HomeMy WebLinkAbout20220371.tiffDocuSign Envelope ID: 617176E7-4B54-4F86-9C1C-22AVi 1 1Vl\ LETTER #1
State Agency
Option Letter Number
Colorado Department of Human Services
1
Contractor
Original Contract Number
Weld County, Colorado
21 IHEA 160180
Weld County Department of Human Services
Weld County Area Agency on Aging
Current Contract Maximum Amount
Option Letter Contract Number
Initial Term
22 IHEA 169035
09/01/20 to 06/30/21 $2,797,591.80
Contract Performance Beginning Date
Extension Terms
September 1, 2020
Current Contract Expiration Date
State Fiscal Year 2022 $2,510,176.00
June 30, 2022
GRAND TOTAL $5,307,767.80
OPTIONS:
A. Option to extend for an Extension Term.
B. Option to change the quantity of Services under the Contract
2. REQUIRED PROVISIONS:
A. In accordance with Page 1, Paragraph Option on the Contract's Signature and Cover Page of the
Original Contract referenced above, the State hereby exercises its option for an additional term, beginning
July 1, 2021 and ending on the current contract expiration date shown above, at the rates stated in the Original
Contract, as amended.
B. In accordance with Page 1, Paragraph Option on the Contract's Signature and Cover Page of the Original
Contract referenced above, the State hereby exercises its option to increase the quantity of the Services for State
Fiscal Year (SFY) 2022 at the rates stated in the Original Contract, as amended.
C. The State Fiscal Year (SFY) 2022 funds are increased in the amount of $2,510,176.00. The Contract Maximum
Amount table on the Contract's Signature and Cover Page is hereby deleted and replaced with the
Current Contract Maximum Amount table shown above.
3. OPTION EFFECTIVE DATE:
The effective date of this Option Letter is upon approval of the State Controller or July 1, 2021, whichever is later.
4. The attached Revised Exhibit D Number 2 "Budget Funding", replaces previous Exhibit D, Number 1 "Budget
Funding" which is attached and incorporated by reference, explains the changes made by the additional funding
added to this contract period.
5. The attached Revised Exhibit E, Number 2, "Supplemental Provisions for Federal Awards" replaces previous Exhibit
E, Number 1, "Supplemental Provisions for Federal Awards", which is attached and incorporated by reference
explains the changes made by the additional funding added to this contract period.
STATE OF COLORADO
Jared Polis, Governor
Colorado Department of Human Services
Michelle Barnes, Executive Director
DocuSigned by:
R(1'JRSC7Sdl SdAfl
By: Yolanda Webb, Office Director
Office of Community Access and Independence
6/17/2021
Date:
In accordance with §24-30-202 C.R.S., this Option is not valid
until signed and dated below by the State Controller or an
authorized delegate.
STATE CONTROLLER
Robert Jaros, CPA, MBA, JD
fDocuSigned by:
By: I.
Andrea Eurich/Janet Mi s oni Williams
Colorado Department of Human Services
Option Effective Date:
6/17/2021
C.4 M M y �C o +' o►'S Page 1 of 1 2022-0371
o I /71-t /2 F{ Roal �-
DocuSlgn Envelope ID'. St 711SEI-4S54ef 6-9C1C22AS09FDD501
EXHIBIT D-2
BUDGET FUNDING REQUEST CONTRACT
SFY 2022 FUNDING REQUEST
TITLE III & TITLE VII & STATE FUNDING FOR SENIOR SERVICES
WELD COUNTY, COLORADO
WELD COUNTY DEPARTMENT OF HUMAN SERVICES
WELD COUNTY AREA AGENCY ON AGING
JULY 1, 2021 TO JUNE 30, 2022
[BUDGET
FUNDING
SFY
21
aiase.�bVStIM
nv
r1, 1 . nsEu
,.. C?
j I.....- •a
FUNDING PART
SFY 2021
FEDERAL AND
STATE FUNDS
TOTAL CONTRACT
SFY 2021
CONTRACT
AMENDMENT #1
ADDITIONAL
FEDERAL FUNDS
SFY 2022
OPTION
LETTER #1
FEDERAL AND
STATE FUNDS
GRAND
TOTAL
TITLE III - PART B
$259,998.00
$26,513.27
$274,264.00
$560,775.27
TITLE III - PART Cl
$345,798.00
$128,004.85
$365,594.00
$839,396.85
TITLE III - PART C2
$180,597.00
($20,000.00)
$201,804.00
$362,401.00
TITLE III - PART D
$18,386.00
$4,844.70
$20,227.00
$43,457.70
TITLE III - PART E
$109,874.00
$53,156.52
$121,555.00
$284,585.52
STATE E MATCH
$7,333.00
$0.00
$7,403.00
$14,736.00
FEDERAL ADMINISTRATION
$95,231.00
$153,135.84
$100,103.00
$348,469.84
TITLE VII - EA
$2,174.00
$2,139.00
$1,928.00
$6,241.00
TITLE VII - OMB
$8,548.00
$4,145.62
$10,368.00
$23,061.62
STATE SERVICES
$1,136,553.00
$0.00
$1,125,520.00
$2,262,073.00
STATE ADMINISTRATION
$126,284.00
$0.00
$125,058.00
$251,342.00
HOMESTEAD ACT STATE SERVICES
$139,388.00
$0.00
$140,717.00
$280,105.00
HOMESTEADACTADMIN
$15,488.00
$0.00
$15,635.00
$31,123.00
GRAND TOTAL
$2,445,652.00
$351,939.80
$2,510,176.00
$5,307,767.80
PAGE 1 OF 1
DocuSign Envelope ID: 617176E7-4B54-4F86-9C1C-22AB09FDD504
LXHIBIT
E-2
Supplemental Provisions for Federal Awards
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
Subrecipient: Weld County, Colorado, Weld County Department of Human Services,
iv
u
IM
Weld County Area Agency on Aging;
Subrecipient DUNS number: 075757955;
The Federal Award Identification Number (FAIN) is:
Title III Part B — Supportive Services - 2101COOASS-01; Title III Part Cl — Congregate Meals -
2101 COOACM-01; Title III Part C2 — Home Delivered Meals - 2101 COOAHD-01; Title III Part D
— Preventative Health - 2101COOAPH-01; TITLE III Part E - National Family Caregiver Support
Program - 2101 COOAFC-01; Title VII EA — Elder Abuse - 2101 COOAEA-01; and Title VII
Ombudsman — Ombudsman - 2101COOAOM-01
The Federal award date is October 1, 2020;
The subaward period of performance start date is October 1, 2020 and end date is September 30,
2022;
Federal Funds available in SFY 2022:
-.
I1tSAINWAIYPSFY
••-
2022
FEDERAL ADMIN *
$100,103.00
*
SFY 2022
FEDERAL PART B
$274,264.00
$4,659,350.00
SFY 2022
FEDERAL PART C-1
FEDERAL PART C-2
$365,594.00
$6,089,592.00
SFY 2022
$201,804.00
$3,351,035.00
SFY 2022
FEDERAL PART D
$20,227.00
$302,059.00
SFY 2022
FEDERAL PART E
$121,555.00
$2,144,128.00
SFY 2022
FED ELDER ABUSE PREY.
$1,928.00
$45,033.00
SFY 2022
FEDERAL OMBUDSMAN
$10,368.00
$232,559.00
•LVJ
j [.13'*fl4.tlli
Supplemental Provisions for Federal Awards Page 1 of 6 Issued 3/16/2016
Revised 11/18/2016
DocuSign Envelope ID: 617176E7-4B54-4F86-9C1C-22AB09FDD504
vii. Federal award project description: Older Americans Act Title III — Grants for State and Community
Programs on Aging and Older Americans Act Title VII — Allotments for Vulnerable Elder Rights
Protection Activities;
viii. The name of the Federal awarding agency is Department of Health and Human Services,
Administration for Community Living; the name of the pass -through entity is the State of Colorado,
Department of Human Services (CDHS); and the contact information for the awarding official is 1-
877-614-5533; PMSSupport@psc.gov.
ix. The Catalog of Federal Domestic Assistance (CFDA) number is:
x. This award is not for research & development;
xi. 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 CDHS cost
allocation plan.
1) All requirements imposed by CDHS on Subrecipient so that the Federal award is used in accordance with
Federal statutes, regulations, and the terms and conditions of the Federal award, are stated in Exhibit A,
Statement of Work.
2) Any additional requirements that CDHS imposes on Subrecipient in order for CDHS to meet its own
responsibility to the Federal awarding agency, including identification of any required financial and
performance reports, are stated in Exhibit A, Statement of Work.
3) Subrecipient's approved indirect cost rate is the Federally Approved Cost Allocation Plan..
4) Subrecipient must permit CDHS and auditors to have access to Subrecipient's records and financial
statements as necessary for CDHS 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.
5) The appropriate terms and conditions concerning closeout of the subaward are listed in Section 18 of this
Exhibit and Exhibit A, Statement of Work.
6) Performance and Final Status. Subrecipient shall submit all financial, performance, and other reports to
CDHS 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.
Supplemental Provisions for Federal Awards Page 2 of 6 Issued 3/16/2016
Revised 11/18/2016
DocuSign Envelope ID: 617176E7-4B54-4F86-9C1C-22AB09FDD504
1) Matching Funds
If a box below is checked, the accompanying provision applies.
i. ❑ Subrecipient is not required to provide matching funds.
ii. l Subrecipient shall provide matching funds as stated in Exhibit A, Statement of Work. Subrecipient
shall have raised the full amount of matching funds prior to the Effective Date and shall report to
CDHS 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 CDHS 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.
2) 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.
3) 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.
i. Election. Subrecipient shall have a single audit conducted in accordance with Uniform Guidance
§200.514 (Scope of audit), except when it elects to have a program -specific audit conducted in
accordance with §200.507 (Program -specific audits). Subrecipient may elect to have a program -
specific audit if Subrecipient expends Federal Awards under only one Federal program (excluding
research and development) and the Federal program's statutes, regulations, or the terms and
conditions of the Federal award do not require a financial statement audit of CDHS. A program -
specific audit may not be elected for research and development unless all of the Federal Awards
expended were received from CDHS and CDHS approves in advance a program -specific audit.
ii. Exemption. If Subrecipient expends less than $750,000 in Federal Awards during its fiscal year,
Subrecipient shall be exempt from Federal audit requirements for that year, except as noted in 2 CFR
§200.503 (Relation to other audit requirements), but records shall be available for review or audit by
appropriate officials of the Federal agency, the State, and the Government Accountability Office.
iii. Subrecipient Compliance Responsibility. Subrecipient shall procure or otherwise arrange for the audit
required by Part F of the Uniform Guidance and ensure it is properly performed and submitted when
due in accordance with the Uniform Guidance. Subrecipient shall prepare appropriate financial
statements, including the schedule of expenditures of Federal awards in accordance with Uniform
Guidance §200.510 (Financial statements) and provide the auditor with access to personnel,
accounts, books, records, supporting documentation, and other information as needed for the auditor
to perform the audit required by 2 CFR Part F -Audit Requirements
Supplemental Provisions for Federal Awards Page 3 of 6 Issued 3/16/2016
Revised 11/18/2016
DocuSign Envelope ID: 617176E7-4B54-4F86-9C1C-22AB09FDD504
1) 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:
i. Equal Employment Opportunity. 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 shall include
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."
"During the performance of this contract, the contractor agrees as follows:
a) The contractor will not discriminate against any employee or applicant for employment
because of race, color, religion, sex, or national origin. The contractor will take affirmative
action to ensure that applicants are employed, and that employees are treated during
employment, without regard to their race, color, religion, sex, or national origin. Such action
shall include, but not be limited to the following: Employment, upgrading, demotion, or transfer,
recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of
compensation; and selection for training, including apprenticeship. The contractor agrees to
post in conspicuous places, available to employees and applicants for employment, notices
to be provided by the contracting officer setting forth the provisions of this nondiscrimination
clause.
b) The contractor will, in all solicitations or advertisements for employees placed by or on behalf
of the contractor, state that all qualified applicants will receive consideration for employment
without regard to race, color, religion, sex, or national origin.
c) The contractor will send to each labor union or representative of workers with which he has
a collective bargaining agreement or other contract or understanding, a notice to be provided
by the agency contracting officer, advising the labor union or workers' representative of the
contractor's commitments under section 202 of Executive Order 11246 of September 24,
1965, and shall post copies of the notice in conspicuous places available to employees and
applicants for employment.
d) The contractor will comply with all provisions of Executive Order 11246 of September 24,
1965, and of the rules, regulations, and relevant orders of the Secretary of Labor.
e) The contractor will furnish all information and reports required by Executive Order 11246 of
September 24, 1965, and by the rules, regulations, and orders of the Secretary of Labor, or
pursuant thereto, and will permit access to his books, records, and accounts by the contracting
agency and the Secretary of Labor for purposes of investigation to ascertain compliance with
such rules, regulations, and orders.
f) In the event of the contractor's non-compliance with the nondiscrimination clauses of this
contract or with any of such rules, regulations, or orders, this contract may be canceled,
terminated or suspended in whole or in part and the contractor may be declared ineligible for
further Government contracts in accordance with procedures authorized in Executive Order
11246 of September 24, 1965, and such other sanctions may be imposed and remedies
invoked as provided in Executive Order 11246 of September 24, 1965, or by rule, regulation,
or order of the Secretary of Labor, or as otherwise provided by law.
Supplemental Provisions for Federal Awards Page 4 of 6 Issued 3/16/2016
Revised 11/18/2016
DocuSign Envelope ID: 617176E7-4B54-4F86-9C1C-22AB09FDD504
a) The contractor will include the provisions of paragraphs (1) through (7) in every subcontract
or purchase order unless exempted by rules, regulations, or orders of the Secretary of Labor
issued pursuant to section 204 of Executive Order 11246 of September 24, 1965, so that such
provisions will be binding upon each subcontractor or vendor. The contractor will take such
action with respect to any subcontract or purchase order as may be directed by the Secretary
of Labor as a means of enforcing such provisions including sanctions for noncompliance:
Provided, however, that in the event the contractor becomes involved in, or is threatened with,
litigation with a subcontractor or vendor as a result of such direction, the contractor may
request the United States to enter into such litigation to protect the interests of the United
States."
ii. 4.2 Davis -Bacon Act. Davis -Bacon Act, as amended (40 U.S.C. 3141-3148). When required by
Federal program legislation, all prime construction contracts in excess of $2,000 awarded by non -
Federal entities must include a provision for compliance with the Davis -Bacon Act (40 U.S.C. 3141-
3144, and 3146-3148) as supplemented by Department of Labor regulations (29 CFR Part 5, "Labor
Standards Provisions Applicable to Contracts Covering Federally Financed and Assisted
Construction"). In accordance with the statute, contractors must be required to pay wages to laborers
and mechanics at a rate not less than the prevailing wages specified in a wage determination made
by the Secretary of Labor. In addition, contractors must be required to pay wages not less than once
a week. The non -Federal entity must place a copy of the current prevailing wage determination issued
by the Department of Labor in each solicitation. The decision to award a contract or subcontract must
be conditioned upon the acceptance of the wage determination. The non -Federal entity must report
all suspected or reported violations to the Federal awarding agency. The contracts must also include
a provision for compliance with 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 or Public Work Financed in Whole or in Part by Loans or Grants from the United States").
The Act provides that each contractor or Subrecipient must be prohibited from inducing, by any
means, any person employed in the construction, completion, or repair of public work, to give up any
part of the compensation to which he or she is otherwise entitled. The non -Federal entity must report
all suspected or reported violations to the Federal awarding agency.
iii. Rights to Inventions Made Under a Contract or Agreement. If the Federal Award meets the definition
of "funding agreement" under 37 CFR §401.2 (a) and Subrecipient wishes to enter into a contract
with a small business firm or nonprofit organization regarding the substitution of parties, assignment
or performance of experimental, developmental, or research work under that "funding agreement,"
Subrecipient must 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.
iv. Clean Air Act (42 U.S.C. 7401-7671q.) and the Federal Water Pollution Control Act (33 U.S.C. 1251-
1387), as amended. Contracts and subgrants of amounts in excess of $150,000 must contain a
provision that requires the non -Federal award to agree to comply with all applicable standards, orders
or regulations issued pursuant to the Clean Air Act (42 U.S.C. 7401-7671q) and the Federal Water
Pollution Control Act as amended (33 U.S.C. 1251-1387). Violations must be reported to the Federal
awarding agency and the Regional Office of the Environmental Protection Agency (EPA).
Supplemental Provisions for Federal Awards Page 5 of 6 Issued 3/16/2016
Revised 11/18/2016
DocuSign Envelope ID: 617176E7-4B54-4F86-9C1C-22AB09FDD504
i. Debarment and Suspension (Executive Orders 12549 and 12689). A contract award (see 2 CFR
180.220) must not be made to parties listed on the government wide exclusions in the System for
Award Management (SAM), in accordance with the OMB guidelines at 2 CFR 180 that implement
Executive Orders 12549 (3 CFR part 1986 Comp., p. 189) and 12689 (3 CFR part 1989 Comp., p.
235), "Debarment and Suspension." SAM Exclusions contains the names of parties debarred,
suspended, or otherwise excluded by agencies, as well as parties declared ineligible under statutory
or regulatory authority other than Executive Order 12549.
ii. Byrd Anti -Lobbying Amendment (31 U.S.C. 1352). Contractors that apply or bid for an award
exceeding $100,000 must file the required certification. Each tier certifies to the tier above that it will
not and has not used Federal appropriated funds to pay any person or organization for influencing or
attempting to influence an officer or employee of any agency, a member of Congress, officer or
employee of Congress, or an employee of a member of Congress in connection with obtaining any
Federal contract, grant or any other award covered by 31 U.S.C.1352. Each tier must also disclose
any lobbying with non -Federal funds that takes place in connection with obtaining any Federal award.
Such disclosures are forwarded from tier to tier up to the non -Federal award.
2) 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. CDHS may provide written notification to
Subrecipient of such revisions, but such notice shall not be a condition precedent to the effectiveness of such
revisions.
3) 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.
4) Certifications. Unless prohibited by Federal statutes or regulations, CDHS 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 CDHS 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.
5) 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 CDHS may
terminate the Contract in accordance with the termination provisions in the Contract.
6) Close Out. Subrecipient shall close out this Contract within 90 days after the End Date. Contract close out
entails submission to CDHS by Subrecipient of all documentation defined as a deliverable in this Contract,
and Subrecipient's final reimbursement request. CDHS shall withhold 5% of the allowable costs until all final
project documentation has been submitted and accepted by State as substantially complete. If the project
has not been closed by the Federal awarding agency within 1 year and 90 days after the End Date due to
Subrecipient's failure to submit required documentation that CDHS 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.
7) Erroneous Payments. The closeout of a Federal award does not affect the right of the Federal awarding
agency or CDHS 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
Supplemental Provisions for Federal Awards Page 6 of 6 Issued 3/16/2016
Revised 11/18/2016
DocuSign Envelope ID: B14E9FAB-EIAC-4AFB-87CF-3021A55DB6EA LETTER #2
Vi 11V1
State Agency
Option Letter Number
Colorado Department of Human Services
2
Contractor
Original Contract Number
Weld County, Colorado
21 IHEA 160180
Weld County Department of Human Services
Weld County Area Agency on Aging
Current Contract Maximum Amount
Option Letter Contract Number
Initial Term
22 IHEA 171410
09/01/20 to 06/30/21 $1,896,223.70
Contract Performance Beginning Date
Extension Terms
September 1, 2020
Current Contract Expiration Date
State Fiscal Year 2022 $3,274,101.54
Total for All State Fiscal Years $5,170,325.24
June 30, 2022
1. OPTIONS:
Option to change the quantity of Services under the Contract at the rates set by the Older Americans Act.
2. REQUIRED PROVISIONS:
In accordance with Page 1, Paragraph Option on the Contract's Signature and Cover Page of the Original Contract
referenced above, and Page 2, Section 5(E) of Amendment 1, the State hereby exercises its option to increase the
quantity of the Services for State Fiscal Year (SFY) 2022 at the rates mandated by the Older Americans Act.
The State Fiscal Year (SFY) 2022 funds are increased in the amount of $763,925.54, which is carried over from SFY
2021, thereby raising the SFY 2022 funds from $2,510,176.00 to $3,274,101.54. The Contract Maximum Amount
table on the Contract's Signature and Cover Page is hereby deleted and replaced with the Current Contract Maximum
Amount table shown above.
3. OPTION EFFECTIVE DATE:
The effective date of this Option Letter is upon approval of the State Controller.
4. The Revised Exhibit D Number 3 "Budget Funding", replaces previous Exhibit D, Number 2 "Budget Funding" which
is attached and incorporated by reference, and explains the changes made by the additional funding added to this
contract period.
5. The Revised Exhibit E, Number 3, "Supplemental Provisions for Federal Awards" replaces previous Exhibit E,
Number 2, "Supplemental Provisions for Federal Awards", which is attached and incorporated by reference.
STATE OF COLORADO
Jared Polis, Governor
Colorado Department of Human Services
Michelle Barnes, Executive Director
,.—DocuSigned by:
By: Yolanda Web`b;'Offiee Director
Office of Community Access and Independence
1/6/2022
Date:
In accordance with §24-30-202 C.R.S., this Option is not valid
until signed and dated below by the State Controller or an
authorized delegate.
STATE CONTROLLER
Robert Jaros, CPA, MBA, JD
tD'ocuSigned by:
/�+tii. 1i'4& dow
By:
Andrea Eurich/Janet Miks/Toni Williams
Colorado Department of Human Services
Option Effective Date:
1/10/2022
Page 1 of 1
Docusign Envelope ID: B14E9FAB-E1AC-4AFB-67CF-3O21A55DB6EA
EXHIBIT D-3
BUDGET FUNDING REQUEST CONTRACT
SFY 2022 FUNDING REQUEST
TITLE III & TITLE VII & STATE FUNDING FOR
SENIOR SERVICES
WELD COUNTY, COLORADO
WELD COUNTY DEPARTMENT OF HUMAN SERVICES
WELD COUNTY AREA AGENCY ON AGING
REGION 2B
JULY 1, 2021 TO JUNE 30, 2022
FUNDING PART
SFY 21 STATE
AND FEDERAL
FUNDS
SFY 22 INITIAL
STATE AND
FEDERAL
FUNDS
SFY 22 OPTION
LETTER #2
CARRYOVER
FROM SFY 21
INCREASE OR
DECREASE
TOTAL SFY 22
STATE AND
FEDERAL
FUNDS OPTION
LETTER #2
GRAND TOTAL
SFY 21 AND
SFY 22
TITLE III - Part B
$259,998.00
$274,264.00
$88,330.52
$362,594.52
$622,592.52
TITLE III - Part Cl
$345,798.00
$365,594.00
$311,199.22
$676,793.22
$1,022,591.22
TITLE III - Part C2
$180,597.00
$201,804.00
$62,044.60
$263,848.60
$444,445.60
TITLE III - Part D
$18,386.00
$20,227.00
$3,971.51
$24,198.51
$42,584.51
TITLE III - Part E
$109,874.00
$121,555.00
$95,533.96
$217,088.96
$326,962.96
State E Match
$7,333.00
$7,403.00
$0.00
$7,403.00
$14,736.00
Federal Admin
$95,231.00
$100,103.00
$185,671.81
$285,774.81
$381,005.81
TITLE VII - EA
$2,174.00
$1,928.00
$3,962.30
$5,890.30
$8,064.30
TITLE VII - OMB
$8,548.00
$10,368.00
$13,211.62
$23,579.62
$32,127.62
State Services
$587,124.70
$1,125,520.00
$0.00
$1,125,520.00
$1,712,644.70
State Admin
$126,284.00
$125,058.00
$0.00
$125,058.00
$251,342.00
State Homestead
$154,876.00
$140,717.00
$0.00
$140,717.00
$295,593.00
State Homestead Admin
$0.00
$15,635.00
$0.00
$15,635.00
$15,635.00
GRAND TOTAL
$1,896,223.70
$2,510,176.00
$763,925.54
$3,274,101.54
$5,170,325.24
PAGE 1 OF 1
Docusign Envelope ID: B14E9FAB-EIAC-4AFB-87CF-3021A55DB6EA
EXHIBIT
E-3
Supplemental Provisions for Federal Awards
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
Subrecipient: Weld County, Colorado, Weld County Department of Human Services,
Weld County Area Agency on Aging;
ii. Subrecipient DUNS number: 075757955;
iii. The Federal Award Identification Number (FAIN) is:
Title III Part B — Supportive Services - 2101COOASS-01; Title III Part Cl — Congregate Meals -
2101 COOACM-01; Title III Part C2 — Home Delivered Meals - 2101 COOAHD-01; Title III Part D
— Preventative Health - 2101COOAPH-01; TITLE III Part E - National Family Caregiver Support
Program - 2101 COOAFC-01; Title VII EA — Elder Abuse - 2101 COOAEA-01; and Title VII
Ombudsman — Ombudsman - 2101 COOAOM-01
iv. The Federal award date is October 1, 2020;
v. The subaward period of performance start date is October 1, 2020 and end date is September 30,
2022;
vi. Federal Funds available from 09/01/2020 to 06/30/2022:
Supplemental Provisions for Federal Awards Page 1 of 6 Issued 3/16/2016
Revised 11/18/2016
DocuSign Envelope ID: B14E9FAB-EIAC-4AFB-87CF-3021A55DB6EA
vii. Federal award project description: Older Americans Act Title III — Grants for State and Community
Programs on Aging and Older Americans Act Title VII — Allotments for Vulnerable Elder Rights
Protection Activities,
viii. The name of the Federal awarding agency is Department of Health and Human Services,
Administration for Community Living; the name of the pass -through entity is the State of Colorado,
Department of Human Services (CDHS); and the contact information for the awarding official is 1-
877-614-5533; PMSSupport@psc.gov.
ix. The Catalog of Federal Domestic Assistance (CFDA) number is:
09/01/2020 TO 'TITLE III B SUPPORTIVE SERVICES 2101COSSC6-00 93.044
06/30/2022
09/01/2020 TO TITLE III Cl CONGREGATE MEALS 2101COOACM-01 93.045
06/30/2022
09/01/2020 TO TITLE III C2 HOME -DELIVERED MEALS 2101COOAHD-01 93.045
06/30/2023
09/01/2020 TO TITLE III D PREVENTIVE HEALTH 210ICOOAPH-01 93.043
06/30/2024
09/01/2020 TO TITLE III E NFCSP 2101COOAFC-01 93.052
06/30/2025 1
09/01/2020 TO TITLE VII ELDER ABUSE PREVENTION 210ICOOAEA-01 93.041
06/30/2026
09/01/2020 TO 'TITLE VII OMBUDSMAN 2101COOAOM-01 93.042
06/30/2027
x. This award is not for research & development;
xi. The indirect cost rate for the Federal award (ncluding 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 CDHS cost
allocation plan.
1) All requirements imposed by CDHS on Subrecipient so that the Federal award is used in accordance with
Federal statutes, regulations, and the terms and conditions of the Federal award, are stated in Exhibit A,
Statement of Work.
2) Any additional requirements that CDHS imposes on Subrecipient in order for CDHS to meet its own
responsibility to the Federal awarding agency, including identification of any required financial and
performance reports, are stated in Exhibit A, Statement of Work.
3) Subrecipient's approved indirect cost rate is the Federally Approved Cost Allocation Plan..
4) Subrecipient must permit CDHS and auditors to have access to Subrecipient's records and financial
statements as necessary for CDHS 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.
5) The appropriate terms and conditions concerning closeout of the subaward are listed in Section 18 of this
Exhibit and Exhibit A, Statement of Work.
6) Performance and Final Status. Subrecipient shall submit all financial, performance, and other reports to
CDHS 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.
Supplemental Provisions for Federal Awards Page 2 of 6 Issued 3/16/2016
Revised 11/18/2016
DocuSign Envelope ID: B14E9FAB-EIAC-4AFB-87CF-3021A55DB6EA
1) Matching Funds
If a box below is checked, the accompanying provision applies.
I. ❑ Subrecipient is not required to provide matching funds.
ii. 0 Subrecipient shall provide matching funds as stated in Exhibit A, Statement of Work. Subrecipient
shall have raised the full amount of matching funds prior to the Effective Date and shall report to
CDHS 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 CDHS 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.
2) 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.
3) 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.
i. Election. Subrecipient shall have a single audit conducted in accordance with Uniform Guidance
§200.514 (Scope of audit), except when it elects to have a program -specific audit conducted in
accordance with §200.507 (Program -specific audits). Subrecipient may elect to have a program -
specific audit if Subrecipient expends Federal Awards under only one Federal program (excluding
research and development) and the Federal program's statutes, regulations, or the terms and
conditions of the Federal award do not require a financial statement audit of CDHS. A program -
specific audit may not be elected for research and development unless all of the Federal Awards
expended were received from CDHS and CDHS approves in advance a program -specific audit.
ii. Exemption. If Subrecipient expends less than $750,000 in Federal Awards during its fiscal year,
Subrecipient shall be exempt from Federal audit requirements for that year, except as noted in 2 CFR
§200.503 (Relation to other audit requirements), but records shall be available for review or audit by
appropriate officials of the Federal agency, the State, and the Government Accountability Office.
iii. Subrecipient Compliance Responsibility. Subrecipient shall procure or otherwise arrange for the audit
required by Part F of the Uniform Guidance and ensure it is properly performed and submitted when
due in accordance with the Uniform Guidance. Subrecipient shall prepare appropriate financial
statements, including the schedule of expenditures of Federal awards in accordance with Uniform
Guidance §200.510 (Financial statements) and provide the auditor with access to personnel,
accounts, books, records, supporting documentation, and other information as needed for the auditor
to perform the audit required by 2 CFR Part F -Audit Requirements
Supplemental Provisions for Federal Awards Page 3 of 6 Issued 3/16/2016
Revised 11/18/2016
DocuSign Envelope ID: B14E9FAB-EIAC-4AFB-87CF-3021A55DB6EA
1) 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:
i. Equal Employment Opportunity. 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 shall include
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."
"During the performance of this contract, the contractor agrees as follows:
a) The contractor will not discriminate against any employee or applicant for employment
because of race, color, religion, sex, or national origin. The contractor will take affirmative
action to ensure that applicants are employed, and that employees are treated during
employment, without regard to their race, color, religion, sex, or national origin. Such action
shall include, but not be limited to the following: Employment, upgrading, demotion, or transfer,
recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of
compensation; and selection for training, including apprenticeship. The contractor agrees to
post in conspicuous places, available to employees and applicants for employment, notices
to be provided by the contracting officer setting forth the provisions of this nondiscrimination
clause.
b) The contractor will, in all solicitations or advertisements for employees placed by or on behalf
of the contractor, state that all qualified applicants will receive consideration for employment
without regard to race, color, religion, sex, or national origin.
c) The contractor will send to each labor union or representative of workers with which he has
a collective bargaining agreement or other contract or understanding, a notice to be provided
by the agency contracting officer, advising the labor union or workers' representative of the
contractor's commitments under section 202 of Executive Order 11246 of September 24,
1965, and shall post copies of the notice in conspicuous places available to employees and
applicants for employment.
d) The contractor will comply with all provisions of Executive Order 11246 of September 24,
1965, and of the rules, regulations, and relevant orders of the Secretary of Labor.
e) The contractor will furnish all information and reports required by Executive Order 11246 of
September 24, 1965, and by the rules, regulations, and orders of the Secretary of Labor, or
pursuant thereto, and will permit access to his books, records, and accounts by the contracting
agency and the Secretary of Labor for purposes of investigation to ascertain compliance with
such rules, regulations, and orders.
f) In the event of the contractor's non-compliance with the nondiscrimination clauses of this
contract or with any of such rules, regulations, or orders, this contract may be canceled,
terminated or suspended in whole or in part and the contractor may be declared ineligible for
further Government contracts in accordance with procedures authorized in Executive Order
11246 of September 24, 1965, and such other sanctions may be imposed and remedies
invoked as provided in Executive Order 11246 of September 24, 1965, or by rule, regulation,
or order of the Secretary of Labor, or as otherwise provided by law.
Supplemental Provisions for Federal Awards Page 4 of 6 Issued 3/16/2016
Revised 11/18/2016
DocuSign Envelope ID: B14E9FAB-E1AC-4AFB-87CF-3021A55DB6EA
a) The contractor will include the provisions of paragraphs (1) through (7) in every subcontract
or purchase order unless exempted by rules, regulations, or orders of the Secretary of Labor
issued pursuant to section 204 of Executive Order 11246 of September 24, 1965, so that such
provisions will be binding upon each subcontractor or vendor. The contractor will take such
action with respect to any subcontract or purchase order as may be directed by the Secretary
of Labor as a means of enforcing such provisions including sanctions for noncompliance:
Provided, however, that in the event the contractor becomes involved in, or is threatened with,
litigation with a subcontractor or vendor as a result of such direction, the contractor may
request the United States to enter into such litigation to protect the interests of the United
States."
ii. 4.2 Davis -Bacon Act. Davis -Bacon Act, as amended (40 U.S.C. 3141-3148). When required by
Federal program legislation, all prime construction contracts in excess of $2,000 awarded by non -
Federal entities must include a provision for compliance with the Davis -Bacon Act (40 U.S.C. 3141-
3144, and 3146-3148) as supplemented by Department of Labor regulations (29 CFR Part 5, "Labor
Standards Provisions Applicable to Contracts Covering Federally Financed and Assisted
Construction"). In accordance with the statute, contractors must be required to pay wages to laborers
and mechanics at a rate not less than the prevailing wages specified in a wage determination made
by the Secretary of Labor. In addition, contractors must be required to pay wages not less than once
a week. The non -Federal entity must place a copy of the current prevailing wage determination issued
by the Department of Labor in each solicitation. The decision to award a contract or subcontract must
be conditioned upon the acceptance of the wage determination. The non -Federal entity must report
all suspected or reported violations to the Federal awarding agency. The contracts must also include
a provision for compliance with 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 or Public Work Financed in Whole or in Part by Loans or Grants from the United States").
The Act provides that each contractor or Subrecipient must be prohibited from inducing, by any
means, any person employed in the construction, completion, or repair of public work, to give up any
part of the compensation to which he or she is otherwise entitled. The non -Federal entity must report
all suspected or reported violations to the Federal awarding agency.
iii. Rights to Inventions Made Under a Contract or Agreement. If the Federal Award meets the definition
of "funding agreement" under 37 CFR §401.2 (a) and Subrecipient wishes to enter into a contract
with a small business firm or nonprofit organization regarding the substitution of parties, assignment
or performance of experimental, developmental, or research work under that "funding agreement,"
Subrecipient must 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.
iv. Clean Air Act (42 U.S.C. 7401-7671q.) and the Federal Water Pollution Control Act (33 U.S.C. 1251-
1387), as amended. Contracts and subgrants of amounts in excess of $150,000 must contain a
provision that requires the non -Federal award to agree to comply with all applicable standards, orders
or regulations issued pursuant to the Clean Air Act (42 U.S.C. 7401-7671q) and the Federal Water
Pollution Control Act as amended (33 U.S.C. 1251-1387). Violations must be reported to the Federal
awarding agency and the Regional Office of the Environmental Protection Agency (EPA).
Supplemental Provisions for Federal Awards Page 5 of 6 Issued 3/16/2016
Revised 11/18/2016
DocuSign Envelope ID: B14E9FAB-E1 AC-4AFB-87CF-3021 A55DB6EA
i. Debarment and Suspension (Executive Orders 12549 and 12689). A contract award (see 2 CFR
180.220) must not be made to parties listed on the government wide exclusions in the System for
Award Management (SAM), in accordance with the OMB guidelines at 2 CFR 180 that implement
Executive Orders 12549 (3 CFR part 1986 Comp., p. 189) and 12689 (3 CFR part 1989 Comp., p.
235), "Debarment and Suspension." SAM Exclusions contains the names of parties debarred,
suspended, or otherwise excluded by agencies, as well as parties declared ineligible under statutory
or regulatory authority other than Executive Order 12549.
ii. Byrd Anti -Lobbying Amendment (31 U.S.C. 1352). Contractors that apply or bid for an award
exceeding $100,000 must file the required certification. Each tier certifies to the tier above that it will
not and has not used Federal appropriated funds to pay any person or organization for influencing or
attempting to influence an officer or employee of any agency, a member of Congress, officer or
employee of Congress, or an employee of a member of Congress in connection with obtaining any
Federal contract, grant or any other award covered by 31 U.S.C.1352. Each tier must also disclose
any lobbying with non -Federal funds that takes place in connection with obtaining any Federal award.
Such disclosures are forwarded from tier to tier up to the non -Federal award.
2) 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. CDHS may provide written notification to
Subrecipient of such revisions, but such notice shall not be a condition precedent to the effectiveness of such
revisions.
3) 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.
4) Certifications. Unless prohibited by Federal statutes or regulations, CDHS 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 CDHS 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.
5) 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 CDHS may
terminate the Contract in accordance with the termination provisions in the Contract.
6) Close Out. Subrecipient shall close out this Contract within 90 days after the End Date. Contract close out
entails submission to CDHS by Subrecipient of all documentation defined as a deliverable in this Contract,
and Subrecipient's final reimbursement request. CDHS shall withhold 5% of the allowable costs until all final
project documentation has been submitted and accepted by State as substantially complete. If the project
has not been closed by the Federal awarding agency within 1 year and 90 days after the End Date due to
Subrecipient's failure to submit required documentation that CDHS 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.
7) Erroneous Payments. The closeout of a Federal award does not affect the right of the Federal awarding
agency or CDHS 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
Supplemental Provisions for Federal Awards Page 6 of 6 Issued 3/16/2016
Revised 11/18/2016
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