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HomeMy WebLinkAbout20223573.tiffRESOLUTION RE: APPROVE CONTRACT AMENDMENT #6 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 #6 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, 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 #6 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 28th day of December, A.D., 2022. BOARD OF COUNTY COMMISSIONERS WE D COUNTY, COLORADO ATTEST: dAdthio G jdt0 ,,k, Weld County Clerk to the Board BY: Nu Deputy Clerk to the Board APPOVED AS TO FOR A +.County Attorney Date of signature: 01(2.3 /0.3 S ott K. James, Chair EXCUSED Mike Freeman, Pro-Tem EXCUSED Perry L. Buck teve Moreno Lori Saine O1/31/23 2022-3573 HL0054 cn1fo4- iGa0s9t Memorandum TO: Scott James, Chair Board of County Commissioners FROM: Gene O'Hara, Interim Executive Director Department of Public Health & Environment DATE: December 19, 2022 SUBJECT: Contract Amendment #5 with CDPHE for 2023 Sexually Transmitted Infection Prevention & Treatment Services For the Board's approval is renewal Contract Amendment #5 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. This project serves to support the prevention of Chlamydia, Gonorrhea, Syphilis and HIV 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 and 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. The term of this contract is from January 1, 2023, through December 31, 2023. CDPHE will reimburse the health department up to $71,760 during the project period. The Board approved placement of this Amendment on the Board's agenda via pass -around dated December 19, 2022 I recommend approval of this Contract Amendment #5 with CDPHE for the management of STIs. 2022-3573 BOARD OF COUNTY COMMISSIONERS PASS -AROUND REVIEW TITLE: Contract Amendment #5 with CDPHE for 2023 Sexually Transmitted Infection Prevention & Treatment Services DEPARTMENT: PUBLIC HEALTH & ENVIRONMENT DATE: December 19, 2022 PERSON REQUESTING: Gene O'Hara, Interim Executive Director Brief description of the problem/issue: For the Board's review and approval for placement on the agenda is renewal contract amendment #5 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. This project serves to support the prevention of Chlamydia, Gonorrhea, Syphilis and HIV 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 and 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. The term of this contract is from January 1, 2023, through December 31, 2023. CDPHE will reimburse the health department up to $71,760 during the project period. This contract amendment is currently under review with the Weld County Attorney's office, and we will await their approval prior to placement of this item on the Board's agenda. 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, Syphilis and HIV 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 funding from CDPHE to reduce the county's costs associated with activities that we have historically performed. Without this external funding from CDPHE, the clinic may need to increase the costs of services for Chlamydia, Gonorrhea, Syphilis and HIV 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 #5 with CDPHE for the management of STIs. Approve Schedule Recommendation Work Session Other/Comments: Perry L. Buck Mike Freeman, Pro-Tem Scott K. James, Chair Steve Moreno Lori Saine DocuSign Envelope ID: 0607620E-C2B4-42F6-BDD8-D20E1B2DE6BB CONTRACT AMENDMENT #5 SIGNATURE AND COVER PAGE(S) State Agency: Colorado Department Of Public Health and Environment 4300 Cherry Creek Drive South Denver, Colorado 80246 Original Contract Number: 17 FHHA 95844 Contractor: Amendment Contract Number: Board of County Commissioners of Weld County 2020*3023 Amendment #5 (a political subdivision of the state of Colorado) 1150 "O" Street Greeley CO 80631 for the use and benefit of the Weld County Department of Public Health and Environment 1555 North 17th Avenue Greeley CO 80631 Contract Performance Beginning Date: Current Contract Expiration Date: The later of the Effective date or February 2, 2017 December 31, 2023 CONTRACT MAXIMUM AMOUNT TABLE Document Type Contract Number Federal Funding Amount State Funding Amount Other Funding Amount Term (dates) Total Original Contract 17FHHA 95844 $11,935.00 $0.00 $0.00 02/02/2017- 12/31/2017 $11,935.00 Contract 18 FHHA $13,020.00 $0.00 $0.00 01/01/2018- Amendment #1 105307 12/31/2018 $13,020.00 Contract Amendment #2 19 FHHA 121540 $13,020.00 $0.00 $0.00 01/01/2019- 12/31/2019 $13,020.00 GFCL#1 2020*3023 GFCL #1 $13,020.00 $0.00 $0.00 01/01/2020- 12/31/2020 $13,020.00 Contract 2020*3023 $21,759.00 $0.00 $0.00 01/01/2021- Amendment #3 Amendment #3 12/31/2021 $21,759.00 Option Letter #1 2020*3023 $10,000.00 $0.00 $0.00 09/20/2021 - Option Letter #1 12/31/2021 $10,000.00 Contract 2020*3023 $116,077.00 $0.00 $0.00 01/01/2022 - Amendment #4 Amendment #4 12/31/2022 $116,077.00 Contract 2020*3023 571,760.00 $0.00 $0.00 01/01/2023- $71,760.00 Amendment#5 Amendment #5 12/31/2023 Current Contract Maximum $270,591.00 Cumulative Amount Page 1 of 4 Amendment Contract Number: 2020*3023 Amendment #5 Ver01.11.19 .9a--373 DocuSign Envelope ID: 0607B20E-C2B4-42F6-BDD8-D20E1B2DE6BB 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 Lartuuemuoe ... By: Signature Scott K. James Name of Person Signing for Contractor Chair, Commissioners Title of Person Signing for Contractor Date: 2022-12-28 STATE OF COLORADO Jared S. Polls, Governor Colorado Department of Public Health and Environment Jill Hunsaker Ryan, MPH, Executive Director LDocuSigned by: nnrteotccnnarc... By: Signature Lisa McGovern Name of Executive Director Delegate Procurement & Contracts Section Director ft Title of Executive Director Delegate Date: 2022-12-28 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 DocuSigned by: jEshw UJ ,.....f:AAA540FRA7Qdn5 By: Signature Justin Weigle Name of State Controller Delegate Health Divisions Controller Title of State Controller Delegate Amendment Effective Date: 2022-12-29 -- Signature and Cover Pages End -- Page 2 of 4 Amendment Contract Number: 2020*3023 Amendment #5 Ver. 06.05.20 G2D.1o1-0613 DocuSign Envelope ID: 0607B20E-C2B4-42F6-BDD8-D20E1 B2DE6BB I. 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, 2023, whichever is later, and shall terminate on the termination of the Contract or December 31, 2023, whichever is earlier. 4. PURPOSE The Parties entered into the agreement to support the prevention of Chlamydia Trachomatis (CT) and Neisseria Gonorrhea (GC) infection through the provision of screening, treatment, and partner management for these infectious diseases. The Parties now desire to renew for an additional term and change current Contract Maximum Total for the following reason: to provide services as set forth in the contract. 5. MODIFICATIONS The Contract and all prior amendments thereto, if any, are modified as follows: A. The Contract Maximum Amount table is deleted and replaced with the Current Contract Maximum Amount table shown on the Signature and Cover Page for this Amendment. B. The Contract Initial Contract Expiration Date on the Contract's Signature and Cover Page is hereby deleted and replaced with the Current Contract Expiration Date shown on the Signature and Cover Page for this Amendment. C. The Parties now agree to modify Exhibit B, Statement of Work, of the agreement. Exhibit B, Statement of Work, is deleted and replaced in its entirety with Exhibit B, Statement of Page 3 of 4 Amendment Contract Number: 2020*3023 Amendment #5 Ver 27.01.20 DocuSign Envelope ID: 0607B20E-C2B4-42F6-BDD8-D20E1 B2DE6BB Work, attached to this Amendment for the following reason: to update required activities for the contract. 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 update needed budget lines for the renewal. 6. LIMITS OF EFFECT AND ORDER OF PRECEDENCE This Amendment is incorporated by reference into the Contract, and the Contract and all prior amendments or other modifications to the Contract, if any, remain in full force and effect except as specifically modified in this Amendment. Except for the Special Provisions contained in the Contract, in the event of any conflict, inconsistency, variance, or contradiction between the provisions of this Amendment and any of the provisions of the Contract or any prior modification to the Contract, the provisions of this Amendment shall in all respects supersede, govern, and control. The provisions of this Amendment shall only supersede, govern, and control over the Special Provisions contained in the Contract to the extent that this Amendment specifically modifies those Special Provisions. Page 4 of 4 Amendment Contract Number: 2020*3004 Amendment 114 Ver 27.01.20 DocuSign Envelope ID: 0607B20E-C2B4-42F6-BDD8-D20E1 B2DE6BB EXHIBIT B STATEMENT OF WORK To Amendment Contract Number 2020*3023 Amendment #5 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 public health project serves to reduce new cases of Sexually Transmitted Infections (STI) throughout Colorado with a focus on serving priority populations at risk for acquiring STIs within Weld County through STI screening and treatment. Colorado has seen substantial increases in sexually transmitted infections (STI) morbidity in 2021. 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 as well as non -clinical outreach sites. This project promotes STI testing and treatment, as identified by the Centers of Disease Control and Prevention's Strengthening Sexually Transmitted Infections' Prevention and Control for Health Departments (STI PCHD) grant funding, to implement and strengthen STI prevention and control programs. III. Definitions: 1. 340B Pricing - program allows qualifying hospitals and clinics that treat low-income and uninsured patients to buy outpatient prescription drugs at a discounted price from the manufacturer. 2. CDC — Centers for Disease Control and Prevention 3. CDPHE- Colorado Department of Public Health and Environment 4. Clinical Setting - hospital, department, outpatient facility or clinic whose primary purpose is diagnosing. 5. Client - An individual receiving contracted services by the Contractor. 6. CT — Chlamydia Trachomatis - a sexually transmitted disease that when left untreated, may result in infertility in women 7. EPT — Expedited Partner Therapy 8. HIV- Human Immunodeficiency Virus 9. GC — Neisseria gonorrhea - a sexually transmitted disease that when left untreated, may result in infertility in women 10. 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. 11. Non -Clinical Setting - community -based, outreach sites, a person's home 12. Priority Populations: adolescents and young adults, men who have sex with men, and pregnant women 13. Service Area: Weld County 14. STI— Sexually transmitted infections(s), including GC, CT and Syphilis. 15. STI Testing Services - includes screening for chlamydia, gonorrhea and syphilis 16. Syphilis — a sexually transmitted disease that when left untreated, may result in serious complications or cause congenital syphilis among pregnant women. 17. 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 is dedicated solely to providing individuals with comprehensive family planning and related preventive health services. 18. VH - Viral Hepatitis Page 1 of 4 Amendment Contract Number 2020*3023 Amendment #4 Ver. 01.1 1.19 DocuSign Envelope ID: 0607620E-C2B4-42F6-BDD8-D20E1 B2DE6BB EXHIBIT B IV. WORK PLAN: Goal #1: Provide high -quality HIV, STI, and VH prevention services to increase the priority population's access to testing, education, and treatment, and reduce the acquisition of HIV/STI/VH throughout Colorado in order to disrupt health inequities. Objective #1: No later than the expiration date of the contract, reduce STI acquisition by providing STI testing and treatment services for the priority population in the service area. Primary Activity #1 The Contractor shall complete STI testing services in clinical settings for the priority population in the service area. Sub -Activities #1 1. The Contractor shall screen individuals within the priority population for STI testing services. 2. The Contractor shall provide STI testing services to clients within the service area. 3. The Contractor shall maintain necessary clinical staff and supervision. 4. The Contractor shall notify clients of positive test results. 5. The Contractor shall refer clients with a positive result for STI treatment. Primary Activity #2 The Contractor shall complete STI testing services in non -clinical settings for the priority population in the service area. Sub -Activities #2 1. The Contractor shall screen individuals within the priority population for STI testing services. 2. The Contractor shall provide STI testing services to a minimum of 500 clients within the service area. 3. The Contractor shall verify all staff providing STI testing in non -clinical settings have completed CDPHE STI testing course requirements. 4. The Contractor shall notify clients of positive test results. 5. The Contractor shall refer clients with a positive result for STI treatment. 6. The Contractor shall maintain a referral list of partnering clinical agencies. Primary Activity #3 The Contractor shall provide STI treatment for the priority population in the service area. Sub -Activities #3 1. The Contractor shall determine the client's eligibility to receive medications through the 340B pricing program. 2. The Contractor shall provide STI treatment for clients with a positive STI result. 3. The Contractor shall provide partner treatment via EPT, when indicated. Primary Activity #4 The Contractor shall virtually attend scheduled CDPHE monitoring calls. Primary Activity #5 The Contractor shall complete monthly narrative reports. 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 the most recent revisions. 2. The Contractor shall perform STI screening in accordance with current CDC screening guidelines available on the following website https://www.cdc.gov/std/treatment-guidelines/STI-Guidelines-2021.pdf and are incorporated and made part of this Contract by reference. 3. 1. The Contractor shall verify proof of qualification of staff providing the contracted services that consist of a Certificate of Course Completion from CDPHE's Office of HIV/STINH Training Unit. Mandatory training for contracted service is in the General Training Requirements in the CDPHE Standards for STI Prevention Page 2 of 4 Amendment Contract Number 2020*3023 Amendment 144 Ver. 01.11.19 DocuSign Envelope ID: 0607820E-C2B4-42F6-BDD8-D20E1B2DE6BB EXHIBIT B Services. This information is incorporated and made part of this Contract by reference. https://cdphe.colorado.gov/hiv-training. 4. The Contract shall maintain one (1) of the following for STI testing throughout the life of the project: a. Valid, non -expired CLIA waiver certificate b. Valid, non -expired WA certificate 5. The Contractor shall provide open hours for clinical testing at a minimum of 30 hours per week. 6. Non -clinical settings consist of the following: a. At home testing b. Community Event testing c. Testing provided at organizations that do not employ medical staff 7. The Contractor shall use STI treatment drugs from this project to treat STIs for low- income clients who would be unable to afford the medications otherwise as outlined in guidelines for 340B Pricing Program found here: https://www.hrsa.gov/opa/index.html. This information is incorporated and made part of this contract by reference. 8. The Contractor shall adhere to the current Sexually Transmitted Diseases Summary of CDC Treatment Guidelines, available on the following website https://www.cdc.gov/std/treatment-euidelines/toc.htm and are incorporated and made part of this Contract by reference. 9. The Contractor shall comply with the data collection and reporting requirements stated in the Guidelines Regarding Data Collection and Reporting. This document can be accessed at https://www.colorado.gov/pacific/cdphe/sti-hiv-funded-partner- oln icier and is incorporated and made part of this Contract by reference. 10. The Contractor shall comply with the guidelines concerning data security and 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 document can be accessed at http://www. cdc. gov/nchhstn/programintegration/docs/PCSIDataSecurityGuidelines.p df is incorporated and made part of this Contract by reference. 11. The Contractor shall comply with the following Standards of Prevention for HIV/STI/VH and Harm Reduction Services. These Standards are incorporated and made part of this contract by reference: https://drive.google.com/file/d/ l gASKKpergZ-0-PatSydhWjnYCmAjwJb-/view. 12. 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 acquisition. 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), as found at https://www. sos.state. co.us/CCR/eDocketDetails. do?trackingNum=2017- 00053, incorporated and made part of this Contract by reference: 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 clinical settings where individuals for whom a STI test is performed: i. number of individuals screened for STI Page 3 of 4 Amendment Contract Number 2020*3023 Amendment #4 Ver. 01.11.19 DocuSign Envelope ID: 0607B20E-C2B4-42F6-BDD8-D20E1 B2DE6BB EXHIBIT B ii epidemiologic data ii. test results (# positive, # negative) iv. number of individuals treated for positive STI results b. The Contractor shall complete a monthly progress report for all non -clinical settings where individuals for whom a STI test is performed: i. number of individuals screened for STI ii epidemiologic data ii. test results (# positive, # negative) iii. number of individuals treated for positive STI results 14. The Contractor shall submit deliverables to the CDPHE Contracts Monitor via email at cdphe sthv contractmonitoringastate.co.us. Expected Results of the Activity 1. Increased access to STI screening for priority populations at increased risk of acquiring STIs 2. Increased documentation of treatment using CDC Treatment guidelines for individuals exposed to or testing positive for CT, GC or Syphilis. Measurement of Expected Results 1. Data contained in monthly narrative reports. Completion Date Deliverables 1. The Contractor shall submit a valid STI Testing Certificate. No later than 30 calendar days from the beginning of the contract. 2. The Contractor shall submit the monthly narrative report. No later than 30 calendar days following the last day of each month for months one through eleven. 3. The Contractor shall submit the final monthly narrative report No later than 14 calendar dates prior to contract end date. 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 4 of 4 Amendment Contract Number 2020*3023 Amendment 144 Ver. 01.11.19 Exhibit I DocuSign Envelope ID: 0607820E-C284-42F6-BDDS-D20E1B2DE6BB COLORADO Department el Pahhe Health b Mama* Colorado Department of Public Health and Environment BUDGET JUSTIFICATION FORM Contract Routing # 2020*3023 Amendment #5 Contractor Name Board of County Commissioners of Weld County for the use and benefit of the Weld County Department of Public Health and Environment Budget Period I/1/2023-12/31/2023 Project Name Prevention of STI, CT, GC and Syphilis Screening and Treatment Program Contact Name Title, Phone and Email Fiscal Contact Name Title, Phone and Email Core Encumbrance Annette Odell, NP Coordinator 970-400-2324 aodc11@weldgov.com Tanya Geiser 970-400-2122 tgeiserLweldgov.com 2023*2868 Expenditure Categories Personnel Services Salary/hourly Fringe Benefits Percent of Actual Time on Contract/ Purchase Order Funding Source (Base or SUPP) Original Amount Requested Position Title/Employee Name Description of Work (for hourly employees, please include the hourly rate and number of hours in your description) 43.49% Medical Assistant Process and collect samples and prepare them for lab $22 per hour (63 hours) Nurse Collect samples, review results and provide treatment if needed Nurse Practitioner/ Program Supervisor Collect samples. review results and provide treatment if needed Chief Nursing Officer Outreach Coordinator & Administration Personnel Nurse - Madeline Berg RN Provide program oversight, run reports an submit data to CUP! IE for grant novice outreacn program oversignt, logistical, scheduling, and operational oversight. Increase local capacity around testing and treatment for those at greatest risk of contracting and/or transmitting STIs in the community Process and collect samples and prepare them for lab outreach events $46,000.00 $70,000.00 $117,000.00 $145,000.00 $100,000.00 $72,873.21 $20,005.40 $30,443.00 $50,883.30 $63,060.50 $43,490.00 $31,692.56 3.00% 1.50% 2.00% 1.00% 25.00% 11% Total Personal Services(lncluding Fringe Benefits) Base Base Base Base SUPP SUPP $2,091.00 $1,568.00 $4,124.00 $2,276.00 $26,518.00 $11,502.00 $48,079.00 Supplies & Operating Expenses Item Description CT/GC Screening Test Rate CT/GC Screening Test $20.00 Quantity 342 Base Budgeted Amount $6,840.00 Syphilis RPR Screening Test Syphilis RPR Screening Test $4.00 130 Base $520.00 Syphilis RPR Confirmatory Test S upplics & Operating Expenses CT/GC Screening Test Syphilis RPR Screening Test Syphilis RPR Confirmatory Test Syphilis RPR Confirmatory Test $8.00 5 Supply costs such as advertisement, office supplies, councr services or other operational supplies $275.00 CT/GC Screening Test Syphilis RPR Screening Test Syphilis RPR Confirmatory Test $20.00 $4.00 $8.00 80 301 10 Base Base SUPP SUPP SUPP I II Confirmatory Test I IIV lnsti Rapid Test Education and Materials Supplies & Operating Expenses I 11 V Confirmatory Test HIV insti Rapid Test Education materials for clients or materials needed for promoting the program to the community Supply costs such as advertisement, office supplies, courier services or other operational supplies $8.00 $12.00 $50.00 $50.00 6 21 SUPP SUPP I SUPP Total Supplies & Operating Expenses SUPP $40.00 $275.00 $ l ,600.00 $1,204.00 $80.00 $48.00 $252.00 $50.00 $50.00 $10,959.00 Travel Item Description Rate Mileage Budgeted Amount Mileage Travel to and from events or necessary travel for the program $0.63 703 SUPP $437.00 Total Travel $437.00 Other Costs Total Other Costs $0.00 Contractual (payments to third parties or entities) Amendment Contract Number: 2020'3023 Amendment #5 Page 1 of DocuSign Envelope ID: 0607B20E-C2B4-42F6-BDD&D20E1 B2DE6BB Exhibit I Total Contractual $0.00 Sub -Total Before Indirect Base $17,734.00 Sub -Total Before Indirect SUPP $41,741.00 Indirect 2023 Indirect Rate = 19.92% Base $3,532.61 2023 Indirect Rate = 19.92% SUPP $8,315.00 Total Indirect $3,532.61 . Base $21,266.00 Total PCHD Funding SUPP $50,494.00 Total PCHD Funding TOTAL $71,760.00 Amendment Contract Number: 2020*3023 Amendment #5 Page 2 of Contract Form New Cone oR COLORADO DEPT OF PUBLIC HEALTH, ENVIRONMENT Entity ID O0O001926 Contract Name CDPHE 2023 ST1 CONTRACT AMENDMENT #5 Contract Status CTB REVIEW ❑ New Entity? Contract ID 6592 Contract Lead BMANRIQUEZ Contract Lead Entail bmanriquez@weldgov.com Parent Contract ID Requires Board Approval'. YES Department Project # Contract Description* CDPHE CY2023 STI CONTRACT AMENDMENT #5- STI PREVENTION AND TREATMENT SERVICES Contract Description 2 17 FHHA 95844 Contract Type AMENDMENT Amount 571,760.00 Renewable: NO Automatic Renewal NO Grant YES IGA NO Department HEALTH Department Email CM-Health@weldgov.com Department Head Email CM-Health- DeptHearLErveldgov,com County Attorney GENERAL COUNTY ATTORNEY EMAIL. County Attorney Email CM- COUNTYATTORNEY0WELDG RNEYOWELDG OV.COM Grant Deadline Date If this is a renewal enter previous Contract ID 5534 If this is part of a MSA enter MSA Contract ID Requested BOCC Agenda Date. 12;'281`2022 Due Date 12/24/2022 Will a work session with BOCC be required?* NO Does Contract require Purchasing Dept. to be included? NO Note: the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts are not in On Base Effective Date 01/01/2022 Review Date* 10/01/2023 Renewal Date Termination Notice Period Purchasing Approver Approv r+rcess Department Head TANYA GEISER DH Approved Date 12/20/2022 al Approva RDCC Approved 11OCC Signed Date IBOCC Agenda Date 12/28/2022 Originator BMANR1QUEZ Committed Delivery Date Expiration Date. 12/31/2023 Contact Type Contact Email Contact Phone 1 Contact Phone 2 Purchasing Approved Date Finance Approver CHRIS D'OVIDIO Finance Approved Date 12/20/2022 Tyler Ref # AG 122822 Legal Counsel MATTHEW CONROY Legal Counsel Approved Date 12/21/2022 Hello