HomeMy WebLinkAbout20221662.tiffRESOLUTION
RE: APPROVE INTERGOVERNMENTAL CONTRACT AMENDMENT #1 FOR PROMOTING
SAFE AND STABLE FAMILIES (PSSF) GRANT 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 an Intergovernmental Contract
Amendment #1 for the Promoting Safe and Stable Families (PSSF) Grant 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 Human Services, and the Colorado Department of Human Services,
Office of Early Childhood, Division of Community and Family Support, commencing October 1,
2021, and ending September 30, 2022, with further terms and conditions being as stated in said
amendment, and
WHEREAS, after review, the Board deems it advisable to approve said amendment, a
copy of which is attached hereto and incorporated herein by reference.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of
Weld County, Colorado, that the Intergovernmental Contract Amendment #1 for the Promoting
Safe and Stable Families (PSSF) Grant 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
Human Services, and the Colorado Department of Human Services, Office of Early Childhood,
Division of Community and Family Support, be, and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized
to electronically sign and submit said amendment.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 15th day of June, A.D., 2022, nunc pro tunc October 1, 2021.
BOARD OF COUNTY COMMISSIONERS
WEND COUIyTY, COLORADO
ATTEST: do:4A)
Weld County Clerk to the Board
Deputy Clerk to the
County Attorney
Scott K. James, Chair
Date of signature: Li,! 7-517-0ZZ- Lori Saine
cc: HS ID,ACT(cP/c0)
7/27/22
2022-1662
HR0094
cor-ivac+ I Ott sslce_
PRIVILEGED AND CONFIDENTIAL
MEMORANDUM
DATE: June 6, 2022
TO: Board of County Commissioners — Pass -Around
FR: Jamie Ulrich, Director, Human Services
RE: Promoting Safe and Stable Families (PSSF)
Amendment #1 with the Colorado Department of
Human Services
Please review and indicate if you would like a work session prior to placing this item on the
Board's agenda.
Request Board Approval of the Department's Promoting Safe and Stable Families (PSSF)
Amendment #1 with the Colorado Department of Human Services. In 2021, the Department's Family
Resource Division (FRD) was awarded the Promoting Safe and Stable Families (PSSF) grant. The
contract is known to the Board as Tyler ID 2021-2549. Through the PSSF grant, the Department has been
awarded an additional $8,000.00 in COVID-19 funding. This brings the total awarded amount for the
current program year to $186,033.00. This amendment will update the budget and scope of work to
include the new funding and related program work.
This Amendment has been reviewed and approved by legal (K. McDougal).
I do not recommend a Work Session. I recommend approval of this Amendment and authorize the Chair
to sign.
Perry L. Buck
Mike Freeman, Pro-Tem
Scott K. James, Chair
Steve Moreno
Lori Saine
Approve Schedule
Recommendation Work Session Other/Comments:
Pass -Around Memorandum; June 6, 2022 — CMS ID 5882
2022-1662
dlo/15 the6o9e--1
DocuSign Envelope ID: 10540F07-DBE6-4569-B464-98C909FD2A43
COLORADO
Financial Services
Depatitmen4 of Hunan Sennoes
Division of Contra is and PrmurerTamt
INTERGOVERNMENTAL CONTRACT AMENDMENT #1
SIGNATURE AND COVER PAGE
State Agency
Colorado Department of Human Services
Office of Early Childhood
Division of Community and Family Support
1575 Sherman Street, Pt Floor
Denver, CO 80203
Original Contract Number
22 IHIA 170690
Contractor
Weld County Department of Human Services
315 North 11th Avenue
Building A
Greeley, CO 80632
Amendment Contract Number
22 IHIA 174409
Current Contract Maximum Amount
Initial Term
Federal Fiscal Year 2022 $186,033
Extension Terms
N/A
Total for All Federal Fiscal Years $186,033
Contract Performance Beginning Date
October 1, 2021
Current Contract Expiration Date
September 30, 2022
THE PARTIES HERETO HAVE EXECUTED THIS AMENDMENT
Each person signing this Amendment represents and warrants that he or she is duly authorized to execute this Amendment
and to bind the Party authorizin>; his or her signature.
CONTRACTOR
Weld County Department of Human Services
"--DocuSigned by:
SCOR- k is mt,S
STATE OF COLORADO
Jared Polis, Governor
Colorado Department of Human Services
Michelle Barnes, Executive Director
DocuSigned by:
FiSa C,uS{v� •
nfnwo�oa aco...
ti etau u �u wi.
--$ Scott .`James, Chair of the Board of Commissioners
6/17/2022
Date:
By: Lisa Castigha, Director/Chief Financial Officer, Division
of Operations, Office of Early Childhood
6/20/2022
Date:
In
accordance with §24-30-202 C.R.S.,
By:
this Amendment is not valid until signed and dated below by the State Controller or an
authorized delegate.
STATE CONTROLLER
Robert Jaros, CPA, MBA, JD
oe— DocuSigned by:
Andrea ffaric i /Janet Miks
Amendment Effective Date:
/ Toni Williamson
6/21/2022
Amendment Contract Number: 22 IHIA 174409 Page 1 of 3
Rev. 1/14/19
O7Uaa-/�6-9.
DocuSign Envelope ID: 10540F07-DBE6-4569-B464-98C909FD2A43
Alt
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COLORADO
Financial Services
Department a1 Human Services
Dtvisfon of Contracts and Procurement
1. PARTIES
This Amendment (the "Amendment") to the Original Contract shown on the Signature and Cover
Page for this Amendment (the "Contract") is entered into by and between the Contractor, and the
State.
2. TERMINOLOGY
Except as specifically modified by this Amendment, all terms used in this Amendment that are
defined in the Contract shall be construed and interpreted in accordance with the Contract.
3. AMENDMENT EFFECTIVE DATE AND TERM
A. Amendment Effective Date
This Amendment shall not be valid or enforceable until the Amendment Effective Date
shown on the Signature and Cover Page for this Amendment. The State shall not be bound
by any provision of this Amendment before that Amendment Effective Date, and shall have
no obligation to pay Contractor for any Work performed or expense incurred under this
Amendment either before or after of the Amendment term shown in §3.B of this Amendment.
B. Amendment Term
The Parties' respective performances under this Amendment and the changes to the Contract
contained herein shall commence on the Amendment Effective Date shown on the Signature
and Cover Page for this Amendment and shall terminate on the termination of the Contract.
4. PURPOSE
Contractor shall provide resources for implementation of the Promoting Safe and Stable Families
(PSSF) program. The purpose of this program is to enable States to develop and establish, or
expand, and to operate coordinated programs of community -based family support services,
family preservation services, time -limited family reunification services, and adoption promotion
and support services to accomplish the following objectives:
• To prevent child victimization among families at risk through the provision of supportive
family services.
• To assure children's safety within the home and preserve intact families in which children
have been maltreated, when the family's problems can be addressed effectively.
• To address the problems of families whose children have been placed in foster care so that
reunification may occur in a safe and stable manner in accordance with the Adoption and
Safe Families Act of 1997.
• To support adoptive families by providing support services as necessary so that they can
make a lifetime commitment to their children.
This Amendment increases funds for FFY2022 services, amends Exhibits A, B, D and E.
5. MODIFICATIONS
The Contract and all prior amendments thereto (Original CMS 22 IHIA 170690) are modified as
follows:
Amendment Contract Number: 22 IHIA 174409
Page 2 of Rev. 1/14/19
DocuSign Envelope ID: 10540F07-DBE6-4569-B464-98C909FD2A43
COLORADO
Financial Services
Department of Human Sennoe
D4vis,on of Contracts and Procurement
A. Increase the Contract Amount for SFY22 by $8,000 and Increases the Maximum
Amount for All State Fiscal Years from $178,033 to $186,033.
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 on the
Signature and Cover Page for this Amendment.
B. Exhibit A — Statement of Work
Exhibit A — Amendment #1, which is attached and incorporated by this Amendment, shall
replace Exhibit A of the Original Contract.
C. Exhibit B — Budget
Exhibit B — Amendment #1, which is attached and incorporated by this Amendment, shall
replace to Exhibit B of the Original Contract.
D. Exhibit D — Additional Provisions
Exhibit D — Amendment #1, which is attached and incorporated by this Amendment, shall
replace Exhibit D of the Original Contract.
E. Exhibit E — Supplemental Provisions for Federal Awards
Exhibit E — Amendment #1, which is attached and incorporated by this Amendment, shall
replace Exhibit E of the Original Contract.
6. LIMITS OF EFFECT AND ORDER OF PRECEDENCE
This Amendment is incorporated by reference into the Contract, and the Contract and all prior
amendments or other modifications to the Contract, if any, remain in full force and effect except
as specifically modified in this Amendment. Except for the Special Provisions contained in the
Contract, in the event of any conflict, inconsistency, variance, or contradiction between the
provisions of this Amendment and any of the provisions of the Contract or any prior modification
to the Contract, the provisions of this Amendment shall in all respects supersede, govern, and
control. The provisions of this Amendment shall only supersede, govern, and control over the
Special Provisions contained in the Contract to the extent that this Amendment specifically
modifies those Special Provisions.
Amendment Contract Number: 22 IHIA 174409
Page 3 of 3 Rev. 1/14/19
DocuSign Envelope ID: 10540F07-DBE6-4569-B464-98C909FD2A43
Exhibit A — Amendment #1
STATEMENT OF WORK (SOW)
PROMOTING SAFE AND STABLE FAMILIES (PSSF)
WELD COUNTY DEPARTMENT OF HUMAN SERVICES
315 NORTH 11TH AVE
PO Box A
GREELEY, CO 80631
SUB -CONTRACTOR:
CATHOLIC CHARITIES AND COMMUNITY SERVICES OF THE ARCHDIOCESE OF DENVER
WELD COUNTY REGION
1442 NORTH 11TH AVENUE
GREELEY, CO 80631
OCTOBER 1, 2021 - SEPTEMBER 30, 2022
Page 1 of 25
DocuSign Envelope ID: 10540F07-DBE6-4569-B464-98C909FD2A43
Exhibit A — Amendment #1
INTRODUCTION/BACKGROUND
The Promoting Safe and Stable Families (PSSF) program resides in the Family Strengthening Unit of the Division of Community and Family Support (DCFS)
within the Office of Early Childhood (OEC). The OEC provides collaborative leadership to align resources for children, families, and early childhood
professionals to best prepare Coloradoans for future success through access to coordinated and quality early childhood programs and family supports. The OEC
operates under this mission: "We believe all children are valued, healthy and thriving when investment occurs in their early years and they receive access to
opportunities where they can learn and grow. We insist on the highest quality early childhood experiences with a firm commitment to family and community."
The purpose of this program is to enable States to develop and establish, or expand, and to operate coordinated programs of community -based family support
services, family preservation services, time -limited family reunification services, and adoption promotion and support services to accomplish the following
objectives:
• To prevent child victimization among families at risk through the provision of supportive family services.
• To assure children's safety within the home and preserve intact families in which children have been maltreated, when the family's problems can be
addressed effectively.
• To address the problems of families whose children have been placed in foster care so that reunification may occur in a safe and stable manner in
accordance with the Adoption and Safe Families Act of 1997.
• To support adoptive families by providing support services as necessary so that they can make a lifetime commitment to their children.
The Child and Family Services Improvement and Innovation Act P.L. 112-34 amended the Part B Title IV to include mentoring programs.
Federal guidance [CFDA 93.556] sets a minimum of 20 percent of program PSSF funds be spent on Family Support, 20 percent on Family Preservation, 20
percent on Time -Limited Family Reunification, and 20 percent on Adoption Promotion & Support unless a waiver is granted by the Federal Administration for
Children and Families (ACF).
SCOPE OF WORK (INTENSIVE CASE MANAGEMENT)
Intensive Case Management Services shall be provided by the Weld County Department of Human Services (WCDHS) to residents of Weld County and by
Catholic Charities to residents of Guadalupe Community Center Shelter and residents of the Permanent Supportive Housing Project. The Catholic Charities Case
Manager shall consult and coordinate provision of services with the WCDHS when a Guadalupe resident is also receiving services through the WCDHS.
The Weld County Department of Human Services (WCDHS) and Catholic Charities share the goals of maintaining the unity of families, advocating for services
for families while keeping children safe, and fostering stability in children's living arrangements. Through a blend of preventive services and crisis intervention
management, all services are intended to stabilize families to ensure the well-being of their children by preventing future abuse/neglect and building safe, healthy,
and nurturing environments for children.
The WCDHS and Catholic Charities shall provide comprehensive voluntary case management and advocacy services for families who self -refer or who are
referred by community partners, such as schools, juvenile justice entities, therapists and other family serving organizations, as well as families reported to child
protective services but screened out and/or closed after initial assessment/ These services shall increase enrolled families' protective capacities by promoting
Page 2 of 25
DocuSign Envelope ID: 10540F07-DBE6-4569-6464-98C909FD2A43
Exhibit A — Amendment #1
individual, family, and community strengths; and shall address the link between poverty and child maltreatment by connecting enrolled families to vital economic
and other support services. Assessments of parents' goals and their need for skill development along with assessing psychosocial and economic challenges shall
help families determine their needed and requested services. Wraparound services and community mental and physical health services shall be used along with
case management support to address challenges faced by parents so that they can provide a safe, nurturing, and stable home for their children. Children may be
referred for assessments to identify and address the child's psycho -social, physical, and educational needs. By partnering with families in the early stages of child
maltreatment risk, a broader and richer child abuse prevention service continuum exists in Weld County.
The core of this project shall be to strengthen and stabilize families to prevent risk of harm to children when they are homeless and reduce the need for out -of -
home placements. Families shall be provided Intensive Case Management Services upon entering the Guadalupe Community Center Shelter as a resident in our
goal orientated Extended Stay Program and throughout their shelter stay. Families reside at the Guadalupe Center four to five months with a goal to transition back
to the community with housing and economic stability. A safe and stable home is critical to a family's wellbeing and the emotion and physical development of a
child.
The families who are tenants of the Permanent Supportive Housing Apartments were homeless prior to obtaining housing through Catholic Charities Guadalupe
Campus. Homeless families often experience domestic violence, and children may experience sexual abuse, lack of stability and predictability and various forms
of trauma including abrupt separations for their parents, placements with strangers and lack of school stability.
Homeless families and their children are at risk of increased stress and household instability and can benefit from Intensive Case Management Services to increase
stability to their lives and address their children's needs resulting from a lack of a stable home, relationships, and nurturance. Some of these families shall be
dealing with serious and long-term physical disabilities, physical challenges, mental health and substance abuse disorders, and developmental issues.
The Guadalupe Shelter provides Weld County's only overflow and emergency shelter for homeless families when other shelters are full. Families receive
emergency triage service, safe shelter, meals and attention to immediate needs of the children. Transition support and planning are provided until a safe housing or
shelter plan can be finalized. During this time, short term intensive case management can be critical to keep children safe, minimize the danger of abuse and
support the parents through this crisis.
The WCDHS, in partnership with Catholic Charities, shall provide intensive coordination of community -based supports (case management, social capital
opportunities and flex funding) based on family identified goals. Through case management utilizing the PSSF Intensive Case Management model (PSSF ICM),
caregivers shall demonstrate increased skills in the protective factors and confidence so they can better address stressors, self -advocate, become self-sufficient, and
increase their knowledge of how to access benefits and resources. Families shall be provided resources and training to further develop their skills.
Families shall work with a Community Case Manager or Catholic Charities Case Manager for up to six (6) months. There shall be a short assessment period in
which a service plan and goals shall be developed for families utilizing the PSSF ICM model. Families shall be provided community and Human Services
resources and shall be offered Family Team Meetings (FTM) to further assist in the development of a service plan. They shall complete a pre -assessment within
the first two (2) weeks of contact and shall complete a post -assessment to evaluate their successes with the Colorado Family Support Assessment (CFSA) 2.0.
PERIOD OF PERFORMANCE
October 1, 2021 through September 30, 2022
Page 3 of 25
DocuSign Envelope ID: 10540F07-DBE6-4569-6464-98C909FD2A43
Exhibit A — Amendment #1
WORK PLAN
Work Plan
OUTCOMES, BENCHMARKS, AND MILESTONES
Outcome statement: Clients shall
demonstrate increased life skills'and
confidence so they can better address
stressors, self -advocate, become self-
sufficient, and increase their knowledge of
how to access benefits and resources.
The Weld County Department of Human Services (WCDHS) shall provide 40 families with intensive case management utilizing
the PSSF ICM. Catholic Charities shall provide PSSF ICM to another 15 families on their Guadalupe campus. Case Managers
from both organizations shall work with families to complete a pre- and post -assessment using the Colorado Family Support
Assessment (CFSA) 2.0 which incorporates the Protective Factors Survey. WCDHS shall see a reduced number of families
entering the Child Welfare system when they work with a Community or Catholic Charities Case Manager.
This partnership shall allow collaboration in providing community based supportive services to families who are in crisis or at risk
of involvement in the child welfare system. Through the PSSF ICM, these families shall gain skills and knowledge to improve
their overall well-being and household stability.
Key Activity A: Intensive Case Management
Tasks
Time Period
Deliverable
Measurement
Person(s)
Responsible
Budget
Category
Completion of Intake
with family
To be completed
within 5 working
days of referral
assignment
Case Managers shall meet with caregivers face to face
to complete the Prevention Services intake form.
Intakes may be conducted at the client's home, in the
community or at the WCDHS office.
Intake information and completion
date shall be documented as
required in the Office of Early
Childhood (OEC) database
Community Case
Managers
Catholic Charities
Case Manager
Personnel
Services -
Family
Preservation
and Family
Support
Completion of the
CFSA 2.0 tool
To be completed
within the 2nd face
to face contact,
within one (1)—
three (3) weeks of
case opening.
Case Managers shall work with the family to evaluate
their individual strengths and needs using the CFSA
2.0 as a focal point for services. Family engagement
includes goal setting and outlining action steps for
families and Case Managers.
CFSA 2.0 —Pre- and post-test shall
be used to focus the family plan,
with families showing an
improvement in a minimum of
two (2) of the 11 areas of focus.
Community Case
Managers
Catholic Charities
Case Manager
Personnel
Services -
Family
Preservation
and Family
Support
Family Engagement
Meeting
Initiated during or
following the
intake process
continued again
every 30-90 days.
Family Engagement Meetings (FEM) are designed to
convene family members and relevant family and
professional supports to develop and review the
comprehensive support plan for the family.
Review progress of activities set
for completion of goals and action
steps during each meeting. FEMs
shall be documented in OEC
database in service activity
section.
Community Case
Managers
Catholic Charities
Case Manager
Personnel
Services -
Family
Preservation
and Family
Support
Ongoing Contact
Weekly face to
face contact for
the first three (3)
months and
continued as
needed for the
duration of the
case
Ongoing face to face and other contacts via phone,
email or text with the family occur to initiate and
monitor services necessary to support family goals.
Face to face contacts to occur in
person or virtually as requested by
the family. Contacts shall be
documented in the OEC database
in service intensive case
management section
Community Case
Managers
Catholic Charities
Case Manager
Personnel
Services -
Family
Preservation
and Family
Support
Page 4 of 25
DocuSign Envelope ID: 10540F07-DBE6-4569-B464-98C909FD2A43
Exhibit A — Amendment #1
Work Plan
Tasks
Time Period
Deliverable
Measurement
Person(a)
Responsible
Bridget
Category
Emergency Supports
As indicated and
documented in
family plan
Flex funding can be used to address concrete economic
needs which support family stability when no other
formal and informal resources are available.
Flex funding needs are
documented in the family plan and
are reported through monthly
invoicing. Requests are submitted
by Case Managers to Weld
County Human Services Funds
Distribution Group and the Family
Resource Director for review and
Approval.
Community Case
Managers,
Catholic Charities
Case Manager,
and Family
Resource Director
Supplies and
Operating
Expenses
Resource Navigation
and Advocacy
Ongoing
throughout the
lifetime of the
open case
Case Manager to provide resource information and
referral to community programming which may meet
the goals and objectives of the family as needed to
support family stability and well-being.
Resource and referral information
shall be documented and tracked
in the case notes in the OEC
database.
Community Case
Managers
Catholic Charities
Case Manager
Personnel
Services -
Family
Preservation
and Family
Support
Transition stage
Completed prior
to or at case
closure (typically
3-6 months).
Case Manager shall work with the family to initiate
their transition plan.
Case Managers shall complete the
transition stage with the families
served. 45% of families shall
complete all aspects of their
agreed upon goals set through
Intensive Case Management
Community Case
Managers
Catholic Charities
Case Manager
Personnel
Services -
Family
Preservation
and Family
Support
SCOPE OF WORK (KINSHIP, ADOPTION AND FOSTER CARE PARENT EDUCATION AND SUPPORT GROUPS
Parent Cafe Support Groups: Through individual self -reflection and peer to peer learning, participants explore their strengths, learn about the Protective Factors,
and create strategies from their own wisdom and experiences. The goals are to strengthen families, protect children from abuse and neglect, and preserve
permanency for families by enhancing caregivers' ability to meet the emotional, developmental, and educational needs of their children. Parent Cafes are skill -
based and informational but shall also help caregivers reduce social isolation and develop new support systems and social connections.
Children's Groups: The goal is to offer a safe and supportive environment where children have the opportunity to learn new ways to cope with conflicts and stress
in their lives including the challenges which may arise from being separated from birth parents and in the care of foster, kinship or adoptive parents. Fun activities,
educational games and play shall enhance group participation. The children's groups take place concurrent to Parent Cafe's.
Parent Cafes shall be facilitated by staff from Catholic Charities and the WCDHS. Community experts shall be brought in to present to the group on evidenced
based parenting education, the impacts of trauma, and tools and techniques for parenting children who have experienced trauma. The goal is to equip caregivers
with tools to manage children's behaviors, understand child development, and improve caregiver/child relationships.
Page 5 of 25
DocuSign Envelope ID: 10540F07-DBE6-4569-B464-98C909FD2A43
Exhibit A — Amendment #1
WORK PLAN
Work Plan
OUTCOMES, BENCHMARKS, AND MILESTONES
Outcome statement: The Parent Cafe
Suppoxt Groups shall strive to enrich
parenting skills, encourage relationship
building and connection with other kinship,
adoptive and foster caregivers and strengthen
the caregiver/child relationships with the goal
of establishing permanency and avoiding
further out -of -home placement
Parent Cafe pre and post-tests shall measure the changes in each caregiver's expectations and the program shall use tools and
techniques to help child behavior and regulation and enhance the parent/child relationship.
Key Activity A: Kinship, Adoption and Foster Care Parent Education and Support Groups
Tasks
Time Period
Deliverable
Measurement
Person(s)
Responsible
Budget
Category
Plan and conduct
monthly Parent Cafe
support groups for
families
Monthly
Catholic Charities and the WCDHS shall plan the focus
of each group utilizing the Parent Cafe model and the
Protective Factors.
A minimum of 30 families shall
be served through these groups
throughout the grant cycle. 50%
shall have demonstrated new
parenting skills, self -reported
improved communication and
connectedness with other Parent
Cafe families. Families shall be
able to identify at least two (2)
community resources that can
further assist in times of need.
Family Resource
Supervisor
Catholic Charities
Case Manager and
Director of Case
Management
Adoption
Promotion
and Support
(APS),
Personnel
Services -
Family
Preservation
and Family
Support
Plan and conduct
monthly Children's
Groups to coincide with
Parent Cafes.
Monthly
Using the Nurturing Parenting curriculum as a guide,
develop children's group activities designed to
strengthen communication, social and coping skills for
children in kinship, foster and adoptive homes.
A minimum of 30 children shall
participate in children's groups
throughout the grant cycle.
Family Resource
Supervisor
Catholic Charities
Case Manager and
Director of Case
Management
APS,
Personnel
Services -
Family
Preservation
and Family
Support
Page 6 of 25
DocuSign Envelope ID: 10540F07-DBE6-4569-8464-98C909FD2A43
Exhibit A — Amendment #1
Work Plan
Key Activity B: REPORTING AND PERFORMANCE MONITORING
Tasks
Time Period
Deliverable
Measurement
Person(s)
Responsible
Budget
Category
PSSF sites shall comply
with Colorado
Department of Human
(CDHS) data collection
methodology system.
Data reports shall show
tasks/activities
completed to align with
designated outcomes
and measures of
services provided.
10/01/21-
09/30/2022
Data on all PSSF services/activities shall be entered
into OEC data -system.
• Completion of PSSF intake form in Salesforce or
entering other intake tool completion date in
designated fields.
• PSSF program staff shall set goals with families
engaged in PSSF services, goals are identified on
goal setting sheet or designated goal fields,
including status of goals.
• CFSA 2.0 assessments completed with families
participating in services. Required for intensive
case management services; or family
preservation/support category families without an
open Child Welfare involvement or receiving more
than six (6) total hours of PSSF services required.
• Protective Factors Survey
• PSSF services — each family with an open PSSF
case should be receiving at least one (1) service.
Services should include activities related to the
service, individual(s) participating in the service,
and service area identified.
• An assessment for each service should be
documented with pre/post-dates and name of
assessment in designated fields.
• Flex funds — Only if included in the approved
budget, can be provided only to families that have
an open PSSF service. Flex funds are only
provided to support the family goals.
Required data shall be entered
into OEC data -system within five
(5) working days of completing a
task or activity (i.e. intake, goal
setting, PSSF services, case
management notes, referral for
services, flex funding,
instrumentation tools including
CFSA 2.0 or assessment tools are
identified and dates of pre/post
and included).
Weld County
Department of
Human Services
Personnel
Services
Invoices/ Expenditure
reports
Required monthly
or when
requested.
10/01/21-9/30/22
Invoices/Expenditure reports must be submitted on a
monthly basis to CDHS on the PSSF Invoice Template
provided by the Office of Early Childhood to the
invoice email: cdhs oec invoicing@state.co.us
Contractor shall submit all
invoices/expenditure reports by
the 20th day of each month. Final
billing for each fiscal year must
be submitted by October 3rd.
Weld County
Department of
Human Services
Personnel
Services
Page 7 of 25
DocuSign Envelope ID: 10540F07-DBE6-4569-B464-98C909FD2A43
Exhibit A — Amendment #1
Work Plan
Tasks
Thee Period
Deliverable
Measurement
Person(s)
Responsible
Budget
Category
Submit programmatic
reports to CDHS.
Report templates shall
be provided or created
in Salesforce.
When requested.
10/01/21-9/30/22
Reports shall be submitted according to CDHS
timeframes and include all requested information.
Reporting templates shall be provided by the PSSF
Program Manager
Reports shall be submitted to
CDHS twice per year during the
federal fiscal year. The first report
is due on the last business day of
April each year. The final report
is due on the last business day of
October each year.
Weld County
Department of
Human Services
Personnel
Services
PSSF Programs shall
run reports and monitor
outcomes using OEC
data -system
Quarterly or when
requested
10/01/21-9/30/22
Reports shall be reviewed in the CDHS data -system to
ensure performance targets are being met.
Reports shall be submitted to
CDHS on quarterly basis or as
needed by the program.
Report templates
shall be created by
State Program
Administrator,
and accessible by
Supervisor in each
site.
Personnel
Services
Key Activity C: Program Evaluation
Tasks., <,
Time Period
Deliverable
Measurement
Person(s)
Responsible
Budget
Category
PSSF program staff
shall complete program
trainings as
recommended or
required by CDHS.
PSSF site shall send at
least one (1) person per
site to the biennial
Strengthening Families
Conference and the
biennial PSSF program
grantee meeting.
10/01/2021-
09/30/2022
PSSF program staff shall complete trainings
necessary/pertinent for program delivery.
Participation in conference and grantee meeting.
Staff attendance or documented
information regarding completion
for recommended or pertinent
trainings, which may include but
is not limited to Motivational
Interviewing, CFSA 2.0,
Strengthening Families, Financial
Health, mandated reporter, CDHS
data system training for users, and
other required certification
trainings related to services being
provided by the PSSF site to meet
model fidelity. (i.e. if providing
Nurturing Parenting, you must
have a certified trainer)
PSSF Program
Staff
Travel
Page 8 of 25
DocuSign Envelope ID: 10540F07-DBE6-4569-6464-98C909FD2A43
Exhibit A — Amendment #1
Work Plan
Key Activity D: Provide support to families that need or request PSSF supplemental COVID relief funds to address a concrete economic need that has immediate
implications for child well-being and/or family stability and is directly caused by a shortage of economic resources. Eligible recipients include PSSF enrolled families
(agency employees not eligible) that are experiencing an unexpected expense and/or income disruption due to the pandemic. Funds are limited to use within the current
fiscal year and are required to be scent by September 30, 2022.
Tasks
Time Period
Deliverable
Measurement `
Person(s) Responsible
Budget Category
PSSF family navigator or
advocate shall assess the
family's eligibility for
supplemental PSSF COVID
relief funds.
Upon
amendment
execution —
September 30,
2022
In partnership with families, PSSF
family navigator/advocate shall
determine the need of the family and
determine eligibility.
Ineligible use of funds includes the
following: Program expenses — such as
staff time, staff mileage, or materials for
services provided by the agency.
Items that are purchased to be dispersed
later.
Gift cards that are not dispersed to a
family during the month which it is
purchased. All gift cards shall need to be
purchased and dispersed prior to
September 30, 2022.
Items or activities that cannot be
documented by receipt.
Purchases that do not support the goals
of the PSSF program and funding
100% of families who
received PSSF COVID relief
funds shall be enrolled or
engaged in PSSF services and
indicate hardship or need for
supplemental funds.
All families receiving COVID
relief funds shall be
determined eligible by the
PSSF site.
PSSF program site/
Family
Navigator/Advocate
PSSF Supplemental
funds. Identify
Family Support,
Family
Preservation, TLR,
or
Adoption/Permane
ncy Supports
Page 9 of 25
DocuSign Envelope ID: 10540F07-DBE6-4569-3464-98C909FD2A43
Exhibit A — Amendment #1
Work Plan
Tasks
Time Period
Deliverable
Measurement,
Person(s) Responsible
Budget Category
PSSF supplemental COVID
Upon
Possible uses/activities for the
100% of families who
PSSF program site/
PSSF Supplemental
funds shall be dispersed to
amendment
supplemental funds include but are
received PSSF COVID relief
Family
funds. Identify
address temporary but critical
needs of the family's served.
Supplemental funds should
address a concrete economic
need that has immediate
implications for child well-
being or family stability.
execution —
September 30,
2022
not limited to:
Technology: internet expenses for install
or initial startup costs, cell phone to use
for communication between adults and
children, tablets, and computers or
software. Technology can be used to
participate in offered services, such as a
virtual parenting class.
funds shall be enrolled or
engaged in PSSF services and
indicate hardship or need for
supplemental funds.
Navigator/Advocate
Family Support,
Family
Preservation, TLR,
or
Adoption/Permane
ncy Supports
Educational supports: These may include
things like educational aids/tools that
may usually be accessible at school,
tutoring, homework support, test
preparation guides, literacy/reading
resources, GED prep or GED classes,
SAT preparation class, essential school
supplies etc.
Enrichment Activities for children and
youth such as community connection
events, recreation passes, or activities for
children to participate in with other
children to provide socialization.
Employment supports: Support for
activities including assistance with job
searches, the preparation of resumes and
job applications, vocational training or
other job training programs, interview
skills, job skills, and clothing needed for
employment.
Emergency aid: Funding should be used
to meet basic needs that shall address an
immediate crisis. Support may include
paying for rent, food, car repairs,
emergency respite care, utilities
assistance, or clothing.
Page 10 of 25
DocuSign Envelope ID: 10540F07-DBE6-4569-B464-98C909FD2A43
Exhibit A — Amendment #1
Work Plan
Tasks
TimePeriod
Deliverable
Measurement
Person(s) Responsible
Budget Category
Disbursements of COVID
Upon
Backup Documentation shall include:
100% of families who
PSSF program site/
PSSF Supplemental
Supplemental Aid must be
amendment
Track expenses by recording the Date of
received PSSF COVID relief
Family
funds. Identify
receipted and logged
(Documented) and retained for
back up documentation
purposes (this information does
not need to be submitted unless
execution —
September 30,
2022
Expense, Description of Expense, to
whom the aid was paid (if to a specific
vendor) and/or the Family Name for
whom the aid was provided, and the
amount (actual).
funds shall be enrolled or
engaged in PSSF services and
indicate hardship or need for
supplemental funds.
Navigator/Advocate
Family Support,
Family
Preservation, TLR,
or
Adoption/Permane
requested by the Office of Early
• Retain copies of receipts
Documentation of PSSF
ncy Supports
Childhood, Finance unit,
Contracts management unit, or
the State PSSF Program
Manager.
• If paid directly to the client/family, a
hand-written receipt is acceptable
(should include client signature, date,
amount, and purpose/intent of funds)
Supplemental COVID funds
should be documented as flex
funds in Salesforce.
Funds dispersed shall be
documented on the provided
invoice template in the
appropriate line item.
This documentation is to provide backup
documentation if requested and should
be kept with other program accounting
records.
The required invoice shall not ask for
specific family names of those who
received aid.
Funds shall be reported on the
PSSF invoice spreadsheet
used for all the program
expenses, to receive
reimbursement in the
appropriated line item.
Invoices shall be submitted
monthly to the OEC invoice
email.
CONFIDENTIALITY
PSSF Provider Agencies and its employees shall not access the OEC data system for any purpose other than in the performance of providing PSSF services as
outlined by this contract or subcontract. The PSSF Provider Agency and its employees agree to only access those areas of the OEC data system necessary to
perform contracted functions, to access only information of those children and families referred for services, and to keep confidential all information gained during
performance of PSSF services.
SCHEDULE/MILESTONES
Through the work of intensive case management, the WCDHS and Catholic Charities shall provide supportive case management services to a minimum of 55
Weld County families. Services are voluntary, with a goal of increasing family well-being, reducing crisis and to preserving intact families.
Family service plans are designed in partnership with the family to address these goals. 45% of families served by the WCDHS shall successfully complete the
goals and objectives created on their initial service plan.
Another goal is to reduce the number of families who enter or re-enter the child welfare system. Less than 5% of all families served through all PSSF ICM shall
enter or re-enter the child welfare system by the end of the grant cycle.
Page 11 of 25
DocuSign Envelope ID: 10540F07-DBE6-4569-6464-98C909FD2A43
Exhibit A — Amendment #1
80% of families receiving PSSF ICM through Catholic Charities shall exit Guadalupe Community Center Shelter with income and sustainable housing.
90% of the families in the Permanent Supportive Housing Project shall remain stable in their housing for a period of at least one (1) year.
Pre- and post-tests shall demonstrate that families acquired and use new skills related to child management and the strengthening of their parent/child relationships.
40% of families who participate in Parent Cafes shall participate for at least six (6) months. Caregivers shall report they have learned and are utilizing at least three
(3) new techniques to help children with self -regulation and positive behavior as well as three (3) new methods to improve communication and relationships.
ACCEPTANCE CRITERIA
The referral process for all PSSF services may be initiated through self -referral, community referrals from schools, juvenile justice entities, therapists and other
family serving organizations, as well as from child welfare for families reported to child protective services but screened out and/or closed after initial assessment.
Community Case Managers and the Catholic Charities Case Manager shall review and track all referrals. They shall work together to collect and document all
required data for program evaluation and tracking.
The acceptance of all deliverables shall reside with the OEC through the PSSF Program. The designated program manager shall monitor all deliverables in order to
ensure the completeness of each stage of the project and that the scope of work has been met. The OEC program manager shall either sign off on the approval, or
reply to the vendor, in writing, advising what tasks must still be accomplished.
County PSSF agrees to comply with all data process and tolls to provide the OEC with any and all requested data. The PSSF advocates shall submit written
quarterly reports to the PSSF Program Manager that shall include data statistics, client satisfaction forms and any anecdotal information as they collect
this. County encourages any site visits to occur and shall comply with any visits that are requested.
Page 12 of 25
DocuSign Envelope ID: 10540F07-DBE6-4569-B464-98C909FD2A43
Exhibit A — Amendment #1
STATEMENT OF WORK (SOW)
PROMOTING SAFE AND STABLE FAMILIES (PSSF)
WELD COUNTY DEPARTMENT OF HUMAN SERVICES
315 NORTH 11TH AVE
PO Box A
GREELEY, CO 80631
SUB -CONTRACTOR:
CATHOLIC CHARITIES AND COMMUNITY SERVICES OF THE ARCHDIOCESE OF DENVER
WELD COUNTY REGION
1442 NORTH 11TH AVENUE
GREELEY, COLORADO 80631
OCTOBER 1, 2021 - SEPTEMBER 30, 2022
Page 13 of 25
DocuSign Envelope ID: 10540F07-DBE6-4569-B464-98C909FD2A43
Exhibit A — Amendment #1
INTRODUCTION/BACKGROUND
The Promoting Safe and Stable Families (PSSF) program resides in the Family Strengthening Unit of the Division of Community and Family Support (DCFS)
within the Office of Early Childhood (OEC). The OEC provides collaborative leadership to align resources for children, families, and early childhood
professionals to best prepare Coloradoans for future success through access to coordinated and quality early childhood programs and family supports. The OEC
operates under this mission: "We believe all children are valued, healthy and thriving when investment occurs in their early years and they receive access to
opportunities where they can learn and grow. We insist on the highest quality early childhood experiences with a firm commitment to family and community."
The purpose of this program is to enable States to develop and establish, or expand, and to operate coordinated programs of community -based family support
services, family preservation services, time -limited family reunification services, and adoption promotion and support services to accomplish the following
objectives:
• To prevent child victimization among families at risk through the provision of supportive family services.
• To assure children's safety within the home and preserve intact families in which children have been maltreated, when the family's problems can be
addressed effectively.
• To address the problems of families whose children have been placed in foster care so that reunification may occur in a safe and stable manner in
accordance with the Adoption and Safe Families Act of 1997.
• To support adoptive families by providing support services as necessary so that they can make a lifetime commitment to their children.
The Child and Family Services Improvement and Innovation Act P.L. 112-34 amended the Part B Title IV to include mentoring programs.
Federal guidance [CFDA 93.556] sets a minimum of 20 percent of program PSSF funds be spent on Family Support, 20 percent on Family Preservation, 20
percent on Time -Limited Family Reunification, and 20 percent on Adoption Promotion & Support unless a waiver is granted by the Federal Administration for
Children and Families (ACF).
The PSSF prevention and support efforts within Weld County shall continue to enhance long-term collaborative programs and services provided by Catholic
Charities and the Weld County Department of Human Services (WCDHS) to relative caregivers/kinship parents and their children through case management,
group support and training. The COVID-19 Pandemic and resulting service delivery changes to remote communication provided an opportunity to pause and
reevaluate what best meets the needs of our kinship families. As a result of this assessment and in response to customer voice, in addition to the ongoing monthly
Parent Cafes and case management services for residents of the shelter, Catholic Charities shall offer a second Kinship Support and Education Circle every other
month, Children's Programs, Case Management, and a bi-monthly Kinship Newsletter to information pertinent to the often -unique needs and challenges of kinship
families.
SCOPE OF WORK (KINSHIP SUPPORT)
The PSSF prevention and support efforts within Weld County shall continue to enhance long-term collaborative programs and services provided by Catholic
Charities and the Weld County Department of Human Services (WCDHS) to relative caregivers/kinship parents and their children through case management,
group support and training. The COVID-19 Pandemic and resulting service delivery changes to remote communication provided an opportunity to pause and
reevaluate what best meets the needs of our kinship families. As a result of this assessment and in response to customer voice, in addition to the ongoing monthly
Parent Cafes and case management services for residents of the shelter, Catholic Charities shall offer a Support Circle every other month for families receiving
Page 14 of 25
DocuSign Envelope ID: 10540F07-DBE6-4569-B464-98C909FD2A43
Exhibit A — Amendment #1
intensive case management and/or families who are participating in Parent Cafes. In addition, Catholic Charities shall create and distribute a bi-monthly Kinship
Newsletter to information pertinent to the often -unique needs and challenges of kinship families.
Support Circle: The goal is to provide an opportunity for caregivers to connect with one another on a more informal level and to share supportive parenting
strategies with the support of the Catholic Charities case management staff. Catholic Charities staff shall share parenting strategies in response to the topics of
group discussion using the Protective Factors as a guide. Caregivers with enhanced skills and understanding of how to manage challenging behaviors shall be less
likely to utilize strategies that could be considered abusive or the cause of further harm to the child(ren), risking their stability in the kinship home. This group
shall be informative; however, it shall also provide increased opportunity for the caregivers to direct the group in a less structured setting. Caregiver requests shall
determine the schedule of topics and there shall be time for sharing a meal and friendship building.
Children's Circle: The goal is to offer a safe and supportive environment where children can learn new ways to cope with conflicts and stress in their lives,
including challenges which may arise from being separated from birth parents and in the care of grandparents or other relatives. Fun, developmentally appropriate
activities, educational games, and play shall also enhance children's experience of participating in the group. These programs shall be offered in addition to Parent
Cafe Support Groups.
Kindship Newsletter: Shall be created and produced by Catholic Charities with input and information contribution from the WCDHS. The Newsletter shall be sent
electronically and via mail every other month to all kinship families involved with Catholic Charities and the Weld County Department of Human Services.
The Parent Cafe shall be held monthly, the Kinship Support and Educational Circle shall be held every other month and the newsletter shall also be produced every
other month.
PERIOD OF PERFORMANCE
October 1, 2021 -September 30, 2022.
Page 15 of 25
DocuSign Envelope ID: 10540F07-DBE6-4569-6464-98C909FD2A43
Exhibit A — Amendment #1
WORK PLAN
Work Plan
OUTCOMES, BENCHMARKS, AND MILESTONES
Outcome statement: The Support Circle
shall mist caregivers in building social
connection, increasing protective factors,:
encouraging age -appropriate developmental
expectations, and strengthening relationships
with the goal of supporting permanency and
avoiding family disruption.
The Kinship Newsletter shall provide up to
date information about community events
and supportive services.
A minimum of 15 families who are receiving Intensive Case Management and/or participating in Parent Cafe Support groups shall
participate in the supplemental Support Circles throughout the grant cycle.
Pre and post Protective Factor surveys shall be used to measure the changes in each parent's expectations and the program shall
use Nurturing Parenting tools and techniques to manage child behavior and enhance the parent/child relationship.
Key Activity A: Kinship Support
Tasks
Time Period
Deliverable
Measurement
Person(s)
Responsible
Budget
Category
Plan and facilitate
Support Circle
Every other
month
Social connection events with opportunities to build
relationships and as well as learn how to increase
protective factors.
Protective Factor pre and post test
tools.
Director of Case
Management and
Case Manager for
Catholic
Charities.
APS-
Contractor
Plan and facilitate
Children's Circle
Coincides with
Support Circle
Opportunities to connect with other children. Learn
new tools for coping with conflicts, loss, and stress,
Developmentally appropriate
satisfaction survey for children
old enough to provide feedback
Director of Case
Management and
Case Manager for
Catholic
Charities.
APS-
Contractor
Page 16 of 25
DocuSign Envelope ID: 10540F07-DBE6-4569-B464-98C909FD2A43
Exhibit A — Amendment #1
Work Plan
Key Activity B: REPORTING AND PERFORMANCE MONITORING
Tasks
Time Period
Deliverable
Measurement
Person(s)
Responsible
Budget
Category
PSSF sites shall comply
with Colorado
Department of Human
(CDHS) data collection
methodology system.
Data reports shall show
tasks/activities
completed to align with
designated outcomes
and measures of
services provided.
10/01/21-
09/30/2022
Data on all PSSF services/activities shall be entered
into OEC data -system.
• Completion of PSSF intake form in Salesforce or
entering other intake tool completion date in
designated fields.
• PSSF program staff shall set goals with families
engaged in PSSF services, goals are identified on
goal setting sheet or designated goal fields,
including status of goals.
• CFSA 2.0 assessments completed with families
participating in services. Required for intensive
case management services; or family
preservation/support category families without an
open Child Welfare involvement or receiving more
than six (6) total hours of PSSF services required.
• Protective Factors Survey
• PSSF services — each family with an open PSSF
case should be receiving at least one (1) service.
Services should include activities related to the
service, individual(s) participating in the service,
and service area identified.
• An assessment for each service should be
documented with pre/post-dates and name of
assessment in designated fields.
• Flex funds — Only if included in the approved
budget, can be provided only to families that have
an open PSSF service. Flex funds are only
provided to support the family goals.
Required data shall be entered
into OEC data -system within five
(5) working days of completing a
task or activity (i.e. intake, goal
setting, PSSF services, case
management notes, referral for
services, flex funding,
instrumentation tools including
CFSA 2.0 or assessment tools are
identified and dates of pre/post
and included).
Catholic Charities
Case Manager and
Director of Case
Management
Personnel
Services
Invoices/ Expenditure
reports
Required monthly
or when
requested.
10/01/21-9/30/22
Invoices/Expenditure reports must be submitted on a
monthly basis to Weld County to submit to CDHS on
the PSSF Invoice Template provided by the Office of
Early Childhood to the invoice email:
cdhs oec invoicing &,,state.co.us
Subcontractor shall submit all
invoices/expenditure reports to
the WCDHS by the 10th day of
each month in order for WCDHS
to submit monthly invoice to
CDHS. Final billing for each
fiscal year must be submitted by
October 3rd.
Catholic Charities
Case Manager and
Director of Case
Management
Personnel
Services
Page 17 of 25
DocuSign Envelope ID: 10540F07-DBE6-4569-B464-98C909FD2A43
Exhibit A — Amendment #1
Work Plan
Tasks
1`ie Period
Deliverable.
Measurement!
Per�(s) _,
Budget
..Category `
Submit programmatic
reports to CDHS.
Report templates shall
be provided or created
in Salesforce.
When requested.
10/01/21-9/30/22
Reports shall be submitted according to CDHS
timeframes and include all requested information.
Reporting templates shall be provided by the PSSF
Program Manager
Reports shall be submitted to
CDHS twice per year during the
federal fiscal year. The first report
is due on the last business day of
April each year. The final report
is due on the last business day of
October each year.
Catholic Charities
Case Manager and
Director of Case
Management
Personnel
Services
PSSF Programs shall
run reports and monitor
outcomes using OEC
data -system
Quarterly or when
requested
10/01/21-9/30/22
Reports shall be reviewed in the CDHS data -system to
ensure performance targets are being met.
Reports shall be submitted to
CDHS on quarterly basis or as
needed by the program.
Report templates
shall be created by
State Program
Administrator,
and accessible by
Supervisor in each
site.
Personnel
Services
Key Activity C: Program Evaluation
Budget
Category
Tasks :
Tiun�l'+�riad
Deli�erable�.
MEasurement;
;Person (s}
ResponisibTe:
PSSF program staff
shall complete program
trainings as
recommended or
required by CDHS.
PSSF site shall send at
least one (1) person per
site to the biennial
Strengthening Families
Conference and the
biennial PSSF program
grantee meeting.
10/01/2021-
09/30/2022
PSSF program staff shall complete trainings
necessary/pertinent for program delivery.
Participation in conference and grantee meeting.
Staff attendance or documented
information regarding completion
for recommended or pertinent
trainings, which may include but
is not limited to Motivational
Interviewing, CFSA 2.0,
Strengthening Families, Financial
Health, mandated reporter, CDHS
data system training for users, and
other required certification
trainings related to services being
provided by the PSSF site to meet
model fidelity. (i.e. if providing
Nurturing Parenting, you must
have a certified trainer)
PSSF Program
Staff
Travel
CONFIDENTIALITY
PSSF Provider Agencies and its employees shall not access the OEC data system for any purpose other than in the performance of providing PSSF services as
outlined by this contract or subcontract. The PSSF Provider Agency and its employees agree to only access those areas of the OEC data system necessary to
perform contracted functions, to access only information of those children and families referred for services, and to keep confidential all information gained during
performance of PSSF services.
Page 18 of 25
DocuSign Envelope ID: 10540F07-DBE6-4569-B464-98C909FD2A43
Exhibit A — Amendment #1
SCHEDULE/MILESTONES
Seventy-five percent (75%) of families who participate in the Support Circle shall report they have learned and are utilizing at least three (3) new parenting
techniques and tools to encourage developmentally and age appropriate behavior as well as three (3) strategies in strengthening the parent/child relationship.
ACCEPTANCE CRITERIA
The acceptance of all deliverables shall reside with the WCDHS. The designated program manager shall monitor all deliverables in order to ensure the
completeness of each stage of the project and that the scope of work has been met. The PSSF Program Coordinator or Manager shall either sign off on the
approval, or reply to the vendor, in writing, advising what tasks must still be accomplished.
Page 19 of 25
DocuSign Envelope ID: 10540F07-DBE6-4569-6464-98C909FD2A43
Exhibit A — Amendment #1
STATEMENT OF WORK (SOW)
PROMOTING SAFE AND STABLE FAMILIES (PSSF)
WELD COUNTY DEPARTMENT OF HUMAN SERVICES
315 NORTH 1 l AVE
PO Box A
GREELEY, CO 80631
SUBCONTRACTOR:
KIDS AT HEART
6501 BRITTANY STREET
FORT COLLINS, CO 80525
OCTOBER 1, 2021- SEPTEMBER 30, 2022
Page 20 of 25
DocuSign Envelope ID: 10540F07-DBE6-4569-6464-98C909FD2A43
Exhibit A — Amendment #1
INTRODUCTION/BACKGROUND
The Promoting Safe and Stable Families (PSSF) program resides in the Family Strengthening Unit of the Division of Community and Family Support (DCFS)
within the Office of Early Childhood (OEC). The OEC provides collaborative leadership to align resources for children, families, and early childhood
professionals to best prepare Coloradoans for future success through access to coordinated and quality early childhood programs and family supports. The OEC
operates under this mission: "We believe all children are valued, healthy and thriving when investment occurs in their early years and they receive access to
opportunities where they can learn and grow. We insist on the highest quality early childhood experiences with a firm commitment to family and community."
The purpose of this program is to enable States to develop and establish, or expand, and to operate coordinated programs of community -based family support
services, family preservation services, time -limited family reunification services, and adoption promotion and support services to accomplish the following
objectives:
• To prevent child victimization among families at risk through the provision of supportive family services.
• To assure children's safety within the home and preserve intact families in which children have been maltreated, when the family's problems can be
addressed effectively.
• To address the problems of families whose children have been placed in foster care so that reunification may occur in a safe and stable manner in
accordance with the Adoption and Safe Families Act of 1997.
• To support adoptive families by providing support services as necessary so that they can make a lifetime commitment to their children.
The Child and Family Services Improvement and Innovation Act P.L. 112-34 amended the Part B Title IV to include mentoring programs.
Federal guidance [CFDA 93.556] sets a minimum of 20 percent of program PSSF funds be spent on Family Support, 20 percent on Family Preservation, 20
percent on Time -Limited Family Reunification, and 20 percent on Adoption Promotion & Support unless a waiver is granted by the Federal Administration for
Children and Families (ACF).
SCOPE OF WORK (RESPITE)
Kids at Heart is a non-profit agency that supports foster, adoptive and kinship families as well as biological children of these families. Kids at Heart mobilizes
volunteers who provide direct support for foster and adoptive families who work hard to provide the love, safety and stability children need and deserve. The
agency welcomes all people, regardless of race, gender, age, economic status, physical or mental ability, sexual orientation, familial status or faith history.
Kids at Heart began in 2001 when the congregation of Heart of the Rockies Christian Church shared in the experiences of a family going through the foster -to -
adopt process. The church discovered the unmet needs of the adoption and foster community. Often these families have little social support while they work to
heal the trauma children have experienced. This is due to both the restrictions of the foster care system and the difficulty in finding qualified care providers for
their children who often have troubled backgrounds. Kids at Heart is not a faith -based organization and there is no discussion of faith in the programs, among staff
or any mention when providing new or returning families with services.
Kids at Heart offers the following three (3) respite programs to foster, adoptive and kinship families: Fundango, Summer Day Camps and Teen Connect. They are
expanding current programming into Weld County as a means to serve more foster, kinship and adoptive families.
Page 21 of 25
DocuSign Envelope ID: 10540F07-DBE6-4569-6464-98C909FD2A43
Exhibit A — Amendment #1
• Fundango is a respite program for all children of foster, adoptive, and kinship parents in Northern Colorado. Fundango events are currently held in Fort
Collins and in Loveland. Respite care enables adoptive, foster and kinship parents to take a safe, rejuvenating break to energize and regroup from the
often -challenging task of parenting kids who have experienced abuse, trauma and neglect. Fundango provides eight (8) hours of center -based respite each
month for approximately 30 children, it gives families a temporary relief from everyday tasks to help reduce stress, to support family stability, prevent
abuse and neglect, and minimize the need for out -of -home placement. Not only does Fundango provide respite, but it also allows kids to play with other
children who are in similar situations as their own.
• Summer Day Camps (formerly Teen Camps) are one (l) -day activities for adoptive, foster and kinship teens ages 10-18. The events are held at a camp
that is off -the grid, pristine playground where children discover both the natural world and their own innate skills and confidences. The event is packed full
of adventures and activities that engage the children in skill -building, learning, reflection and growth. This program was developed in response to the
COVID-19 pandemic and may be adjusted to a multi -day camp when safe to do so according to County and State guidelines for community spread.
• The Teen Connect program is specifically designed to meet the needs of today's foster, kinship and adoptive teens. By meeting twice per month for
indoor rock climbing, the Kids at Heart staff facilitate open dialog and assist teens with developing life skills for adulthood. From goal setting and
achieving, overcoming obstacles, and supporting peers to cooking skills, problem solving techniques and making friends, this program helps to build self-
confidence, awareness and connections among teens with foster, kinship and adoptive backgrounds.
Work Plan
OUTCOMES, BENCHMARKS, AND MILESTONES
Outcome statement:
Foster, kin and adoptive parents shall use respite to provide themselves a break to reenergize and to provide their children the opportunity to
engage in fun and meaningful activities.
Foster, kin and adoptive parents shall complete surveys annually to measure their satisfaction with the respite that they received.
Key Activity A: Fundango
Tasks
Time Period
Deliverable
Measurement
Person(s)
Responsible
Budget
Category
Families shall
voluntarily enroll in our
Fundango program,
completing our intake
process.
Ongoing, monthly
A minimum of 50 children (unduplicated) shall attend
Fundango at least once. Many families who attend one
shall likely attend again and all unduplicated and
duplicated numbers shall be reported.
Family logs shall be generated and
submitted after every with each
month's report.
Executive
Director
Time -Limited
Reunification
(LTR), APS,
Family
Preservation
and Family
Support
Families shall complete
an end of year survey.
December 2021
All families who attend Fundango in 2022 shall
complete our end of year survey.
We shall achieve an overall
satisfaction score of 95%.
Executive
Director
LTR, APS,
Family
Preservation
and Family
Support
Page 22 of 25
DocuSign Envelope ID: 10540F07-DBE6-4569-B464-98C909FD2A43
Exhibit A — Amendment #1
Work Plan
Tasks
Time Period
Deliverable
Measurement
Person(s)
Responsible
Budget
Category
All school aged
children who attend
Fundango shall
complete an end of year
survey.
December 2021
All school aged children who attend Fundango in 2021
shall complete our end of year survey.
We shall achieve an overall
satisfaction score of 95%.
Executive
Director
LTR, APS,
Family
Preservation
and Family
Support
All new volunteers
shall receive a survey
after their new
volunteer training,
Ongoing
All new volunteers who complete our volunteer
training program shall complete our volunteer training
survey.
We shall achieve an overall
satisfaction score of 95%.
Executive
Director
LTR, APS,
Family
Preservation
and Family
Support
All participating
volunteers shall receive
an end of year survey.
December 2021
All volunteers who volunteered in 2021 shall complete
our end of year survey
We shall achieve an overall
satisfaction score of 95%.
Executive
Director
LTR, APS,
Family
Preservation
and Family
Support
Key Activity B: Summer Day Camps
Tasks
Time Period
Deliverable
Measurement
Person(s)
Responsible
Budget
Category
Families shall
voluntarily enroll in
our Summer Day
Camps, completing our
intake process.
April 2022
A minimum of 20 children (unduplicated) shall attend
our three (3) Summer Day Camps.
Family logs shall be generated
and submitted after we have
completed our three (3) Teen Day
Trips.
Executive
Director
LTR, APS,
Family
Preservation
and Family
Support
Families shall
complete an end of
program survey.
August 2021
All families who Summer Day Camp shall complete our
end of program survey.
We shall achieve an overall
satisfaction score of 95%.
Executive
Director
LTR, APS,
Family
Preservation
and Family
Support
All children who attend
Summer Day Camps
shall complete an end
of program survey.
August 2021
All children who attend Summer Day Camp shall
complete our end of program survey.
We shall achieve an overall
satisfaction score of 95%.
Executive
Director
LTR, APS,
Family
Preservation
and Family
Support
Page 23 of 25
DocuSign Envelope ID: 10540F07-DBE6-4569-B464-98C909FD2A43
Exhibit A — Amendment #1
Work Plan
Key Activity C: Teen Connect
Tasks
Time Period
Deliverable
Measurement
Person(s)
Responsible
Budget
Category
LTR, APS,
Family
Preservation
and Family
Support
Families shall register
their teens (ages 13 to
18) for the scheduled
Teen Connect events.
Oct 2021 to Sept
2022
A minimum of 5 youth per event shall attend. As
COVID-19 restrictions change, additional teens shall be
supported.
Family logs shall be generated
after every event and submitted.
LTR, APS,
Family
Preservation and
Family Support
Key Activity D: REPORTING AND PERFORMANCE MONITORING
Tasks
Time Period
Deliverable
Measurement
Person(s)
Responsible
Budget
Category
Personnel
Services
PSSF sites shall comply
with Colorado
Department of Human
(CDHS) data collection
methodology system.
Data reports shall show
tasks/activities
completed to align with
designated outcomes
and measures of
services provided.
10/01/21-
09/30/2022
Data on all PSSF services/activities shall be entered into
OEC data -system.
• Entering large event data in OEC data system after
each respite or camp event.
Required data shall be entered
into OEC data -system within five
(5) working days of completing a
task or activity
Weld County
Department of
Human Services
Executive
Director
Invoices/ Expenditure
reports
Required
monthly or
when requested.
10/01/21-
9/30/22
Invoices/Expenditure reports must be submitted on a
monthly basis to the WCDHS to submit to CDHS on the
PSSF Invoice Template provided by the Office of Early
Childhood to the invoice email:
cdhs oec invoicing(a,state.co.us
Subcontractor shall submit all
invoices/expenditure reports by
the 10th day of each month in
order for WCDHS to get final
monthly invoice submitted by the
20th of each month. Final billing
for each fiscal year must be
submitted by October 3rd.
Executive
Director
Personnel
Services
Submit programmatic
reports to CDHS.
Report templates shall
be provided or created
in Salesforce.
When
requested.
10/01/21-
9/30/22
Reports shall be submitted according to CDHS
timeframes and include all requested information.
Reporting templates shall be provided by the PSSF
Program Manager
Reports shall be submitted to
CDHS twice per year during the
federal fiscal year. The first report
is due on the last business day of
April each year. The final report
is due on the last business day of
October each year.
Weld County
Department of
Human Services
Executive
Director
Personnel
Services
Page 24 of 25
DocuSign Envelope ID: 10540F07-DBE6-4569-6464-98C909FD2A43
Exhibit A — Amendment #1
Work Plan
Tasks
Time Period''
Deliverable
Measurement
Person(s)
Responsible
Budget
Category
PSSF Programs shall
run reports and monitor
outcomes using OEC
data -system
Quarterly or
when requested
10/01/21-
9/30/22
Reports shall be reviewed in the CDHS data -system to
ensure performance targets are being met.
Reports shall be submitted to
CDHS on quarterly basis or as
needed by the program.
Report templates
shall be created by
State Program
Administrator and
accessible by
Supervisor in each
site.
Personnel
Services
CONFIDENTIALITY
PSSF Provider Agencies and its employees shall not access the OEC data system for any purpose other than in the performance of providing PSSF services as
outlined by this contract or subcontract. The PSSF Provider Agency and its employees agree to only access those areas of the OEC data system necessary to
perform contracted functions, to access only information of those children and families referred for services, and to keep confidential all information gained during
performance of PSSF services.
SCHEDULE/MILESTONES
Kids at Heart shall provide 12 Fundango events, October 2021 through September 2022, increasing the number of foster, adoptive and kinship families served in
Weld County. Documentation: Enrollment data and satisfaction surveys shall be collected from families who participate.
Fundango shall provide a much -needed respite program to Weld County adoptive, foster and kinship families. Documentation: Surveys shall be provided to
families to complete when they start and again after they have used Fundango six (6) times. An overall satisfaction score of 95% shall be achieved.
Kids at Heart shall provide three (3) Teen Camp events during June, July or August 2022 to increase the number of foster, kinship and adoptive children served in
Weld County. Documentation: Enrollment data and satisfaction surveys shall be collected from families who participate.
Kids at Heart shall provide monthly Teen Connect events increasing the number of foster, kinship and adoptive children served in Weld County. Documentation:
Enrollment data and satisfaction surveys shall be collected from families who participate. An overall satisfaction score of 95% shall be achieved.
ACCEPTANCE CRITERIA
The acceptance of all deliverables shall reside with the WCDHS. The designated program manager shall monitor all deliverables in order to ensure the
completeness of each stage of the project and that the scope of work has been met. The PSSF Program Coordinator or Manager shall either sign off on the
approval, or reply to the vendor, in writing, advising what tasks must still be accomplished.
Page 25 of 25
DowSign Envelope ID: 10540F07-DBE6A569-B464-98C909FD2A43
Exhibit B - Amendment #1
COLORADO
Office of Early Childhood
Department d Human Services
Contractor Name
Weld County Department of Human Services
Budget Period
October 1, 2021- September 30, 2022
Project Name
Promoting Safe and Stable Families
Colorado Department of Human Services
Office of Early Childhood
BUDGET WITH JUSTIFICATION FORM
Program Contact Name and Title
Phone
Email
Julie Witkowski, Family Resource Division Head
970-400-6777
witkowix@weldgov.com
Fiscal Contact Name and Title
Phone
Email
Tammy Maurer, Fiscal Manager
970-400-6533
maurertk@weldRov.com
Counties/Areas Served:
Weld County
Expenditure Categories
Personnel Services - Salaried Employees
FFY 2022
Position Title
Description of Work and
Fringe Benefits include: health, dental, life, FICA-OASKI, FICA-Med,
Short and Long Term Disability and County Reirement
Gross or Annual
Salary
Fringe
Number of
Months on
Project
Cost Based on
Percent of Time
on
Time -limited
Reunification
(TLR)
Cost Based on
Percent of Time
on
Adoption
Promotion and
Support (APS)
Cost Based on
Percent of Time
on
Family
Preservation for
Family Stability
Cost Based on
Percent of Time
on
Family Support
for Family
Stability
Total
Percent
of Time
on
Project
Total Amount
Requested from
CDHS
Community Case Manager
Provides outreach, case management and Parent Cafe support group
coordination/facilitation for families who may be at risk of entering or
who are exiting the child welfare system.
$59,275
$20,746
12
$
$
$ 20,005
$ 20,005
50%
$ 40,010
Community Case Manager
Provides outreach, case management and Parent Cafe support group
coordination/facilitation for families who may be at risk of entering or
who are exiting the child welfare system.
$62,883
$13,284
12
$
$
$ 19,042
$ 19,042
50%
$ 38,084
Total Personnel Services (including fringe benefits), $ -
$ -
$ 39,047
$ 39,047
$ 78,094
Contractors/Consultants (payments to third parties or entities)
FFY 2022
Name
Description of Item
Time -Limited
Reunification
(LTR)
Adoption
Promotion and
Support (APS)
Family
Preservation for
Family Stability
Family Support
for Family
Stability
Total Amount
Requested from
CDHS
Catholic Charities
Staff and supplies for PSSF ICCM, Parent Cafes, Kinship Support and Education Circle, Kinship Newsletter -See Tab C for
additional detail
$
$ 12,954
$
$ 36,187
$ 49,141
Kids at Heart
Staff and supplies for monthly Fundango respite events for kinship, foster and adoptive families -See Tab D for
additional detail
$ 7,775
$ 7,775
$ 7,775
$ 7,469
$ 30,794
Total Contractors/Consultants
$ 7,775
$ 20,729
$ 7,775
$ 43,656
$ 79,935
Travel
FFY 2022
Item
Description of Item
Time -Limited
Reunification
(LTR)
Adoption
Promotion and
Support (APS)
Family
Preservation for
Family Stability
Family Support
for Family
Stability
Total Amount
Requested from
CDHS
Grantee Meetings and
Strengthening Colorado
Required Training for PSSF Program Staff -to include registration fee, per -diem rates for food, lodging, mileage and
other expenses related to their participation. Includes one staff from each organization.
$
$ 1,000
$ 1,000
$ 1,000
$ 3,000
Total Travel
$ -
$ 1,000
$ 1,000
$ 1,000
$ 3,000
Page 1 of 2
DocuSign Envelope ID: 10540F07-DBE61569-B464-98C909FD2A43
Exhibit 8 - Amendment #1
Supplies & Operating Expenses
FFY 2022
Item
Description of Item
Time -Limited
Reunification
(LTR)
Adoption
Promotion and
Support (APS)
Family
Preservation for
Family Stability
Family Support
for Family
Stability
Total Amount
Requested from
CDHS
Flex Funding
Flex funding can be used to address concrete economic needs which support family stability when no other formal
$
$
$ 4,000
$ 4,787
$ 8,787
Support Groups
Parent Cafe presenters, TBRI facilitator, training materials, location fee, food and snacks, childcare, and children's
$
$ 4,000
$ 2,500
$ 1,717
$ 8,217
Total Supplies & Operating Expenses
$ -
$ 4,000
$ 6,500
$ 6,504
$ 17,004
TOTAL DIRECT COSTS
$ 7,775
$ 25,729
$ 54,322
$ 90,207 I
$ -
$ 178,033
MODIFIED TOTAL DIRECT COSTS (MTDC)
Uniform Guidance $ 200.68 - MTDC means all direct salaries and wages, applicable fringe benefits, materials and supplies, services, travel, and up to
the first $25,000 of each subaward. MTDC excludes equipment, capital expenditures, charges for patient care, rental costs, tuition remission,
scholarships and fellowships, participant support casts and the portion of each subaward in excess of $25,000.
REMOVED SUBAWARD IN EXCESS OF 525.000
$ 6,312
$ 17,902
$ 52,859
$ 71,025
$ 148,098
Indirect Costs
[not to exceed 10% unless Negotiated Federal Indirect Cost rate or Negotiated State Indirect Cost rate is attached]
FFY 2022
Item
Description of Item
Time -Limited
Reunification
(LTR)
Adoption
Promotion and
Support (APS)
Family
Preservation for
Family Stability
Family Support
for Family
Stability
Total Amount
Requested from
CDHS
No costs shall be reimbursed by CDHS for this category.
$
$
$
$
$ -
Total Indirect
$
$ -
$ -
$
$ -
Stimulus Flex Funds - No Indirect Costs Applicable on this section
FFY 2022
Item
Description of Item
Time -Limited
Reunification
(LTR)
Adoption
Promotion and
Support (APS)
Family
Preservation for
Family Stability
Family Support
for Family
Stability
Total Amount
Requested from
CDHS
Stimulus Flex Funds
concrete economic supports for families experiencing a hardship or loss due to the pandemic, that has immediate
implications for child well-being or family stability (Technology, educational, enrichment activities to promote
socialization, employment supports, and emergency aid)
$ 2,000
$ 2,000
$ 2,000
$ 2,000
$ 8,000
Total Stimulus Flex Funds
$ 2,000
$ 2,000
$ 2,000
S 2,000
$ 8,000
TOTAL TIME -LIMITED REUNIFICATION (LTR)
$ 9,775
TOTAL ADOPTION PROMOTION AND SUPPORT (APS)
$ 27,729
TOTAL FAMILY PRESERVATION FOR FAMILY STABILITY
$ 56,322
'
TOTAL FAMILY SUPPORT FOR FAMILY STABILITY
$ 92,207
PERCENTAGE OF BUDGET BY PROJECT
FFY 2022
Time -Limited
Reunification
(LTR)
Adoption
Promotion and
Support (APS)
Family
Preservation for
Family Stability
Family Support
for Family
Stability
Total Percentage
PERCENTAGE OF BUDGET BY PROJECT
5%
15%
30%
50%
100%
Match Projection / Required
Match Is not Required on Stimulus Flex Funds Percentage of Total Budget Including Match;
30%
3,332
$ 11,027:
$ 23.281
$ 38,660
$ 76,300
TOTAL BUDGET (INCLUDING MATCH)
$ 11,107
$ 36,756
$ 77,603
$ 128,867 I
S 262,333
'Figures are rounded using basic accounting standards. (0.00-0.49 = 0; 0.50-0.99 =1.0)
Page 2 of 2
DocuSign Envelope ID: 10540F07-DBE6-4569-B464-98C909FD2A43
Exhibit D — Amendment #1
ADDITIONAL PROVISIONS
1. SERVICE PROVISIONS
The Contractor shall provide the services according to the plans submitted in the "Statement of Work",
attached and incorporated herein by this reference as EXHIBIT A. In all cases, the descriptions, plans,
timetables, tasks, duties, and responsibilities of the Contractor as described in the Statement of Work, shall
be adhered to in the performance of the requirements of this contract. In the event of a conflict, the terms
and conditions of this contract shall control over the Statement of Work.. Any significant changes to the
Statement of Work (SOW) require an amendment to the contract.
2. GOALS AND OBJECTIVES
The Contractor shall be responsible for the achievement of any goals and objectives as specified within the
Statement of Work (EXHIBIT A) of this contract unless written notice of any modifications are furnished
by the State to the Contractor allowing adequate time for compliance during the term of this contract.
3. COPY OF SUBCONTRACT
The Contractor shall provide to the State a copy of any executed subcontract between the Contractor and
any provider of services to fulfill any requirements of this contract. Subcontracts shall be emailed to the
Contract Representative upon execution.
4. PAYMENT
In consideration of the provision of services and reporting and subject to all payment and price provisions
and further subject to verification by the State of full and satisfactory compliance with the terms of this
contract, the State shall pay to the Contractor an amount not to exceed the amount specified in the Budget
(EXHIBIT B), of this contract.
A. The Contractor shall submit requests for payment to CDHS OEC Invoicing@state.co.us no less than
monthly on forms prescribed and provided by the State.
B. Payment shall be made on a cost reimbursement basis for services rendered. Advances will not be
approved except in documented situations of cash flow emergency, for a specified term, with the prior
written approval of the State, and in accordance with State fiscal rules and procedures.
C. It is understood any vacancy savings in the personnel category and/or any savings in any other category
shall require written approval from the State prior to any redistribution of any savings by the Contractor.
ANY COST SAVINGS THAT ARE REDISTRIBUTED BY CONTRACTOR WITHOUT WRITTEN
APPROVAL SHALL NOT BE REIMBURSED BY THE STATE.
D. IT IS UNDERSTOOD ANY COSTS THAT EXCEED THE CONTRACTED AMOUNT SHALL NOT
BE PAID BY CDHS. If Contractor has a legitimate need for additional funds, the Contractor shall
request additional funds from the CDHS 60 days prior to projected depletion of contracted funds. CDHS
shall review each request and notify Contractor in writing of approval or denial. Approval of additional
funds shall require an official modification to the Contract by Amendment or Option Letter.
E. Timely Invoicing - Invoices shall be submitted no later than 30 days following the last day of the month.
Final invoices for services provided through September shall be submitted no later than 30 days
following the last day of the month.
Page 1 of 3 Revision Date: 8/19/2021
DocuSign Envelope ID: 10540F07-DBE6-4569-B464-98C909FD2A43
Exhibit D — Amendment #1
F. The Contractor shall maintain source documentation to support all payment requested pursuant to this
contract. All source documentation shall be provided to the State by the Contractor upon request.
G. It is understood that the State reserves the right to offset funds pursuant to this contract based on the
discovery of overpayment or improper use of funds by the Contractor. Overpayment or improper use of
funds is interpreted to apply to specific terms of prior year contracts, and includes without limitation
requirements of the Generally Accepted Accounting Principles (GAAP) issued by the American Institute
of Certified Public Accountants, and applicable sections of the Colorado Revised Statutes.
H. The State shall review monthly invoices throughout the fiscal year. If, after a number of months, the
State determines the Contractor is not needing/using the funding allocated for the Contractor's work in
the Contract, the State shall remove these funds from the contract budget by Option Letter for a
proportional reduction of services with prior written notification to the Contractor.
5. PARTICIPATION
The Contractor representative(s) is required to participate in any Office of Early Childhood sponsored
meetings related to this contract.
6. SUPPLANTING
Payments made to the Contractor under this contract will supplement and not supplant other state, local or
federal expenditures for services associated with this contract.
7. BUDGET CHANGES
Contractor may request in writing adjustments to the direct costs in the current year budget (EXHIBIT B)
not to exceed 10% of the total budget. Requests shall be made in the form of a written budget revision
request to the appropriate program staff. Written approval for the budget revision shall be required prior to
any changes to the budget related to the budget revision request. The total dollar amount of the contract
budget cannot be changed as a result of the budget revision request. Budget adjustment requests over 10%,
adding new expense lines, and/or changes to the total dollar amount of the budget require a formal
amendment. No adjustments to the Indirect Costs portion of the budget are allowable without a formal
amendment.
Contractor may request in writing up to a 5% increase to the "Gross or Annual Salary" of an individual
employee if a position currently listed in the contract becomes vacant and the new incoming employee will
be hired at a higher or lower salary. No increase within the salary range is authorized without prior written
approval from CDHS. Adding additional staff requires an amendment to the contract. Vacancy savings
cannot be used to change salary amounts for existing personnel without an amendment. Any change to
personnel requires prior written approval from CDHS staff. This process will never change the Contract
Maximum Amount. Contractor must use available unused funds from either vacancy savings or another
category within the contract. The revision request may not at any time compromise the integrity of the
funded program as determined by CDHS program staff.
8. TRAVEL
A. Mileage shall not exceed the Federal mileage rate per https://www.gsa.gov/travel-resources.
B. Per Diem shall not exceed Federal GSA per diem rates for the area of travel per
https://www.gsa.gov/travel-resources
C. Hotel rates cannot exceed any rate established for conference attendance.
D. Usage of airfare or Out of State Travel requires pre -approval from CDHS.
Page 2 of 3 Revision Date: 8/19/2021
DocuSign Envelope ID: 10540F07-DBE6-4569-6464-98C909FD2A43
Exhibit D — Amendment #1
9. DATA COLLECTION
The Contractor will participate in reporting designated outcome measures. The required data will be entered
into an approved CDHS database no later than five (5) working days after completion of task/service or
activity supported by PSSF funds.
10. REPORTING REQUIREMENTS
The Contractor is required to submit quarterly programmatic reports and year end progress reports. Reports
must be submitted to CHDS four times per year on the federal fiscal year calendar. The first report is due
on the last business day of July. The second report is due on the last business day of October. The third
report is due on the last business day of January and the final report is due on the last business day of April
each year.
11. SUBRECIPIENT
Contractors determined to be a Sub -recipient of federal funds shall complete the sub -recipient performance
report and assessment survey at: https://forms.gle/QTXGEabvipymdsfd8 upon contract execution. Failure to
complete the performance report and assessment survey shall delay payment to the Contractor.
12. CRITICAL INCIDENT REPORTING
Within 48 hours of the occurrence of a critical incident involving any child or family and/or an on duty
agency staff member of any family support program staff funded through the Office of Early Childhood
(OEC), the agency must report in writing the details of the critical incident to the OEC Program Manager
for the involved family support program. Critical incidents may include, but are not limited to, awareness of
an egregious incident of abuse and/or neglect, near fatality, or fatality of any child currently enrolled in a
family support program; involuntary termination of a program staff's employment; criminal allegations
involving program staff and related to his/her employment; negative media attention about the family
support program; any major injury or threat to the security of an agency staff member while on duty and
visiting an enrolled child or family.
13. MANDATED REPORTING
All program staff are required by law to report suspected child abuse and neglect. Mandatory reporters must
report suspected child abuse and neglect to the local county child welfare agency, the local law enforcement
agency, or by calling the child abuse reporting hotline system at 1-844-CO-4KIDS (1-844-264-5437).
All program staff are required to take the online mandatory reporter training on the CDHS Child Welfare
Training System: https://www.coloradocwts.com/mandated-reporter-training.
Page 3 of 3 Revision Date: 8/19/2021
DocuSign Envelope ID: 10540F07-DBE6-4569-B464-98C909FD2A43
x
COLORADO
Financial Services
Department of r+vnan sennces
Division of Contracts and Procur emeint
EXHIBIT E — Amendment #1 - 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), and/or
exhibit regarding SLFRF Federal Provisions, the terms re FFATA and/or SLFRF shall control. If the source of the funding
of the Contract is a grant, these Federal Provisions are subject to the Award as defined in §2 of these Federal Provisions,
as may be revised pursuant to ongoing guidance from the relevant Federal or State of Colorado agency or institutions of
higher education.
1) Federal Award Identification
i. Subrecipient: Weld County Department of Human Services;
ii. Subrecipient DUNS number: 075757955;
iii. The Federal Award Identification Number (FAIN) is 2101COFPSS; 2101COFPSC;
iv. The Federal award date is July 1, 2021 and March 12, 2021;
v. The subaward period of performance start date is October 1, 2020 and October 1, 2020 and end date is
September 30, 2022 and September 30, 2023;
vi. Federal Funds:
Contract or
Fiscal Year
Amount of Federal funds
obligated by this Contract
Total amount of Federal
funds obligated to the
Subrecipient
Total amount of the
Federal Award committed
to Subrecipient by CDHS
FFY22
2101COFPSS-$178,033
2101COFPSC-$8,000
2101COFPSS-$178,033
2101COFPSC-$8,000
2101COFPSS-$178,033
2101COFPSC-$8,000
vii. Federal award project description: Promoting Safe and Stable Families Program;
viii. The name of the Federal awarding agency is US Department of Health and Human Services,
Administration for Children and Families; 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 Kendra
Dunn, Director, Division for Community and Family Support, 1575 Sherman Street, 1st Floor, Denver,
CO 80203; kendra.dunn@state.co.us; 303-866-5023;
ix. The Catalog of Federal Domestic Assistance (CFDA) number is 93.556, name is MaryLee Allen Promoting
Safe and Stable Families Program, and dollar amount is 2101COFPSS - $608,774; 2101COFPSC -
$847,869;
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.
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2) 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 the General Provisions, Exhibit
A - Statement of Work, and Exhibit D - Additional Provisions.
3) 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
the General Provisions, Exhibit A - Statement of Work, and Exhibit D - Additional Provisions.
4) Subrecipient's approved indirect cost rate is a CDHS negotiated rate of 0 %.
5) 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.
6) The appropriate terms and conditions concerning closeout of the subaward are listed in Section 16 of this Exhibit and
the General Provisions, Exhibit A - Statement of Work, and Exhibit D - Additional Provisions.
7) Performance and Final Status. Subrecipient shall submit all financial, performance, and other reports to CDHS no
later than 30 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
If a box below is checked, the accompanying provision applies.
i. ❑ Subrecipient is not required to provide matching funds.
ii. ICJ Subrecipient shall provide matching funds as stated in Exhibit B - Budget. 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.
1. DEFINITIONS.
1.1. For the purposes of these Federal Provisions, the following terms shall have the meanings ascribed to them
below.
1.1.1. "Award" means an award of Federal financial assistance, and the Contract setting forth the terms and
conditions of that financial assistance, that a non -Federal Entity receives or administers.
1.1.1.1.1. Awards may be in the form of:
1.1.1.1.2. Grants;
1.1.1.1.3. Contracts;
1.1.1.1.4. Cooperative Contracts, which do not include cooperative research and development
Contracts (CRDA) pursuant to the Federal Technology Transfer Act of 1986, as amended (15 U.S.C.
3710);
1.1.1.1.5. Loans;
1.1.1.1.6. Loan Guarantees;
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1.1.1.1.7. Subsidies;
1.1.1.1.8. Insurance;
1.1.1.1.9. Food commodities;
1.1.1.1.10. Direct appropriations;
1.1.1.1.11. Assessed and voluntary contributions; and
1.1.1.1.12. Other financial assistance transactions that authorize the expenditure of Federal funds by
non -Federal Entities.
1.1.1.1.13. Any other items specified by OMB in policy memoranda available at the OMB website or
other source posted by the OMB.
1.1.1.2. Award does not include:
1.1.1.2.1. Technical assistance, which provides services in lieu of money;
1.1.1.2.2. A transfer of title to Federally -owned property provided in lieu of money; even if the award
is called a grant;
1.1.1.2.3. Any award classified for security purposes; or
1.1.1.2.4. Any award funded in whole or in part with Recovery funds, as defined in section 1512 of
the American Recovery and Reinvestment Act (ARRA) of 2009 (Public Law 111-5).
1.1.2. "Contract" means the Contract to which these Federal Provisions are attached and includes all Award types
in § of this Exhibit.
1.1.3. "Contractor" means the party or parties to a Contract funded, in whole or in part, with Federal financial
assistance, other than the Prime Recipient, and includes grantees, subgrantees, Subrecipients, and
borrowers. For purposes of Transparency Act reporting, Contractor does not include Vendors.
1.1.4. "Data Universal Numbering System (DUNS) Number" means the nine -digit number established and
assigned by Dun and Bradstreet, Inc. to uniquely identify a business entity. Dun and Bradstreet's website
may be found at: http://fedgov.dnb.com/webform.
1.1.5. "Entity" means:
1.1.5.1. If the source of funding is a Grant:
1.1.5.1.1. a Non -Federal Entity;
1.1.5.1.2. a foreign public entity;
1.1.5.1.3. a foreign organization;
1.1.5.1.4. a non-profit organization;
1.1.5.1.5. a domestic for-profit organization (for 2 CFR parts 25 and 170 only);
1.1.5.1.6. a foreign non-profit organization (only for 2 CFR part 170) only);
1.1.5.1.7. a Federal agency, but only as a Subrecipient under an Award or Subaward to a
non -Federal entity (or 2 CFR 200.1); or
1.1.5.1.8. a foreign for-profit organization (for 2 CFR part 170 only).
1.1.5.2. If the source of funding is not a Grant:
1.1.5.2.1. all of the following as defined at 2 CFR part 25, subpart C;
1.1.5.2.2. A governmental organization, which is a State, local government, or Indian Tribe;
1.1.5.3. a foreign public entity;
1.1.5.4. a domestic or foreign non-profit organization;
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1.1.5.5. a domestic or foreign for-profit organization; and
1.1.5.6. a Federal agency, but only a Subrecipient under an Award or Subaward to a non -
Federal entity.
1.1.6. "Executive" means an officer, managing partner or any other employee in a management position.
1.1.7. If the source of funding is a Grant, "Federal Awarding Agency" means a Federal agency providing a
Federal Award to a Recipient as described in 2 CFR 200.1. If the source of funding is not a Grant, "Federal
Award Identification Number (FAIN)" means an Award number assigned by a Federal agency to a Prime
Recipient.
1.1.8. "FFATA" means the Federal Funding Accountability and Transparency Act of 2006 (Public Law 109-282),
as amended by §6202 of Public Law 110-252. FFATA, as amended, also is referred to as the "Transparency
Act."
1.1.9. "Federal Provisions" means these Federal Provisions subject to the Transparency Act and Uniform
Guidance, as may be revised pursuant to ongoing guidance from the relevant Federal or State of Colorado
agency or institutions of higher education.
1.1.10. If the source of funding is a Grant, "Grant" as used herein is the Contract to which these Federal Provisions
are attached.
1.1.11. "Grantee" means the party or parties identified as such in the Grant to which these Federal Provisions are
attached if the source of funding is a Grant.
1.1.12. "Non -Federal Entity means a State, local government, Indian tribe, institution of higher education, or
nonprofit organization that carries out a Federal Award as a Recipient or a Subrecipient.
1.1.13. "Nonprofit Organization" means any corporation, trust, association, cooperative, or other organization, not
including IHEs, that:
1.1.13.1. Is operated primarily for scientific, educational, service, charitable, or similar purposes in the
public interest;
1.1.13.2. Is not organized primarily for profit; and
1.1.13.3. Uses net proceeds to maintain, improve, or expand the operations of the organization.
1.1.14. "OMB" means the Executive Office of the President, Office of Management and Budget.
1.1.15. "Pass -through Entity" means a non -Federal Entity that provides a Subaward to a Subrecipient to carry out
part of a Federal program.
1.1.16. "Prime Recipient" means a Colorado State agency or institution of higher education that receives an Award,
or, of the source of funding is a Grant it is that agency or institution identified as the Grantor in the Grant
to which these Federal Provisions are attached.
1.1.17. "Subaward" means an award by a Prime Recipient to a Subrecipient funded in whole or in part by a Federal
Award. The terms and conditions of the Federal Award flow down to the Subaward unless the terms and
conditions of the Federal Award specifically indicate otherwise in accordance with 2 CFR 200.101 or 2
CFR 200.38, as applicable. The term does not include payments to a contractor or payments to an individual
that is a beneficiary of a Federal program.
1.1.18. "Subrecipient" or, if the source of funding is a Grant, "Subgrantee" means a non -Federal Entity (or a Federal
agency under an Award or Subaward to a non -Federal Entity) receiving Federal funds through a Prime
Recipient to support the performance of the Federal project or program for which the Federal funds were
awarded. A Subrecipient is subject to the terms and conditions of the Federal Award to the Prime Recipient,
including program compliance requirements. The term "Subrecipient" includes and may be referred to as
Subgrantee. The term does not include an individual who is a beneficiary of a federal program.
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1.1.19. "Subrecipient Parent DUNS Number" means the subrecipient parent organization's 9 -digit Data Universal
Numbering System (DUNS) number that appears in the subrecipient's System for Award Management
(SAM) profile, if applicable.
1.1.20. "System for Award Management (SAM)" means the Federal repository into which an Entity must enter
the information required under the Transparency Act, which may be found at http://www.sam.gov.
1.1.21. "Total Compensation" means the cash and noncash dollar value earned by an Executive during the Prime
Recipient's or Subrecipient's preceding fiscal year (see 48 CFR 52.204-10, as prescribed in 48 CFR
4.1403(a), as applicable) and includes the following:
1.1.21.1. Salary and bonus;
1.1.21.2. Awards of stock, stock options, and stock appreciation rights, using the dollar amount
recognized for financial statement reporting purposes with respect to the fiscal year in
accordance with the Statement of Financial Accounting Standards No. 123 (Revised 2005)
(FAS 123R), Shared Based Payments;
1.1.21.3. Earnings for services under non -equity incentive plans, not including group life, health,
hospitalization or medical reimbursement plans that do not discriminate in favor of Executives
and are available generally to all salaried employees;
1.1.21.4. Change in present value of defined benefit and actuarial pension plans;
1.1.21.5. Above -market earnings on deferred compensation which is not tax -qualified;
1.1.21.6. Other compensation, if the aggregate value of all such other compensation (e.g., severance,
termination payments, value of life insurance paid on behalf of the employee, perquisites or
property) for the Executive exceeds $10,000.
1.1.22. "Transparency Act" means the Federal Funding Accountability and Transparency Act of 2006 (Public Law
109-282), as amended by §6202 of Public Law 110-252. The Transparency Act may also be referred to as
FFATA.
1.1.23. "Uniform Guidance" means the Office of Management and Budget Uniform Administrative Requirements,
Cost Principles, and Audit Requirements for Federal Awards, which, unless the source of funding is a Grant,
supersedes requirements from OMB Circulars A-21, A-87, A-110, and A-122, OMB Circulars A-89, A-
102, and A-133, and the guidance in Circular A-50 on Single Audit Act follow-up. The terms and
conditions of the Uniform Guidance flow down to Awards to Subrecipients unless the Uniform Guidance
or the terms and conditions of the Federal Award specifically indicate otherwise.
1.1.24. "Vendor" means a dealer, distributor, merchant or other seller providing property or services required for a
project or program funded by an Award. A Vendor is not a Prime Recipient or a Subrecipient and is not
subject to the terms and conditions of the Federal award. Program compliance requirements do not pass
through to a Vendor.
2. COMPLIANCE.
2.1. Contractor/Grantee shall comply with all applicable provisions of the Transparency Act and the regulations
issued pursuant thereto, all applicable provisions of the Uniform Guidance, including, but not limited to, all
applicable Federal Laws and regulations required by this Federal Award. Any revisions to such provisions or
regulations shall automatically become a part of these Federal Provisions, without the necessity of either party
executing any further instrument. The State of Colorado, at its discretion, may provide written notification to
Contractor/Grantee of such revisions, but such notice shall not be a condition precedent to the effectiveness of
such revisions.
3. SYSTEM FOR AWARD MANAGEMENT (SAM) AND DATA UNIVERSAL NUMBERING SYSTEM (DUNS)
REQUIREMENTS.
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3.1. SAM. Contractor/Grantee shall maintain the currency of its information in SAM until the Contractor/Grantee
submits the final financial report required under the Award or receives final payment, whichever is later.
Contractor/Grantee shall review and update SAM information at least annually after the initial registration, and
more frequently if required by changes in its information.
3.2. DUNS. Contractor/Grantee shall provide its DUNS number to its Prime Recipient, and shall update
Contractor's/Grantee's information in Dun & Bradstreet, Inc. at least annually after the initial registration, and
more frequently if required by changes in Contractor's/Grantee's information.
4. TOTAL COMPENSATION.
4.1. Contractor/Grantee shall include Total Compensation in SAM for each of its five most highly compensated
Executives for the preceding fiscal year if:
4.1.1. The total Federal funding authorized to date under the Award is $30,000 or more if the source of funding
is a Grant, or otherwise $25,000 or more if the source of funding is not a Grant; and
4.1.2. In the preceding fiscal year, Contractor/Grantee received:
4.1.2.1. 80% or more of its annual gross revenues from Federal procurement contracts and subcontracts
and/or Federal financial assistance Awards or Subawards subject to the Transparency Act; and
4.1.2.2. $30,000,000 or more in annual gross revenues from Federal procurement contracts and
subcontracts and/or Federal financial assistance Awards or Subawards subject to the Transparency
Act if the source of funding is a Grant or otherwise $25,000,000 or more in annual gross revenues
from Federal procurement contracts and subcontracts and/or Federal financial assistance Awards
or Subawards subject to the Transparency Act if the source of funding is not a Grant; and
4.1.2.3. The public does not have access to information about the compensation of such Executives through
periodic reports filed under section 13(a) or 15(d) of the Securities Exchange Act of 1934 (15
U.S.C. 78m(a), 78o(d) or § 6104 of the Internal Revenue Code of 1986.
5. REPORTING.
5.1. If Contractor/Grantee is a Subrecipient of the Award pursuant to the Transparency Act, Grantee shall report
data elements to SAM and to the Prime Recipient as required in this Exhibit. No direct payment shall be made
to Grantee for providing any reports required under these Federal Provisions and the cost of producing such
reports shall be included in the Contract/Grant price. The reporting requirements in this Exhibit are based on
guidance from the US Office of Management and Budget (OMB), and as such are subject to change at any time
by OMB. Any such changes shall be automatically incorporated into this Contract/Grant and shall become part
of Contractor's/Grantee's obligations under this Contract/Grant.
6. EFFECTIVE DATE AND DOLLAR THRESHOLD FOR REPORTING.
6.1. If the source of funding is a Grant, Reporting requirements in §8 below apply to new Awards as of October 1,
2010, if the initial award is $30,000 or more. If the initial Award is below $30,000 but subsequent Award
modifications result in a total Award of $30,000 or more, the Award is subject to the reporting requirements as
of the date the Award exceeds $30,000. If the initial Award is $30,000 or more, but funding is subsequently
de -obligated such that the total award amount falls below $30,000, the Award shall continue to be subject to
the reporting requirements.
6.2. If the source of funding is not a Grant, Reporting requirements in §8 below apply to new Awards as of October
1, 2010, if the initial award is $25,000 or more. If the initial Award is below $25,000 but subsequent Award
modifications result in a total Award of $25,000 or more, the Award is subject to the reporting requirements as
of the date the Award exceeds $25,000. If the initial Award is $25,000 or more, but funding is subsequently
de -obligated such that the total award amount falls below $25,000, the Award shall continue to be subject to
the reporting requirements.
6.3. The procurement standards in §8 below are applicable to new Awards made by Prime Recipient as of December
26, 2015. The standards set forth in §10 below are applicable to audits of fiscal years beginning on or after
December 26, 2014.
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7. SUBRECIPIENT REPORTING REQUIREMENTS.
7.1. If Contractor/Grantee is a Subrecipient, Contractor/Grantee shall report as set forth below.
7.1.1. To SAM. A Subrecipient shall register in SAM and report the following data elements in SAM for each
Federal Award Identification Number (FAIN) assigned by a Federal agency to a Prime Recipient no later
than the end of the month following the month in which the Subaward was made:
7.1.1.1. Subrecipient DUNS Number;
7.1.1.2. Subrecipient DUNS Number if more than one electronic funds transfer (EFT) account;
7.1.1.3. Subrecipient parent's organization DUNS Number;
7.1.1.4. Subrecipient's address, including: Street Address, City, State, Country, Zip (+ 4 if source of
funding is a Grant or as otherwise directed per SAM directives for proper reporting), and
Congressional District;
7.1.1.5. Subrecipient's top 5 most highly compensated Executives if the criteria in §4 above are met;
and
7.1.1.6. Subrecipient's Total Compensation of top 5 most highly compensated Executives if the criteria
in §4 above met.
7.1.2. To Prime Recipient. A Subrecipient shall report to its Prime Recipient, upon the effective date of the
Contract/Grant, the following data elements:
7.1.2.1. Subrecipient's DUNS Number as registered in SAM.
7.1.2.2. Primary Place of Performance Information, including: Street Address, City, State, Country, Zip
code + 4, and Congressional District.
8. PROCUREMENT STANDARDS.
8.1. Procurement Procedures. A Subrecipient shall use its own documented procurement procedures which reflect
applicable State, local, and Tribal laws and applicable regulations, provided that the procurements conform to
applicable Federal law and the standards identified in the Uniform Guidance, including without limitation, 2
CFR 200.318 through 200.327 thereof.
8.2. If the source of funding is a Grant: Domestic preference for procurements (2 CFR 200.322). As appropriate
and to the extent consistent with law, the non -Federal entity should, to the greatest extent practicable under a
Federal award, provide a preference for the purchase, acquisition, or use of goods, products, or materials
produced in the United States (including but not limited to iron, aluminum, steel, cement, and other
manufactured products). The requirements of this section must be included in all subawards including all
contracts and purchase orders for work or products under this award.
8.3. Procurement of Recovered Materials. If a Subrecipient is a State Agency or an agency of a political subdivision
of the State, its contractors must comply with section 6002 of the Solid Waste Disposal Act, as amended by the
Resource Conservation and Recovery Act. The requirements of Section 6002 include procuring only items
designated in guidelines of the Environmental Protection Agency (EPA) at 40 CFR part 247, that contain the
highest percentage of recovered materials practicable, consistent with maintaining a satisfactory level of
competition, where the purchase price of the item exceeds $10,000 or the value of the quantity acquired during
the preceding fiscal year exceeded $10,000; procuring solid waste management services in a manner that
maximizes energy and resource recovery; and establishing an affirmative procurement program for procurement
of recovered materials identified in the EPA guidelines.
9. ACCESS TO RECORDS.
9.1. A Subrecipient shall permit Recipient/Prime Recipient and its auditors to have access to Subrecipient's records
and financial statements as necessary for Recipient to meet the requirements of 2 CFR 200.311-200.332
(Requirements for pass -through entities), 2 CFR 200.300 (Statutory and national policy requirements) through
2 CFR 200.309 (Period of performance), and Subpart F -Audit Requirements of the Uniform Guidance.
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10. SINGLE AUDIT REQUIREMENTS.
10.1. If a Subrecipient expends $750,000 or more in Federal Awards during the Subrecipient's fiscal year, the
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.
10.1.1. Election. A Subrecipient shall have a single audit conducted in accordance with Uniform Guidance 2 CFR
200.514 (Scope of audit), except when it elects to have a program -specific audit conducted in accordance
with 2 CFR 200.507 (Program -specific audits). The 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 terns and conditions of the Federal
award do not require a financial statement audit of Prime Recipient. A program -specific audit may not be
elected for research and development unless all of the Federal Awards expended were received from
Recipient and Recipient approves in advance a program -specific audit.
10.1.2. Exemption. If a Subrecipient expends less than $750,000 in Federal Awards during its fiscal year, the
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.
10.1.3. Subrecipient Compliance Responsibility. A Subrecipient shall procure or otherwise arrange for the audit
required by Subpart 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 2 CFR 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 Uniform
Guidance Subpart F -Audit Requirements.
11. CONTRACT/GRANT PROVISIONS FOR SUBRECEPIENT CONTRACTS.
11.1. In addition to other provisions required by the Federal Awarding Agency or the Prime Recipient,
Contractors/Grantees that are Subrecipients shall comply with the following provisions. Subrecipients shall
include all of the following applicable provisions in all subcontracts entered into by it pursuant to this
Contract/Grant.
11.1.1. [Applicable to federally assisted construction contracts.] 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.
11.1.2. [Applicable to on -site employees working on government -funded construction, alteration and repair
projects.] Davis -Bacon Act. Davis -Bacon Act, as amended (40 U.S.C. 3141-3148).
11.1.3. Rights to Inventions Made Under a contract/grant or agreement. If the Federal Award meets the definition
of "funding agreement"/ "funding Contract" under 37 CFR 401.2 (a) and the Prime Recipient or
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,"/"funding Contract", the Prime Recipient or 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 Federal Awarding Agency.
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11.1.4. 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 awardee(s) 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).
11.1.5. 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.
11.1.6. 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.
11.1.7. Never contract with the enemy (2 CFR 200.215). Federal awarding agencies and recipients are subject to
the regulations implementing "Never contract with the enemy" in 2 CFR part 183. The regulations in 2
CFR part 183 affect covered contracts, grants and cooperative agreements that are expected to exceed
$50,000 within the period of performance, are performed outside the United States and its territories, and
are in support of a contingency operation in which members of the Armed Forces are actively engaged in
hostilities.
11.1.8. Prohibition on certain telecommunications and video surveillance services or equipment (2 CFR 200.216).
Grantee is prohibited from obligating or expending loan or grant funds on certain telecommunications and
video surveillance services or equipment pursuant to 2 CFR 200.216.
12. CERTIFICATIONS.
12.1. Unless prohibited by Federal statutes or regulations, Recipient/Prime Recipient 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 the State at the end of the Award that the project or activity was
completed or the level of effort was expended_ 2 CFR 200.201(3). If the required level of activity or effort was
not carried out, the amount of the Award must be adjusted.
13. EXEMPTIONS.
13.1. These Federal Provisions do not apply to an individual who receives an Award as a natural person, unrelated to
any business or non-profit organization he or she may own or operate in his or her name.
13.2. A Contractor/Grantee with gross income from all sources of less than $300,000 in the previous tax year is
exempt from the requirements to report Subawards and the Total Compensation of its most highly compensated
Executives.
14. EVENT OF DEFAULT AND TERMINATION.
14.1. Failure to comply with these Federal Provisions shall constitute an event of default under the Contract/Grant
and the State of Colorado may terminate the Contract/Grant upon 30 days prior written notice if the default
remains uncured five calendar days following the termination of the 30 -day notice period. This remedy will be
in addition to any other remedy available to the State of Colorado under the Contract/Grant, at law or in equity.
14.2. Termination (2 CFR 200.340). The Federal Award may be terminated in whole or in part as follows:
Supplemental Provisions for Federal Awards Page 9 of 10
Revised December 2021
DocuSign Envelope ID: 10540F07-DBE6-4569-6464-98C909FD2A43
14.2.1. By the Federal Awarding Agency or Pass -through Entity, if a Non -Federal Entity fails to comply with the
terms and conditions of a Federal Award;
14.2.2. By the Federal awarding agency or Pass -through Entity, to the greatest extent authorized by law, if an award
no longer effectuates the program goals or agency priorities;
14.2.3. By the Federal awarding agency or Pass -through Entity with the consent of the Non -Federal Entity, in
which case the two parties must agree upon the termination conditions, including the effective date and, in
the case of partial termination, the portion to be terminated;
14.2.4. By the Non -Federal Entity upon sending to the Federal Awarding Agency or Pass -through Entity written
notification setting forth the reasons for such termination, the effective date, and, in the case of partial
termination, the portion to be terminated. However, if the Federal Awarding Agency or Pass -through Entity
determines in the case of partial termination that the reduced or modified portion of the Federal Award or
Subaward will not accomplish the purposes for which the Federal Award was made, the Federal Awarding
Agency or Pass -through Entity may terminate the Federal Award in its entirety; or
14.2.5. By the Federal Awarding Agency or Pass -through Entity pursuant to termination provisions included in the
Federal Award.
EXHIBIT END
Supplemental Provisions for Federal Awards Page 10 of 10
Revised December 2021
Contract Form
New Contract Request
Entity Information
Entity Name* Entity ID*
COLORADO DEPARTMENT OF HUMAN O0003650
SERVICES
Contract Name*
COLORADO DEPARTMENT OF HUMAN SERVICES
(AMENDMENT #1)
Contract Status
CTB REVIEW
❑ New Entity?
Contract ID
5882
Contract Lead*
APEGG
Contract Lead Email
apegg@weldgov.com;cobbx
xlkOweldgov.com
Parent Contract ID
20212549
Requires Board Approval
YES
Department Project #
Contract Description*
THE STATE HAS AWARDED SUPPLEMENTAL COVID-19 FUNDING. THIS AMENDMENT AWARDS OUR PSSF PROGRAM AN
ADDITIONAL 58.000 FOR THE CURRENT PROGRAM YEAR EDNING SEPTERMBER 30, 2022.
Contract Description 2
PA IS BEING ROUTED THROUGH THE NORMAL PROCESS. ETA TO CTB: 6J9`22.
Contract Type*
AMENDMENT
Amount
38,000.00
Renewable*
NO
Automatic Renewal
Grant
IGA
Department
HUMAN SERVICES
Department Email
CM-
HumanServices Aveldgov.co
m
Department Head Email
CM-Humanservices-
DeptHead gweldgov.com
County Attomey
GENERAL COUNTY
ATTORNEY EMAIL
County Attorney Email
CM-
C:OUNTYATTORNEYWELDG
OV.COM
Requested BOCC Agenda
Date*
06; 15 2022
Due Date
06 11:2022
Will a work session with BOCC be required?*
NO
Does Contract require Purchasing Dept. to be included?
If this is a renewal enter previous Contract ID
If this is part of a MSA enter MSA Contract ID
Note. the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts are not in
OnBase
Contract dates
Effective Date
Termination Notice Period
Contact Information
Contact Info
Contact Name
Purchasing
Purchasing Approver
Approval Process
Department Head
JAMIE ULRICH
DH Approved Date
05 ? 26, 2022
Final Approval
BOCC Approved
BOCC Signed Date
MCC Agenda Date
06/151,2022
Originator
APEGG
Review Date*
08,`01: 2022
Committed Delivery Date
Contact Type Contact Email
Finance Approver
CHERYL PATTELLI
Renewal Date
Expiration Date*
09;`30 2022
Contact Phone 1 Contact Phone 2
Purchasing Approved Date
Finance Approved Date
05 26'2022
Tyler Ref
AG 061522
Legal Counsel
BRUCE BARKER
Legal Counsel Approved Date
05'26/2022
Hello