HomeMy WebLinkAbout20221627.tiffRESOLUTION
RE: APPROVE AMENDMENT #1 TO TASK ORDER CONTRACT FOR COMMUNITIES
THAT CARE YOUTH SUBSTANCE ABUSE PREVENTION 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 Communities that Care Youth Substance Abuse Prevention Program between
the County of Weld, State of Colorado, by and through the Board of County Commissioners of
Weld County, on behalf of the Department of Public Health and Environment, and the Colorado
Department of Public Health and Environment, commencing July 1, 2021, and ending June 30,
2023, 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 Communities that
Care Youth Substance Abuse Prevention Program between the County of Weld, State of
Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the
Department of Public Health and Environment, and the Colorado Department of 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.
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7/i v*2.
2022-1627
HL0054
AMENDMENT #1 TO TASK ORDER CONTRACT FOR COMMUNITIES THAT CARE YOUTH
SUBSTANCE ABUSE PREVENTION PROGRAM
PAGE 2
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 13th day of June, A.D., 2022, nunc pro tunc July 1, 2021.
BOARD OF COUNTY COMMISSIONERS
WE COUNTY, COLORADO
ATTEST: d t) JL;„k.
tt E James, Chair
Weld County Clerk to the Board
County Attorney
Date of signature: 6A6/2--.2._
2022-1627
H L0054
CooMd-045913
Memorandum
TO: Scoff James, Chair
Board of County Commissioners
FROM: Mark Lawley, Executive Director
Department of Public Health &
Environment
DATE: May 27, 2022
SUBJECT: CDPHE FY22-23 Communities That Care
(CTC) Contract Amendment #1 - Youth
Substance Abuse Prevention
For the Board's approval is Contract Amendment #1 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).
CDPHE provides substance use prevention funding to support local public health
agencies from monies received via marijuana tax revenues. The funding will be
used to support staff and efforts to implement the "Communities that Care" model
to address youth substance abuse prevention, including marijuana, opioids
(including heroin or prescription drugs), and alcohol.
With the approval of the Board, the WCDPHE will proceed with year two of a five-
year contract with CDPHE beginning July 1, 2022 and ending June 30, 2023. The
county will receive an amount not to exceed $167,000.00 for this one-year period.
Activities will be conducted by current staff; no additional FTE is being requested.
Assistant Weld County Attorney, Karin McDougal, has reviewed this Contract
Amendment and determined that its terms are acceptable.
The Board approved placement of this Contract Amendment on the Board's agenda
via pass -around dated May 23, 2022.
I recommend approval of this Contract Amendment with CDPHE.
2022-1627
Ob/13 141,60Y-1
BOARD OF COUNTY COMMISSIONERS
PASS -AROUND REVIEW
TITLE: CDPHE FY22-23 Communities That Care (CTC) Contract Amendment #1 - Youth
Substance Abuse Prevention
DEPARTMENT: PUBLIC HEALTH & ENVIRONMENT DATE: May 23, 2022
PERSON REQUESTING: Mark Lawley, Executive Director
Brief description of the problem/issue:
For the Board's review and approval for placement on the agenda is contract amendment #1 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).
CDPHE provides substance use prevention funding to support local public health agencies from
monies received via marijuana tax revenues. The funding will be used to support staff and efforts
to implement the "Communities that Care" model to address youth substance abuse prevention,
including marijuana, opioids (including heroin or prescription drugs), and alcohol.
With the approval of the Board, the WCDPHE will proceed with year two of a five-year contract with
CDPHE beginning July 1, 2022 and ending June 30, 2023. The county will receive an amount not to
exceed $167,000.00 for this one-year period. Activities will be conducted by current staff; no
additional FTE is being requested.
This contract is undergoing review by Assistant Weld County Attorney, Karin McDougal, and we
will await that approval prior to placement on the Board's agenda.
What options exist for the Board? (include consequences, impacts, costs, etc. of options):
Approving the contract amendment will enable the Health Department to better address youth drug
use prevention and the emerging use of marijuana and opioids in Weld County and identify
sustainable local or regional strategies for ongoing implementation of youth substance abuse
prevention strategies.
Declining this contract may result in increased drug use by youth, including the loss of
$167,000.00 in drug use prevention funding.
Recommendation: I recommend approval of this contract amendment with CDPHE.
Approve Schedule
Rec, mmendation Work Session Other/Comments:
Perry L. Buck
Mike Freeman, Pro-Tem
Scott K. James, Chair
Steve Moreno
Lori Saine
,e741,
DocuSign Envelope ID: D0285F73-FC54-4C17-ACEC-E371A7330F4B
CONTRACT AMENDMENT #1
SIGNATURE AND COVER PAGE(S)
State Agency:
Colorado Department Of Public Health and Environment
4300 Cherry Creek Drive South
Denver, Colorado 80246
Original Contract Number:
2022*0168
Contractor:
Board of County Commissioners of Weld County
(a political subdivision of the state of Colorado)
1150 "O" Street, Greeley, Colorado 80631
For the use and benefit of the Weld County Department of Public
Health and Environment
1555 North 17t'' Avenue Greeley, Colorado 80631
Amendment Contract Number:
2022*0168 Amendment #1
Contract Performance Beginning
Date: July 1, 2021
Current Contract Expiration Date:
June 30, 2023
CONTRACT MAXIMUM AMOUNT TABLE
Document
Type
Contract
Number
Federal
Funding
Amount
State Funding
Amount
Other Funding
Amount
Term (dates)
Total
Original
Contract
2022*0168
$0.00
$167,000.00
$0.00
7/1/21-6/30/22
$167,000.00
Amendment #1
2022*0168
Amendment
#1
$0.00
$167,000.00
$0.00
7/1/22-6/30/23
$167,000.00
Current Contract Maximum
Cumulative Amount
$334,000.00
Page 1 of 4
Amendment Contract Number: 2022*0168 Amendment #1 Ver 01.11.19
DocuSign Envelope ID: D0285F73-FC54-4C17-ACEC-E371A7330F4B
SIGNATURE PAGE
THE PARTIES HERETO HAVE EXECUTED THIS AMENDMENT
Each person signing this Amendment represents and warrants that he or she is duly authorized to execute this Amendment
and to bind the Party authorizing his or her signature.
CONTRACTOR
Board of County Commisioners 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
E —DocuSigned by:
Scat . jamttc,S
‘s---E04467b642AE4A7...
By: Signature
Scott K. James
Name of Person Signing for Contractor
Chairman of the Board
Title of Person Signing for Contractor
Date:
2022-06-14
STATE OF COLORADO
Jared S. Polis, Governor
Colorado Department of Public Health and Environment
Jill Hunsaker Ryan, MPH, Executive Director
—DocuSigned by:
(ASa M.(,Gbd.LVu,
\-2EDF870AtA7D4FC...
By: Signature
Lisa McGovern
Name of Executive Director Delegate
Procurement & Contracts Section Director ft
Title of Executive Director Delegate
Date:
2022-06-14
In accordance with §24-30-202 C.R.S., this Contract is not valid until signed and dated below by the State Controller or
an authorized delegate.
STATE CONTROLLER
Robert Jaros, CPA, MBA, JD
E--DocuSigned by:
3tItSltttA, 03*
\—C48A540EBA70105...
By: Signature
Justin Weigle
Name of State Controller Delegate
Health Divisions Controller
Title of State Controller Delegate
Amendment Effective Date:
2022-06-20
-- Signature and Cover Pages End --
Page 2 of 4
Amendment Contract Number: 2022*0168 Amendment #1
Ver. 06.05.20
DocuSign Envelope ID: D0285F73-FC54-4C17-ACEC-E371A7330F4B
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 July 1, 2022, whichever is later, and shall terminate on the
termination of the Contract or June 30, 2023, whichever is earlier.
4. PURPOSE
The Parties entered into the agreement to Implement the "Communities that Care" model to
identify evidence -based or evidence -informed youth substance abuse prevent on strategies and
identify sustainable local or regional strategies for ongoing implementation of youth substance
abuse prevention strategies
The Parties now desire to increase funding and change Statement of Work for the following
reason: to renew and continue services stipulated in the original contract.
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 table 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
Page 3 of 4
Amendment Contract Number: 2022*0168 Amendment #1 Ver 27.01.20
DocuSign Envelope ID: D0285F73-FC54-4C17-ACEC-E371A7330F46
Work attached to this Amendment for the following reason: To increase funds to the current
contract and implement youth substance abuse prevention strategies.
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 increase funds to the current contract.
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 4 of 4
Amendment Contract Number: 2022*0168 Amendment #1 Ver 27.01.20
DocuSign Envelope ID: D0285F73-FC54-4C17-ACEC-E371A7330F4B
EXHIBIT B
STATEMENT OF WORK
To Original Contract Routing Number: 2022*0168
These provisions are to be read and interpreted in conjunction with the provisions of the contract specified above.
I. Entity Name: Weld County Department of Public Health and Environment
II. Project Description:
This project serves to improve the health of all Coloradans by reducing substance misuse among youth
through uses of Marijuana Tax Cash Funds. The Colorado Department of Public Health and
Environment (CDPHE) prioritized funding to reach this outcome using an evidence -based community -
organizing approach that reduces risk and increases protective factors that are also linked to long-term
reductions in violence and suicide, in addition to substance misuse. Special attention must be paid to
focusing these efforts on addressing racial justice and other oppressive systems within each community,
elevating all community voices and allowing community members to drive decision -making. During the
scope of this project, grantees can expect to see reductions in risk factors and increases in protective
factors. Under this model, funded community Coalition Member groups across the state will implement
the following:
1. Organize a group of youth, families, professional Coalition Members, in addition to formal and
informal leaders;
2. Build the capacity of Coalition Members to
a. assess the specific, well -researched Shared Risk and Protective Factors (factors that
increase the likelihood of a problem behavior or that buffer someone from the risks of a
problem behavior) among the youth in their communities;
b. select from a menu of proven or evidence -informed Primary Prevention strategies
(including programs) to address the factors most relevant among their local youth;
c. identify funding for the selected strategies;
d. implement those strategies aligned to best practices; and
e. evaluate the impact of their strategies.
Community Coalition Member groups will do this within their defined Geographic Areas of Focus.
Colorado youth in each of the funded communities across the state will benefit from this project due to
the increased presence of evidence -informed strategies and programs as a result of organized Coalition
Member efforts to impact gaps in preventing risk or promoting protective factors.
III. Definitions:
1. Authentic Community Engagement: Authentic Community Engagement is a two-way exchange
of information, ideas and resources. Community engagement should offer opportunities for
communities to exercise power in decision -making. It should also consider the diversity of our
communities, including culture and ethnicity, and see to create an inclusive and accessible process.
2. CDE: Colorado Department of Education
3. CDPHE: Colorado Department of Public Health and Environment
4. CMP: Collaborative Management Programs funded by CDHS
5. Coalition Members: Coalition members include all participants of the organized group engaged in
the CTC Model representative of the many sectors recommended to be a part of local prevention
decision -making: youth, parents, residents, public health, youth -serving organization, such as
mentoring and after school programs, local education authority, community -based organization
addressing prevention, local housing and human services, local community health and/or health care
organization, local law enforcement, local business, and elected officials. These Coalition Members
should represent the diversity of the community they represent. Coalition Members is inclusive of
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Amendment Contract Number: 2022*0168 Amendment #1 Ver. 01.11.19
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EXHIBIT B
participants in the key leader board, community board, and workgroups as outlined in the CTC
Model.
6. Community Assessment: The Community Assessment is a process where communities use data
from their Geographic Area of Focus (or larger region/state when local data is not available) that
identifies gaps in prevention to reduce risk and increase protective factors that improve youth health
outcomes. The Community Assessment also includes assessing available resources within the
Geographic Area of Focus to implement a comprehensive Prevention Science approach. The
resources assessed indicate both need and readiness or capacity to reduce risk or increase protection.
7. Community Action Plan (CAP): This comprehensive and community -wide action plan defines the
community engagement process and Primary Prevention plan of CTC. Part 1 of this plan includes
the Coalition Members engaged, existing Primary Prevention efforts within the community, the
prioritization process of the data, the risk and protective factors that the community selected to
address, and the selected Primary Prevention strategies and programs that the community, not the
lead agency, has decided to prioritize to reduce those risk or improve those protective factors. The
plan is ideally comprehensive when it includes strategies and practices that cross the Socio-
Ecological Model, including programs for individuals and families, policy improvements for
organization and local governance, and efforts to shift the community norms to reflect the Social
Development Strategy. Part 2 of this plan, sometimes called the implementation and evaluation
plan, ultimately specifies the steps that the community will take to implement the action plan,
capacity building, funding, and outlines how those steps will be measured for success. Part 2 of the
plan addresses gaps that exist within the community and is fluid as the Coalition Members shift
their implementation strategies to adjust to an ever-changing environment.
8. Communities That Care (CTC) Model: The CTC Model is an evidence -based community
engagement and Prevention Science approach identified as a promising program by the Blueprints
for Healthy Youth Development evidence -based registry. CTC includes 5 Phases of implementation
with milestones outlined for each phase:
Phase 1: Get Started
Phase 2: Get Involved
Phase 3: Develop Community Profile
Phase 4: Create a Plan
Phase 5: Implement and Evaluate
9. CTC Community Mobilizer: The CTC Community Mobilizer is responsible for supporting the
community Coalition groups to understand and implement the CTC Model. This position will
encourage the use of evidence -based approaches as the local Coalition plans, develops, implements,
monitors, and sustains prevention strategies aligned to community needs. The Community
Mobilizer's guidance and support throughout CTC implementation will advocate for community -
driven practices and emphasize capacity building of Coalition Members. This role will have various
responsibilities, and will also be tasked with sharing responsibility, leadership, and ownership with
the community Coalition Members. There is one CTC Community Mobilizer per Grantee.
10. CU Anschutz: University of Colorado Anschutz Medical Campus
11. DCJ: Division of Criminal Justice
12. DfC: Drug Free Communities Grant recipients from the Office of National Drug Control and Policy
13. External Evaluation Entity: CDPHE will hire an external evaluation agency to conduct cross -site
evaluation of implementation across the state, as well as to provide subject matter expertise and
technical assistance to improve data -driven decision -making and local evaluation planning for
CAPS.
14. FTE: Full Time Equivalent staff.
15. Geographic Area of Focus: the boundaries of the community selected for intervention by the
Contractor. Defined geographic boundaries support the External Evaluation Entity in identifying
data sources to monitor for outcome evaluation over time.
16. HKCS: Healthy Kids Colorado Survey
17. MCH: Maternal Child Health programs funded at local public health agencies throughout the state.
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Amendment Contract Number: 2022*0168 Amendment #1 Ver. 01.11.19
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EXHIBIT B
18. OBH: Office of Behavioral Health at the Colorado Department of Human Services
19. Prevention Science: Prevention Science focuses on the development of evidence -based strategies
that reduce risk factors and enhance protective factors to improve the health and wellbeing of
individuals, families, and communities. A central tenet of Prevention Science is the promotion of
health equity and reduction of disparities by studying how social, economic and racial inequalities
and discrimination influence healthy development and wellbeing. The application of well -tested
practices, strategies and policies generated by Prevention Science can lead to substantial cost -
savings by investing in upstream strategies to avoid downstream costs. An integrated delivery
system of comprehensive evidence -based prevention strategies that crosses many public sectors
with scientifically -based guidance and resources to legislative and administrative decision -makers
will facilitate the integration of best practices from Prevention Science into policy.
20. Primary Prevention: As defined by the Centers for Disease Control's (CDC) Principles of
Prevention Guide, Primary Prevention takes place BEFORE substance misuse (or other health
behavior) initially occurs. It involves programs and strategies designed to reduce the factors that put
people at risk for substance misuse or exposure. Or, they encourage the factors that protect or buffer
people from substances.
21. Positive Youth Development (PYD): PYD is an approach that guides communities and
organizations in the way that they organize services, opportunities and supports. In practice, this
approach incorporates the development of skills, opportunities and authentic relationships into
progams, practices and policies, so that young people reach their full potential.
22. SB94: Programs funded by CDHS authorized through Senate Bill 94.
23. Shared Risk and Protective Factors: Research from the Centers of Disease Control and
Prevention shows that many forms of violence and injury are connected and share many of the same
risk and protective factors. These factors can put someone more or less at risk of experiencing
substance misuse, poor educational attainment, violence and injury.
24. Social Development Strategy (SDS): Providing young people with opportunities, skills and
recognition strengthens bonding with family, school and community. Strong bonds motivate young
people to adopt healthy standards for behavior. The strategy has five key components:
1) Opportunities: Provide developmentally appropriate opportunities to young people, for active
participation and meaningful interaction with prosocial others.
2) Skills: Teach young people the skills they need to succeed
3) Recognition: Provide consistent specific praise and recognition for effort, improvement, and
achievement.
4) Bonding: Acknowledge a young person's effort and promote positive bonding — a sense of
attachment, emotional connection and commitment to the people and groups who provide that
recognition. Bonding can occur with a family member, teacher, coach, employer or neighbor.
5) Clear Standards for Behavior: Through the process of bonding, young people become motivated
to live according to the healthy standards of the person or group to whom they are bonded.
25. Socio-Ecological Model: CDC uses a four -level Social -Ecological Model to better understand
domains that influence decisions, behaviors, and outcomes and the effect of potential prevention
strategies in influencing positive changes in these domains. This model considers the complex
interplay between individual, relationship, community, and societal factors.
26. State -funded programs: Examples of state -funded prevention programs include the Tony
Grampsas Youth Services projects, sexual violence prevention programs, communities funded by
the Office of Suicide Prevention, Maternal Child Health, CDE grantees, collaborative management
programs, community substance misuse treatment programs funded by OBH, Senate Bill 94
programs, Regional Accountable Entities funded by Health Care Policy and Financing, and other
Division of Criminal Justice programs.
27. Substance misuse: substance misuse among youth includes underage use of marijuana and alcohol
and the misuse of prescription drugs/opioids. Additional substances may be included in the
definition of substance misuse by a community if they have documented data of misuse or abuse
among youth in their community, excluding tobacco.
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Amendment Contract Number: 2022*0168 Amendment #1 Ver. 01.11.19
DocuSign Envelope ID: D0285F73-FC54-4C17-ACEC-E371A7330F4B
EXHIBIT B
28. TGYS: Tony Grampsas Youth Services grants for Primary Prevention programs in communities.
IV. Work Plan:
Goal #1: Create healthy, thriving and resilient communities, free from violence and injury.
Objective #1: No later than the expiration date of this contract, maintain an organized group of
Coalition Members who are prepared to use Prevention Science to impact Shared Risk and
Protective Factors in the lives of youth in their Geographic Area of Focus.
Primary
Activity #1
The Contractor shall facilitate a group of Coalition Members that represent the
Geographic Area of Focus through the milestones of Phases 1 in addition to 2 of
the Community That Care (CTC) Model, in order to develop their capacity to
drive decisions that promote Prevention Science within their community.
Sub -Activities
#1
1. The Contractor shall provide a CTC Community Mobilizer that is 0.75 FTE or
greater.
2. The Contractor shall define the parameters of the Geographic Area of Focus in
order to recruit Coalition Members from the area.
3. The Contractor shall facilitate diverse Coalition Members to serve on the key
leader board in addition to community board.
4. The Contractor shall provide a list of middle schools in addition to high
schools in their Geographic Area of Focus to the University of Colorado
Anschutz Medical Campus (CU Anschutz) Healthy Kids Colorado Survey
(HKCS) team to encourage focused recruitment of those schools in the HKCS.
5. The Contractor shall facilitate leaders of state -funded upstream prevention
projects within the Geographic Area of Focus to participate in the CTC
process.
6. The Contractor shall facilitate leaders of state -funded opioid prevention
projects within the Geographic Area of Focus to participate in the CTC
process.
7. The Contractor shall facilitate leaders of state -funded opioid intervention
projects within the Geographic Area of Focus to participate in the CTC
process.
8. The Contractor shall perform as a liaison linking CU Anschutz HKCS staff to
schools for recruitment for survey administration.
9. The Contractor shall record a report sharing agreement with local schools to
receive HKCS scaled risk as well as protective factor reports once every two
(2) years.
10. The Contractor shall provide professional development opportunities to
support the CTC Community Mobilizer's ability to effectively facilitate
Coalition Member growth in addition to sustainability to address Prevention
Science.
11. The Contractor shall use group facilitation skills as well as tools, provided by
CDPHE, to guide the Coalition Members through the CTC process.
12. The Contractor shall facilitate the Coalition Member's development through
the milestones of Phases 1 and 2 in the CTC Model.
13. The Contractor shall build Coalition Members' capacity to implement
Prevention Science approaches within the community.
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Amendment Contract Number: 2022*0168 Amendment #1
Ver. 01.11.19
DocuSign Envelope ID: D0285F73-FC54-4C17-ACEC-E371A7330F4B
EXHIBIT B
14. The Contractor shall implement milestones from Phases 1 in addition to 2
needed to support Coalition Member progress in achieving milestones from
Phases 3-5.
15. The Contractor shall facilitate a minimum of one (1) Coalition Member
meeting per month.
16. The Contractor shall complete the CTC milestones tool.
17. The Contractor shall distribute community Coalition Members agendas,
resources, and updates in advance to prepare for meetings.
18. The Contractor shall facilitate delegation of CTC Model, workgroup, and
phase tasks.
19. The Contractor shall train Coalition Members to expand community outreach.
20. The Contractor shall participate in all required technical assistance meetings
conducted by the CDPHE CTC team.
21. The Contractor shall complete an equity assessment to identify the ways in
which CTC community mobilizing contributes to oppression in the
community.
22. The Contractor shall implement changes identified in the equity assessment.
23. The Contractor shall attend all cross -site evaluation activities required by the
External Evaluation Entity.
24. The Contractor shall schedule training in addition to technical assistance from
the External Evaluation Entity on how to use local data to drive decision -
making.
25. The Contractor shall document progress on this primary activity in addition to
alignment to the CTC Model in the regular progress reports, using the CDPHE
provided template.
Primary
The Contractor shall document an updated Community Assessment based on data
Activity #2
from the Geographic Area of Focus.
1. The Contractor shall facilitate the activities outlined in the Phase 3 of the
Milestones with appropriate timing for effective Coalition Member progress.
2. The Contractor shall summarize data about Shared Risk and Protective Factors
in the Geographic Area of Focus.
3. The Contractor shall identify existing Primary Prevention approaches intended
to impact their prioritized Shared Risk and Protective Factors.
4. The Contractor shall complete a resource assessment that outlines readiness to
enhance existing Primary Prevention approaches aligned to their prioritized
Shared Risk and Protective Factors.
5. The Contractor shall complete a resource assessment that outlines readiness to
Sub -Activities
implement new Primary Prevention approaches aligned to their prioritized
#2
Shared Risk and Protective Factors.
6. The Contractor shall analyze Shared Risk and Protective Factor Data for
disproportionate impact on demographic segments of their community.
7. The Contractor shall request relevant data from community stakeholders to
further analyze gaps in local Shared Risk and Protective Factor efforts.
8. The Contractor shall document the Shared Risk and Protective Factors
prioritized by Coalition Members in the Community Assessment.
9. The Contractor shall document the readiness for Primary Prevention
approaches prioritized by Coalition Members in the Community Assessment.
10. The Contractor shall facilitate the Coalition Member's development through
the milestones of Phase 3 in the CTC Model.
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Amendment Contract Number: 2022*0168 Amendment #1
Ver. 01.11.19
DocuSign Envelope ID: D0285F73-FC54-4C17-ACEC-E371A7330F4B
EXHIBIT B
11. The Contractor shall implement milestones from Phase 3 needed to support
Coalition Member progress in achieving milestones from Phases 4-5.
12. The Contractor shall facilitate delegation of CTC Model, workgroup, and
phase tasks.
13. The Contractor shall schedule training and technical assistance from the
External Evaluation Entity on how to use local data to drive decision -making.
14. The Contractor shall complete the CTC milestones tool.
15. The Contractor shall document progress on this primary activity and
alignment to the CTC Model in the regular progress reports, using the CDPHE
provided template.
Primary
Activity #3
The Contractor shall document an updated, comprehensive Community Action
Plan (CAP) Part 1.
Sub -Activities
#3
1. The Contractor shall document the Primary Prevention strategy(ies) selected
by Coalition Members based on the Community Assessment into the CAP
Part 1.
2. The Contractor shall document the Primary Prevention program(s) selected by
Coalition Members based on the Community Assessment into the CAP Part 1.
3. The Contractor shall document the action steps required to implement the
selected Primary Prevention approaches into the CAP Part 1.
4. The Contractor shall facilitate the Coalition Member's development through
the milestones of Phase 4 in the CTC Model.
5. The Contractor shall implement milestones from Phase 4 needed to support
Coalition Member progress in achieving milestones from Phase 5.
6. The Contractor shall facilitate delegation of the following:
a. CTC Model,
b. workgroup, and
c. phase tasks.
7. The Contractor shall complete the CTC milestones tool.
8. The Contractor shall document evaluation measures for Prevention Science
strategy within the CAP Part 1.
9. The Contractor shall schedule training and technical assistance from the
External Evaluation Entity on how to identify evaluation measures for their
CAP Part 1.
10. The Contractor shall complete an equity assessment to anticipate the ways in
which selected Primary Prevention approaches may contribute to oppression
in the community.
11. The Contractor shall implement changes identified in the equity assessment.
12. The Contractor shall document progress on this primary activity and
alignment to the CTC Model in the regular progress reports, using the CDPHE
provided template.
Primary
Activity #4
The Contractor shall document progress on the CAP Part 2.
Sub -Activities
#4
1. The Contractor shall document implementation of any Primary Prevention
strategies focused on risk or protective factors within the community to avoid
duplication.
2. The Contractor shall document implementation of specific action steps and
related evaluation measures, using the CDPHE provided template.
Page 6 of 11
Amendment Contract Number: 2022*0168 Amendment #1
Ver. 01.11.19
DocuSign Envelope ID: D0285F73-FC54-4C17-ACEC-E371A7330F4B
EXHIBIT B
3. The Contractor shall document successes encountered by Coalition Members
while implementing CAP Part 2 strategies.
4. The Contractor shall document challenges encountered by Coalition Members
while implementing CAP Part 2 strategies.
5. The Contractor shall review CAP Part 2 activities to identify' appropriate lead
agency involvement and funding needs for sustainability.
6. The Contractor shall track Coalition Member progress toward implementation
of the steps outlined in the CAP.
7. The Contractor shall document Primary Prevention strategy and program
updates in the CAP Part 2.
8. The Contractor shall implement quality improvements to the CAP Part 2 that
align with outcome -focused planning.
9. The Contractor shall complete an equity assessment to identify the ways in
which CAP implementation contributes to oppression in the community.
10. The Contractor shall revise the CAP Part 2 implementation to adjust for issues
identified through an equity impact assessment.
11. The Contractor shall update the CTC milestones tool for Phase 5.
12. The Contractor shall complete the evaluation portions of the CAP Part 2, using
the CDPHE provided template.
13. The Contractor shall schedule training and technical assistance from the
External Evaluation Entity on how to complete the evaluation portions of the
CAP Part 2.
14. The Contractor shall document progress on this primary activity and
alignment to the CTC Model in the regular progress reports, using the CDPHE
provided template.
Page 7 of 11
Amendment Contract Number: 2022 *0168 Amendment #1 Ver. 01.11.19
DocuSign Envelope ID: D0285F73-FC54-4O17-ACEC-E371A7330F4B
EXHIBIT B
Standards and
Requirements
1. The content of electronic documents located on CDPHE and non-CDPHE
websites and information contained on CDPHE and non-CDPHE websites
may be updated periodically during the contract term. The Contractor shall
monitor the documents and website content for updates and comply with all
updates.
2. CDPHE will provide the Contractor with a list of all required technical
assistance meetings.
3. CDPHE will provide the Contractor with a list of all cross -site evaluation
activities required by the External Evaluation Entity.
4. CDPHE will provide the Contractor with the template to document
implementation of specific action steps and related evaluation measures.
5. The Contractor shall retain Coalition Members from state- in addition to
federally -funded programs that exist within their Geographic Area of Focus,
including other funded prevention programs from CDE, MCH, TGYS, CMPs,
SB94, DfCs, OBH, AG, or DCJ.
6. The Contractor shall adhere to the CTC Model for all activities. The CTC
Model is available at the following website:
https://www.communitiesthatcare.net/programs/ctc-plus/, which is
incorporated and made part of this Contract by reference.
7. CDPHE will provide a CTC milestones tool on which the Contractor can track
implementation of relevant activities.
8. The Contractor shall provide CDPHE with all information on any adjustments
made to the CTC Model.
9. CDPHE will provide the Contractor with the template for the implementation
and evaluation portions of the CAP Part 2.
10. The Contractor shall update the CTC milestones tool with input from the
workgroups, boards, other Coalition Members engaged in CTC based on
guidance from the CDPHE Staff.
11. CDPHE will provide the Contractor with a program manual that outlines CTC
Model implementation expectations.
12. The Contractor shall require the CTC Community Mobilizer to demonstrate
the skills identified in the CTC Community Mobilizer job description in
addition to the skills assessment.
13. CDPHE will provide the Contractor with group facilitation skills in addition to
tools to help guide the Coalition Members engaged in the CTC Model.
14. The Contractor shall have a minimum of one (1) trained CTC Community
Mobilizer present at each Coalition Member meeting.
15. The Contractor shall require that all CTC Community Mobilizers using the
CTC Model have successfully completed the Community Mobilizer Training
in advance of launching CTC Model in their communities.
16. The Contractor shall require that all CTC Community Mobilizers using the
CTC Model are working with a CTC coach in advance of launching CTC
Model in their communities.
17. The Contractor shall adhere to all CTC Plus license agreement requirements.
18. The Contractor shall facilitate the CTC Coalition toward implementation in
addition to improvement across all six of the Elements of Effective Coalitions,
found at https://drive.google.com/file/d/l0pk-
oiLdexeUbaGEomGg6DGc5dIjpGG7/view, incorporated and made part of
this Contract by reference.
19. The Contractor shall include a CTC Community Mobilizer for all required
technical assistance meetings.
Page 8 of 11
Amendment Contract Number: 2022*0168 Amendment #1
Ver. 01.11.19
DocuSign Envelope ID: D0285F73-FC54-4C17-ACEC-E371A7330F4B
EXHIBIT B
20. The Contractor shall assist in all data collection efforts from the External
Evaluation Entity in order to help with continuous program quality
improvement, upon request by CDPHE.
21. The Contractor shall not disseminate any surveys in schools that collect health
and shared risk or protective factor data similar to HKCS.
22. The Contractor shall use training in addition to technical assistance from the
External Evaluation Entity to complete the evaluation portions of the CAP
Part 2.
23. The Contractor shall use the Office of Health Equity's Sweet Tool on
Authentic Community Engagement to move through the spectrum of
engagement toward Shared Leadership with Coalition Members. This
information is incorporated and made part of this Contract by reference, and is
available at the following website: https://drive.google.com/file/d/119IenKB-
zvTeQHUj anBOMS7rkx-Wr-UJ/view
24. The Contractor shall develop a Community Assessment in collaboration with
the existing local community health assessment required in the Public Health
Act of 2008.
25. The Contractor shall provide Coalition Member meetings with access to these
items:
a. convenient location,
b. meetings held at a convenient time that does not conflict with work
and school schedules,
c. available public transportation,
d. childcare accessibility,
e. interpretation needs,
f. food,
g. accessible facilities that are inclusive for all coalition members.
26. The Contractor shall reimburse Coalition Members for their time and expertise
if they participate outside of their employment or paid time.
27. The Contractor shall provide language interpretation at CTC Coalition
Member meetings when there are non-English speaking community members
participating.
28. The Contractor shall use annual feedback from cross -site evaluation activities
required by the External Evaluation Entity to identify opportunities for
development in addition to quality improvement that will support program
outcomes.
29. The Contractor shall require staff to participate in professional development
opportunities, including grantee meetings, the Community Mobilizer training,
effective facilitation strategies, positive youth development, accessing data
resources, prevention -science, in addition to other trainings as identified by
CDPHE.
30. The Contractor shall use the positive youth development in action rubrics
(adult and youth version) to build capacity and evaluate effective youth
involvement. This document is incorporated and made part of this Contract by
reference and is available at the following website:
https://sites.google.com/state.co.us/pydinaction/resources
31. CDPHE will provide the Contractor with a menu of Primary Prevention
strategies across the Socio-Ecological Model for Coalition Member's
implementation within the CAP.
32. The Contractor shall comply with the National Standards for Culturally and
Linguistically Appropriate Services in Health Care (CLAS Standards) website
Page 9 of 11
Amendment Contract Number: 2022*0168 Amendment #1
Ver. 01.11.19
DocuSign Envelope ID: D0285F73-FC54-4C17-ACEC-E371A7330F4B
EXHIBIT B
for all health related communications. This document is incorporated and
made part of this Contract by reference and is available at the following
website: https://thinkculturalhealth.hhs.gov/clas/blueprint.
33. The Contractor shall not use CTC funds to purchase ad space for existing
statewide social marketing campaigns.
34. The Contractor shall use only marijuana research or statements on the health
effects outlined by the Retail Marijuana Public Health Advisory Committee.
These approved health statements and factsheets are incorporated and made
part of this Contract by reference and are available on the following website
https://marijuanahealthinfo.colorado.gov/.
35. The Contractor shall use the CDPHE-approved progress and final report
templates, to be provided by CDPHE.
36. The Contractor shall provide to CDPHE upon request written procedures
related to gift card purchase and handling. At a minimum, the procedures must
include the following:
a. How the gift card inventory is tracked and maintained;
b. Gift card storage and safeguards against theft;
c. The primary person responsible for securing and distribution gift cards;
d. A gift card distribution log that records each gift card number, dollar
amount, reason for receiving the gift card, and the printed name and
signature of each gift card recipient.
37. The Contractor shall provide CDPHE with an updated staff roster of CTC
Community Mobilizers in addition to other staff within two (2) weeks of any
staffing change.
38. The Contractor shall consult with their CDPHE Staff prior to making changes
to Parts 1 or 2 of the Community Action Plan that would alter the objectives
of either plan in order to maintain alignment to best practices.
39. CDPHE will review and provide feedback on best practices for Parts 1 in
addition to 2 of the Community Action Plan within twenty (20) business days.
40. The Contractor shall consult with their CDPHE Staff on feedback for Parts 1
in addition to 2 of the Community Action Plan prior to strategy and program
implementation.
41. The Contractor shall use current social marketing campaign materials
provided by CDPHE, when social norms change is selected as part of the
CAP.
Expected
Results of
Activity(s)
Maintain high capacity groups of Coalition Members who are ready to drive
decision -making throughout the community to support advancing health equity in
their Geographic Area of Focus, including the Social Development Strategy.
Coalition Members lead the following:
1. assess the specific, well -researched Shared Risk and Protective Factors
(factors that increase the likelihood of a problem behavior or buffer
someone from the risks of a problem behavior) among the youth in their
communities;
2. select from a menu of proven or evidence -informed Primary Prevention
strategies (including programs) to address the factors most relevant among
their local youth;
3. identify funding for the selected strategies;
4. implement those strategies aligned to best practices,
Page 10 of 11
Amendment Contract Number: 2022*0168 Amendment #1
Ver. 01.11.19
DocuSign Envelope ID: D0285F73-FC54-4C17-ACEC-E371A7330F4B
EXHIBIT B
5. evaluate the impact of chosen strategies,
Measurement
of Expected
Results
1. Progress report on primary activities using a CDPHE approved template.
Completion
Date
Deliverables
1. The Contractor shall submit a progress report on primary
activities using a CDPHE approved template.
No later than
9/30, 12/31,
3/31, 6/30
annually
V. Monitoring:
CDPHE's monitoring of this contract for compliance with performance requirements will be conducted
throughout the contract period by the CDPHE Staff. Methods used will include a review of
documentation determined by CDPHE to be reflective of performance to include progress reports and
other fiscal and programmatic documentation as applicable. The Contractor's performance will be
evaluated at set intervals and communicated to the contractor. A Final Contractor Performance
Evaluation will be conducted at the end of the life of the contract.
VI. Resolution of Non -Compliance:
The Contractor will be notified in writing within fifteen (15) calendar days of discovery of a compliance
issue. Within thirty (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 Staff 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 11 of 11
Amendment Contract Number: 2022 *0168 Amendment #1 Ver. 0 l .11.19
DocuSign Envelope ID: D0285F73-FC54-4C17-ACEC-E371A7330F4B
Exhibit C Budget
AS
COLORADO
Department of Public
Health £r Environment
PREVENTION SERVICES DIVISION- 12 MONTH BUDGET WITH JUSTIFICATION FORM
Original Contract Routing # 2022*0168
Contractor Name
Weld County Department of Public Health and
Environment July 1, 2022 -June 30, 2023
Program Contact Name,
Title, Phone and Email
Melanie Cyphers, CTC Supervisor,
970.400.2385,
mcyphers@weldgov.com
Budget Period
July 1, 2022 -June 30, 2023
Fiscal Contact Name, Title,
Phone and Email
Tanya Geiser, Finance Director
(970) 400-2122;
tgeiser@weldgov.com
Project Name
Shared Risk and Protective Factor Approach to
Substance Misuse Prevention: Milliken -Johnstown
Communities That Care
Contract (CT or PO)
Number
CT FHLA 2022*0168
Expenditure Categories
Personal Services
Salaried Employees
Position Title
Description of Work
Gross or
Annual
Salary
Fringe
Percent of
Time on
Proiect
Total Amount
Requested from
CDPHE
Health Ed Specialist I
(Communities That Care
Mobilizer)
This position is responsible for coordinating the
Communities That Care project (CTC) with fidelity,
including Community Board and Key Leader Board
member engagement; communication; meetings;
reporting on the project; maintaining
communication with community members; and
coordinating implementation of evidence -based
youth substance abuse prevention strategies. This
position is .98 FTE.
$ 64,712.51
$ 25,529.09
98.0%
$ 88,436.77
CTC Program Supervisor
This position is responsible for championing the
project with leadership, supervising personnel on
the project, managing budget development and
project expenditures, and reviewing contract
deliverables. 0.15 FTE
$ 86,961.49
$ 34,306.31
15.0%
$ 18,190.17
Division Director
Provide overall program administration, budget
management, and supervision of staff. 0.01 FTE
$ 123,492.29
$ 48,717.71
1.0%
$ 1,722.10
Fringe
Fringe benefits are 39.45%. Components included
are: 1.45% Medicare, .09% unemployment, .08%
worker's compensation, 14.22% PERA, .33% life
insurance, 12.13% health insurance, 4.6%
vacation, 4.23% holidays and 2.3% sick leave.
$ -
Personal Services
Hourly Employees
Contract Amendment Number: 2022*0168 Amendment #1
Page 1 of 8
January 2018
DocuSign Envelope ID: O0285F73-FC54-4C17-ACEC-E371A7330F4B
Exhibit C Budget
PREVENTION SERVICES DIVISION- 12 MONTH BUDGET WITH JUSTIFICATION FORM
Original Contract Routing # 2022*0168
Contractor Name
Weld County Department of Public Health and
Environment July 1, 2022 -June 30, 2023
Program Contact Name,
Title, Phone and Email
Melanie Cyphers, CTC Supervisor,
970.400.2385,
mcyphers@weldgov.com
Budget Period
July 1, 2022 -June 30, 2023
Fiscal Contact Name, Title,
Phone and Email
Tanya Geiser, Finance Director
(970) 400-2122;
tgeiser@weldgov.com
Project Name
Shared Risk and Protective Factor Approach to
Substance Misuse Prevention: Milliken -Johnstown
Communities That Care
Contract (CT or PO)
Number
CT FHLA 2022*0168
Position Title
Description of Work
Hourly Wage
Hourly
Fringe
Total # of
Hours on
Proiect
Total Amount
Requested from
CDPHE
Public Health Public
Relations Specialist
Will provide desktop publishing, design, and video
editing as needed to assist CTC coalition in
promotion and marketing of community outreach
activities and community action plan
implementation activities. (Approximately 6
hours/ year x $38.54/hour = $231.24)
$ 27.64
$ 10.90
6.0
$ 231.24
Community Champion
This RFA recommended position supports the CTC
Community Mobilizer and the Johnstown/Milliken
CTC Coalition to include: capacity building and
recruitment activities to address gaps in coalition
participation and representation in parents and
school staff; promoting and building public
support for strategy implementation;
collaborating with community partners to develop
equitable population reach. (22 hours/month x 12
months at $21.50/hour)
$ 21.50
$ 3.90
264.0
$ 6,705.60
Youth Advisors
Two high school -aged youth coalition members
who advise the implementation of the CTC
process, participate in strategy team meetings, co -
lead workgroups, provide a bridge to the youth
community, help recruit youth participants,
promote the efforts of strategy teams and the
Johnstown/Milliken CTC Coalition, promote
Positive Youth Development and prevention
principles, and support action planning and
implementation of youth community involvement
activities and youth skill building opportunities.
(2 advisors x 3 hours/week x 42 weeks during the
school year + 2 advisors x 10 hours/week x 10
weeks during the summer at $15.20/hour)
$ 15.20
$ 1.17
452.0
$ 7,399.24
Total Personal Services "°{including fringe "benefits}
$ -, X23;6!#5:12
Contract Amendment Number: 2022*0168 Amendment #1
Page 2 of 8
January 2018
DocuSign Envelope ID: D0285F73-FC54-4C17-ACEC-E371A7330F46
Exhibit C Budget
PREVENTION SERVICES DIVISION- 12 MONTH BUDGET WITH JUSTIFICATION FORM
Original Contract Routing # 2022*0168
Contractor Name
Weld County Department of Public Health and
Environment July 1, 2022 -June 30, 2023
Program Contact Name,
Title, Phone and Email
Melanie Cyphers, CTC Supervisor,
970.400.2385,
mcyphers@weldgov.com
Budget Period
July 1, 2022 -June 30, 2023
Fiscal Contact Name, Title,
Phone and Email
Tanya Geiser, Finance Director
(970) 400-2122;
tgeiser@weldgov.com
Project Name
Shared Risk and Protective Factor Approach to
Substance Misuse Prevention: Milliken -Johnstown
Communities That Care
Contract (CT or PO)
Number
CT FHLA 2022*0168
Supplies & Operating Expenses
Item
Description of Item
Rate
Quantity
Total Amount
Requested from
CDPHE
Printing/Copies
Printing and photocopying: black & white $0.02 cents per copy x
4,500 = $90; color @ $0.06 cents per copy x 1000= $60.00 [avg
$12.50/month]
$ 12.50
12.0
$ 150.00
Office Supplies
Office supplies and materials for 12 community coalition and
workgroup meetings. ($10 x 12 meetings = $120.00)
$ 10.00
12.0
$ 120.00
Phone
150 of Monthly cell phone usage ($60.00 monthly charge) for
CTC Program Supervisor (12 x $9.00= $108.00); this may vary
according to actual percent of time spent in this program.
$ 9.00
12.0
$ 108.00
Registration: Shared Risk
and Protective Factor
(SRPF) Conference Adult
Staff
Registration cost for CTC Mobilizer, and CTC Community
Champion to attend the Shared Risk and Protective Factors (SRPF)
Conference with the intent to build skills and increase knowledge
that will enhance implementation of evidence -based prevention
practices, policies, and programs. ($200/registration x 2 adults =
$400.00).
$ 200.00
2.0
$ 400.00
Registration: Shared Risk
and Protective Factor
(SRPF) Conference Adult
Coalition Members
(participant support cost
excluded from indirect)
Registration cost for 2 Johnstown/Milliken CTC adult coalition
members to attend the Shared Risk and Protective Factors (SRPF)
Conference with the intent to build skills and increase knowledge
that will enhance implementation of evidence -based prevention
practices, policies, and programs. ($200/registration x 2 adults =
$400.00).
$ 200.00
2.0
$ 400.00
Registration: Shared Risk
and Protective Factor
(SRPF) Conference Youth
Staff
Registration cost for 2 paid CTC Youth Advisors to attend the
Shared Risk and Protective Factors (SRPF) Conference with the
intent to build skills and increase knowledge that will strengthen g g
collaboration efforts and assist in the implementation and
sustainability of the CTC SOW. ($50/registration x 2 = $100.00)
$ 50.00
2.0
$ 100.00
Contract Amendment Number: 2022*0168 Amendment #1
Page 3 of 8
January 2018
DocuSign Envelope ID: D0285F73-FC54-4C17-ACEC-E371A7330F4B
Exhibit C Budget
PREVENTION SERVICES DIVISION- 12 MONTH BUDGET WITH JUSTIFICATION FORM
Original Contract Routing # 2022*0168
Contractor Name
Weld County Department of Public Health and
Environment July 1, 2022 -June 30, 2023
Program Contact Name,
Title, Phone and Email
Melanie Cyphers, CTC Supervisor,
970.400.2385,
mcyphers@weldgov.com
Budget Period
July 1, 2022 -June 30, 2023
Fiscal Contact Name, Title,
Phone and Email
Tanya Geiser, Finance Director
(970) 400-2122;
tgeiser@weldgov.com
Project Name
Shared Risk and Protective Factor Approach to
Substance Misuse Prevention: Milliken -Johnstown
Communities That Care
Contract (CT or PO)
Number
CT FHLA 2022*0168
Registration: Shared Risk
and Protective Factor
(SRPF) Conference Youth
Coalition Members
(participant support cost
excluded from indirect)
Registration cost for 2 youth coalition members to attend the
Shared Risk and Protective Factors (SRPF) Conference with the
intent to build skills and increase knowledge that will strengthen g g
collaboration efforts and assist in the implementation and
sustainability of the CTC SOW. ($50/registration x 2 = $100.00)
$ 50.00
2.0
$ 100.00
Registration:
Strengthening Colorado
Families and Communities
Conference (SCFC) Adult
Staff
Registration cost for CTC Mobilizer or CTC Community Champion
to attend the SCFC Conference with the intent to build skills and
increase knowledge in community outreach and implementation
of evidence -based prevention practices, policies, and programs
which strengthen implementation and sustainability of the CTC
program. ($100/registration x 1 person = $100.00)
$ 100.00
1.0
$ 100.00
Registration:
Strengthening Colorado
Families and Communities
Conference (SCFC) Adult
Coalition members
(participant support cost
excluded from indirect)
Registration cost for 1 Johnstown/Milliken CTC Coalition member
to attend the SCFC Conference with the intent to build skills and
increase knowledge in community outreach and implementation
of evidence -based prevention practices, policies, and programs
which strengthen implementation and sustainability of the CTC
program. ($100/registration x 1 person = $100.00)
$ 100.00
1.0
$ 100.00
Registration: National
Youth Advocacy and
Resilience Conference
Adult Staff
Registration cost for CTC Mobilizer or CTC Community Champion
to attend the National Youth Advocacy and Resilience Conference
in Georgia with the intent to support the Social Development
Strategy, Positive Youth Development approaches, and to
implement Prevention science approaches within the community.
($450.00/registration x 1= $450.00)
$ 450.00
1.0
$ 450.00
Registration: National
Youth Advocacy and
Resilience Conference
Adult Coalition Member
(participant support cost
excluded from indirect)
Registration cost for 1 Johnstown/Milliken adult coalition
member to attend the National Youth Advocacy and Resilience
Conference in Georgia with the intent to support the Social
Development Strategy, Positive Youth Development a
p gy, p approaches,
and to implement Prevention science approaches within the
community. ($450.00/registration x 1 = $450.00)
$ 450.00
1.0
$ 450.00
Contract Amendment Number: 2022*0168 Amendment #1
Page 4 of 8
January 2018
DocuSign Envelope ID: D0285F73-FC54-4017-ACEC-E371A7330F48
Exhibit C Budget
PREVENTION SERVICES DIVISION- 12 MONTH BUDGET WITH JUSTIFICATION FORM
Original Contract Routing # 2022*0168
Contractor Name
Weld County Department of Public Health and
Environment July 1, 2022 -June 30, 2023
Program Contact Name,
Title, Phone and Email
Melanie Cyphers, CTC Supervisor,
970.400.2385,
mcyphers@weldgov.com
Budget Period
July 1, 2022 -June 30, 2023
Fiscal Contact Name, Title,
Phone and Email
Tanya Geiser, Finance Director
(970) 400-2122;
tgeiser@weldgov.com
Project Name
Shared Risk and Protective Factor Approach to
Substance Misuse Prevention: Milliken -Johnstown
Communities That Care
Contract (CT or PO)
Number
CT FHLA 2022*0168
Promotional Materials
Promotional materials used to promote youth participation and
engagement in positive youth development activities and
enhance work described in CTC implementation plan such as t -
shirts for youth advisory board and youth coalition and items
such as lip balm, pop sockets, imprinted water bottles, fidgets,
stress balls, and draw string bags to be used at community
marketing and recruitment events for CTC. (50 shirts x $11.75 =
$587.50, items for 5 events x $100.00=$500.00. Total estimated
at = $1087.50.)0
$ 1,087.50
1.0
$ 1,087.50
Coalition Incentives
(participant support cost
excluded from indirect)
CTC Coalition incentives used to acknowledge community
members (parent, youth, or resident) time and expertise to
contribute to the goals of the coalition, retain support at coalition
meetings, workgroup meetings, and annual strategic reflection
meeting . Items such as gift cards to provide incentives for at
least 25 adult or youth community members. ($25 x 20 people =
$500.00.)
$ 25.00
20.0
$ 500.00
Youth Coalition Meeting
Costs
Beverage and food for 10 youth coalition in person meetings
during the year to incentivize meeting attendance and
for students especially when meetings occur after
participation p yh$
school during dinner hours. (estimated $10.00/person x 10 youth
x 10 meetings = $1000.00.)
10.00
100.0
$ 1,000.00
Adult Community Coalition
Meeting Costs
Food for Adult Johnstown/Milliken CTC Coalition in person
meetings to incentivize meeting attendance and participation
especially when meetings occur during the lunch or dinner hour.
(Estimated at $10.00/person x 15 people x 10 meetings =
$1500.00)
$ 10.00
150.0
$ 1,500.00
Total Supplies 8t +Qperat'rr>rg
$ SiT
Travel
Item
Description of Item
Rate
Quantity
Total Amount
Requested from
CDPHE
Staff Mileage
Reimbursement
Mileage for CTC Community Mobilizer to facilitate community
engagement and coalition work within Weld County and travel to
trainings and/or conferences including the SRPF Conference and
Public Health in the Rockies. Mileage is paid at the 2022 county
rate of $0.565 per mile.
$ 0.565
800.5
$ 452.28
Contract Amendment Number: 2022*0168 Amendment #1
Page 5 of 8
January 2018
DocuSign Envelope ID: D0285F73-FC54-4C17-ACEC-E371A7330F4B
Exhibit C Budget
PREVENTION SERVICES DIVISION- 12 MONTH BUDGET WITH JUSTIFICATION FORM
Original Contract Routing # 2022*0168
Contractor Name
Weld County Department of Public Health and
Environment July 1, 2022 -June 30, 2023
Program Contact Name,
Title, Phone and Email
Melanie Cyphers, CTC Supervisor,
970.400.2385,
mcyphers@weldgov.com
Budget Period
July 1, 2022 -June 30, 2023
Fiscal Contact Name, Title,
Phone and Email
Tanya Geiser, Finance Director
(970) 400-2122;
tgeiser@weldgov.com
Project Name
Shared Risk and Protective Factor Approach to
Substance Misuse Prevention: Milliken -Johnstown
Communities That Care
Contract (CT or PO)
Number
CT FHLA 2022*0168
Conference Lodging: SRPF
Adult and Youth Staff
Hotel cost for CTC Community Mobilizer, CTC Community
Champion and 2 CTC Youth Advisors to attend 4 days at the
Shared Risk & Protective Factor (SRPF) Conference. ($250/night x
3 nights x 2 rooms = $1500.00).
$ 250.00
6.0
$ 1,500.00
Conference Lodging: SRPF
Adult and Youth Coalition
Members (Participant
support cost excluded
from indirect)
Hotel cost for 2 adult and 2 youth Johnstown/Milliken CTC
Coalition members to attend 4 days at the Shared Risk &
Protective Factor (SRPF) Conference. ($250/night x 3 nights x 2
rooms = $1500.00).
$ 250.00
6.0
$ 1,500.00
Conference Meals: SRPF
Adult and Youth Staff
Off -site meal costs for CTC Community Mobilizer, CTC
Community Champion and 2 CTC Youth Advisors to attend 4 days
at the Shared Risk & Protective Factor (SRPF) Conference.
($20/day/person x 3 days x 4 people = $240.00).
$ 20.00
12.0
$ 240.00
Conference Meals: SRPF
Adult and Youth Coalition
Members (Participant
support cost excluded
from indirect)
Off -site meal costs for 2 adult and 2 youth Johnstown/Milliken
CTC coalition members to attend 4 days at the Shared Risk &
Protective Factor (SRPF) Conference. ($20/day/person x 3 days x
4 people = $240.00).
$ 20.00
12.0
$ 240.00
Conference Lodging: SCFC
Adult Staff
Hotel cost for CTC Community Mobilizer or CTC Community
Champion to attend 3 days at the Strengthening Families
Conference (SCFC) in Pueblo, Colorado. ($225/night x 3 nights x 1
room = $675.00)
$ 225.00
3.0
$ 675.00
Conference Lodging: SCFC
Adult Coalition Members
(participant support cost
excluded from indirect)
Hotel cost for 1 Johnstown/Milliken CTC coalition member to
attend 3 days at the Strengthening Families Conference SCFC in
y gt g (SCFC) '
pueblo, Colorado. ($225/night x 3 nights x 1 room = $675.00)
$ 225.00
3.0
$ 675.00
Conference Meals: SCFC
Adult Staff
Off -site meal costs for CTC Community Mobilizer or CTC
Community Champion to attend the 3 days at the Strengthening
Families Conference (SCFC) in Pueblo, Colorado. ($20/day/person
x 3 days x 1 person = $60.00).
$ 20.00
3.0
$ 60.00
Conference Meals: SCFC
Adult Coalition Members
(participant support cost
excluded from indirect)
Off -site meal costs for 1 Johnstown/Milliken adult CTC coalition
member to attend the 3 days at the Strengthening Families
Conference (SCFC) in Pueblo, Colorado. ($20/day/person x 3 days
x 1 person = $60.00).
$ 20.00
3.0
$ 60.00
Conference Lodging: NYAR
Conference (Adult Staff)
Hotel cost for CTC Community Mobilizer or Community Champion
to attend 4 days at the National Youth Advocacy and Resilience
y
(NYAR) Conference. ($250/night x 4 nights x 1 room = $1000.00).
$ 250.00
4.0
$ 1,000.00
Contract Amendment Number: 2022*0168 Amendment #1
Page 6 of 8
January 2018
DocuSign Envelope ID: D0285F73-FC54-4C17-ACEC-E371A7330F4B
Exhibit C Budget
PREVENTION SERVICES DIVISION- 12 MONTH BUDGET WITH JUSTIFICATION FORM
Original Contract Routing # 2022*0168
Contractor Name
Weld County Department of Public Health and
Environment July 1, 2022 -June 30, 2023
Program Contact Name,
Title, Phone and Email
Melanie Cyphers, CTC Supervisor,
970.400.2385,
mcyphers@weldgov.com
Budget Period
July 1, 2022 -June 30, 2023
Fiscal Contact Name, Title,
Phone and Email
p
Tanya Geiser, Finance Director
(970) 400-2122;
tgeiser@weldgov.com
Project Name
Shared Risk and Protective Factor Approach to
Substance Misuse Prevention: Milliken -Johnstown
Communities That Care
Contract (CT or PO)
Number
CT FHLA 2022*0168
Conference Lodging: NYAR
Conference Adult Coalition
Members (participant
support cost excluded
from indirect)
Hotel cost for 1 Johnstown/Milliken adult CTC coalition member
to attend 4 days at the National Youth Advocacy and Resilience
(NYAR) Conference. ($250/night x 4 nights x 1 room= $1000.00).
$ 250.00
4.0
$ 1,000.00
Conference Meals: NYAR
Conference (Adult Staff)
Off -site meal costs for CTC Community Mobilizer or Community
Champion to attend 4 days at the National Youth Advocacy and
Resilience Conference (NYAR). ($40/day/person x 4 days x 1
people = $160.00).
$ 40.00
4.0
$ 160.00
Conference Meals: NYAR
Conference (adult coalition
member- (participant
support cost excluded
from indirect)
Off -site meal costs for 1 Johnstown/Milliken adult CTC coalition
member to attend 4 days at the National Youth Advocacy and
Resilience Conference (NYAR). ($40/day/person x 4 days x 1
person = $160.00).
$ 40.00
4.0
$ 160.00
Conference Airfare: NYAR
Conference Adult Staff
Airfare cost for CTC Community Mobilizer or Community
Champion to attend the National Youth Advocacy and Resilience
Conference in Savannah, Georgia. (approximately $600 roundtrip
airfare per person)
$ 600.00
1.0
$ 600.00
Conference Airfare: NYAR
Conference Adult Coalition
Member (participant
support cost excluded
from indirect)
Airfare cost for 1 Johnstown/Milliken adult CTC coalition member
to attend the National Youth Advocacy and Resilience Conference
in Savannah, Georgia. (approximately $600 roundtrip airfare per
person)
$ 600.00
1.0
$ 600.00
Conference ground
transportation: NYAR
Conference (adult staff)
Ground transportation costs for CTC Community Mobilizer or
Community Champion to attend the National Youth Advocacy and
Resilience conference. (rental car or Uber @ $70/day x 4 days =
$280.00 split with coalition member = $140.00)
$ 35.00
4.0
$ 140.00
Conference ground
transportation: NYAR
Conference Adult Coalition
Member (participant
support cost excluded
from indirect)
Ground transportation costs for 1 Johnstown/Milliken adult CTC
coalition member to attend the National Youth Advocacy and
Resilience conference. (rental car or Uber @ $70/day x 4 days =
$280.00 split with CTC staff member = $140.00)
$ 35.00
4.0
$ 140.00
totail
Contractual
Subcontractor Name
Description of Item
Rate
Quantity
Total Amount
Requested from
CDPHE
Page 7 of 8
January 2018
Contract Amendment Number: 2022*0168 Amendment #1
DocuSign Envelope ID: D0285F73-FC54-4O17-ACEC-E371A7330F4B
Exhibit C Budget
PREVENTION SERVICES DIVISION- 12 MONTH BUDGET WITH JUSTIFICATION FORM
Original Contract Routing # 2022*0168
Contractor Name
Weld County Department of Public Health and
Environment July 1, 2022 -June 30, 2023
Program Contact Name,
Title, Phone and Email
Melanie Cyphers, CTC Supervisor,
970.400.2385,
mcyphers@weldgov.com
Budget Period
July 1, 2022 -June 30, 2023
Fiscal Contact Name, Title,
Phone and Email
p
Tanya Geiser, Finance Director
(970) 400-2122;
tgeiser@weldgov.com
Project Name
Shared Risk and Protective Factor Approach to
Substance Misuse Prevention: Milliken -Johnstown
Communities That Care
Contract (CT or PO)
Number
CT FHLA 2022*0168
Rise Above
Rise Above Colorado will assist in development of a positive
community norming campaign that may include social media
technical assistance and/or support on a community based mural.
They will provide a variety of learning opportunities and
educational resources to build youth skills to understand and
analyze data to help impact teens' attitudes towards substance
use and positive peer influence for healthy decision making.
$ 2,500.00
1.0
$ 2,500.00
Total Contractual
$ 2,0t1rQt%
SUB -TOTAL OF DIRECT COSTS
$ 140,952.90
Indirect
Item
Description of Item
Total Amount
Requested from
CDPHE
CDPHE-Negotiated Indirect
Cost Rate
CDPHE negotiated indirect rate for 2022 (19.29 % Modified Total Direct Costs); the rate is
negotiated on a CY basis; rate will be updated 1/1/2023.
$26,047.10
Total indirect
Contract Amendment Number: 2022*0168 Amendment #1
Page 8 of 8
January 2018
Contract Form
New ContraRequest
Entity Information
Entity Name*
COLORADO DEPT OF PUBLIC
HEALTH i ENVIRONMENT
Entity ID*
00O01926
Contract Name*
CDPHE FY22-23 COMMUNITIES THAT CARE - YOUTH
SUBSTANCE ABUSE PREVENTION CONTRACT AMENDMENT#1
Contract Status
CTB REVIEW
Contract ID
5913
Contract Lead*
BMANRIQUEZ
❑ New Entity?
Parent Contract ID
4849
Requires Board Approval
YES
Contract Lead Email Department Project #
bmanriquezgoweldgov.com
Contract Description*
CDPHE FY22-23 COMMUNITIES THAT CARE - YOUTH SUBSTANCE ABUSE PREVENTION CONTRACT AMENCMENT#1
2022-0168A1
Contract Description 2
2022-0168
Contract Type*
AMENDMENT
Amount*
x,16 7, 000.00
Renewable*
NO
Automatic Renewal
NO
Grant
YES
IGA
NO
Department
HEALTH
Department Email
CM-Health+veldgov.com
Department Head Email
CM-Health-
DeptHeadPveldgov.com
County Attorney
GENERAL COUNTY
A I I ORNEY EMAIL
County Attorney Email
CM-
COUNTYA I I ORNEYq ELDG
OV.COM
Requested BOCC Agenda
Date*
06.13 2022
Due Date
06 09:'2022
Will a work session with BOCC be required?*
NO
Does Contract require Purchasing Dept. to be included?
NO
Grant Deadline Date
If this is a ren enter pr ztus Contract ID
If this is part of a MA 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 Date
Effective Date
07101/2022
Review Date*
03,=0112023
Renewal Date
Termination Notice Period Committed Delivery Date
Contact Information
Contaa
Contact Name
Purchasing
Purchasing
Approval Process
Department Head
TANYA GEISER
DH Approved Date
06;02/2022
Pr+
a,
BOCC Signed Date
BOCC Agenda Date
0611312022
€3riginator
BMANRIQUEZ
Expiration Date*
06/3012023
Contact Type Contact Email Contact Phone 1 Contact phone 2
Purchasing Approved Date
Finance Approver
CHERYL PA I I ELLI
Finance Approved Daze
Legal Counsel
BRUCE BARKER
Legal Counsel Approved Date
06/021'2022 06102/2022
Tyler Ref 4
AG 061 322
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