSign Envelope ID: 00B97F91-A1 E6-48EA-BE56-ED8937167D03
Exhibit C Budget
Indirect
Item
Description
of
Item
Total
Amount
Indirect
CDPHE-
Negotiated
Cost
Rate
CDPHE
Promotional
G33=$274,141.09)
FY23
negotiated
materials
indirect
and
food
rate
for
of
support
19.92%
groups
for
modified
excluded
total
from
direct
IDC.
costs.
(G52 -G32 -
$ 54,608.91
Indirect
$ 54,608.91
Total
$ 330,134.00
TOTAL
Task Order Number: 2024*0171 Page 6 of 6
Contract Form
New Contract Request
Entity Infor
lion
Entity Name'
COLORADO DEPT OF PUBLIC
HEALTH/ENVIRONMENT
Entity ID*
O,00001926
Contract Name. Contract ID
CDPHE FY23-24 A35 TOBACCO USE PREVENTION & 7036
CESSATION EDUCATION TASK ORDER CONTRACT ,
Contract Status
CTB REVIEW
Contract Lead
AGOMEZ
❑ New Entity?
Parent Contract ID
4871
Requires Board Approval
YES
Contract Lead Email Department Project #
agomez@weldgov.com
Contract Description*
A RENEWAL TASK ORDER CONTRACT FOR THE TOBACCO USE PREVENTION & CESSATION EDUCATION PROGRAM WITH CDPHE
Contract Description 2
CDPHE CONTRACT 2024-01 71
MASTER TASK ORDER CONTRACT 23 FAA 00051
Contract Type'k
TASK ORDER
Amount
$ 30,134.00
Renewable
NO
Automatic Renewal
NO
Grant
YES
IGA
NO
Department
HEALTH
Department Email
CM-HealthcOweldgov.com
Department Head Email
CM -Health-
De ptH a ad0wel dgov. co m
County Attorney
GENERAL COUNTY
ATTORNEY EMAIL
County Attorney Email
CM-
COUNTYATTO RN EY@WELDG
OV.COM
Grant Deadline Date
If this is a renewal enter previous Contract ID
4871
If this is part of a !RSA enter NSA Contract ID
Requested BOCC Agenda
Date.
06/12/2023
Due Date
06/08;"2023
Will a work session with BOCC be required?*
NO
Does Contract require Purchasing Dept. to be included?
NO
Note: the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts are not in
On Base
Effective Date
07,01;2023
Review Dale *
03,01 :2024
Renewal Date
Termination Notice Period Committed Delivery Date
Contact Information
Expiration Date.
06;` 30' 2024
Contact Info
Contact Name Contact Type Contact Email Contact Phone i Contact Phone 2
Purchasing
Purchasing Approver Purchasing Approved Date
Approval Process
Department Head
TANYA GEISER
DH Approved Date
06(05//2023
Final Approv
BOCC Approved
BOCC Signed Date
BOCC Agenda Date
06/12/2023
Originator
AG OM EZ
Finance Approver
CHERYL PATTELLI
finance Approved Date
Legal Counsel
BRUCE BARKER
Legal Counsel Approved Date
06,,06; 2023 06;1)6/2023
Tyler Ref #
AG 061223
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