HomeMy WebLinkAbout20233425.tiff RESOLUTION
RE: APPROVE AMENDMENT#1 TO TASK ORDER CONTRACT FOR IMMUNIZATION
CORE SERVICES PROGRAM 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 Amendment#1 to the Task Order
Contract for the Immunization Core Services Program between the County of Weld,State of
Colorado,by and through the Board of County Commissioners of Weld County,on behalf of the
Department of Public Health and Environment,and the Colorado Department of Public Health
and Environment,commencing July 1,2023,and ending June 30,2024,with further terms and
conditions being as stated in said amendment,and
WHEREAS,after review,the Board deems it advisable to approve said amendment,a
copy of which is attached hereto and incorporated herein by reference.
NOW,THEREFORE,BE IT RESOLVED by the Board of County Commissioners of Weld
County,Colorado,that Amendment#1 to the Task Order Contract for the Immunization Core
Services Program between the County of Weld,State of Colorado,by and through the Board of
County Commissioners of Weld County, on behalf of the Department of Public Health and
Environment,and the Colorado Department of Public Health and Environment,be,and hereby is,
approved.
BE IT FURTHER RESOLVED by the Board that the Chair be,and hereby is,authorized
to electronically sign and submit said amendment.
The above and foregoing Resolution was,on motion duly made and seconded,adopted
by the following vote on the 27th day of November,A.D.,2023,nunc pro tunc July 1,2023.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY,COLORADO
ATTEST: ,) G1 ��
G Mike man,Chair
Weld County Clerk to the Board e `�
�� IC Perry L.Bu ,Pro-Tem
BY:C4U
Deputy Clerk to the Board I!II r
°. .\.James
AP''f VED : • ^RM:
ISOt7:7-;7Ke .Ross
fizit
County ttorney j ti's
11/5173 Saine
Date of signature:
cc:HL(3C/HS) 2023-3425
12.lair/23 HL0056
Convvach H i o l 0
BOARD OF COUNTY COMMISSIONERS
PASS-AROUND REVIEW
TITLE:CDPHE Core Immunization Services Contract Amendment-COVID-19 Bridge Access Program
DEPARTMENT: PUBLIC HEALTH&ENVIRONMENT DATE:September 26,2023
PERSON REQUESTING: Jason Chessher,Executive Director
Shaun May,Clinical&Community Health Director
Brief description of the problem/issue:
For the Board's review and approval is a contract amendment 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 purpose of this contract amendment to the CDPHE Core Immunization grant is to maintain access to
COVID-19 vaccines for uninsured and underinsured adults,and to maintain awareness and increase
vaccination rates in Colorado.The CDC's Bridge Access Program will provide no cost COVID-19 vaccines
for a limited time after these products move to the commercial market in Fall 2023.This temporary
program aims to increase access to COVID-19 vaccinations specifically for uninsured and underinsured
adults.CDPHE will provide vaccines,as available,and funding to support immunization activities.
WCDPHE will offer COVID-19 vaccines alongside other routine vaccines at after-hours and weekend
vaccination clinics to increase access to eligible individuals.The department's immunization outreach
program currently hosts frequent after-hours/weekend events,we will simply add COVID-19 vaccines to
the list of available vaccines at offsite clinics to meet contract requirements.
The total Bridge Access funding allocation to Weld County will be$108,438.The FY24 Core
Immunization Services contract runs from the beginning of October 2023 to the end of September 2024.
If approved,a portion of the funding will be utilized to hire a term-limited,part-time Medical Assistant
(Grade 17 Step 1)position to help support the delivery of the program deliverables.The position would be
term-limited to the end of October 2024 and part-time working approximately 20 hours per week.No
additional FTEs are requested.
What options exist for the Board?(include consequences,impacts,costs,etc.of options):
With the approval of the Board,this will allow WCDPHE to offer routine vaccines(including COVID-19
vaccines)at no cost to eligible uninsured and underinsured clients.The supplemental funding provided by
CDPHE will cover the vaccine cost and the cost of the additional term-limited, part-time Medical
Assistant for service delivery and program compliance. If approved,this item will be placed on a future
BOCC agenda for formal Board action.
If the Board declines this contract amendment,the WCDPHE will continue to offer COVID-19 and other
routine vaccines to uninsured and underinsured eligible individuals,however,we will not be able to
utilize the funding to offset costs of routine offsite clinics after-hours and on weekends.
Recommendation:I recommend approval of this FY24 CDPHE Core Immunization Services contract
amendment.
Approve Schedule
Recommendation Work Session Other/Comments:
2023-3425
1 l/Zv N L OUSIQ
Perry L.Ruck,Pro-Tern -_ _
Mike Freeman,Chair mg"
Scott K.James
S ve Moren t" \
Lori Saine
DocuSign Envelope ID:B2386DBF-313F-40ED-BBD5-990E4446CC40
CONTRACT AMENDMENT#1
SIGNATURE AND COVER PAGE(S)
State Agency: Original Contract Number:
Colorado Department Of Public Health and Environment 2024*0062
4300 Cherry Creek Drive South
Denver,Colorado 80246
Contractor: Amendment Contract Number:
Board of County Commissioners of Weld County 2024*0062 Amendment#1
(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
Contract Performance Beginning Date: Current Contract Expiration Date:
July 1,2023 June 30,2024
CONTRACT MAXIMUM AMOUNT TABLE
Contract Federal State Funding Other Term(dates) Total
Document
Number Funding Amount Funding
Type
Amount Amount
Original 2024*0062 $136,713.00 $166,305.00 $0.00 07/01/2023-
Contract 06/30/2024 $303,018.00
Amendment#1 2024*0062 $96,012.00 $0.00 $0.00 10/20/2023- $96,012.00
06/30/2024
Current Contract Maximum $399,030.00
Cumulative Amount
Page 1 of 3
Amendment Contract Number:2024*0062 Amendment#1
Ver 27.01.20
o2ac,93-3¢��
DocuSign Envelope ID:B2386DBF-313F-40ED-BBD5-990E4446CC40
SIGNATURE PAGE
THE PARTIES HERETO HAVE EXECUTED THIS AMENDMENT
Each person signing this Amendment represents and warrants that he or she is duly authorized to execute this Amendment
and to bind the Party authorizing his or her signature.
CONTRACTOR STATE OF COLORADO
Board of County Commissioners of Weld County Jared S.Polis,Governor
(a political subdivision of the state of Colorado) Colorado Department of Public Health and Environment
for the use and benefit of the Jill Hunsaker Ryan,MPH,Executive Director
Weld County Department of Public Health and
Environment r-Docusigned by:
DocuSigned by: OAtt,t At`^set,
`�7r�'341�d1R5�dR� Signature
M il�c,FVW5ia3O,
By: g
E04467D642AE4A7... Chelsea Gi 1 bertson
By:Signature
Mike Freeman Name of Executive Director Delegate
Name Director of Procurement and Contracts
of Person Signing for Contractor
Chair Title of Executive Director Delegate
Title of Person Signing for Contractor 2023-11-27
Date:
2023-11-27
Date:
In accordance with§24-30-202 C.R.S.,this Contract is not valid until signed and dated below by the State Controller or
an authorized delegate.
STATE CONTROLLER
Robert Jams,CPA,MBA,JD
-DocuSigned by:
Si t,Swraith
`�RrAndRtd5dR7dAA
By:Signature
Jannette Scarpino
Name of State Controller Delegate
Chief Financial officer
Title of State Controller Delegate
2023-11-27
Amendment Effective Date:
Page 2 of 3
Amendment Contract Number:2024*0062 Amendment#1
Ver 27.01.20
DocuSign Envelope ID:B2386DBF-313F-40ED-BBD5-990E4446CC40
1. PARTIES
This Amendment(the"Amendment")to the Original Contract shown on the Signature and Cover Page for this
Amendment(the"Contract")is entered into by and between the Contractor,and the State.
2. TERMINOLOGY
Except as specifically modified by this Amendment,all terms used in this Amendment that are defined in the Contract
shall be construed and interpreted in accordance with the Contract.
3. AMENDMENT EFFECTIVE DATE AND TERM
A. Amendment Effective Date
This Amendment shall not be valid or enforceable until the Amendment Effective Date shown under the State
Controller Signature.The State shall not be bound by any provision of this Amendment before that Amendment
Effective Date,and shall have no obligation to pay Contractor for any Work performed or expense incurred
under this Amendment either before or after of the Amendment term shown in§3.B of this Amendment.
B. Amendment Term
The Parties'respective performances under this Amendment and the changes to the Contract contained herein
shall commence on the Amendment Effective Date shown under the State Controller Signature or October 20,
2023,whichever is later and shall terminate on the termination of the Task Order or June 30,2024,whichever
is earlier.
4. PURPOSE
The Parties entered into the agreement to reduce and eliminate vaccine preventable diseases in Colorado by
increasing and maintaining immunization coverage.Local public health agencies will provide core immunization
services,according to established best practices and standards,to improve the health of individuals and communities.
The Parties now desire to increase funding and change the Statement of Work,Budget and current Contract
Maximum Total for the following reason:to support Bridge Access Program activities intended to offer free
Coromavirus-19 vaccinations to adults who are uninsured or underinsured.
5. MODIFICATIONS
The Contract and all prior amendments thereto,if any,are modified as follows:
A. The Contract Maximum Amount table is deleted and replaced with the Current Contract Maximum Amount
shown on the Signature and Cover Page for this Amendment.
B. The Contract Initial Contract Expiration Date on the Contract's Signature and Cover Page is hereby deleted
and replaced with the Current Contract Expiration Date shown on the Signature and Cover Page for this
Amendment.
C. The Parties now agree to modify Exhibit B,Statement of Work of the agreement.Exhibit B,Statement of
Work,is deleted and replaced in its entirety with Exhibit B,Statement of Work,attached to this
Amendment for the following reason:to add Bridge Access Program activities.
D. The Parties now agree to modify Exhibit C,Budget of the agreement.Exhibit C,Budget,is deleted and
replaced in its entirety with Exhibit C,Budget,attached to this Amendment for the following reason:to add
funds for the Bridge Access Program activities.
E. The Parties now agree to modify Exhibit D,Federal Provisions.Exhibit D,Federal Provisions,is deleted
and replaced in its entirety with the Exhibit D,Federal Provisions,attached to this Amendment,for the
following reason:to reflect changes to the federal award identification information.
6. LIMITS OF EFFECT AND ORDER OF PRECEDENCE
This Amendment is incorporated by reference into the Contract,and the Contract and all prior amendments or other
modifications to the Contract,if any,remain in full force and effect except as specifically modified in this Amendment.
Except for the Special Provisions contained in the Contract,in the event of any conflict,inconsistency,variance,or
contradiction between the provisions of this Amendment and any of the provisions of the Contract or any prior
modification to the Contract,the provisions of this Amendment shall in all respects supersede,govern,and control.
The provisions of this Amendment shall only supersede,govern,and control over the Special Provisions contained in
the Contract to the extent that this Amendment specifically modifies those Special Provisions.
Page 3 of 3
Amendment Contract Number:2024*0062 Amendment,1
Ver 27.01.20
DocuSign Envelope ID:B2386DBF-313F-40ED-BBD5-990E4446CC40
EXHIBIT B
STATEMENT OF WORK
To Original Contract Number:2024*0062
Amendment Contract Number:2024*0062 Amendment#1
These provisions are to be read and interpreted in conjunction with the provisions of the contract specified
above.
I. Entity Name:Weld County Department of Public Health and Environment
IL Project Description:This project serves to maintain immunization awareness and increase vaccination
rates in Colorado.Local public health agencies will assure core immunization services,according to
established best practices and standards,to improve the health of individuals and communities.
The Colorado Department of Public Health and Environment(CDPHE)is funded by the Centers for
Disease Control and Prevention(CDC)to address potentially life-threatening diseases and reduce risk.The
project supports Local Public Health Agencies(LPHAs)through the Vaccines for Children(VFC)
program,and creates a coordinated infrastructure to align with national immunization standards.The
project supplies Section 317 vaccines at no cost to remove the financial barrier for adults without insurance.
The project counters anti-vaccination attitudes and beliefs by engaging the community,and delivering
education in the service area.The project encourages healthcare providers and school-based settings to use
the Colorado Immunization Information System(CIIS),and to contribute to the centralized system by
entering data.The project is intended to convene the public and health professionals,reduce mortality and
morbidity rates caused by vaccine-preventable diseases,and protect the health of Coloradans.
III. Definitions:
1.ACIP: Advisory Committee on Immunization Practices
2.Bridge Access Program:CDC project to provide access to COVID-19 vaccines to uninsured and
underinsured adults.
3.CALPHO Colorado Association of Local Public Health Officials
4.CCC: Child Care Centers as defined by Colorado State Board of Health Rule 6 CCR 1009-2
5.CCR: Code of Colorado Regulations
6.CDC: Centers for Disease Control and Prevention
7.CDPHE: Colorado Department of Public Health and Environment
8.CIB: Colorado Immunization Branch
9.CIIS: Colorado Immunization Information System
10.Core Immunization Services(Core Services):Basic and essential vaccination services provided within
the LPHA's jurisdiction.
11.Deputization:The formal delegation of authority to provide VFC vaccines to eligible underinsured
children from a participating FQHC or RHC to another VFC-enrolled provider;typically
a local public health agency.
12.DTaP: Pediatric diphtheria,tetanus,and pertussis vaccine.
13.Evidence-based:Conscientious use of current scientific evidence and clinical expertise.
14.FAQ: Frequently Asked Questions
15.FQHC: Federally Qualified Health Center
16.Insured: A person who is covered by health insurance.
17.Jurisdiction: Power or right of a legal or political agency to exercise its authority over a
person,subject matter,or territory.
18.LPHA: Local public health agency
19.MMR Measles,mumps,and rubella vaccine.
20.MMR and DTaP database:An electronic,CDPHE tool that provides access to county-level measles,
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Amendment Contract Number:2024*0062 Amendment#1
Ver.01.11.19
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EXHIBIT B
mumps,rubella,diphtheria,tetanus and pertussis vaccine coverage data.
21.MOU: Memorandum of Understanding
22.RHC: Rural Health Center
23.School: As defined by the Colorado Board of Health rule 6 CCR 1009-2,all child care
facilities licensed by the Colorado Department of Human Services including:child care
centers,school-age child care center,preschools,day camps,resident camps,day
treatment centers,family child care homes,foster care homes,and head start programs;
public,private,or parochial kindergarten,elementary or secondary schools through grade
twelve,or a college or university.
24.Section 317 Vaccine: Vaccine funding used to support infrastructure critical to vaccine program
success including vaccine for:uninsured and underinsured adults,outbreak response and
preparedness support.
25.VFC: Vaccines for Children
26.VPD: Vaccine-preventable disease
27.WIG: Wildly Important Goal-a current strategic priority of CDPHE
IV. Work Plan:
Goal#1:Reduce vaccine-preventable diseases in Colorado by increasing or maintaining immunization
coverage.
Objective#1:No later than the expiration of the contract,provide core immunization services intended to
improve the health of individuals and communities.
Primary Activity#1 The Contractor shall implement core immunization services within its
jurisdiction.
Sub-Activities#1 1.The Contractor shall promote within the jurisdiction all ACIP-recommended
vaccines available through the following distribution channels:
a. VFC vaccines available through the VFC program for the eligible
population served.
b. Section 317 vaccines available through the Section 317 program for
the eligible population served.
c. Privately-purchased vaccines available for the eligible insured
population served.
2.The Contractor shall assure immunizations are provided within the
jurisdiction.
3.The Contractor shall screen patients for eligibility to receive publicly funded
vaccine.
4.The Contractor shall send immunization data to CIIS for all immunizations
administered by the agency within seven(7)days of vaccine administration.
5.The Contractor shall promote use of CIIS to providers and schools in the
jurisdiction.
6.The Contractor shall review the county level Immunization Rates Report
provided by CIB for the following information:
a. Children 19-35 months of age no later than 30 days after distribution
by CIB
b. Adolescents 13-17 years of age no later than 30 days after distribution
by CIB
c. Compare to the CDC National Immunization Surveys;Child and Teen
and CIIS-generated statewide rates provided by CIB in order to
increase awareness of county versus state and national immunization
rates within the 30 days that the rates report is distributed by the CIB.
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Amendment Contract Number:2024*0062 Amendment#1
Ver.01.11.19
DocuSign Envelope ID:B2386DBF-313F-40ED-BBD5-990E4446CC40
EXHIBIT B
7.The Contractor shall provide immunization subject matter expertise to the
following:
a. Decision makers
b. Policy makers
c. Health care providers
d. The public
8.The Contractor shall meet with local stakeholders to implement a minimum of
one(1)evidence-based strategy that is culturally and linguistically appropriate to
reduce the following:
a. immunization disparities by race
b. immunization disparities by ethnicity
c. immunization disparities by socio-economic status
d. immunization disparities by disability status
9.The Contractor shall promote informed vaccine decision making by educating
a minimum of one(1)of the following:
a. consumers
b. health care providers
c. staff who administer immunizations
d. policy makers
10.The Contractor shall address vaccine hesitancy by educating a minimum of
one(1)of the following:
a. consumers
b. health care providers
c. staff who administer immunizations
d. policy makers
11.The Contractor shall promote vaccine services availability by educating a
minimum of one(1)of the following:
a. consumers
b. healthcare providers
c. staff who administer immunizations
d. policy makers
12.The Contractor shall promote seasonal influenza vaccine to improve
preparedness in the event of an influenza pandemic according to the following
criteria:
a.The Contractor shall promote seasonal influenza vaccine with new
organizations.
b.The Contractor shall continue seasonal influenza vaccine coordination
with existing organizations.
c.The Contractor shall promote seasonal influenza vaccine with
commercial sector organizations.
13.The Contractor shall maintain a deputization MOU with an FQHC/RHC.
14.The Contractor shall deliver information to schools and CCCs about
the Colorado State Board of Health Rule 6 CCR 1009-2 annual reporting
requirement.
a. The Contractor shall follow up with schools who fail to report data.
b. The Contractor shall follow up with CCCs who fail to report data.
15.The Contractor shall support a network of VFC providers.
Page 3 of 8
Amendment Contract Number:2024*0062 Amendment#1
Ver.01.11.19
DocuSign Envelope ID:B2386DBF-313F-40ED-BBD5-990E4446CC40
EXHIBIT B
a. The Contractor shall perform ongoing recruitment of new VFC
providers.
b. The Contractor shall educate current VFC providers about the VFC
program requirements.
16.The Contractor shall implement core immunization services in response to
cases of VPD in the jurisdiction.
17.The Contractor shall maintain staff readiness for a VPD outbreak.
18.The Contractor shall participate in CIB Immunization calls for up-to-date
information.
a. The Contractor shall listen to the audio recording of the call provided
by the CIB within 30 days when the Contractor is unable to attend the
call.
19.The Contractor shall attend a minimum of one(1)immunization-related
trainin or conference.
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Objective#2:No later than the expiration of the contract,implement evidence-based strategies to improve
immunization rates in populations identified as underimmunized.
Primary Activity#1 The Contractor shall utilize immunization strategies to address strategic
priorities.
Sub-Activities#1 1. The Contractor shall utilize immunization strategies to address
underimmunization in populations.
2. The Contractor shall review the list of strategies from Strategies to improve
Colorado vaccination rates(in Standards and Requirements section).
3. The Contractor shall plan local activities to use evidence-based strategies
that are culturally and linguistically appropriate to increase immunization
rates with the following:
a. Health care providers
b. Pharmacists
c. Long-term care facility staff
d. Infection control specialists
e. School officials
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Objective#3:No later than the expiration of this contract,implement activities to maintain access to COVID-19
vaccines for uninsured and underinsured adults.
Primary Activity#1 The Contractor shall offer the Bridge Access Program to provide COVID-19
vaccines for uninsured and underinsured adults.
Sub-Activities#1 1. The Contractor shall participate in the Bridge Access Program to provide
COVID-19 vaccines to the following adult populations:
a.Uninsured
b.Underinsured
2. The Contractor shall offer COVID-19 vaccines alongside other routine
vaccines.
3. The Contractor shall schedule a minimum of two(2)monthly vaccination
clinics to increase access according to the following criteria:
a. One of the two clinics must be scheduled during evening hours,
after regular business hours.
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Amendment Contract Number:2024*0062 Amendment#1
Ver.01.11.19
DocuSign Envelope ID:B2386DBF-313F-40ED-BBD5-990E4446CC40
EXHIBIT B
b. One of the two clinics must be scheduled during weekend hours on
either of the following days:
i.Saturday
ii.Sunday
c. Schedule clinics dependent on the availability of the Bridge
Access Program vaccines.
4. The Contractor shall conduct a minimum of two(2)monthly COVID-19
vaccination clinics to increase access according to the following criteria:
a.Promote the two(2)monthly vaccination clinics to increase access.
b.Conduct one of the two clinics during evening hours,after regular
business hours.
c.Conduct one of the two clinics during weekend
hours on either of the following
i.Saturday
ii.Sunday
d.Conduct clinics dependent on the availability of the Bridge
Access Program vaccines.
5. The Contractor shall promote publicly funded COVID-19 vaccines
available through the following programs:
a. VFC
b. Bridge Access Program
Standards and 1. The content of electronic documents located on CDPHE and non-CDPHE
Requirements 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 use the final results of the CDC National Immunization
Surveys;Child and Teen and CIIS-generated statewide rates provided by
CIB via email communication in order to increase awareness of county
versus state and national immunization rates.
3. The Contractor shall comply with the requirements for entering/submitting
immunization data into CIIS as agreed to in the CIIS Letter of Agreement
found within the online CIIS Resource Center located on the following
website,https://www.cophr.com/emrlogin.asp.The content of this website is
incorporated and made part of this contract by reference.
4. The Contractor shall comply with the ACIP recommendations for vaccine
administration located on the following website,
http://www.cdc.gov/vaccines/acip/index.html.The content of this website is
incorporated and made part of this contract by reference.
5. The Contractor shall promote compliance with school immunization rules
within the Colorado State Board of Health Rule 6 CCR 1009-2 located on
the following website,
https://drive.google.com/fi le/d/1 lU W IH39hkuiXalg4bcPOp7W oNdEw-
TQC/view.This document establishes immunization standards and is
incorporated and made part of this contract by reference.
6. The Contractor shall create a login to access the school and childcare
immunization data for the Contractor's jurisdiction located on the following
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Amendment Contract Number:2024*0062 Amendment#1
Ver.0111 19
DocuSign Envelope ID:B2386DBF-313F-40ED-BBD5-990E4446CC40
EXHIBIT B
website,Colorado Health Informatics Data Systems at
https://www.healthinformatics.dphe.state.co.us.The content of this website
is incorporated and made part of this contract by reference.
7. The Contractor shall maintain a signed VFC recertification agreement when
providing VFC vaccines for the jurisdiction.
8. The Contractor shall provide signed VFC recertification packet and
agreements via the following website when providing VFC vaccines for the
jurisdiction:
https://fs9.forms ite.com/ColoradolMMprogram/2023 RecertForm/index.html
9. The Contractor shall comply with the requirements for utilizing VFC
vaccine agreed to in the VFC recertification agreement packet provided by
CIB when providing VFC vaccines for the jurisdiction.
10.The Contractor shall comply with the eligibility requirements for utilizing
Section 317 vaccine and Bridge Access Program COVID-19 vaccine as
provided by CIB policy and via email when providing 317 and Bridge
Access Program COVID-19 vaccines for the jurisdiction.
11.The Contractor shall review and use a minimum of one(1)evidence-based
strategy to reduce coverage disparities by race,ethnicity,socio-economic
status,and/or disability status from Strategies to improve Colorado
vaccination rates located on the following website,
https://drive.google.com/file/d/1 dYouAyuWmrzS 1 P8RQ7ZP10uryuKfcC-
5/view?usp=sharing The content of this website is incorporated and made
part of this contract by reference.
12.The Contractor shall use deputization MOU guidance as provided by CIB
via email.
13.CDPHE will provide programmatic technical assistance to the Contractor,
upon request.
14.The Contractor shall complete an electronic quarterly progress report using
the FY24 Immunization Core Services Quarterly Progress Report,via the
following website,
https://fs9.formsite.com/ColoradoIMMprogram/FY24_LPHA/index.html
The content of this website is incorporated and made part of this contract by
reference.
15.The Contractor shall complete the final electronic quarterly progress
report as a non-reimbursable deliverable.
16.The content of this website is incorporated and made part of this contract by
reference.
17.The Contractor shall utilize strategies of CALPHO and CDPHE's Colorado
Public Health System Transformation:Core Public Health Services Needs
Assessment Report.Jan 2020 located on the following website,
https://drive.google.com/file/d/13 WfziCL1ym01 ZcFsWJke8W4MjRbxL8r/vie
w?usp=sharing.This document establishes immunization standards and is
incorporated and made part of this contract by reference.
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Amendment Contract Number:2024n0062 Amendment#1
Ver.01.11.19
DocuSign Envelope ID.B2386DBF-313F-40ED-BBD5-990E4446CC40
EXHIBIT B
18.The Contractor shall access the MMR and DTaP Dashboard at
https://cohealthviz.dphe.state.co.us/t/DCEED Public/views/LPHAMMRDT
aPGoals/NIMRF1uTracking?%3Aembed=y&%3Aiid=1&%3AisGuestRedire
ctFromVizportal=y to track immunization coverage in their jurisdiction.
19.The Contractor shall strive to meet immunization targets for the jurisdiction
set by the CIB to attain a WIG.
20.CDPHE will provide each jurisdiction's immunization targets via email
within 90 days of the execution of the contract.
21.The CIB will maintain the LPHA Core Immunization Services FAQ
document at
https://docs.google.com/document/d/l k0Mx4smtcmit73 nHwEDe9O W 3 Sip9
I9D6TacM2ES0y9w/edit?usp=sharing to address questions regarding this
project.The content of this website is incorporated and made part of this
contract by reference.
22.The Contractor shall utilize immunization strategies to address
underimmunization in populations as defined by CDPHE.
23.The Contractor shall review a list of strategies from Strategies to improve
Colorado vaccination rates at
https://drive.google.com/file/d/l dYouAyuWmrzS 1 P8RQ7ZP10uryuKfcC-
5/view.The content of this website is incorporated and made part of this
contract by reference.
24.The Contractor shall complete an electronic monthly report using the FY24-
25 COVID Bridge Access Progress Report via the following website,
https://fs9.formsite.corn/ColoradoIMMprogramBridgeAccess/index The
content of this website is incorporated and made part of this contract by
reference.
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Expected Results of 1. Immunizations are offered within the Contractor's jurisdiction.
Activity(s) 2. Immunizations are promoted within the Contractor's jurisdiction.
3. Immunizations are administered within the Contractor's jurisdiction.
Measurement of Expected 1. Data contained in the Immunization Rates Report.
Results 2. Data contained in the CDPHE MMR and DTaP Dashboard.
3. Data contained in uarterl i ro ress re.orts.
Completion Date
Deliverables 1.For Contractors providing VFC vaccines,the No later than 30
Contractor shall electronically submit signed VFC business days
recertification packet and agreements. following the receipt of
the recertification
packet
2.The Contractor shall submit an electronic quarterly No later than 15
progress report using the Immunization Core calendar days
Services Quarterly Progress Report. following the last
calendar day of
September,December,
March and July
Page 7 of 8
Amendment Contract Number:2024*0062 Amendment#1
Ver.01.11.19
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EXHIBIT B
3.The Contractor shall submit immunization data for No later than seven(7)
all immunizations administered by the Contractor's days following vaccine
agency to CIIS. administration
4.The Contractor shall report the number of evening No later than 15
and weekend clinics each month using the FY24-25 calendar days
COVID Bridge Access Progress Report following the last
calendar day of the
month
V. Monitoring:
CDPHE's monitoring of this contract for compliance with performance requirements will be conducted
throughout the contract period by the CDPHE Contract Monitor.Methods used will include a review of
documentation determined by CDPHE to be reflective of performance to include progress reports and other
fiscal and programmatic documentation as applicable.The Contractor's performance will be evaluated at
set intervals and communicated to the contractor.
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/implementation of the action(s)to ensure timelines are met and the issue(s)is
resolved. If the Contractor demonstrates inaction or disregard for the agreed upon compliance resolution
plan,the State may exercise its rights under the provisions of this contract.
Page 8 of 8
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Ver.01.11.19
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EXHIBIT C
To Original Contract Number:2024*0062
Original Budget
Immunization Core Activities-Weld
$136,713
IMMI $166,305
Additional Funds
Federal Funds—Additional $14,683
Federal Funds—Bridge Program $81,329
Revised Budget
riZEMME $232,725
$166,305
_
Amendment Contract Number:2024*0062 Amendment#1 Page 1 of 1
DocuSign Envelope ID:B2386DBF-313F-40ED-BBD5-990E4446CC40
Exhibit D
Federal Provisions-CDC-RFA-IP19-1901 Immunization and Vaccines for Children
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 any),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):MKKXT9U9MTV5
c.The Federal Award Identification Number(FAIN)is NH23IP922600
d.The Federal award date is 7/1/2023.
e.The subaward period of performance start date is 07/01/2023 and end date is 12/31/2024.
f. Federal Funds:
Federal Budget Period Total Amount of Federal Amount of Federal Funds
Funds Awarded Obligated to CDPHE
7/1/2023-12/31/2024 $10,279,050.00 $4,899,097.00
g.Federal award title of project or program:Immunization and Vaccines for Children.
h.The name of the Federal awarding agency is:The Department of Health and Human
Services—Centers for Disease Control and Prevention and the contact information for the
awarding official is Hilary Oliphant,4770 Buford Highway,Chamblee,GA 30341,770-
433-3973;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
Heather Roth,4300 Cherry Creek Drive South,A-3,Denver,Colorado 80246 303-692-
2289.
i. The Catalog of Federal Domestic Assistance(CFDA)number is#93.268 and the grant name
is Immunization and Vaccines for Children.
j. This award is not for research&development.
k.Subrecipient iS not required to provide matching funds.In the event the Subrecipient is
required to provide matching funds,Section 8 of this Attachment applies.
I. 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.
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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.
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§200331 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 fmancial,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");
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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").
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).
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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
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
Amendment Contract Number:2024n0062 Amendment#1 Page 4 of 4 Ver.25.02.20
tract For
Entity Information
Entity Name* Entity ID* Q New Entity?
COLORADO DEPT OF PUBLIC @00001926
HEALTH/ENVIRONMENT
Contract Name* Contract ID Parent Contract ID
CDPHE FY23-24 CORE IZ AMENDMENT-COVID-1 9 7610 7039
BRIDGE ACCESS PROGRAM
Contract Lead* Requires Board Approval
Contract Status AGOMEZ YES
CTB REVIEW
Contract Lead Email Department Project#
agomez@weldgov.com;tg
eiser@weld.gov;Health-
Contracts@weld.gov
Contract Description*
CDPHE COVID-1 9 BRIDGE ACCESS PROGRAM FY23-24 AMENDMENT#1 TO FY23-24 CORE IZ GRANT
Contract Description 2
TASK ORDER 20240062
ORIGINAL CONTRACT 19 FHHA 109514
STATE MASTER TASK ORDER CONTRACT NUMBER:23 FAA 00051
Contract Type* Department Requested BOCC Agenda Due Date
STATEMENT OF WORK HEALTH Date* 11/11/2023
11/15/2023
Amount* Department Email
$108,438.00 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
County Attorney
Grant GENERAL COUNTY
YES ATTORNEY EMAIL
IGA County Attorney Email
CM-
COUNTYATTORNEY@WEL
EY@WEL
DGOV.COM
Grant Deadline Date
If this is a renewal enter previous Contract ID
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
09/01/2024
Termination Notice Period Committed Delivery Date Expiration Date*
10/31/2024
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
11/20/2023 11/20/2023 11/21/2023
Final Approval
BOCC Approved Tyler Ref*
AG 112723
BOCC Signed Date Originator
AGOMEZ
BOCC Agenda Date
11/27/2023
Hello