HomeMy WebLinkAbout20221832.tiffRESOLUTION
RE: APPROVE CONTRACT AMENDMENT #1 FOR TITLE X FAMILY PLANNING
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 Contract Amendment #1 for the Title X
Family Planning 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, 2020, 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 Contract Amendment #1 for the Title X Family Planning Program
between the County of Weld, State of Colorado, by and through the Board of County
Commissioners of Weld County, on behalf of the Department of Public Health and Environment,
and the Colorado Department of Public Health and Environment, be, and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized
to electronically sign and submit said amendment.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 27th day of June, A.D., 2022, nunc pro tunc July 1, 2020.
BOARD OF COUNTY COMMISSIONERS
WE lfp COUNTY, COLORADO
ATTEST: ditto%) jeitoi6k,
Weld County Clerk to the Board
County : rney
Date of signature: 7/7 X22
Scott K. James, Chair
teve Moreno
cc. Hi.. (TG)
7/I 1/,22
2022-1832
HL0054
an-hea.c4-1Mooesi
Memorandum
TO: Scott James, Chair
Board of County Commissioners
FROM: Mark Lawley, Executive Director
Department of Public Health &
Environment
DATE: June 22, 2022
SUBJECT: CDPHE FY22-23 Family Planning
Program Contract Amendment #1
For the Board's approval is the FY22-23 Family Planning Program Contract Amendment
#1 between the Colorado Department of Public Health and Environment (CDPHE) and the
Weld County Board of Commissioners for the benefit and use of the Weld County
Department of Public Health and Environment (WCDPHE) for the Family Planning
Program.
The purpose of the Family Planning Program is to reduce unintended pregnancy in Weld
County by ensuring access to quality reproductive health services to the residents of Weld
County. The term of this contract will be July 1, 2022, through June 30, 2023, with full
fiscal year 2022-2023 funding of $318,331, of which $135,932 is federal funding that
includes $11,800 to increase capacity for telehealth visits/consultations, and $182,399 is
state funding,
Under the provisions of this contract, WCDPHE will continue providing comprehensive
family planning services to men and women of reproductive age. These services include:
➢ Birth control information and supplies
➢ Cervical, breast and testicular cancer screening
➢ Pregnancy testing and counseling
➢ Health education and counseling, abstinence education
➢ Screening for sexually transmitted infections and HIV
➢ Basic infertility services/referrals
➢ Physical exams for women and men
➢ Referrals to other health and social services
➢ Telehealth visits/consultations
The Weld County Attorney's Office has reviewed this contract and determined that its
terms are acceptable.
Four of the five Board members approved placement of this contract on the Board's agenda
via pass -around dated June 20, 2022.
I recommend approval of this Family Planning Program contract amendment #1 with
CDPHE.
2022-1832
Ul0/2-� F+Lcw5i
BOARD OF COUNTY COMMISSIONERS
PASS -AROUND REVIEW
TITLE: CDPHE FY22-23 Family Planning Program Contract Amendment #1
DEPARTMENT: PUBLIC HEALTH & ENVIRONMENT DATE: June 20, 2022
PERSON REQUESTING: Mark Lawley, Executive Director
Brief description of the problem/issue:
Enclosed for the Board's review and approval for placement on the agenda is the FY22-23 Family
Planning Program Contract Amendment #1 between the Colorado Department of Public Health
and Environment (CDPHE) and the Weld County Board of Commissioners for the benefit and
use of the Weld County Department of Public Health and Environment (WCDPHE) for the
Family Planning Program.
The purpose of the Family Planning Program is to reduce unintended pregnancy in Weld County
by ensuring access to quality reproductive health services to the residents of Weld County. The
term of this contract will be July 1, 2022, through June 30, 2023, with full fiscal year 2022-2023
funding of $318,331, of which $135,932 is federal funding that includes $11,800 to increase
capacity for telehealth visits/consultations, and $182,399 is state funding,
Under the provisions of this contract, WCDPHE will continue providing comprehensive family
planning services to men and women of reproductive age. These services include:
➢ Birth control information and supplies
➢ Cervical, breast and testicular cancer screening
➢ Pregnancy testing and counseling
➢ Health education and counseling, abstinence education
➢ Screening for sexually transmitted infections and HIV
➢ Basic infertility services/referrals
➢ Physical exams for women and men
➢ Referrals to other health and social services
➢ Telehealth visits/consultations
This contract is undergoing review by the Weld County Attorney's office, and we will await
approval prior to placement on the Board's agenda.
What options exist for the Board? (include consequences, impacts, costs, etc. of options):
Approving this contract will allow continued family planning services to be provided by a
dedicated team of public health care providers. Through Title X funding, the WCDPHE Family
Planning Program will be able to provide comprehensive health services to approximately 2,500
clients, with an emphasis on low-income individuals and teens, help reduce unintended
pregnancy and assure access to quality reproductive health services in Weld County.
Declining the contract may result in an increase in unintended pregnancies, especially among
low-income individuals and teens, and a decrease in access to quality reproductive health
services.
• Recommendation: I recommend approval of this Family Planning Program contract
amendment #1 with CDPHE.
Approve Schedule
Recommendation Work Session Other/Comments:
Perry L. Buck
Mike Freeman, Pro -Tern
Scott K. James, Chair
Steve Moreno
Lori Saine
viaf,ma
Karla Ford
From:
Sent:
To:
Subject:
Attachments:
I approve
Perry Buck
Tuesday, June 21, 2022 11:50 AM
Karla Ford
Re: Please Reply - PASS -AROUND: CDPHE FPP FY22-23 Contract Amd #1
image001 jpg; CDPHE FPP_FY23__Contract Amd #1.pdf; 2022-06-20 CDPHE Family
Planning Program FY22-23 PassAround.doc
Sent from my iPhone
On Jun 21, 2022, at 11:15 AM, Karla Ford <kford@weldgov.com>wrote:
Please advise if you approve recommendation. Thank you.
Karla Ford ft.
Executive Assistant & Office Manager, Board of Weld County Commissioners
1150 0 Street, P.O. Box 758, Greeley, Colorado 80632
:: 970.336-7204 :: kford@weldgov.com :: www.weldgov.com
**Please note my working hours are Monday -Thursday 7:00a.m.-5:00p.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: Tuesday, June 21, 2022 8:38 AM
To: Karla Ford <kford@weldgov.com>
Cc: Mark Lawley <mlawley@weldgov.com>
Subject: PASS -AROUND: CDPHE FPP FY22-23 Contract Amd #1
Hi, Karla,
For the Board's review and approval for placement on the agenda is a pass -around and contract
amendment 41 for the FY22-23 Family Planning Program with CDPHE.
If you have any questions, please let me know.
Tanya
Ext 2122
Karla Ford
From:
Sent:
To:
Subject:
Attachments:
Lori Saine
Tuesday, June 21, 2022 10:01 AM
Karla Ford
Re: Please Reply - RUSH PASS -AROUND: CDPHE FPP FY22-23 Contract Amd #1
image001 jpg; CDPHE FPP_FY23_Contract Amd #1.pdf; 2022-06-20 CDPHE Family
Planning Program FY22-23 PassAround.doc
I'm going to have questions on this so you may need to count me out on a rush decision.
Sent from my iPhone
On Jun 21, 2022, at 8:47 AM, Karla Ford <kford@weldgov.com> wrote:
Lori, this is a RUSH Pass -Around. Please advise if you approve recommendation, Thank you.
Karla Ford .
Executive Assistant & Office Manager, Board of Weld County Commissioners
1150 O Street, P.O. Box 758, Greeley, Colorado 80632
: 970.336-7204 :: kfordt weidaov.com :: w ww.weldgov.com :.
**Please note my working hours are Monday -Thursday 7:00a.m.-5:00p.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: Tuesday, June 21, 2022 8:38 AM
To: Karla Ford <kford@weldgov.com>
Cc: Mark Lawley <mlawley@weldgov.com>
Subject: PASS -AROUND: CDPHE FPP FY22-23 Contract Amd #1
Hi, Karla,
For the Board's review and approval for placement on the agenda is a pass -around and contract
amendment #1 for the FY22-23 Family Planning Program with CDPHE.
If you have any questions, please let me know.
Tanya
Ext 2122
1
DocuSign Envelope ID: C2C1A6D2-91A6-4288-9989-9C2BBFC62310
CONTRACT AMENDMENT #1
SIGNATURE AND COVER PAGE(S)
State Agency:
Colorado Department Of Public Health and Environment
PSD / FPP
4300 Cherry Creek Drive South
Denver, Colorado 80246
Original Contract Number:
2021*0293
Contractor:
Amendment Contract Number:
Board of County Commissioners of Weld County
2021*0293 Amendment #1
(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 17th Avenue
Greeley, Colorado 80631
Contract Performance Beginning Date:
Current Contract Expiration Date:
July 1, 2020
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
2021*0293
$0.00
$136,155.00
$0.00
7/01/2020 - 6/30/2021
$136,155.00
Original Contract
2021*0293
$140,365.00
$0.00
$0.00
7/01/2020-3/31/2021
$140,365.00
Option Letter #1
2021*0293
Option Letter #1
$0.00
- $19,679.00
$0.00
7/10/2020 - 6/30/2021
- $19,679.00
Option Letter #1
2021*0293
Option Letter #1
$8,336.00
$0.00
$0.00
7/10/2020 - 3/31/2021
$8,336.00
Option Letter#2
2021*0293
Option Letter #2
$10,250.00
$0.00
$0.00
1/30/2021-3/31/2021
$10,250.00
Option Letter#3
2021*0293
Option Letter #3
$162,297.00
$0.00
$0.00
7/01/2021 -3/31/2022
$162,297.00
Option Letter#3
2021*0293
Option Letter #3
$0.00
$160,039.00
$0.00
7/01/2021-6/30/2022
$160,039.00
Option Letter#4
2021*0293
Option Letter #4
$10,000.00
$0.00
$0.00
12/08/2021 - 3/31/2022
$10,000.00
Amendment #1
2021*0293
Amendment 1
$124,132.00
$0.00
$0.00
7/01/2022 - 3/31/2023
$124,132.00
Amendment#1
2021*0293
Amendment 1
$11,800.00
$0.00
$0.00
7/01/2022-5/31/2023
$11,800.00
Page 1 of 5
Amendment Contract Number: 2021*0293 Amendment #1
Ver 01.11.19
DocuSign Envelope ID: C2C1A6D2-91A6-4288-9989-9C2BBFC62310
Amendment#1
2021*0293
Amendment 1
$0.00
$182,399.00
$0.00
7/01/2022 — 6/30/2023
$182,399.00
Current Contract Maximum
Cumulative Amount
$926,094.00
Page 2 of 5
Amendment Contract Number: 2021 *0293 Amendment #1 Ver 01.11.19
DocuSign Envelope ID: C2C1A6D2-91A6-4288-9989-9C2BBFC62310
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 Commissioners of Weld County
(a political subdivision of the State of Colorado) For the
use and benefit of the Weld County Department of
Public Health and Environment
—DocuSigned by:
cot( .. itlt s
'—E04167D642^.E1A7...
By: Signature
Scott K. James
Name of Person Signing for Contractor
Chairman of the Board of County Commissione
Title of Person Signing for Contractor
Date:
2022-06-27
STATE OF COLORADO
Jared S. Potts, Governor
Colorado Department of Public Health and Environment
Jill Hunsaker Ryan, MPH, Executive Director
e—DocuSigned by:
Usa M.cGemunA,
�2FfFa70AlA7naFr.
By: Signature
Lisa McGovern
Name of Executive Director Delegate
rsProcurement & Contracts Section Director ft
Title of Executive Director Delegate
Date:
2022-06-27
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
r—DocuSigned by:
.sfltA,
CA8L15a0F8A7QA05
By: Signature
Justin Weigle
Name of State Controller Delegate
Health Divisions controller
Title of State Controller Delegate
Amendment Effective Date:
2022-06-27
-- Signature and Cover Pages End --
Page 3 of 5
Amendment Contract Number: 2021 *0293 Amendment #1
Ver. 06.05.20
DocuSign Envelope ID: C2C1A6D2-91 A6-4288-9989-9C2BBFC62310
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.
4. PURPOSE
The Parties entered into the agreement to reduce unintended pregnancy by insuring access to
quality reproductive health services to all Coloradans.
The Parties now desire to renew for an additional term and change current Contract Maximum
Total for the following reason: add funds for fiscal year 2023 to support deliverables and services
as specified in the contract's updated Statement of Work.
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: update Statement of Work to
include telehealth project for new fiscal year.
D. The Parties now agree to modify Exhibit D., Federal Provisions — Colorado Family
Planning Program Proposal to Enhance and Expand Access to Telehealth Title X Family
Page 4 of 5
Amendment Contract Number: 2021 *0293 Amendment #1 Ver 27.01.20
DocuSign Envelope ID: C2C1A6D2-91A6-4288-9989-9C2BBFC62310
Planning Services, for the following reason: to reflect changes to the federal award
identification information.
E. The Parties now agree to add Exhibit E., Telehealth Budget for the following reason:
add funds for Telehealth Project.
F. The Parties now agree to add Exhibit F., Federal Provisions — Colorado Family Planning
Program Proposal to Maintain and Expand Access to Patient -Centered Title X Family
Planning Services, for the following reason: to reflect changes to the federal award
identification information.
6. LIMITS OF EFFECT AND ORDER OF PRECEDENCE
This Amendment is incorporated by reference into the Contract, and the Contract and all prior
amendments or other modifications to the Contract, if any, remain in full force and effect except
as specifically modified in this Amendment. Except for the Special Provisions contained in the
Contract, in the event of any conflict, inconsistency, variance, or contradiction between the
provisions of this Amendment and any of the provisions of the Contract or any prior modification
to the Contract, the provisions of this Amendment shall in all respects supersede, govern, and
control. The provisions of this Amendment shall only supersede, govern, and control over the
Special Provisions contained in the Contract to the extent that this Amendment specifically
modifies those Special Provisions.
Page 5 of 5
Amendment Contract Number: 2021'0293 Amendment #1 Ver 27.01.20
DocuSign Envelope ID: C2C1A6D2-91A6-4288-9989-9C2BBFC62310
EXHIBIT B
STATEMENT OF WORK
To Original Contract Number 2021 *0293
These provisions are to be read and interpreted in conjunction with the provisions of the contract specified above.
I. Entity Name: Board of County Commissioners of Weld County
II. Project Description:
This project serves to reduce unintended pregnancy by ensuring access to quality reproductive
health services to all Coloradans. The Colorado Department of Public Health & Environment
(CDPHE) Family Planning Program (FPP) helped to drive a 50 percent reduction in teen births and
abortions, and empowered thousands of people to make their own choices on when or whether to
start a family. Priority is given to clients with incomes that are at or below 250% of Federal Poverty
Level. Services include, but are not limited to, contraceptive services, preventative health
counseling and education services, reproductive health related testing, and screening and referrals.
III. Definitions:
1. CDPHE: Colorado Department of Public Health and Environment
2. FPL: Federal Poverty Level
3. FPP: CDPHE's Family Planning Program
4. High Need Populations: Hard to reach and/or vulnerable populations including
but not limited to low- income, adolescents, homeless, men who have sex with
men, LGBTQ+, and more.
5. WIC: Special Supplemental Program for Women, Infants and Children
IV. Work Plan:
Goal #1: Reduce unintended pregnancy by promoting access to quality reproductive health services to all Coloradans
Objective #1: Provide comprehensive reproductive and sexual health services to Coloradans.
Primary Activity #1
The Contractor shall provide ongoing clinical services to family planning clients.
Sub -Activities #1
1. The Contractor shall provide nursing and medical services.
2. The Contractor shall provide family planning education.
3. The Contractor shall provide a broad range of FDA -approved contraceptives and
contraceptive information, including:
a. Long acting reversible methods of contraception such as intrauterine
contraceptive devices and contraceptive implants.
b. A minimum of one (1) hormonal intrauterine device;
c. A minimum of one (1) non -hormonal intrauterine device; and
d. A minimum of one (1) implant.
4. The Contractor shall provide education and counseling services regarding:
a. family planning;
b. family planning methods;
c. child spacing;
Page 1 of 6
Amendment Contract Number 2021 *0293 Amendment 14
Ver. 01.11.19
DocuSign Envelope ID: C2C1A6D2-91A6-4288-9989-9C2BBFC62310
EXHIBIT B
d. infertility;
e. sterilization;
f. nutrition;
g. sexually transmitted diseases;
h. HIV/AIDS;
i. adolescent counseling; and
j. other related health issues outlined in the CDPHE FPP Clinical and
Administrative Manuals.
5. The Contractor shall provide clinical follow-up and referral services, as
requested by the patient.
Primary Activity #2
The Contractor shall provide services to high need populations.
Sub -Activities #2
1. The Contractor shall update the annual sliding fee scale with most recent
Poverty Guidelines, using a cost setting model that is approved by CDPHE
annually.
2. The Contractor shall annually provide outreach services to at least one (1)
organization designed to improve client recruitment, strengthen existing
relationships or create new linkages.
3. The Contractor shall host a minimum of one (1) community educational
presentation on a family planning- related topic, annually, as described in the
CDPHE State and Federal Funding Family Planning Administrative Manual.
4. The Contractor shall host an Information and Education Committee in the local
Community a minimum of one (1) time annually, using the I & E Committee
guidelines as referenced in the CDPHE State and Federal Funding
Administrative Manual as a guide for committee work.
5. The Contractor shall host a minimum of one (1) Advisory Committee meeting
annually, as described in the CDPHE State and Federal Funding Family Planning
Administrative Manual.
6. The Contractor shall conduct a minimum of one (1) Customer Satisfaction Survey
during the contract period, as described in the CDPHE State and Federal Family
Planning Administrative Manual.
Primary Activity#3
The Contractor shall maintain personnel to implement the CDPHE Family Planning
Program.
Sub -Activities #3
1. The Contractor shall comply with CDPHE Family Planning Program annual
site visits, as described in the CDPHE State and Federal Funding
Administrative and Clinical Manuals.
2. The Contractor shall incorporate clinical business activities that include:
a. Increasing organizational fiscal resources through insurance and Medicaid
contracting and reimbursement;
b. Revenue management activities that ensure billing and full clinical
reimbursements are realized;
c. Infrastructure improvements to attract new clients and retain current clients;
Page 2 of 6
Amendment Contract Number: 2021 *0293 Amendment #1
Ver. 01.11.19
DocuSign Envelope ID: C2C1A6D2-91A6-4288-9989-9C2BBFC62310
EXHIBIT B
and;
d. Other CDPHE approved activities.
3. The Contractor shall attend CDPHE required meetings.
Primary Activity #4
The Contractor shall compile patient data regarding the family planning program.
Sub -Activities #4
1. The Contract shall input patient -level, clinical visit data into the CDPHE family
planning data base on a monthly basis.
2. The Contractor shall compile additional data, outside of the data base, as defined in
the CDPHE Clinical Manual.
3. The Contract shall collect data in the family planning program quarterly progress
reports.
Primary Activity #5
The Contractor shall complete work to improve capacity to deliver telehealth family
planning services.
Sub -Activities #5
1. The Contractor shall evaluate the delivery of family planning services via
telehealth through one or more of the following strategies:
a. Expand technical capabilities for telehealth
b. Increase provision of telehealth care
c. Participate in telehealth training and technical assistance
d. Conduct outreach to promote telehealth Title X family planning
services.
Page 3 of 6
Amendment Contract Number 2021 *0293 Amendment #1 Ver. 01.11.19
DocuSign Envelope ID: C2C1A6D2-91A6-4288-9989-9C2BBFC62310
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
documents and website content for updates and comply with all updates.
2. The Contractor shall include in all nursing and medical services a
comprehensive health, social history, and physical examination administered
in accordance with all applicable Colorado FPP regulations, and all
applicable nursing- medical policies or procedures, which have been or may
be established by the CDPHE Health Services and Connections Branch.
3. The Contractor shall provide nursing and medical services through telehealth,
telephone, texting, and face-to-face visits.
4. The Contractor shall adhere to the CDPHE State and Federal Family Planning
Administrative Manual. This manual is incorporated and made part of this
contract by reference, and is available at the following website:
https://www.colorado.gov/pacific/cdphe/titlex-manuals
5. The Contractor shall not charge for any family planning services provided to
patients with incomes at or below 100% of the FPL, as defined by the Office
of Management and Budget (OMB).
6. The Contractor shall charge for services to patients with incomes at 101-
250% FPL based on the CDPHE-approved sliding fee scale model. The
Contractor shall not deny services based on the patient's inability to pay any
of the contractors' sliding fees.
7. The Contractor shall provide all documents or materials requiring CDPHE
approval a minimum of ten (10) business days prior to needed approval.
8. The Contractor shall have, at the minimum, the Contractor's family planning
coordinator participate in CDPI-IE required meetings, such as the annual Post -
Award Meeting, and a minimum of two (2) required topical training
presentations such as Human Trafficking, HIV, etc. These required training
sessions shall be held electronically and recorded. If the coordinator cannot
attend the webinar "live", then the recording should be reviewed within 30 -
days of event.
9. CDPHE will notify the Contractor of the date and content of required
meetings and trainings.
10. The Contractors shall offer family planning clients printed resource and
referral materials that direct them to the nearest community Medicaid and
Connect for Health Colorado enrollment location(s), including online
enrollment options.
a. Printed resource and referral materials for Medicaid and
Connect for Health Colorado enrollment shall be available for
clients with Limited English Proficiency (LEP). Contractors
that routinely offer enrollment services on- site are exempt
from this requirement because the services provided go beyond
this minimum requirement.
b. Information on enrollment resources, referral locations, LEP and
outreach and promotional materials are available at
https://www.colorado.gov/cdphe/family- planning, which is
incorporated and made a part of this contract by reference.
11. The CDPHE family planning data base is incorporated and made part of this
contract by reference, and is available at the following website:
Page 4 of 6
Amendment Cor tract Number. 20'_1 0393 Amendment 41
Ver. 01.11.19
DocuSign Envelope ID: C2C1A6D2-91A6-4288-9989-9C2BBFC62310
EXHIBIT B
https://www.healthinformatics.dphe.state.co.us/
12. The Contractor shall use the CDPHE provided template for the quarterly
progress reports. That template is incorporated and made part of this Contract
by reference and is available at the following website:
https://drive.google.com/drive/folders/19bwYO4AAVbzhWpfTO871 ETn8O2
7g7jKg
laboratory tests, using a
proposed by the
clients, that are at
clients, that are 19
as specified in most
and Administrative
be in compliance with State
coordinator or fiscal staff
participate in the CDPHE Post -
within forty-five (45) days of
directed, to the
13. The Contractor shall process all required clinical
cytology laboratory chosen by the State or a laboratory
Contractor and approved by the FPP.
14. The Contractor shall prioritize and care for low income
100% of Federal Poverty Level and below, and adolescent
years of age or younger.
15. The Contractor shall follow personnel requirements
recent CDPHE FPP State and Federal Funding Clinical
Manual. Professional health care providers must
and Federal licensing requirements and regulations.
16. The Contractor shall require any new family planning
working on Family Planning Program services to
Award Meeting (program and fiscal orientation)
employment.
17. The Contractor shall submit deliverables, unless otherwise
Family Planning Coordinator via email (cdphe familyplanning@state.co.us).
Expected Results of
Activity(s)
1. The increased delivery of quality family planning services to Coloradans and
2. The reduction of unintended pregnancies within the state.
Measurement of Expected
Results
1. Quarterly progress reports.
2. Number of patients served through the family planning data base.
Completion Date
Deliverables
1. The Contractor shall submit any subcontract or any
memorandum of understanding pertaining to this
contract.
No later than 14 days after the
effective date of this contract
or 30 days after a change in
subcontract.
2. The Contractor shall submit quarterly progress
reports.
No later than 30 days after
the end of October, January,
April, and July, annually
V. Monitoring:
CDPHE's monitoring of this contract for compliance with performance requirements will be conducted
throughout the contract period by the FPP Unit Manager. 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.
Page 5 of 6
Amendment Contact Number 202 I'0?9;3 Amendment #1
Ver. 01.11.19
DocuSign Envelope ID: C2C1A6D2-91A6-4288-9989-9C2BBFC62310
EXHIBIT B
VI. Resolution of Non -Compliance:
The Contractor will be notified in writing within thirty (30) calendar days of discovery of a compliance
issue. Within forty-five (45) 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 time line for completion will be documented in writing
and agreed to by both parties. If extenuating circumstances arise that requires an extension to the time line,
the Contractor must email a request to the FPP Unit Manager and receive approval for a new due date. The
State will oversee the completion/implementation of the action(s) to ensure time lines 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 6 of 6
Amendment Contract Number: 2021 *0293 Amendment # 1 Ver. 01.11.19
DocuSign Envelope ID: C2C1A6D2-91 A6-4288-9989-9C2BBFC62310
Exhibit D
Federal Provisions — Colorado Family Planning Program Proposal to Enhance and Expand
Access to Telehealth Title X Family Planning Services
For the purposes of this Exhibit only, Contractor is also identified as "Subrecipient." This Contract has
been funded, in whole or in part, with an award of Federal funds. In the event of a conflict between the
provisions of these Supplemental Provisions for Federal Awards, the Special Provisions, the Contract or
any attachments or exhibits incorporated into and made a part of the Contract, the Supplemental
Provisions for Federal Awards shall control. In the event of a conflict between the Supplemental
Provisions for Federal Awards and the FFATA Supplemental Provisions (if any), the FFATA
Supplemental Provisions shall control.
1) Federal Award Identification.
a. Subrecipient: Board of County Commissioners of Weld County.
b. Subrecipient Unique Entity Identification Number:
• SAM Unique Entity ID (UEI): MKKXT9U9MTV5
c. The Federal Award Identification Number (FAIN) is FPHPA006611.
d. The Federal award date is 5/02/2022.
e. The subaward period of performance start date is 5/15/2022 and end date is 5/31/2023.
f. Federal Funds:
Federal Budget Period
Total Amount of Federal
Funds Awarded
Amount of Federal Funds
Obligated to CDPHE
7/01/2022 - 6/30/2023
$769,981.00
$769,981.00
g. Federal award title of project or program: Colorado Family Planning Program Proposal
to Enhance and Expand Access to Telehealth Title X Family Planning Services.
h. The name of the Federal awarding agency is: Department Of Health And Human
Services and the contact information for the awarding official is Ms. Tisha Reed, Public
Health Analyst/Title X Project Officer, tisha.reedc hhs.uov, Phone: 240-453-
6162; the name of the pass -through entity is the State of Colorado, Department of Public
Health and Environment (CDPHE), and the contact information for the CDPHE official is
Callie Wise, Family Planning Program Manager, callie.wise@state.co.us.
i. The Catalog of Federal Domestic Assistance (CFDA) number is 93.217 and the grant name is
Family Planning Services.
j. This award is not for research & development.
k. Subrecipient is not required to provide matching funds. In the event the Subrecipient is
required to provide matching funds, Section 8 of this Attachment applies.
1. The indirect cost rate for the Federal award (including if the de minimis rate is charged per 2
CFR §200.414 Indirect (F&A) costs) is pre -determined based upon the State of Colorado and
CDPHE cost allocation plan.
Page 1 of 4
Contract Number: 2021*0293 Amendment #1 Ver. 25.02.20
DocuSign Envelope ID: C2C1A6D2-91A6-4288-9989-9C2BBFC62310
Exhibit D
2) Subrecipient shall at all times during the term of this contract strictly adhere to the requirements under
the Federal Award listed above, and all applicable federal laws, Executive Orders, and implementing
regulations as they currently exist and may hereafter be amended.
3) Any additional requirements that CDPHE imposes on Subrecipient in order for CDPHE to meet its
own responsibility to the Federal awarding agency, including identification of any required financial and
performance reports, are stated in the Exhibits.
4) Subrecipient's approved indirect cost rate is as stated in the Exhibits.
5) Subrecipient must permit CDPHE and auditors to have access to Subrecipient's records and financial
statements as necessary for CDPHE to meet the requirements of 2 CFR §200.331 Requirements for pass -
through entities, §§ 200.300 Statutory and National Policy Requirements through §200.309 Period of
performance, and Subpart F —Audit Requirements of this Part.
6) The appropriate terms and conditions concerning closeout of the subaward are listed in Section 16 of
this Attachment.
7) Performance and Final Status. Subrecipient shall submit all financial, performance, and other
reports to CDPHE no later than 45 calendar days after the period of performance end date or sooner
termination of this Contract containing an evaluation and review of Subrecipient's performance and the
fmal status of Subrecipient's obligations hereunder.
8) Matching Funds. Subrecipient shall provide matching funds as stated in the Exhibits. Subrecipient
shall have raised the full amount of matching funds prior to the Effective Date and shall report to CDPHE
regarding the status of such funds upon request. Subrecipient's obligation to pay all or any part of any
matching funds, whether direct or contingent, only extends to funds duly and lawfully appropriated for the
purposes of this Contract by the authorized representatives of the Subrecipient and paid into the
Subrecipient's treasury or bank account. Subrecipient represents to CDPHE that the amount designated as
matching funds has been legally appropriated for the purposes of this Contract by its authorized
representatives and paid into its treasury or bank account. Subrecipient does not by this Contract
irrevocably pledge present cash reserves for payments in future fiscal years, and this Contract is not
intended to create a multiple -fiscal year debt of the Subrecipient. Subrecipient shall not pay or be liable for
any claimed interest, late charges, fees, taxes or penalties of any nature, except as required by
Subrecipient's laws or policies.
9) Record Retention Period. The record retention period previously stated in this Contract is replaced
with the record retention period prescribed in 2 CFR §200.333.
10) Single Audit Requirements. If Subrecipient expends $750,000 or more in Federal Awards during
Subrecipient's fiscal year, Subrecipient shall procure or arrange for a single or program -specific audit
conducted for that year in accordance with the provisions of Subpart F -Audit Requirements of the Uniform
Guidance, issued pursuant to the Single Audit Act Amendments of 1996, (31 U.S.C. 7501-7507). 2 CFR
§200.501.
11) Contract Provisions. Subrecipient shall comply with and shall include all of the following applicable
provisions in all subcontracts entered into by it pursuant to this Contract:
a. Office of Management and Budget Circulars and The Common Rule for Uniform
Administrative Requirements for Grants and Cooperative Agreements to State and Local
Governments, as applicable;
b. when required by Federal program legislation, the "Davis -Bacon Act", as amended (40
U.S.C. 3141-3148) as supplemented by Department of Labor Regulations (29 CFR Part 5,
"Labor Standards Provisions Applicable to Contracts Covering Federally Financed and
Assisted Construction");
Page 2 of 4
Contract Number: 2021*0293 Amendment #1 Ver. 25.02.20
DocuSign Envelope ID: C2C1A6D2-91A6-4288-9989-9C2BBFC62310
Exhibit D
c. when required by Federal program legislation, the Copeland "Anti -Kickback" Act (40 U.S.C.
3145), as supplemented by Department of Labor regulations (29 CFR Part 3, "Contractors
and Subcontractors on Public Building of Public Work Financed in Whole or in Part by Loans
or Grants from the United States").
d. 42 U.S.C. 6101 et seq., 42 U.S.C. 2000d, 29 U.S.C. 794 (regarding discrimination);
e. the "Americans with Disabilities Act" (Public Law 101-336; 42 U.S.C. 12101, 12102, 12111
-12117,12131-12134,12141-12150,12161-12165,12181-12189,12201-12213 and 47
U.S.C. 225 and 47 U.S.C. 611);
f. when applicable, the Contractor shall comply with the provisions of the "Uniform
Administrative Requirements for Grants and Cooperative Agreements to State and Local
Governments" (Common Rule);
g. The Federal Funding Accountability and Transparency Act of 2006 (Public Law 109-282), as
amended by §6062 of Public Law 110-252, including without limitation all data reporting
requirements required there under. This Act is also referred to as FFATA.
h. Contractor shall comply with the provisions of Section 601 of Title VI of the Civil Rights Act
of 1964, as amended.
i. Except as otherwise provided under 41 CFR Part 60, all contracts that meet the defmition of
"federally assisted construction contract" in 41 CFR Part 60-1.3 comply with the equal
opportunity clause provided under 41 CFR 60-1.4(b), in accordance with Executive Order
11246, "Equal Employment Opportunity: (30 FR 12319, 12935, 3 CFR Part, 1964-1965
Comp., p. 339), as amended by Executive Order 11375, "Amending Executive Order 11246
Relating to Equal Employment Opportunity," and implementing regulations at 41 CFR part
60, "Office of Federal Contract Compliance Programs, Equal Employment Opportunity,
Department of Labor.
j. where applicable, Contract Work Hours and Safety Standards Act (40 U.S.C. 3701-3708).
k. if the Federal award meets the defmition of "funding agreement" under 37 CFR § 401.2 (a)
and the recipient or subrecipient wishes to enter into an agreement with a small business firm
or nonprofit organization, comply with the requirements of 37 CFR Part 401, "Rights to
Inventions Made by Nonprofit Organizations and Small Business Firms Under Government
Grants, Contracts and Cooperative Agreements," and any implementing regulations issued by
the awarding agency.
1. the Clean Air Act (42 U.S.C. 7401-7671q.) and the Federal Water Pollution Control Act (33
U.S.C. 1251-1387), as amended.
m. if applicable, comply with the mandatory standards and policies on energy efficiency
contained within the State of Colorado's energy conservation plan issued in compliance with
the Energy Policy and Conservation Act, 42 U.S.C. 6201.
n. the Contractor and all principals are not presently debarred, suspended, proposed for
debarment, declared ineligible, or voluntarily excluded from covered transactions by any
federal department or agency; the Contractor and all principals shall comply with all
applicable regulations pursuant to Executive Order 12549 (3 CFR Part 1986 Comp., p. 189)
and Executive Order 12689 (3 CFR Part 1989 Comp., p. 235), Debarment and Suspension;
and,
o. the Contractor shall comply where applicable, the Byrd Anti -Lobbying Amendment (31
U.S.C. 1352).
Page 3 of 4
Contract Number: 2021*0293 Amendment #1 Ver. 25.02.20
DocuSign Envelope ID: C2C1A6O2-91A6-4288-9989-9C2BBFC62310
Exhibit D
12) Compliance. Subrecipient shall comply with all applicable provisions of The Office of Management
and Budget Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal
Awards (Uniform Guidance), including but not limited to these Supplemental Provisions for Federal
Awards. Any revisions to such provisions automatically shall become a part of these Supplemental
Provisions, without the necessity of either party executing any further instrument. CDPHE may provide
written notification to Subrecipient of such revisions, but such notice shall not be a condition precedent to
the effectiveness of such revisions.
13) Procurement Procedures. Subrecipient shall use its own documented procurement procedures which
reflect applicable State, local, and Tribal laws and regulations, provided that the procurements conform to
applicable Federal law and the standards identified in the Uniform Guidance, including without limitation,
§§200.318 through 200.326 thereof.
14) Certifications. Unless prohibited by Federal statutes or regulations, CDPHE may require
Subrecipient to submit certifications and representations required by Federal statutes or regulations on an
annual basis (2 CFR §200.208). Submission may be required more frequently if Subrecipient fails to meet
a requirement of the Federal award. Subrecipient shall certify in writing to CDPHE at the end of the
Contract that the project or activity was completed or the level of effort was expended. 2 CFR
§200.201(b)(3). If the required level of activity or effort was not carried out, the amount of the Contract
must be adjusted.
15) Event of Default. Failure to comply with the Uniform Guidance or these Supplemental Provisions for
Federal Awards shall constitute an event of default under the Contract pursuant to 2 CFR §200.339 and
CDPHE may terminate the Contract in accordance with the provisions in the Contract.
16) Close- Out. Subrecipient shall close out this Contract within 45 days after the End Date. Contract
close out entails submission to CDPHE by Subrecipient of all documentation defined as a deliverable in
this Contract, and Subrecipient's final reimbursement request. If the project has not been closed by the
Federal awarding agency within 1 year and 45 days after the End Date due to Subrecipient's failure to
submit required documentation that CDPHE has requested from Subrecipient, then Subrecipient may be
prohibited from applying for new Federal awards through the State until such documentation has been
submitted and accepted.
17) Erroneous Payments. The closeout of a Federal award does not affect the right of the Federal
awarding agency or CDPHE to disallow costs and recover funds on the basis of a later audit or other
review. Any cost disallowance recovery is to be made within the record retention period.
EXHIBIT END
Page 4 of 4
Contract Number: 2021*0293 Amendment #1 Ver. 25.02.20
DocuSign Envelope ID: C2C1A6D2-91A6-4288-9989-9C2BBFC62310
Exhibit E., Telehealth Budget
COLORADO
Department of Public
Health & Environment
PREVENTION SERVICES DIVISION- FIXED PRICE BUDGET WITH JUSTIFICATION FORM
Original Contract Routing 2021*0293
Contractor Name
Weld
County Department of Public Health
Environment
&
Program Contact Name,
Title, Phone and Email
RN/Co-Coordinator
afox@weldgov.com
Alissa
970-400-2436
Fox
Budget Period
July
1, 2022 - May 31, 2023
Fiscal Contact Name, Title,
Phone and Email
Tanya Geiser
PH Finance
970-400-2122
tgeiser@weldgov.com
Director
Project
Name
Family Planning Program - Telehealth
Project
Contract (CT or PO)
Number
2021*0293
CT FHLA
Budget
Information
Primary
/
Description of
Activity
Rate
Quantity
Total
Requested
CDPHE
Amount
from
Activity
Deliverable
Primary
Sub
Expand
capabilities
-activity
Activity #5
#1(a)
technical
for telehealth
Purchasing
capabilities
Payable
based
the
deliverable.
of
and
upon
upon
knowledge
computer
enable
CDPHE
programs
video
review
of
to enhance
telehealth services.
and approval of
organization progress
telehealth
monthly
on
achievement
invoice
$ 10,000.00
of
1.00
$ 10,000.00
Primary
Sub
Increase
telehealth
-activity
Activity
#5
#1(b)
provision of
care
Delivery
Payable
based
the
deliverable.
of telehealth
upon
upon
CDPHE
knowledge
services by
review and
of organization
NPs and
approval
progress
RNs.
of
monthly
on
achievement
invoice $ 40.00
of
20.00
$ 800.00
Primary Activity #5
Sub -activity #1(c)
Participate in telehealth
training and technical
assistance
Training to ensure
and meeting
how best to
Payable upon
based upon
the deliverable.
staff knowledge
patient needs
utilize telehealth
CDPHE review
knowledge of
organization
with
and
and
telehealth
technology.
approval
on
maintaining
progress
services.
of monthly
on
confidentiality
Training
achievement
invoice
on
$ 100.00
of
10.00
$ 1,000.00
I
$ 11,800.00
TOTAL
Amendment Contract: 2021*0293 Amendment #1 Page 1 of 1
DocuSign Envelope ID: C2C1A6D2-91A6-4288-9989-9C2BBFC62310
Exhibit F
Federal Provisions — Colorado Family Planning Program Proposal to Maintain and
Expand Access to Patient -Centered Title X Family Planning Services
For the purposes of this Exhibit only, Contractor is also identified as "Subrecipient." This Contract has
been funded, in whole or in part, with an award of Federal funds. In the event of a conflict between the
provisions of these Supplemental Provisions for Federal Awards, the Special Provisions, the Contract or
any attachments or exhibits incorporated into and made a part of the Contract, the Supplemental
Provisions for Federal Awards shall control. In the event of a conflict between the Supplemental
Provisions for Federal Awards and the FFATA Supplemental Provisions (if any), the FFATA
Supplemental Provisions shall control.
1) Federal Award Identification.
a. Subrecipient: Board of County Commissioners of Weld County.
b. Subrecipient Unique Entity Identification Number:
• SAM Unique Entity ID (UEI): MKKXT9U9MTV5
c. The Federal Award Identification Number (FAIN) is FPHPA006517.
d. The Federal award date is 3/23/2022.
e. The subaward period of performance start date is 4/01/2022 and end date is 3/31/2027.
f. Federal Funds:
Federal Budget Period
Total Amount of Federal
Funds Awarded
Amount of Federal Funds
Obligated to CDPHE
7/01/2022 - 3/31/2023
$5,175,622.00
$5,175,622.00
g. Federal award title of project or program: Colorado Family Planning Proposal to
Maintain and Expand Access to Patient -Centered Title X Family Planning
Services.
h. The name of the Federal awarding agency is: Department Of Health And Human
Services and the contact information for the awarding official is Ms. Tisha Reed, Public
Health Analyst/Title X Project Officer, tisha.reedahhs.gov, Phone: 240-453-
6162; the name of the pass -through entity is the State of Colorado, Department of Public
Health and Environment (CDPHE), and the contact information for the CDPHE official is
Callie Wise, Family Pluming Program Manager, callie.wise@state.co.us.
i. The Catalog of Federal Domestic Assistance (CFDA) number is 93.217 and the grant name is
Family Planning Services.
j. This award is not for research & development.
k. Subrecipient is not required to provide matching funds. In the event the Subrecipient is
required to provide matching funds, Section 8 of this Attachment applies.
1. The indirect cost rate for the Federal award (including if the de minimis rate is charged per 2
CFR §200.414 Indirect (F&A) costs) is pre -determined based upon the State of Colorado and
CDPHE cost allocation plan.
Page 1 of 4
Contract Number: 2021*0293 Amendment #1 Ver. 25.02.20
DocuSign Envelope ID: C2C1A6D2-91A6-4288-9989-9C2BBFC62310
Exhibit F
2) Subrecipient shall at all times during the term of this contract strictly adhere to the requirements under
the Federal Award listed above, and all applicable federal laws, Executive Orders, and implementing
regulations as they currently exist and may hereafter be amended.
3) Any additional requirements that CDPHE imposes on Subrecipient in order for CDPHE to meet its
own responsibility to the Federal awarding agency, including identification of any required financial and
performance reports, are stated in the Exhibits.
4) Subrecipient's approved indirect cost rate is as stated in the Exhibits.
5) Subrecipient must permit CDPHE and auditors to have access to Subrecipient's records and fmancial
statements as necessary for CDPHE to meet the requirements of 2 CFR §200.331 Requirements for pass -
through entities, §§ 200.300 Statutory and National Policy Requirements through §200309 Period of
performance, and Subpart F -Audit Requirements of this Part.
6) The appropriate terms and conditions concerning closeout of the subaward are listed in Section 16 of
this Attachment.
7) Performance and Final Status. Subrecipient shall submit all financial, performance, and other
reports to CDPHE no later than 45 calendar days after the period of performance end date or sooner
termination of this Contract containing an evaluation and review of Subrecipient's performance and the
final status of Subrecipient's obligations hereunder.
8) Matching Funds. Subrecipient shall provide matching funds as stated in the Exhibits. Subrecipient
shall have raised the full amount of matching funds prior to the Effective Date and shall report to CDPHE
regarding the status of such funds upon request. Subrecipient's obligation to pay all or any part of any
matching funds, whether direct or contingent, only extends to funds duly and lawfully appropriated for the
purposes of this Contract by the authorized representatives of the Subrecipient and paid into the
Subrecipient's treasury or bank account. Subrecipient represents to CDPHE that the amount designated as
matching funds has been legally appropriated for the purposes of this Contract by its authorized
representatives and paid into its treasury or bank account. Subrecipient does not by this Contract
irrevocably pledge present cash reserves for payments in future fiscal years, and this Contract is not
intended to create a multiple -fiscal year debt of the Subrecipient. Subrecipient shall not pay or be liable for
any claimed interest, late charges, fees, taxes or penalties of any nature, except as required by
Subrecipient's laws or policies.
9) Record Retention Period. The record retention period previously stated in this Contract is replaced
with the record retention period prescribed in 2 CFR §200.333.
10) Single Audit Requirements. If Subrecipient expends $750,000 or more in Federal Awards during
Subrecipient's fiscal year, Subrecipient shall procure or arrange for a single or program -specific audit
conducted for that year in accordance with the provisions of Subpart F -Audit Requirements of the Uniform
Guidance, issued pursuant to the Single Audit Act Amendments of 1996, (31 U.S.C. 7501-7507). 2 CFR
§200.501.
11) Contract Provisions. Subrecipient shall comply with and shall include all of the following applicable
provisions in all subcontracts entered into by it pursuant to this Contract:
a. Office of Management and Budget Circulars and The Common Rule for Uniform
Administrative Requirements for Grants and Cooperative Agreements to State and Local
Governments, as applicable;
b. when required by Federal program legislation, the "Davis -Bacon Act", as amended (40
U.S.C. 3141-3148) as supplemented by Department of Labor Regulations (29 CFR Part 5,
"Labor Standards Provisions Applicable to Contracts Covering Federally Financed and
Assisted Construction");
Page 2 of 4
Contract Number: 2021*0293 Amendment #1 Ver. 25.02.20
DocuSign Envelope ID: C2C1A6D2-91A6-4288-9989-9C2BBFC62310
Exhibit F
c. when required by Federal program legislation, the Copeland "Anti -Kickback" Act (40 U.S.C.
3145), as supplemented by Department of Labor regulations (29 CFR Part 3, "Contractors
and Subcontractors on Public Building of Public Work Financed in Whole or in Part by Loans
or Grants from the United States").
d. 42 U.S.C. 6101 et sue, 42 U.S.C. 2000d, 29 U.S.C. 794 (regarding discrimination);
e. the "Americans with Disabilities Act" (Public Law 101-336; 42 U.S.C. 12101, 12102, 12111
-12117,12131-12134,12141-12150,12161-12165,12181-12189,12201-12213 and 47
U.S.C. 225 and 47 U.S.C. 611);
f. when applicable, the Contractor shall comply with the provisions of the "Uniform
Administrative Requirements for Grants and Cooperative Agreements to State and Local
Governments" (Common Rule);
g. The Federal Funding Accountability and Transparency Act of 2006 (Public Law 109-282), as
amended by §6062 of Public Law 110-252, including without limitation all data reporting
requirements required there under. This Act is also referred to as FFATA.
h. Contractor shall comply with the provisions of Section 601 of Title VI of the Civil Rights Act
of 1964, as amended.
i. Except as otherwise provided under 41 CFR Part 60, all contracts that meet the definition of
"federally assisted construction contract" in 41 CFR Part 60-1.3 comply with the equal
opportunity clause provided under 41 CFR 60-1.4(b), in accordance with Executive Order
11246, "Equal Employment Opportunity: (30 FR 12319, 12935, 3 CFR Part, 1964-1965
Comp., p. 339), as amended by Executive Order 11375, "Amending Executive Order 11246
Relating to Equal Employment Opportunity," and implementing regulations at 41 CFR part
60, "Office of Federal Contract Compliance Programs, Equal Employment Opportunity,
Department of Labor.
j. where applicable, Contract Work Hours and Safety Standards Act (40 U.S.C. 3701-3708).
k. if the Federal award meets the defmition of "funding agreement" under 37 CFR § 401.2 (a)
and the recipient or subrecipient wishes to enter into an agreement with a small business firm
or nonprofit organization, comply with the requirements of 37 CFR Part 401, "Rights to
Inventions Made by Nonprofit Organizations and Small Business Firms Under Government
Grants, Contracts and Cooperative Agreements," and any implementing regulations issued by
the awarding agency.
1. the Clean Air Act (42 U.S.C. 7401-7671q.) and the Federal Water Pollution Control Act (33
U.S.C. 1251-1387), as amended.
m. if applicable, comply with the mandatory standards and policies on energy efficiency
contained within the State of Colorado's energy conservation plan issued in compliance with
the Energy Policy and Conservation Act, 42 U.S.C. 6201.
n. the Contractor and all principals are not presently debarred, suspended, proposed for
debarment, declared ineligible, or voluntarily excluded from covered transactions by any
federal department or agency; the Contractor and all principals shall comply with all
applicable regulations pursuant to Executive Order 12549 (3 CFR Part 1986 Comp., p. 189)
and Executive Order 12689 (3 CFR Part 1989 Comp., p. 235), Debarment and Suspension;
and,
o. the Contractor shall comply where applicable, the Byrd Anti -Lobbying Amendment (31
U.S.C. 1352).
Page 3 of 4
Contract Number: 2021*0293 Amendment #1 Ver. 25.02.20
DocuSign Envelope ID: C2C1A6D2-91A6-4288-9989-9C2BBFC62310
Exhibit F
12) Compliance. Subrecipient shall comply with all applicable provisions of The Office of Management
and Budget Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal
Awards (Uniform Guidance), including but not limited to these Supplemental Provisions for Federal
Awards. Any revisions to such provisions automatically shall become a part of these Supplemental
Provisions, without the necessity of either party executing any further instrument. CDPHE may provide
written notification to Subrecipient of such revisions, but such notice shall not be a condition precedent to
the effectiveness of such revisions.
13) Procurement Procedures. Subrecipient shall use its own documented procurement procedures which
reflect applicable State, local, and Tribal laws and regulations, provided that the procurements conform to
applicable Federal law and the standards identified in the Uniform Guidance, including without limitation,
§§200.318 through 200.326 thereof.
14) Certifications. Unless prohibited by Federal statutes or regulations, CDPHE may require
Subrecipient to submit certifications and representations required by Federal statutes or regulations on an
annual basis (2 CFR §200.208). Submission may be required more frequently if Subrecipient fails to meet
a requirement of the Federal award. Subrecipient shall certify in writing to CDPHE at the end of the
Contract that the project or activity was completed or the level of effort was expended. 2 CFR
§200.201(b)(3). If the required level of activity or effort was not carried out, the amount of the Contract
must be adjusted.
15) Event of Default. Failure to comply with the Uniform Guidance or these Supplemental Provisions for
Federal Awards shall constitute an event of default under the Contract pursuant to 2 CFR §200.339 and
CDPHE may terminate the Contract in accordance with the provisions in the Contract.
16) Close- Out. Subrecipient shall close out this Contract within 45 days after the End Date. Contract
close out entails submission to CDPHE by Subrecipient of all documentation defined as a deliverable in
this Contract, and Subrecipient's final reimbursement request. If the project has not been closed by the
Federal awarding agency within 1 year and 45 days after the End Date due to Subrecipient's failure to
submit required documentation that CDPHE has requested from Subrecipient, then Subrecipient may be
prohibited from applying for new Federal awards through the State until such documentation has been
submitted and accepted.
17) Erroneous Payments. The closeout of a Federal award does not affect the right of the Federal
awarding agency or CDPHE to disallow costs and recover funds on the basis of a later audit or other
review. Any cost disallowance recovery is to be made within the record retention period.
EXHIBIT END
Page 4 of 4
Contract Number: 2021*0293 Amendment #1 Ver. 25.02.20
Contract Form
New Contract Reques
Entity Name*
COLORADO DEPT OF PUBLIC
HEALTH/ENVIRONMENT
Entity ID
X00001926
Contract Name* Contract ID
CDPHE FAMILY PLANNING CONTRACT AMENDMENT #1 6044
FY22-23
Contract Status
CTB REVIEW
Contract Lead*
KJAKUS-HOTCHKISS
Contract L ;' Email
kjakus-
hotchkiss4'weldgov.com
Contract Description
FY22-23 FAMILY PLANNING CONTRACT 2021"0293 AMEND #1
Parent Contract ID
Requires Board Approval
YES
Department Project #
Contract Description 2
FY20-21 FAMILY PLANNING TASK ORDER CONTRACT 2021 "0293; PREVIOUS CONTRACT 2018-3249 AMEND #4; AMEND
CONTRACT 19 FHLA 1 1 3551 ; ORIG CONTRACT 15 FLA 67059
Contract Type*
GRANT
Amount*
$318,331.00
NO
Automatic Renewal
NO
Grant
YES
ICA
NO
HEALTH
nt Email
CM -Health #weldgov.com
tment Head Email
CM -Health-
DeptHeadgWeIdgov.com
County Attorney
GENERAL COUNTY
ATTORNEY EMAIL
County Attorney Email
CM-
COUNTYA I I ORNEY@WELDG
OV,COM
Grant Deadline Date
If this is a e us Contract ID
3715
If this is part of a MSA enter MSA Contract ID
Requested BOCC nda Due Date
Date' 06/23; 2022
06/27/2022
Will a work session with BOCC be required?*
NO
Does Contract require Purchasing Dept. to be inclu
NO
Note: the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts are not in
On&ase
Contract Dates
Effective Date
07;01:2022
Review Date*
03 31 2023
Termination Notice Period Committed Delivery Date
Contact Information
Contact Info
Contact Name
Purchasing
Renewal Date
Expiration Date*
06,'30,2023
Contact Type Contact Email Contact Phone I Contact Phone 2
Purchasing Approver Purchasing Approved Date
Approval Process
Department Head
TANYA GEISER
DH Approved Date
06, 22x`2022
Final
BOCC Approved
BOCC Signed Date
BOCC Agenda Date
06;2712022
Originator
KJAKUS-HOTCHKISS
Finance Approver
CHERYL PA I I ELL]
finance Approved Date
Legal Counsel
BRUCE BARKER
Legal Counsel Approved Date
06 23;2022 06;23,2022
Tyler Ref #
AG 062722
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