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Home My WebLink About20223574.tiffRESOLUTION RE: APPROVE TASK ORDER CONTRACT FOR WOMEN'S WELLNESS CONNECTION CANCER PREVENTION AND EARLY DETECTION 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 Task Order Contract for the Woman's Wellness Connection Cancer Prevention and Early Detection 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 upon full execution of signatures, and ending June 29, 2023, with further terms and conditions being as stated in said task order contract, and WHEREAS, after review, the Board deems it advisable to approve said task order contract, 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 the Task Order Contract for the Woman's Wellness Connection Cancer Prevention and Early Detection 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 task order contract. 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 WELD COUNTY, COLORADO ATTEST: ddzywsj „e.;� Weld County Clerk to the Board st.County Attorne Date of signature: 01/23 /23 Scoff K. James, Chair EXCUSED Mike Freeman, Pro-Tem EXCUSED Steve Moreno cc: NI.(rG) O1/31/23 2022-3574 HL0054 Cnkvo,c\ IDi95 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: Women's Wellness Connection - Cancer Prevention & Early Detection 6 -month Task Order Contract For the Board's approval is a 6 -month renewal Task Order Contract between the Colorado Department of Public Health and Environment and the Board of County Commissioners of Weld County for the use and benefit of the Weld County Department of Public Health and Environment (WCDPHE) for the Women's Wellness Connection (WWC) Cancer Prevention & Early Detection (CPED) program. The WWC program provides low-income, uninsured, and underserved women, access to timely, high -quality screening and diagnostic services to detect breast and cervical cancer at the earliest stages. In addition, the Targeted Outreach component of the program helps recruit qualifying women and reduce barriers to screenings, while providing education about the importance of breast and cervical cancer screenings to all eligible women. This Task Order shall be effective January 01, 2023, through June 29, 2023, with funding not to exceed $42,873 during the contract period. Of this amount, $23,620 is Federal funding and $19,253 is State funding. Activities will be conducted by current staff; no additional FTE is being requested. The Board approved placement of this contract on the Board's agenda via pass -around dated December 19, 2022. I recommend approval of this Women's Wellness Connection Cancer Prevention & Early Detection Task Order with CDPHE. 2022-3574 BOARD OF COUNTY COMMISSIONERS PASS -AROUND REVIEW TITLE: Women's Wellness Connection - Cancer Prevention & Early Detection 6 -month Task Order Contract DEPARTMENT: PUBLIC HEALTH & ENVIRONMENT PERSON REQUESTING: Gene O'Hara, Interim Executive Director DATE: December 19, 2022 Brief description of the problem/issue: For the Board's review and approval for placement on the agenda is a 6 -month renewal Task Order Contract between the Colorado Department of Public Health and Environment and the Board of County Commissioners of Weld County for the use and benefit of the Weld County Department of Public Health and Environment (WCDPJIE) for the Women's Wellness Connection (WWC) Cancer Prevention & Early Detection (CPED) program. The WWC program provides low-income, uninsured, and underserved women, access to timely, high - quality screening and diagnostic services to detect breast and cervical cancer at the earliest stages. In addition, the Targeted Outreach component of the program helps recruit qualifying women and reduce barriers to screenings, while providing education about the importance of breast and cervical cancer screenings to all eligible women. This Task Order shall be effective January 01, 2023, through June 29, 2023, with funding not to exceed $42,873 during the contract period. Of this amount, $23,620 is Federal funding and $19,253 is State funding. Activities will be conducted by current staff; no additional FTE is being requested. This contract is currently under legal review with the Weld County Attorney's office, and we will await their approval prior to placing this item on the Board's agenda. What options exist for the Board? (include consequences, impacts, costs, etc. of options): Approving this Task Order will allow WCDPHE to continue to provide breast and cervical cancer education and help reduce barriers to screenings for women. It will also allow WCDPHE to screen women for breast and cervical cancer who otherwise may not be screened, due to inability to pay at private facilities. Declining this Task Order may result in more women needing treatment for cancer at a later stage, rather than diagnosing and treating cancer earlier, increasing health care costs, and cancer related morbidity/mortality. Recommendation: I recommend approval of this Women's Wellness Connection Cancer Prevention & Early Detection Task Order with CDPHE. Perry L Buck Mike Freeman, Pro -Tern Scott K. James, Chair Steve Moreno Lori Saine Approve Schedule Recommendation Work Session Other/Comments: )-( DocuSign Envelope ID: 0110785A-ACAE-4FEC-8EB1-1BC57DF2D6F7 TASK ORDER State Agency State of Colorado for the use & benefit of the Department of Public Health and Environment 4300 Cherry Creek Drive South Denver CO 80246 Contractor Board of County Commissioners of Weld County (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 Master Task Order Contract Number 23 FA 00051 Task Order Number 2023*2330 Task Order Performance Beginning Date The later of the Task Order Effective Date or Janurary 1, 2023 Task Order Maximum Amount Initial Term Fiscal Year 2023 $42,873.00 Total for All Fiscal Yeas $42,873.00 Task Order Expiration Date June 29, 2023 Except as stated in §2.D., the total duration of this Contract, including the exercise of any options to extend, shall not exceed 5 years from its Performance Beginning Date. Pricing/Funding Price Structure: Cost Reimbustment Contractor Shall Invoice: Monthly Funding Source: State $89,253.00 Federal $23,620.00 Miscellaneous: Authority to enter into this Contract exists in: C.R.S. 25-1.5-101 - C.R.S. 25-1.5-113 Law Specified Vendor Statute (if any): Procurement Method: Request For Application (RFA) Solicitation Number (if any): 40359 State Representative Emily Kinsella Women's Wellness Connection Section Manager Prevention Services Division Colorado Department of Public Health and Environment 4300 Cherry Creek Drive South Denver, CO 80246 emity.kinsetla@state.caus Contractor Representative Tanya Geiser Chair, Weld County Board of County Commissioners Board of County Commissioners of Weld County (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 tgeiser@weldgov.com Exhibits and Order ofPrecedence The following Exhibits and attachments are included with this Contract: Exhibit A, Additional Provisions Exhibit B, Statement of Work Exhibit C, Budget Exhibit D, Federal Provisions — Colorado Cancer Prevention and Control Task Order Number: 2023*2330 Page 1 of 3 Version 02.24.2022 e -3x"79 DocuSign Envelope ID: 0110785A-ACAE-4FEC-8EB1-1BC57DF2D6F7 Contract Purpose This project serves to reduce cancer health disparities, and morbidity and mortality rates in Colorado. Cancer screening will increase in Colorado Department of Public Health and Environment (CDPHE)-identified priority populations, especially women who are eligible for CDPHE-paid Clinical Services, by implementing one or more approved strategies (community outreach, health navigation, CDPHE-paid clinical services) to address cancer prevention and early detection. In accordance with §4.B of the Master Task Order Contract referenced above, Contractor shall complete the following Project: 1. PROJECT DESCRIPTION Contractor shall complete the Project described in Exhibit B Statement of Work (SOW) that is attached hereto and incorporated herein ("the SOW"). All terminology used in this Task Order and the Statement of Work shall be interpreted in accordance with the Master Task Order Contract unless specifically defined differently in this Task Order. The Statement of Work and Budget are incorporated herein, made a part hereof and attached hereto as Exhibit B - Statement of Work and Exhibit C - Budget. 2. PAYMENT The State shall pay Contractor the amounts shown in Exhibit C - Budget that is attached hereto and incorporated herein, in accordance with the requirements of the Statement of Work and the Master Task Order Contract. The State shall not make any payment for a State Fiscal Year that exceeds the Task Order Maximum Amount shown above for that State Fiscal Year. 3. PERFORMANCE PERIOD Contractor shall complete all Work on the Project described in this Task Order by the Task Order Expiration Date stated above. Contractor shall not perform any Work described in the Statement of Work prior to the Task Order Performance Beginning Date or after the Task Order Expiration Date stated above. 4. TASK ORDER EFFECTIVE DATE: The Effective Date of this Task Order is upon approval of the State Controller or January 1, 2023, whichever is later. Task Order Number: 2023*2330 Page 2 of 3 Version 02.24.2022 DocuSign Envelope ID: 0110785A-ACAE-4FEC-8E51-1BC57DF2D6F7 THE PARTIES HERETO HAVE EXECUTED THIS CONTRACT Each person signing this Contract represents and warrants that he or she is duly authorized to execute this Contract 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 um and benefit of the Weld County Department of Public Health and Environment I-euuSigned by: . [d*LS�cef ^^ � ee� EA 6 D�^TOF STATE OF COLORADO Jared S. Polis, Governor Colorado Department of Public Health and Environment Jill Hunsaker Ryan, MPH, Executive Director DocuSigned by: 2�D�8�0°1e7DAeC. By: Signature Scott K. James By: Signature Lisa McGovern Name of Person Signing for Contractor Chairman, weld BOCC Name of Executive Director Delegate Procurement & Contracts Section Director ft Title of Person Signing for Contractor 2022-12-30 Date: Title of Executive Director Delegate 2022-12-30 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 DocuSigneedby::�`', ,--C^8°5^DFD°7G^05 By: Signature Justin Weigle Name of State Controller Delegate Health Divisions Controller Title of State Controller Delegate 2022-12-30 Effective Date: --Signature Page End -- Task Order Number: 2023 #2330 Page 3 of 3 Version 02.24.2022 DocuSign Envelope ID: 0110785A-ACAE-4FEC-8EB1-1BC57DF2D6F7 EXHIBIT A ADDITIONAL PROVISIONS To Original Contract Routing Number 2023*2330 These provisions are to be read and interpreted in conjunction with the provisions of the Contract specified above. 1. To receive compensation under the Contract, the Contractor shall submit a signed Monthly CDPHE Reimbursement Invoice Form. This form is a customized CDPHE Reimbursement Invoice Form that CDPHE will distribute to the Contractor each budget period and is incorporated and made part of this Contract by reference. The Contractor may contact the CDPHE Contract Monitor to obtain additional electronic copies of the invoice form. CDPHE will provide technical assistance in accessing and completing the form. The CDPHE Reimbursement Invoice Form and Expenditure Details page must be submitted no later than forty-five (45) calendar days after the end of the billing period for which services were rendered. Expenditures shall be in accordance with the Statement of Work and Budget. The Contractor shall submit the invoice using the method listed below. Scan the completed and signed CDPHE Reimbursement Invoice Form into an electronic document. Email the scanned invoice and Expenditure Details page to: Cancer Prevention and Early Detection Contracts Monitor at cdphe cancer/state.co.us. Final billings under the Contract must be received by the State within a reasonable time after the expiration or termination of the Contract; but in any event no later than forty-five (45) calendar days from the effective expiration or termination date of the Contract. Unless otherwise provided for in the Contract, "Local Match," if any, shall be included on all invoices as required by funding source. The Contractor shall not use federal funds to satisfy federal cost sharing and matching requirements unless approved in writing by the appropriate federal agency. If applicable, the Contractor shall be reimbursed for the purchase of allowable Health Navigation and Clinical Services supplies/operating costs identified in the Women's Wellness Connection (WWC) Health Navigation and Clinical Services Allowable Purchases document. This document is located at the following website https://cancerplan.colorado.gov/help-for-grantees and is incorporated and made part of this Contract by reference. 2. To receive compensation for Health Navigation and Clinical Services provided to eligible individual clients as identified in the Statement of Work under this Contract, the Contractor shall: a. Navigate eligible low-income women to timely and complete breast and cervical cancer screening procedures (Health Navigation); and/or, b. Provide CDPHE-funded breast and cervical cancer screening and/or diagnostic procedures (Clinical Services), to eligible clients. a. eCaST Data System Data entered into the electronic cancer surveillance and tracking (eCaST) data system are the basis for calculating reimbursement for each client receiving Health Navigation or Clinical Services. To be considered for payment, all Cancer Prevention and Early Detection Health Navigation and Clinical Services related cancer screening and diagnostic procedures shall be entered into eCaST within thirty (30) days of service being performed. Health Navigation or Clinical Services cases that exceed sixty (60) calendar days in screening length and negatively affect WWC's Performance Indicators may not be reimbursed at the discretion of the State. Reimbursement is determined by the clinical outcome of each case; therefore, cases must be clinically complete or administratively closed before reimbursement occurs. Contractors shall only be paid for cases that meet eligibility, performance, and data requirements. Based on performance, the Cancer Prevention and Early Detection Program may unilaterally change the groups of eligible clients who may be served with eCaST funding. Page 1 of 4 a l:cl, i r umber 202, :>>u Ver. 01.11.19 DocuSign Envelope ID: 0110785A-ACAE-4FEC-8EB1-1BC57DF2D6F7 EXHIBIT A b. Bundled Payment System (BPS) The Contractor shall be paid for Health Navigation or Clinical Services to individual clients in accordance with rates as outlined in the Cancer Prevention and Early Detection Bundled Payment System (BPS) for Health Navigation and Clinical Services. This document is incorporated and made a part of this Contract by reference and is available on the following website at https://cancerplan.colorado.gov/help-for-grantees. Rates may be revised or updated during the contract term. Reimbursement policies are defined in the Cancer Prevention and Early Detection Program Manual. This manual is located at the following website https://cancerplan.colorado.gov/help-for-grantees and is incorporated and made part of this Contract by reference. The Contractor shall not charge the Cancer Prevention and Early Detection program for Clinical Services not listed on the CPT Code List. This document is incorporated and made part of this Contract by reference and is available on the following website: https://cancerplan.colorado.gov/help-for-grantees. c. Payment Procedures Payment to the Contractor for Health Navigation and Clinical Services provided to eligible individual clients is made from available funds encumbered and shared across multiple contractors. The State may increase or decrease the total funds encumbered at its sole discretion and without formal notice to the Contractor. No minimum payment is guaranteed to the Contractor. The liability of the State for such payments is limited to the encumbered amount remaining of such funds. Payment to the Contractor for expenses not included in the BPS for Cancer Prevention and Early Detection Health Navigation and Clinical Services is made from available funds encumbered and in accordance with the Statement of Work and Budget set forth under this Contract. Payment to the Contractor for eCaST is made from available funds encumbered through a General Accounting Encumbrance (GAE) and shared across multiple contractors. CDPHE may increase or decrease the total funds encumbered in the GAE at its sole discretion and without formal notice to the Contractor. No minimum payment is guaranteed to the Contractor. The liability of the State for such payments is limited to the encumbered amount remaining of such funds. d. Expenditure Cap for Health Navigation and Clinical Services to Individual Clients (eCaST Amount) CDPHE will set the expenditure cap for Health Navigation and Clinical Services to individual clients for the Contractor for each budget period. CDPHE may increase or decrease the Contractor expenditure cap at its sole discretion based on the Contractor's spending rate. The Contractor may request to increase or decrease this expenditure cap. Once the expenditure cap is reached or the share of program funds are fully expended, the State will not reimburse for additional expenses incurred by the Contractor unless CDPHE opts to increase the cap. 3. Time Limit For Acceptance Of Deliverables. Evaluation Period. The State shall have thirty (30) calendar days from the date a deliverable is delivered to the State by the Contractor to evaluate that deliverable, except for those deliverables that have a different time negotiated by the State and the Contractor. b. Notice of Defect. If the State believes in good faith that a deliverable fails to meet the design specifications for that particular deliverable, or is otherwise deficient, then the State shall notify the Contractor of the failure or deficiencies, in writing, within thirty (30) calendar days of: 1) the date the deliverable is delivered to the State by the Contractor if the State is aware of the failure or deficiency at the time of delivery; or 2) the date the State becomes aware of the failure or deficiency. The above time frame shall apply to all deliverables except for those deliverables that have a different time negotiated by the State and the Contractor in writing pursuant to the State's fiscal rules. Page 2 of 4 Task l,der Nunb,:,23'2330 Ver. 01.11.19 DocuSign Envelope ID: 0110785A-ACAE-4FEC-8EB1-1BC57DF2D6F7 EXHIBIT A c. Time to Correct Defect. Upon receipt of timely written notice of an objection to a completed deliverable, the Contractor shall have a reasonable period of time, not to exceed thirty (30) calendar days, to correct the noted deficiencies. 4. Health Insurance Portability and Accountability Act (HIPAA) Business Associate Determination. The State has determined that this Contract does not constitute a Business Associate relationship under HIPAA. 5. The Contractor shall request prior approval in writing from the State for all modifications to the Statement of Work/Work Plan, or for my modification to the direct costs in excess of twenty-five percent (25%) of the total budget for direct costs, or for any modifications to the indirect cost rate. Any request for modifications to the Budget in excess of twenty-five percent (25%) of the total budget for direct costs, or any modifications to indirect cost rates, shall be submitted to the State at least ninety (90) days prior to the end of the contract period and may require an amendment in accordance with General Provisions, Section 16, Contract Modifications, of this Contract. 6. The Contractor agrees to provide services to all Program participants and employees in a smoke -free environment in accordance with Public Law 103-227, also known as "the Pro -Children Act of 1994", (Act). Public Law 103-227 requires that smoking not be permitted in any portion of any indoor facility owned or leased or contracted for by an entity and used routinely or regularly for the provision of health, day care, early childhood development services, education or library services to children under the age of eighteen (18), if the services are funded by Federal programs either directly or through State or local governments, by Federal grant, contract, loan, or loan guarantee. 7. The State of Colorado, specifically the Colorado Department of Public Health and Environment, shall be the owner of all equipment as defined by Federal Accounting Standards Advisory Board (FASAB) Generally Accepted Accounting Principles (GAAP) purchased under this Contract. At the end of the term of this Contract, the State shall approve the disposition of all equipment. 8. The Contractor shall not use State funds provided under this Contract for the purpose of lobbying as defined in Colorado Revised Statutes (C.R. S.) 24-6-301(3.5)(a). 9. Notwithstanding the terms contained in Section 10, Insurance, of this Contract, the parties agree to add the following language to the end of Paragraph vi: vii. The Contractor agrees to maintain in full force and effect a Professional Liability Insurance Policy in the minimum amount of $1,000,000 per occurrence and $1,000,000 in the aggregate, written on an occurrence form that provides coverage for its work undertaken pursuant to this Contract. If a policy written on an occurrence form is not commercially available, the claims -made policy shall remain in effect for the duration of this Contract and for at least two (2) years beyond the completion and acceptance of the work under this Contract, or, alternatively, a two (2) year extended reporting period must be purchased. 10. If Contractor indicates full expenditure of funds under this Contract by March 29 of each grant year and the full expenditure does not occur, CDPHE has the option to reduce current or upcoming Contract by said amount or a percent deemed reasonable by CDPHE. CDPHE will notify the Contractor of the potential need to decrease the current or upcoming budget. If the Contractor indicates at a later date than March 29 of each grant year an expectation of surplus of funds or inability to fully expend said funds for unforeseen circumstances that Contractor had not anticipated by March 29, CDPHE will reallocate unspent funds without any penalties to the Contractor. 11. All data collected, used or acquired shall be used solely for the purposes of this Contract. The Contractor and its subcontractors agree not to release, divulge, publish, transfer, sell, or otherwise make known any such data to unauthorized persons without the express prior written consent of the State or as otherwise required by law. This includes a prior written request by the Contractor to the State for submission of abstracts or reports to conferences, which utilize data collected under this Contract. 12. Notwithstanding the foregoing, the Contractor shall be entitled to retain a set of any such data collected or work papers necessary to perform its duties under this Contract and in accordance with professional standards. Page 3 of 4 Task ( )rder Number: 20233`2330 Ver. 01.11.19 DocuSign Envelope ID: 0110785A-ACAE-4FEC-8EB1-1BC57DF2D6F7 EXHIBIT A 13. Neither the U.S. Department of Health and Human Services (HHS) nor the Centers for Disease Control (CDC) logo may be displayed on any conference materials if such display would cause confusion as to the conference source or give false appearance of Government endorsement. Use of the HHS name or logo is governed by U.S.C. 1320b-10, which prohibits misuse of the HHS name and emblem in written communication. A non-federal entity is unauthorized to use the HHS name or logo governed by U.S.C. 1320b-10. The appropriate use of the HHS logo is subject to review and approval of the Office of the Assistant Secretary for Public Affairs (OASPA). 14. Notwithstanding the terms contained in the Section 8, Confidential Information -State Records, Contractor shall protect the confidentiality of all applicant or recipient records and other materials that are maintained in accordance with this Contract. Except for purposes directly connected with the administration of this Contract, no information about or obtained from any applicant or recipient shall be disclosed in a form identifiable with the applicant or recipient without the prior written consent of the applicant or recipient, or the parent or legal guardian of a minor applicant or recipient with the exception of information protected by Colorado Statute as it applies to confidentiality for adolescent services in which case the adolescent minor and not the parent or legal guardian must provide consent or as otherwise properly ordered by a court of competent jurisdiction. Contractor shall have written policies governing access, duplication, and dissemination of all such information. Contractor shall advise its employees, agents, servants, and any subcontractors that they are subject to these confidentiality requirements. 15. The Contractor affirms that it maintains no affiliations or contractual relationships, direct or indirect, with tobacco companies, owners, affiliate, subsidiaries, holding companies, or companies involved in any way in the production, processing, distribution, promotion, sales, or use of tobacco. Page 4 of 4 Task ( l,dci Number: 2123`2330 Ver. 01.11.19 DocuSign Envelope ID: 0110785A-ACAE-4FEC-8EB1-1BC57DF2D6F7 EXHIBIT B STATEMENT OF WORK To Original Contract Number 2023*2330 These provisions are to be read and interpreted in conjunction with the provisions of the contract specified above. L Entity Name: Weld County Department of Public Health and Environment II. Project Description: This project serves to reduce cancer health disparities, and morbidity and mortality rates in Colorado. Cancer screening will increase in Colorado Department of Public Health and Environment (CDPHE)- identified priority populations, especially women who are eligible for CDPHE-paid Clinical Services, by implementing one or more approved strategies (community outreach, health navigation, CDPHE-paid clinical services) to address cancer prevention and early detection. Citizens of Colorado in the Contractor's service area will benefit from this project by receiving cancer screening prevention and early detection services. CDPHE is funding this project to meet the goal of reducing cancer health disparities, morbidity and mortality in Colorado by increasing cancer screening and early detection. III. Definitions: 1. Action Plan: Identifies the strategy(ies) the Contractor is approved to plan or implement and the detailed steps the Contractor will take to address the objectives of this agreement. 2. CDPHE: Colorado Department of Public Health and Environment. 3. CDPHE-Paid Clinical Services: The Clinical Services component of the Health Navigation and Clinical Services strategy funds breast and cervical cancer screening and diagnostic procedures for eligible, low-income uninsured or underinsured clients. 4. CDPHE Contract Monitor: CDPHE staff member assigned to monitor the contract. 5. Health navigation: Individualized assistance offered to clients to help overcome health care system barriers and facilitate timely access to quality screening and diagnostics as well as initiation of treatment services for persons diagnosed with cancer. IV. Work Plan: Goal #1: Facilitate health care services among people who face barriers to good health. Objective #1: No later than the expiration date of this contract, reduce cancer health disparities, and morbidity and mortality rates, in Colorado by increasing cancer screening among CDPHE-identified priority populations, especially CDPHE-paid Clinical Services eligible women. Primary Activity #1 The Contractor shall, in collaboration with the CDPHE Contract Monitor, draft an action plan outlining: 1. the strategy(ies) (community outreach; health navigation and clinical services) in which the project will focus; 2. the detailed steps which the Contractor shall take to address the objectives of this agreement. Sub -Activities #1 1. The Contractor shall record their approval by signing the final action plan agreed upon with CDPHE. 2. The Contractor shall update the action plan at a minimum annually. Pagel of 4 Task Order Number 2023*2330 Ver. 01.11.19 DocuSign Envelope ID: 0110785A-ACAE-4FEC-8EB1-1BC57DF2D6F7 EXHIBIT B 3. The Contractor shall record their approval by signing the action plan each time it changes. Primary Activity #2 The Contractor shall implement one or more strategies and sub -strategies to address cancer prevention and early detection in Colorado. Sub -Activities #2 1. The Contractor shall implement at least one (l) of the following strategies and sub - strategies to address cancer prevention and early detection in Colorado, as approved by CDPHE in the action plan. a. Community outreach b. Health navigation and clinical services i. Health navigation only among eligible uninsured/underinsured clients ii. Health navigation and CDPHE-paid clinical services among eligible clients 2. The Contractor shall report required data related to the strategies listed in the approved action plan. Primary Activity #3 The Contractor shall participate in CDPHE-required meetings. Primary Activity #4 The Contractor shall complete Progress 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 all updates. 2. The Contractor shall comply with any changes, revisions, inclusions, and exclusions to the CDPHE Cancer Prevention and Early Detection Program. The CDPHE Cancer Prevention and Early Detection Program is subject at any time to changes, revisions, inclusions, and exclusions as needed and/or pursuant to directives or changes required by rule, regulation, statute or guidance. 3. The Contractor shall comply with all requirements stated in the CDPHE Cancer Prevention and Early Detection Program Manual. This document is incorporated and made part of this contract by reference and is available on the following website: https://cancerplan.colorado.gov/help-for-grantees. 4. The Contractor shall use all CDPHE-required forms and templates. 5. The Contractor shall submit all final data and reports as non -reimbursable deliverables. 6. The Contractor shall comply with all program activities and requirements stated in the action plan and its referenced documents. 7. The Contractor shall comply with mandatory program reporting processes such as online written reports, data submission or progress calls at an interval outlined in the action plan. Page 2 of 4 Task Order Number, 2023.2330 Ver. 01.11.19 DocuSign Envelope ID: 0110785A-ACAE-4FEC-8EB1-1BC57DF2D6F7 EXHIBIT B 8. The Contractor shall report required data related to the strategies listed in the approved action plan within 30 days of service delivery and no later than 60 days after the end of the performance period. 9. The Contractor shall attend a post -award orientation provided by CDPHE as well as other required meetings, training, webinars and telephone calls for the purpose of information - sharing, training, technical assistance and contract monitoring. 10. The Contractor shall adhere to the following requirements for the action plan: a. Develop an annual action plan to adopt and implement prioritized strategies approved by CDPHE. CDPHE will inform the Contractor of necessary modification or provide approval of the action plan within 30 business days. b. Modify the action plan in collaboration with the CDPHE Contract Monitor, as needed. c. Obtain approval from CDPHE prior to beginning activities outlined in the action plan. d. Use the action plan developed with CDPHE. e. CDPHE's evaluation of the Contractor's performance will be determined by the Contractor's adherence to the established action plan. 11. CDPHE will provide the Contractor with the Progress Report template that requires the reporting on strategies and tasks listed in the approved action plan. 12. The Contractor shall identify and support key personnel as outlined in the action plan and referenced documents. 13. The Contractor shall communicate with CDPHE within 15 days of a change in key staff responsible for the performance of work during the contract period. 14. The Contractor shall plan to have new staff members receive required training within two (2) months of hire. 15. The Contractor shall comply with CDPHE evaluation and performance measurement efforts. 16. The Contractor shall collect required evaluation and program monitoring data. 17. The Contractor shall submit all deliverables to CDPHE via the method indicated in the CDPHE Cancer Prevention and Early Detection Program Manual. 18. If purchasing gift cards, the Contractor shall provide to CDPHE upon request written procedures related to gift card purchasing and handling. At a minimum, the procedures shall include the following: a. How the gift card inventory is tracked and maintained? b. Gift card storage and safeguards against theft c. The primary person responsible for securing and distribution of gift cards d. A gift card distribution log that records each gift card number, dollar amount, and the printed name and signature of each gift card recipient. Expected Results of Activity(s) 1. Increased number of individuals screened for CDPHE-approved cancers. 2. Increased number of quality of CDPHE-approved cancer screenings provided within priority populations Page 3 of 4 Task Order Number. 2023.2330 Ver. 01.11.19 DocuSign Envelope ID 0110785A-ACAE-4FEC-8EB1-1BC57DF2D6F7 EXHIBIT B 3 Analysis of programmatic data submissions 4 Assessments, data submissions, along with evaluation information Measurement of Expected Results 1 Progress Reports 2 CDPHE received programmatic data submissions 3 CDPHE received assessments, along with evaluation information ' ' Completion Date Deliverables 1 The Contractor shall submit an action plan that includes each of the strategies selected and referenced in this Statement of Work No later than the first business day in March in the first budget period of the contract, and then the first business day in August, annually 2 The Contractor shall submit a signed action plan Within 15 calendar days after CDPHE approval of the initial or modified action plan 3 The Contractor shall submit CDPHE-approved Progress Report No later than 3/15 in the first budget period of the contract, and no later than 1/15 annually 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 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 CDPHE Contract Monitor 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 4 of 4 Task Order Number 2023*2330 Ver 01 11 19 DocuSign Envelope ID 0110785A-ACAE-4FEC-8EB1-1BC57DF2D6F7 Exhibit C., Budget COLORADO Department of Public Health & Environment PREVENTION SERVICES DIVISION - LESS THAN 12 MONTH BUDGET WITH JUSTIFICATION FORM Original Contract Routing 2023*2330 Contractor Name Weld County Department of Public Health and Environment Program Contact Name, Title, Phone and Email Cynthia Program Coordinator chorn@weldgov.com Horn 970-400-2433 Budget Period 1/1/2023 - 6/29/2023 Fiscal Contact Name, Title, Phone and Email Tanya Geiser Director, Finance/Contracting 970-400-2122 tgeiser@weldgov.com Project Name Cancer Prevention and Early Detection Health Navigation and Clinical The Community Outreach Services (TCO) (CPED): Strategy (HNCS) Contract (CT or PO) Number CT FHLA 2023*2330 Expenditure Categories Personal Salaried Employees Services Position Title Description of Work Gross or Annual Salary Fringe Percent of Time on Project Number of Months Total Amount Requested from CDPHE Supervisor For TCO. Provide TCO staff and reports, evaluation webinars and assistance for application for supervision program; assist of program, site visits; provide completion of the The Community and oversight to the with progress participate in input and continuing Outreach. $ 103,597.43 $ 40,869.19 3.00% 6.00 $2,167.00 Chief Nursing Officer For HNCS. Provide clinical supervision and grant oversight; assure clinic is prepared to serve client. $ 147,126.29 $ 58,041.32 3.00% 6.00 $3,077.51 Program Coordinator For HNCS. reports, webinars, continuing recommendations Clinical Coordinate program site visits application Services. evaluations, and for and and Health chart complete participate audits; review Navigation progress in complete and $ 71,644.29 $ 28,263.67 8.00% 6.00 $3,996.32 Health Navigator For clients access HNCS. Provide individualized assitance to overcome barriers and facilitate timely to breast and cervical cancer office visits. help $ 77,463.43 $ 30,559.32 8.00% 6.00 $4,320.91 Personal Hourly Employees Services Position Title Description of Work Hourly Wage Hourly Fringe Total # of Hours on Project Total Amount Requested from CDPHE Community Health (CHW)/ Promotora Worker (TBD) For TCO. The CHW will community members, provision of direct assistance cervical cancer screening be responsible for identification of assessment of barriers and need, and to reduce barriers to access breast and services into health system. $ 25.00 $ 9.86 520.00 $18,128.50 Office Technician For TCO Outreach copies, answer support). and participate and HNCS. The office technician will data into the TCO data portal, and phones and provide administrative Also includes time to learn and understand in required training. enter Community support HNCS (Make program the program $ 22.01 $ 8.68 52.00 $1,596.03 Total Personal Services (including fringe benefits) $33,286.28 Task Order Number: 2023*2330 Page 1 of 4 DocuSign Envelope ID 0110785A-ACAE-4FEC-8EB1-1 BC57DF2D6F7 Exhibit C., Budget 4104L-fe<:, 1Y COLORADO Department of Public Health & Environment PREVENTION SERVICES DIVISION - LESS THAN 12 MONTH BUDGET WITH JUSTIFICATION FORM Original Contract Routing 2023*2330 Contractor Name Weld County Department of Public Health and Environment Program Contact Name, Title, Phone and Email Cynthia r Program Coordinator chorn@weldgov.com Horn 970-400-2433 Budget Period 1/1/2023 - 6/29/2023 Fiscal Contact Name, Title, Phone and Email Tanya Geiser Director, Finance/Contracting 970-400-2122 tgeiser@weldgov.com Project Name Cancer Prevention and Early Health Navigation and Clinical The Community Outreach Detection (CPED): Services (HNCS) (TCO) Strategy Contract (CT or PO) Number CT FHLA 2023*2330 Supplies & Operating Expenses Item Description of Item Rate Quantity Total Amount Requested from CDPHE Operating/supplies For HNCS. Allowable purchase of supplies/operating Navigation and Clinical Services allowable Prevention and Early Detection Funding https://cdphe.colorado.gov/cancer/cancer-prevention-funding- opportunities/health-system items listed on the Health purchase document on the Cancer Opportunities website: $ 750.00 1.00 $750.00 Outreach and Education Expenses For TCO. Development and purchase of education to promote awareness of breast and cervical detection. This includes items to improve engagement outreach events. Estimated at $50.00/month materials and outreach supplies cancer prevention and early of the community during for 6 months. $ 50.00 6.00 $300.00 Postage For TCO. Postage for mailing of small media to targeted zip codes, reminder letters. $0.58/piece estimated at 25 pieces. $ 0.58 25.00 $14.50 Registration For TCO. Registration costs for Community trainings, including the Colorado Health navigators. Estimated at $125.00/registration Outreach staff to attend relevant Navigator Assessment for health for a total of 2 registrations. $ 125.00 2.00 $250.00 Translation Interpretation and Services For TCO. Translation appropriate relevent educational benefits and events and of outreach small of the other meetings. materials as needed for culturally and liguistically media and education materials to be distributed for community. Interpretation during educational sessions Estimated 2 items/events at $25.00/each. $ 25.00 2.00 $50.00 Office Supplies Office supplies for Community Outreach (not included in indirect). Estimated at $12.50/month for 6 months. Office supplies benefiting multiple programs will be allocated accordingly. $ 12.50 6.00 $75.00 (EMR) Electronic Medical Record Fees For the TCO. The EMR to schedule qualify for direct TCO worker will take a laptop to outreach events and will utilize screening appointments for clients who assistance. Estimated at $15.00/month for 6 months. $ 15.00 6.00 $90.00 Cell Phone Services For the outreach addition, Estimated TCO. The TCO program and contacting the phone will at $70.00/month clients be will who used as for 6 use qualify a WIFI months. a land for hot line direct spot and cell assistance; when phone at for In community events. $ 70.00 6.00 $420.00 Printing For relevant community. materials prevention. the TCO. small This for Estimated: Printing costs for culturally media to be distributed include appropriate breast and cervical cancer 100 prints and for educational and approved screening @ $0.50/each. linguistically education and appropriate benefits of the early $ 0.50 100.00 $50.00 Total Supplies & Operating $1,999.50 Task Order Number: 2023*2330 Page 2 of 4 DocuSign Envelope ID: 0110785A-ACAE-4FEC-8EB1-1BC57DF2D6F7 Exhibit C., Budget COLORADO Department of Public Health & Environment PREVENTION SERVICES DIVISION - LESS THAN 12 MONTH BUDGET WITH JUSTIFICATION FORM Original Contract Routing 2023*2330 Contractor Name Weld County Department of Public Health and Environment Program Contact Name, Title, Phone and Email Cynthia Program Coordinator chorn@weldgov.com Horn 970-400-2433 Tanya Geiser Budget Period 1/1/2023 - 6/29/2023 Fiscal Contact Name, Title, Phone and Email Director, Finance/Contracting 970-400-2122 tgeiser@weldgov.com Cancer Prevention and Early Detection (CPED): Project Name Health Navigation and Clinical Services (HNCS) Contract (CT or PO) Number 2023*2330 CT FHLA The Community Outreach (TCO) Strategy Travel Item Description of Item Rate Quantity Total Amount Requested from CDPHE Meals For TCO and HNCS. Per diem for meals for staff to attend in -person training and meetings and to travel to other community and clinic locations as needed. Per diem is $20 per person per day. Budgeted at: 2 person x $20 per day x 2 days; however, Weld County only reimburses based on actual expenditures, not per diem. $ 40.00 2.00 $80.00 Mileage For TCO and HNCS. Mileage for staff to attend in -person training and meetings and to travel to other community and clinic locations as needed. Current mileage reimbursement rate is $.565/mile; estimated mileage is 471. $ 0.565 471.00 $266.12 Lodging For TCO and HNCS. Lodging for staff to attend in -person training and meetings and to travel to other community and clinic locations as needed. Estimated 1 person @ $100/night for one night. $ 100.00 1.00 $100.00 Participant travel expenses For TCO $10.00) traveling and total to HNCS. Taxi, Uber and Lyft vouchers (2 x $10.00) or gas cards (2 x of 3 to reduce transportation barriers and assist participants in health system for screening. $ 10.00 4.00 $40.00 Total Travel $486.12 Contractual Subcontractor Name Description of Item Rate Quantity Total Amount Requested from CDPHE For TCO education, outreach and HNCS. Interpretation services in person or via telephone to assist direct assistance or screening services. Translation of educational materials. with and $ 25.00 1.00 $25.00 CTS LanguageLink To Be Determined For the TCO. Work with local media outlets and advertisers to promote breast and cervical cancer screening (one advertisement in print and online). $ 75.00 1.00 $75.00 North Colorado Health Alliance For collection $75.00/hour the TCO and HNCS. EMR vendor support to complete continuing application to create specialized report). for reports (one and data hour of vendor support @ $ 75.00 1.00 $75.00 Total Contractual $175.00 SUB -TOTAL OF DIRECT COSTS $35,946.89 Task Order Number: 2023*2330 Page 3 of 4 DocuSign Envelope ID 0110785A-ACAE-4FEC-8EB1-1 BC57DF2D6F7 Exhibit C., Budget COLORADO Department of Public Health Et Environment PREVENTION SERVICES DIVISION - LESS THAN 12 MONTH BUDGET WITH JUSTIFICATION FORM Original Contract Routing 2023*2330 Contractor Name Weld County Department of Public Health and Environment Program Contact Name, Title, Phone and Email Cynthia Horn Program Coordinator 970-400-2433 chorn@weldgov.com Budget Period 1/1/2023 - 6/29/2023 Fiscal Contact Name, Title, Phone and Email Tanya Geiser Director, Finance/Contracting 970-400-2122 tgeiser@weldgov.com Project Name Cancer Prevention and Early Health Navigation and Clinical The Community Outreach Detection (CPED): Services (TCO) Strategy (HNCS) Contract (CT or PO) Number CT FHLA 2023*2330 Indirect Item Description of Item Total Amount Requested from CDPHE CDPHE-Negotiated Indirect Cost Rate Weld County's indirect cost rate for CY2022 and wages, fringe benefits, materials first $25,000 of each subgrant or subcontract Equipment, capital expenditures, charges fellowships, participant support costs shall be excluded from modified total and and direct is 19.29% of Modified supplies, services, (regardless of the for patient care, tuition the portion of each costs. total direct costs, consisting of all travel, and subgrants and subcon:racts period covered by the subgrant or remission, rental costs, scholarships, subgrant and subcontract in excess of salaries up to the subcontract). and $25,000 $6,926.11 Total Indirect $6,926.11 TOTAL I $42,873.00 I Task Order Number: 2023*2330 Page 4 of 4 DocuSign Envelope ID 0110785A-ACAE-4FEC-8EB1-1BC57DF2D6F7 Exhibit I3 Federal Provisions, — Colorado Cancer Prevention and Control 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 Weld County Department of Public Health and Environment b Subrecipient Unique Entity Identification Number a SAM Unique Entity ID (UEI) IIIIKKXT9U9IVITI/5 c The Federal Award Identification Number (FAIN) is NU58DP007167 d The Federal award date is 5/26/2022 e The subaward period of performance start date is 6/30/2022 and end date is 6/29/2027 f Federal Funds Federal Budget Penod Total Amount of Federal Funds Awarded Amount of Federal Funds Obligated to CDPHE 6/30/2022 - 6/29/2023 , $5,592,359 00 $4,333,418 00 g Federal award title of project or program Colorado Cancer Prevention and Control The name of the Federal awarding agency is Department Of Health And Human Services and the contact information for the awarding official is Karen Boone, Email ikn7@cdc gov, Phone 770-448-3087, the name of the pass -through entity is the State of Colorado, Department of Public Health and Environment (CDPHE), and the contact mformation for the CDPHE official is Emily Kinsella, Women's Wellness Connection (WWC) Program Manager, emily knsella@state co us h The Catalog of Federal Domestic Assistance (CFDA) number is 93.898 and the grant name is Cancer Prevention and Control Programs for State, Territorial and Tribal Organizations i This award is not for research & development J Subrecipient is not required to provide matching funds In the event the Subrecipient is required to provide matchmg funds, Section 8 of this Attachment applies k The mdirect cost rate for the Federal award (including if the de minims 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 2) Subrecipient shall at all time 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 ' Page 1 of 4 Task Order Number 2023*2330 Ver 25 02 20 DocuSign Envelope ID: 0110785A-ACAE-4FEC-8EB1-1BC57DF2D6F7 Exhibit D 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 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 ilto 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"); 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"). Page 2 of 4 Task Order Number: 2023*2330 Ver. 25.02.20 DocuSign Envelope ID: 0110785A-ACAE-4FEC-8EB1-1BC57DF2D6F7 Exhibit D d. 42 U.S.C. 6101 et sq, 42 U.S.C. 2000d, 29 U.S.C. 794 (regarding discrimination); e. the "Americanswith 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 definition 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). 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. Page 3 of 4 Task Order Number: 2023*2330 Ver. 25.02.20 DocuSign Envelope ID: 0110785A-ACAE-4FEC-8EB1-1BC57DF2D6F7 Exhibit D 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 Task Order Number: 2023*2330 Ver. 25.02.20 Contract Form New Con En Requ Entity Name" COLORADO DEPT OF PUBLIC HEALTH /ENVIRONMENT Entity ID'* O00001926 Contract Name* CDPHE. FY23 WOMEN'S WELLNESS CONNECTION CPED 6 -MONTH TASK ORDER CONTRACT Contract Status CTB REVIEW ❑ New Entity? Contract ID 6593 Contract Lead* AGOMEZ Contract Lead Email ag©mez@weldgov.com Contract Description. CDPHE FY23 WWC CPED 6 -MONTH RENEWAL TASK. ORDER CONTRACT Contract Description 2 2023-2330 PREVIOUS STATE CONTRACT #23 FA 00051 Contract Type. TASK ORDER Amount. $42,873.00 Renewable* NO Automatic Renewal NO Grant YES IGA NO Department HEALTH Department Email CM-Healthl0wel dgov. com Department Head Email CM-Health- DeptHead@weldgov.com County Attorney GENERAL COUNTY ATTORNEY EMAIL County Attorney Email CM- COUNTYATTORNEYgMELDG OV.COM Grant Deadline Date If this is a renewal enter previous Contract ID If this is part of a MSA enter MSA Contract ID Requested 6OCC Agenda Date* 12/2'8/2022 Parent Contract ID Requires Board Approval YES Department Project # Due Date 12,,24/2022 Will a work session with Bi:ICC 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 OnBase Gone S. Effective Date 01/01/2023 Review Date. 03/28/2023 Renewal Date Termination Notice Period Contact Name Contact Type Contact Email purchasing !. Purchasing Approver Approval Process Department Head TANYA GEISER DH Approved Date 12/20/2022 final Approval BOCC Approved BOCC Signed Date BOCC Agenda Date 12/28/2022 Originator AGOMEZ Committed Delivery Date Finance Approver CHRIS D'OVIDIO Expiration Date* 06/29/2023 Contact Phone I Purchasing Approved Date Legal Counsel MATTHEW CONROY Contact Phone 2 Finance Approved Date Legal Counsel Approved Date 12/21/2022 12/22/2022'. Tyler Ref # AG 122822 Hello