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HomeMy WebLinkAbout20220413.tiffRESOLUTION RE: APPROVE CONTRACT AMENDMENT #5 FOR PREVENTION OF INFERTILITY AND MANAGEMENT OF SEXUALLY TRANSMITTED INFECTIONS (STI) 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 Contract Amendment #5 for the Prevention of Infertility and Management of Sexually Transmitted Infections (STI) 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 upon the full execution of signatures, and ending December 31, 2022, 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 Contract Amendment #5 for the Prevention of Infertility and Management of Sexually Transmitted Infections (STI) 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 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 26th day of January, A.D., 2022. ATTEST: Weld County Clerk to the Board puty Clerk to1e e Board APPROVED AS unty Attorney Date of signature: BOARD OF COUNTY COMMISSIONERS WE COON Y, COLORADO t K. James, Chair reeTan. Pro -T Steve Moreno Lori S e Cc HLCTO 02/03/22 2022-0413 HL0054 Cbnh' cf 1b5 55 Memorandum TO: Scoff K. James, Chair Board of County Commissioners FROM: Mark Lawley, Executive Director Department of Public Health & Environment DATE: January 18, 2022 SUBJECT: CDPHE FY22 Sexually Transmitted Infection Prevention and Treatment Contract Amendment #4 For the Board's approval is contract amendment #4 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's (WCDPHE) management of STIs program. This project serves to support the prevention of Chlamydia, Gonorrhea and Syphilis infection through the provision of screening, treatment, and management of individuals exposed or testing positive for these infectious diseases. Project activities include testing in the Family Planning and STI clinics within WCDPHE, and the Platte Valley Youth Services Center (PVYSC). Additionally, the WCDPHE lab will continue to run the tests for these clinics. The purpose of contract amendment #4 is to renew the contract and update the language within the scope of work. The term of this contract is from January 1, 2022, through December 31, 2022. CDPHE will reimburse the health department up to $116,077 for 2022, an increase of $84,318 in funding from 2021. The additional funding in the 2022 contract allows for additional reimbursement for screening and staff time to provide direct education and outreach activities to affected populations. Activities will be conducted by current staff; no additional FTE is being requested to perform the contract deliverables. Assistant County Attorney, Karin McDougal, has reviewed this contract amendment and finds the terms acceptable. The Board approved placement of this contract amendment on the Board's agenda via pass -around dated January 17, 2022. I recommend approval of this contract amendment #4 with CDPHE for the management of STIs. 2022-0413 01/Zly BOARD OF COUNTY COMMISSIONERS PASS -AROUND REVIEW TITLE: Contract Amendment #4 with CDPHE for Sexually Transmitted Infection Prevention & Treatment DEPARTMENT: PUBLIC HEALTH & ENVIRONMENT DATE: January 17, 2022 PERSON REQUESTING: Mark Lawley, Executive Director Brief description of the problem/issue: For the Board's review and approval is contract amendment #4 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's (WCDPHE) management of STIs program. This project serves to support the prevention of Chlamydia, Gonorrhea and Syphilis infection through the provision of screening, treatment, and management of individuals exposed or testing positive for these infectious diseases. Project activities include testing in the Family Planning and STI clinics within WCDPHE, and the Platte Valley Youth Services Center (PVYSC). Additionally, the WCDPHE lab will continue to run the tests for these clinics. The purpose of contract amendment #4 is to renew the contract and update the language within the scope of work. The term of this contract is from January 1, 2022, through December 31, 2022. CDPHE will reimburse the health department up to $116,077 for 2022, an increase of $84,318 in funding from 2021. The additional funding in the 2022 contract allows for additional reimbursement for screening and staff time to provide direct education and outreach activities to affected populations. Activities will be conducted by current staff; no additional FTE is being requested to perform the contract deliverables. Assistant County Attorney, Karin McDougal, has reviewed this contract amendment and finds the terms acceptable. What options exist for the Board? (include consequences, Impacts, costs, etc. of options): Approving this contract amendment allows WCDPHE to continue our efforts in preventing STIs in Weld County. Gonorrhea, Chlamydia and Syphilis rates continue to rise across Colorado and collaborating with CDPHE and using this funding to help screen, treat and manage clients who are at risk or test positive for STIs will allow us to better serve our communities. Declining this contract amendment will prevent the receipt of additional funding from CDPHE to reduce the county's costs associated with activities that we have historically performed. Without this external funding from CDPHE, the WCDPHE laboratory and clinic may need to increase the costs of services for Chlamydia, Gonorrhea and Syphilis testing which may result in clients having fewer options for screening and treatment, particularly those who are underinsured. Recommendation: I recommend approval of this contract amendment #4 with CDPHE for the management of STIs. Perry L. Buck Mike Freeman, Pro -Tern Scott K. James, Chair Steve Moreno Lori Saine Approve Recommendation All 'Jt . Schedule Work Session Other/Comments: From: Sent: To: Subject: Attachments: Yes Sent from my iPhone Lori Saine Tuesday, January 18, 2022 9:34 AM Karla Ford Re: Please Reply: PASS -AROUND: CY22 CDPHE STI Program Contract Renewal image001,jpg; 2022 CDPHE STI Contract 2020-3023.pdf; 2022-01-17 CDPHE STI FY22 Pass Around.doc On Jan 18, 2022, at 9:30 AM, Karla Ford <kford@weldgov.com> wrote: Please advise if you approve recommendation. Thank you. Karla Ford. Office Manager, Board of Weld County Commissioners 1150 O Street, P.O. Box 758, Greeley, Colorado 80632 :: 970.336-7204 :: kford(a weldgov.com :: www.weldoov.com :: **Please note my working hours are Monday -Thursday 7:OOa.m.-5:OOp.m.** Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. From: Tanya Geiser <tgeiser@weldgov.com> Sent: Monday, January 17, 2022 3:29 PM To: Karla Ford <kford@weldgov.com> Cc: Mark Lawley <mlawley@weldgov.com> Subject: PASS -AROUND: CY22 CDPHE STI Program Contract Renewal Importance: High Hello, Karla, Attached for the Board's review and approval for placement on the agenda is a pass -around and a CY22 renewal contract with CDPHE for our Sexually Transmitted Infections (STI) program. If you have any questions, or if you need anything further from me in this regard, please let me know. Tanya Ext 2122 1 DocuSign Envelope ID: 54B28270-970A-4BB1-8727-4659C10E1B7B CONTRACT AMENDMENT #4 SIGNATURE AND COVER PAGE(S) State Agency: Original Contract Number: Colorado Department Of Public Health and Environment 17 FHHA 95844 STUHIV/VH -1901 4300 Cherry Creek Drive South Denver, Colorado 80246 Contractor: Amendment Contract Number: Board of County Commissioners of Weld County 2020*3023 Amendment #4 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 Contract Performance Beginning Date: Current Contract Expiration Date: The later of the Effective date or January 1, 2022 December 31, 2022 CONTRACT MAXIMUM AMOUNT TABLE Contract Federal State Funding Other Funding Term (dates) Total Document Number Funding Amount Amount Type Amount Original Contract 17 FHHA $11,935.00 $0.00 $0.00 02/02/2017- $11,935.00 95844 12/31/2017 Contract 18 FHHA $13,020.00 $0.00 $0.00 01/01/2018- $13,020.00 Amendment #1 105307 12/31/2018 Contract 19 FHHA $13,020.00 $0.00 $0.00 01/01/2019- $13,020.00 Amendment #2 121540 12/31/2019 GFCL #1 2020*3023 $13,020.00 $0.00 $0.00 01/01/2020- $13,020.00 GFCL #1 12/31/2020 Contract 2020*3023 $21,759.00 $0.00 $0.00 01/01/2021 - Amendment #3 Amendment 12/31/2021 $21,759.00 #3 Option Letter #1 2020*3023 $10,000.00 $0.00 $0.00 09/20/2021 - Option Letter 12/31/2021 $10,000.00 #1 Contract 2020*3023 $116,077.00 $0.00 $0.00 01/01/2022 - Amendment #4 Amendment 12/31/2022 $116,077.00 #4 Current Contract Maximum $198,831.00 Cumulative Amount Page 1 of4 Amendment Contract Number: 2020*3023 Amendment #4 Ver 01.11.19 UUUUOI9I I CI I V CIUi.1C IL). UV OL0L I U-.7 / UP1-NOO I -O 1 e I- I QU51r I UC I of 0 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 for the Jared S. Polis, Governor use and benefit of the Colorado Department of Public Health and Environment Weld County Department of Public Health and Jill Hunsaker Ryan, MPH, Executive Director Environment DocuSigned by: 2EDF870A1A7D4FC... By: Signature DocuSignedby: Lisa McGovern E�4ns7Osaz�F4a7 Name of Executive Director Delegate By: Signature Procurement & Contracts Section Director ft Scott K. James Title of Executive Director Delegate Name of Person Signing for Contractor chairman, weld Board of County Commissioners 2022-01-26 Date: Title of Person Signing for Contractor 2022-01-26 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 Jaros, CPA, MBA, JD IDocuSigned by: AMACS!g0r6d01 By: Signature Andi Hardy Name of State Controller Delegate Controller Title of State Controller Delegate 2022-01-26 Amendment Effective Date: -- Signature and Cover Pages End -- Page 2 of 4 Amendment Contract Number: 2020*3023 Amendment #4 Ver. 06.05.20 DocuSign Envelope ID: 54B28270-970A-4BB1-8727-4659C10E1B7B 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 January 1, 2022, whichever is later, and shall terminate on the termination of the Contract or December 31, 2022, whichever is earlier. 4. PURPOSE The Parties entered into the agreement to support the prevention of Chlamydia Trachomatis (CT), and Neisseria Gonorrhea (GC) and Syphilis infection through the provision of screening, treatment, and management of individuals exposed or testing positive for these infectious diseases. The Parties now desire to renew for an additional term and change current Contract Maximum Total and Statement of Work change for the following reason: to renew 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 Work, attached to this Amendment for the following reason: modification to project work. D. The Parties now agree to modify Exhibit I, Budget of the agreement. Exhibit I, Budget, is deleted and replaced in its entirety with Exhibit i, Budget, attached to this Amendment for the following reason: to increase in budget for services added to meet project deliverables. E. The Parties now agree to add Exhibit: Exhibit B, Statement of Work, Section III, Definitions, #13, #14, #15, and #16 for the following reason: modification to project work. F. The Parties now agree to add Exhibit: Exhibit B, Statement of Work, Section N, Work Plan, Sub -Activities #1, Sub -Activities #2, and Sub -Activities #3, for the following reason: modification to project work. G. The Parties now agree to add Exhibit: Exhibit B, Statement of Work, Section IV, Work Plan, Primary Activities #4, for the following reason: modification to project work. 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. Page 3 of 4 Amendment Contract Number: 2020*3023 Amendment #4 DocuSign Envelope ID: 54B28270-970A-4BB1-8727-4659C10E1B7B 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: 2020*3023 Amendment #4 DocuSign Envelope ID: 54B28270-970A-4BB1-8727-4659C10E1B7B EXHIBIT B STATEMENT OF WORK To Original Contract Number 17 FHHA 95844 These provisions are to be read and interpreted in conjunction with the provisions of the contract specified above. I. Entity Name: Weld County Health Department II. Project Description: This project serves to support the prevention of Chlamydia Trachomatis (CT), and Neisseria Gonorrhea (GC) and Syphilis infection through the provision of screening, treatment, and management of individuals exposed or testing positive for these infectious diseases. Colorado has seen substantial increases in sexually transmitted infection(s) (STI) morbidity in 2019. Appropriate and prompt testing of persons with STIs and exposure is critically important in preventing health complications and interrupting disease transmissions in communities. This project benefits individuals who are uninsured or underinsured and need access to free STI screening and treatment in the federally funded Title X, STI, and community health clinics. This project promotes STI testing, and treatment as identified by the Centers of Disease Control and Prevention's (CDC) Strengthening STI Prevention and Control for Health Departments (STI PCHD) grant funding to implement and strengthen STI prevention and control programs. M. Definitions: 1. CDC — Centers for Disease Control and Prevention 2. CDPHE- Colorado Department of Public Health and Environment 3. CLIA — Clinical Laboratory Improvement Amendment 4. CT — Chlamydia Trachomatis - a sexually transmitted disease that when left untreated, may result in infertility in women 5. Epidemiological data — age, race, ethnicity, sex at birth 6. EPT — Expedited Partner Therapy 7. FDA — U.S. Food & Drug Administration 8. GC — Neisseria gonorrhea - a sexually transmitted disease that when left untreated, may result in infertility in women 9. HCV — Hepatitis C Virus 10. HIV - Human Immunodeficiency Virus 11. Increased Risk — Those who have a new sex partner, more than one sex partner, a sex partner with concurrent partners, or a sex partner who has an STI. Additional risk factors include inconsistent condom use among persons who are not in mutually monogamous relationships; previous or coexisting sexually transmitted infections; and exchanging sex for money or drugs. Clinicians should consider the communities they serve and may opt to consult state and local public health authorities for guidance on identifying groups that are at increased risk. 12. Sequelae — A pathological condition resulting from a disease, i.e., a complication of untreated disease 13. STI - Sexually transmitted Infection(s) 14. Syphilis — a sexually transmitted disease that when left untreated, may result in serious complications, or cause congenital syphilis among pregnant women. Page 1 of 5 Amendment Contract Number 2020*3023 Amendment #4 Ver. 01.11.19 DocuSign Envelope ID: 54B28270-970A-4BBI-8727.4659C10E1B7B EXHIBIT B 15. Title X — Title X of the Public Health Service Act (Public Law 91-572 Population Research and Voluntary Family Planning Programs). The federal grant program dedicated solely to providing individuals with comprehensive family planning and related preventive health services 16. Target population — uninsured and underinsured individuals at increased risk of STI infection per CDC screening recommendations IV. WORK PLAN: Goal #1: Detects, investigates, and responds to communicable diseases and the health effects of environmental and occupational exposures, promotes disease prevention and control. Objective #1: No later than the expiration date of the contract, promote disease prevention in the identified target population through increased access to STI testing and treatment. Primary Activity #1 The Contractor shall conduct STI clinical screening for the target population. 1. The Contractor shall screen for: a. CT b. GC Sub -Activities #1 c. Syphilis 2. The Contractor shall provide post -testing counseling for individuals testing positive for CT, GC and/or Syphilis. 3. The contractor shall notify clients of positive results to discuss treatment options. Primary Activity #2 The Contractor shall provide STI treatment to the target population who test positive for screened STIs in clinical settings. 1. The Contractor shall provide treatment for: a. CT Sub -Activities #2 b. GC c. Syphilis 2. Expedited Partner Therapy (EPT) when indicated. Primary Activity #3 The Contractor shall implement STI non -clinical testing among the target population. 1. The Contractor shall identify community partners to provide STI non -clinical testing. 2. The Contractor shall develop the following 5 outreach protocols for STI non - clinical screening: Sub -Activities #3 a. Guides for clinical management. b. Required data documentation. c. Process for result notification. d. Process for treatment facilitation. e. Process for other referrals. Page 2 of 5 Amendment Contract Number 2020*3023 Amendment #4 Ver. 01.11.19 DocuSign Envelope ID: 54B28270-970A-4BB1-8727-4659C10E1B7B EXIIIBIT B 3. The Contractor shall submit the protocols to CPDHE for approval. 4. The Contractor shall implement screening for: a. CT b. GC c. Syphilis Primary Activity #4 The Contractor shall complete monthly progress reports. 1. The content of electronic documents located on CDPHE and non-CDPHE websites and information contained on CDPHE and non-CDPHE websites may be updated periodically during the contract term. The Contractor shall monitor documents and website content for updates and comply with the most recent revisions. 2. The Contractor shall comply with the current CDC's CT, GC and Syphilis screening guidelines. This information is located on CDC website hops://www.cdc.gov/std/treattnent-guidelines/STI-Guidelines-2021.pdf and is incorporated and made a part of this Contract by reference. 3. The Contractor shall adhere to CDC's current Sexually Transmitted Diseases Summary of CDC Treatment Guidelines. This information is located on CDC website hops://www.cdc.gov/std/treatment-guidelines/STI-Guidelines-2021.pdf and is incorporated and made a part of this Contract by reference. 4. The Contractor shall comply with the Colorado Department of Public Health and Environment (CDPHE's) Guidelines Regarding Data Collection and Reporting in the STI and HIV funded partner guidance and policies. This information is located on CDPHE website hops://www.colorado.goy/pacific/cdphe/sti-hiv-funded-partner- oln icies and is incorporated and made part of this Contract by reference. Standards and 5. The Contractor shall comply with CDC's guidelines concerning data security and Requirements confidentiality stated in the Centers for Disease Control's Data Security and Confidentiality Guidelines for HIV, Viral Hepatitis, Sexually Transmitted Disease and Tuberculosis Programs. This information can be accessed at http://www.cdc.gov/nchhstp/programintegration/docs/PCSIDataSecurityGuidelines.p df and is incorporated and made part of this Contract by reference. 6. The Contractor shall comply with the following rules and regulations when performing data collection and entry, reporting, and the implementation of activities. These guidelines and standards are located on the state of Colorado website http://www.sos.state.co.us/CCR/Welcome.do and are incorporated and made part of this Contract by reference: a. Colorado Revised Statute § 25-4-14 concerning HIV infection. b. Colorado Revised Statute § 18-4-412 concerning the theft of medical records. c. Colorado State Board of Health Rules for the Reporting, Prevention and Control of AIDS, HIV Related Illness and HIV Infection (6CCR 1009-9). 7. The Contractor shall comply with CDPHE Communicable Reportable Conditions Guidelines. The information is located on CDPHE website hops://www.colorado.gov/pacific/cdphe/report-a-disease and is incorporated and made a part of this Contract by reference. Page 3 of 5 Amendment Contract Number 2020'3023 Amendment #4 Ver. 01.11.19 DocuSign Envelope ID: 54B28270-970A-4BBI-8727-4659C10E1B7B EXIT B 8. The Contractor shall comply with U.S. Food & Drug Administration (FDA) approved testing technology when administering STI screening and shall strictly follow manufacturers' instructions as to use and storage. This information is located on FDA website https://www.fda. govBiologicsBloodV accinesBloodBloodProducts/ApprovedProduc ts/LicensedProductsBLAsBloodDonorScreening/InfectiousDisease/ucm080466.htm and is incorporated and made a part of this Contract by reference. 9. The Contractor shall provide the quality of CT, GC and Syphilis services in the Title X clinic and community health clinics through chart review activities agreed upon in conjunction with the CDPHE STI/HIV program staff. 10. The Contractor shall maintain one of the following for testing throughout the life of the project: a. Valid Clinical Laboratory Improvement Amendment (CLIA) waiver certificate. b. Valid CLIA certificate. 11. The Contractor shall maintain internal medical and administrative records for each client. Records shall include the following criteria: b. HIV/HCVISTI test consent form c. Counseling session notes 12. The Contractor shall notify CDPHE if a client with a reactive (positive) test result does not return for post-test counseling and is unable to be contacted for the purposes of delivering a reactive (positive) test result within four (4) calendar days of the screening date for only the following: a. Persons testing positive for syphilis b. Persons testing positive for HIV (rapid or confirmatory) c. Previous HIV positive clients with a subsequent STI and not in medical care 13. The Contractor shall complete a monthly progress report in the format provided by CDPHE. a. The Contractor shall complete a monthly progress report for all individuals for whom a CT, GC and/or syphilis test is performed: i. number of individuals screened for CT, GC, and syphilis ii epidemiologic data ii. test results (# positive, # negative) iii. Medicaid/ insurance status iv. number of individuals treated for CT, GC, and syphilis 14. The Contractor shall submit deliverables to the CDPHE Contracts Monitor via email at cdphe_sthv_contractmonitoring@state.co.us. 1. Clients will be screened for CT, GC and/or Syphilis in clinical and non -clinical settings. Expected Results of 2. Clients will receive STI treatment for CT, GC, and/or Syphilis if they test positive. the Activity 3. Individuals exposed to clients who test positive for CT, GC, and/or Syphilis will be offered STI treatment as part of EPT services. Page 4 of 5 Amendment Contract Number 2020*3023 Amendment #4 Ver. 01.11.19 DocuSign Envelope ID: 54B28270-970A-4BB1-8727-4659C10E1B7B EXHIBIT B Measurement of 1. Data contained in monthly progress reports. Expected Results Completion Date No later than 30 days 1. The Contractor shall submit monthly progress reports to following the end of the CDPHE Contract Monitor. every month and the last Deliverables day of the contract 1. The Contractor shall submit outreach testing protocols No later than 90 days after completion of within 90 days of the execution of this contract. contract 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. A Final Contractor Performance Evaluation will be conducted at the end of the life of the contract. VI. Resolution of Non -Compliance: The Contractor will be notified in writing within 15 calendar days of discovery of a compliance issue. Within 30 calendar days of discovery, the Contractor and the State will collaborate, when appropriate, to determine the action(s) necessary to rectify the compliance issue and determine when the action(s) must be completed. The action(s) and timeline for completion will be documented in writing and agreed to by both parties. If extenuating circumstances arise that requires an extension to the timeline, the Contractor must email a request to the CDPHE Contract Monitor and receive approval for a new due date. The State will oversee the completion/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 5 of 5 Amendment Contract Number 2020*3023 Amendment #4 Ver. 01.11.19 DocuSign Envelope ID: 54B28270-970A-4BB1-8727-4659C10E1 B7B Exhibit I Budget Colorado Department of Public Health and Environment BUDGET JUSTIFICATION FORM Original Contract # 17 FHHA 95844 )Iorado Department of Public Health and Environment Weld County Department of Public Health and Contractor Name Environment Budget Period 1/1/2022-12/31/2022 Prevention of STI, CT, GC and Syphilis Screening Project Name and Treatment STI Core Grant STI Outreach Lab Grant Annette Odell, NP Coordinator (970) Program Contact Name, Title, 400-2324; aodell@weldgov.com Phone and Email Tanya Geiser, Finance Director (970) Fiscal Contact Name, Title, Phone and Email 400-2122; tgeiser@weldgov.com 2022*2474 Core Encumbrance Match or In- Total Amount Expenditure Categories Kind (If Requested from Applicable) CDPHE Percent of Gross or Time Personnel Services Annual Fringe (FTE) on Salary Contract/ Description of Work (for hourly employees, please include the Position Title/Employee hourly rate and number of hours in your 39.45% Name description) Process samples and prepare them for lab $45,080.00 $17,784.06 5.00% Medical Assistant - Core ($21.25 hr. x 52 weeks @ 2 hrs/week) $3,143.00 Collect samples, review results and provide $115 $45,694.54 5.00% Nurse Practitioner - Core treatment if needed (2 hrs/week) ,829.00 $8,076.00 Provide program oversight, run reports and $129,005.00 $50,892.47 1.00% Program Supervisor - Core submit data to CDPHE for grant (ihr/week) $1,799.00 Chief Nursing Officer - Provide program oversight, run reports and $142,450.00 $56,196.53 1.00% Core submit data to CDPHE for grant (1hr/week) $1,986.00 Provide outreach program oversight, logistical, scheduling, and operational oversight. Increase local capacity around testing and treatment for $69,718.00 $27,503.75 15.00% Outreach Project those at greatest risk of contracting and/or Coordinator transmitting STIs in the community $14,583.00 Provide Outreach Lab activities and provide lab Outreach STI Lab program oversight, run reports and submit data $40,699.00 $16,055.76 5.00% Personnel to CDPHE for grant $2,838.00 Outreach e bb Provide Outreach Labactivities including courier Personnel - and processing services, controls and the $28,489.00 $11,238.91 5.00% Courier/Processing reporting for the Outreach Lab Grant. $1,986.00 Total Personal Services (including fringe benefits) $0.00 $34,411.00 Supplies & Operating Expenses Total Amount Match or In kind Requested from Item Description of Item Rate Quantity (if applicable) CDPHE CI" /GC screening in Title X, STD and community screening CT/GC Test - Core venues (900 @ $40 each) $40.00 900 $36,000.00 RPR/Syphilis screening in Title X, STD and community screening Syphilis Test - Core venues (200 @ $13 each) $13.00 200 $2,600.00 Syphilis confirmation test - Core TPPA test to confirm a positive RPR test (5 @ $8 each) $8.00 5 $40.00 Contract Amendment Contract Number: 2020*3023 Amendment #4 Page 1 of 3 DocuSign Envelope ID: 54B28270-970A-4BB1-8727-4659C10E1B7B Exhibit I Budget Specimen collection supplies - Core Urine cups, specimen labels (900 @ $0.20 each) $0.20 900 $180.00 Registration Fees - Core Registration for 2 staff members to attend STI training $200.00 2 $400.00 Booth/Outreach Event Fees - Core Fees to attend community events (4 number of events @ $50/event) $50.00 4 $200.00 CT/GC Test - Outreach Lab CT/GC testing in Title X, STD and community testing venues (500 @ $40 each) $40.00 500 $20,000.00 Syphilis Test - Outreach Lab RPR/Syphilis testing in Title X, STD and community testing venues (110 @ $13 each) $13.00 110 $1,430.00 Syphilis confirmation test - Outreach Lab TPPA test to confirm a positive RPR test (10 @ $8 each) $8.00 10 $80.00 Outreach Materials - Outreach Lab Education & outreach materials to underserved such as online or printed material $2,000.00 1 $2,000.00 Outreach Lab Ancillary Supplies Supply costs for Ancillary Supplies such as Advertisement, Office Supplies, Courier Supplies or other necessary operatioal supplies. $1,000.00 1 $1,000.00 Total Supplies & Operating Expenses $0.00 $63,930.00 Travel Item Description of Item Rate Quantity (if applicable) Requested from Mileage - Core Mileage to attend STI in -person, in -state training (130 miles x 2 staff members x $0.555/mile) $0.555 260 $144.00 Lodging - Core Lodging to attend STI in -person, in -state training (1 night x 2 staff members x $180/night) $180.00 2 $360.00 Meals - Core Meals while attending STI in -person, in -state training (3 meals x 2 staff members x $20/meal) $20.00 6 $120.00 Mileage - Outreach Lab Courier Mileage for Outreach Courier Services STI Lab (1500 miles x $0.555/mile) $0.555 1500 $833.00 Total Travel $0.00 $1,457.00 Other Costs Item Description of Item Rate Quantity (if applicable) Requested from Total Other Costs $0.00 $0.00 Contractual (payments to third parties or entities) Item Subcontractor Entity Name and/or Description of Item Rate Quantity (if applicable) Requested from EMR - CORE North Colorado Health Alliance - EMR fees and interface for results for clinic and lab ($100/month for 12 months) $100.000 12 $1,200.00 Total Contractual $0.00 $1,200.00 SUB -TOTAL BEFORE INDIRECT $100,998.00 Indirect Item Description of Item Indirect Rate - 2021 Weld County Health Department's CDPHE-negotiated indirect rate for CY2021 is 14.93% of Modified Total Direct Costs (MTDC). MTDC excludes equipment, capital expenditures, charges for patient care, rental costs, tuition remission, scholarships and fellowships, participant support costs and the portion of each subaward in excess of $25,000. $15,079.00 14.93% Total Indirect $0.00 $1s,o79.00 TOTAL MATCH OR IN KIND $0.00 TOTAL $116,077.00 Contract Amendment Contract Number: 2020*3023 Amendment #4 Page 2 of 3 DocuSign Envelope ID: 54828270-970A-4BB1-8727-4659C10E1 B7B Exhibit I Budget Expenditure Categories Personal Services Including Fringe Benefits $34,411.00 Supplies and Operating Expenses $63,930.00 Travel $1,457.00 Other Costs $0.00 Contractual Payments $1,200.00 Subtotal Before Indirect $100,998.00 Indirect $15,079.00 Total This Invoice $116,077.00 Core STI Subtotal $56,248.00 Outreach Lab STI Subtotal $44,750.00 Indirect 14.93% Core STI TOTAL $64,646.00 Outreach Lab STI TOTAL $51,431.00 Total $116,077.00 Contract Amendment Contract Number: 2020'3023 Amendment #4 Page 3 of 3 New Contract Request Entity Information Entity Name* Entity ID* ❑ New Entity? COLORADO DEPT OF PUBLIC @00001926 HEALTH! ENVIRONMENT Contract Name' Contract ID Parent Contract ID CDPHE FY22 SEXUALLY TRANSMITTED INFECTION 5534 PREVENTION & TREATMENT CONTRACT AMENDMENT #4 Contract Lead * Requires Board Approval Contract Status KJ.AKUS-HOTCHKISS YES CTB REVIEW Contract Lead Email Department Project f kjakus- h otc h ki s sere ldgov. com Contract Description' CDPHE CONTRACT AMENDMENT #4 FOR FY22 STI MANAGEMENT PROGRAM Contract Description 2 2020*3023A4; 2020*3023A3; 19 FHHA 121540; 18 FHHA 105307; 17 FHHA 95844 Contract Type' Department Requested BOCC Agenda Due Date GRANT HEALTH Date' 01 22, 2022 01262022 Amount* Department Email Si 16,077.00 CM -Health weldgov.com Will a work session with ROCC be required?* NO Renewable' Department Head Email NO CM -Health- Does Contract require Purchasing Dept. to be induded? DeptHeadveIdgov.com NO Automatic Renewal NO County Attorney GENERAL COUNTY Grant ATTORNEY EMAIL YES County Attorney Email ICA CM - NO COUNTYATTORNEYO WELDG OV.COM Grant Deadline Date if this is a renewal enter previous Contract ID 4362 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 01(01:2022 Termination Notice Period Contact Information Contact Info Contact Name Purchasing Purchasing Approver Approval Process Department Head TANYA GEISER DH Approved Date 01;191.2022 Final Approval BOCC Approved BOCC Signed Date BOCC Agenda Date 01 2022 Originator KJAKUS-HOTCHKISS Contact Type Review Date 11:01.,2022 Committed Delivery Date Contact Email Renewal Date Expiration Date* 12. 31,2022 Contact Phone I Contact Phone 2 Purchasing Approved Date Finance Approver CHRIS D`OVIDIO Finance Approved Date 01,124/2022 Tyler Ref # AG 012622 Legal Counsel KARIN MCDOUGAL Legal Counsel Approved Date 01.242022 Hello