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Home My WebLink About20221667.tiffRESOLUTION RE: APPROVE CONTRACT AMENDMENT #5 FOR PUBLIC HEALTH EMERGENCY PREPAREDNESS AND RESPONSE, AND AUTHORIZE CHAIR TO SIGN AND SUBMIT ELECTRONICALLY WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, the Board has been presented with Contract Amendment #5 for Public Health Emergency Preparedness and Response between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Public Health and Environment, and the Colorado Department of Public Health and Environment, commencing July 1, 2019, and ending June 30, 2023, with further terms and conditions being as stated in said amendment, and WHEREAS, after review, the Board deems it advisable to approve said amendment, a copy of which is attached hereto and incorporated herein by reference. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that Contract Amendment #5 for Public Health Emergency Preparedness and Response between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Public Health and Environment, and the Colorado Department of Public Health and Environment, be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to electronically sign and submit said amendment. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 15th day of June, A.D., 2022, nunc pro tunc July 1, 2019. BOARD OF COUNTY COMMISSIONERS WELp COUNTY, COLORADO ATTEST: ddetifvo Weld County Clerk to the Board BY(d-rn-OA APR Deputy Clerk to the B County Attorney Lori Saine Date of signature: �'73'ZDZZ cc: F-11..(14) 712A/22 Scott K. James, Chair 2022-1667 HL0054 Corl-hfac-i- lbtl-59zO Memorandum TO: Scott James, Chair Board of County Commissioners FROM: Mark Lawley, Executive Director Department of Public Health & Environment DATE: June 8, 2022 SUBJECT: CDPHE FY22-23 Public Health Emergency Preparedness 8 Response Contract Amendment #5 For the Board's approval is contract amendment #5 between the Colorado Department of Public Health and Environment (CDPHE) and the Board of County Commissioners of Weld County for the use and benefit of the Weld County Department of Public Health and Environment (WCDPHE) for our Public Health Emergency Preparedness & Response program. Public health related emergency preparedness and response remains a crucial function for WCDPHE and residents of Weld County. This grant enables WCDPHE to plan and train for a variety of population -based disease outbreak emergencies, including pandemics, bioterrorism, and emergent diseases. The preparation also supports mass -dispensing of vaccines and antibiotics and emphasizes integration of emergency management and public health. The grant supports two full-time staff: a regional epidemiologist and a public health emergency specialist. The term for this task order contract is from July 1, 2022, to June 30, 2023, in the amount of $274,206, all of which is federal funding. Activities will be conducted by current staff; no additional FTE is being requested. Assistant Weld County Attorney, Karin McDougal, has reviewed this contract amendment and determined that its terms are acceptable. The Board approved placement of this contract amendment on the Board's agenda via pass -around dated June 6, 2022. I recommend approval of this contract amendment #5 with CDPHE for our Emergency Preparedness & Response program. 2022-1667 ©U9/1 5 BOARD OF COUNTY COMMISSIONERS PASS -AROUND REVIEW TITLE: CDPHE FY22-23 Public Health Emergency Preparedness & Response Contract Amendment #5 DEPARTMENT: PUBLIC HEALTH & ENVIRONMENT DATE: June 6, 2022 PERSON REQUESTING: Mark Lawley, Executive Director Brief description of the problem/issue: Enclosed for the Board's review and approval for placement on the agenda is contract amendment #5 between the Colorado Department of Public Health and Environment (CDPHE) and the Board of County Commissioners of Weld County for the use and benefit of the Weld County Department of Public Health and Environment (WCDPHE) for our Public Health Emergency Preparedness & Response program. Public health related emergency preparedness and response remains a crucial function for WCDPHE and residents of Weld County. This grant enables WCDPHE to plan and train for a variety of population -based disease outbreak emergencies, including pandemics, bioterrorism and emergent diseases. The preparation also supports mass - dispensing of vaccines and antibiotics and emphasizes integration o£ emergency management and public health. The grant supports two full-time staff, a regional epidemiologist and a public health emergency specialist. The term for this task order contract is from July 1, 2022, to June 30, 2023, in the amount of $274,206, all of which is federal funding. Activities will be conducted by current staff; no additional FTE is being requested. This contract has reviewed by Assistant Weld County Attorney, Karin McDougal, and she has no concerns with the terms of the contract amendment. What options exist for the Board? (include consequences, impacts, costs, etc. of options): Approving and signing this contract will allow WCDPHE to continue performing public health and epidemiological investigations, improve public health surveillance, and ensure that emergency preparedness and response activities continue. If this contract is not approved, WCDPHE will not receive external funding to provide support for the program. The program would become either 100% county funded, or would need to be eliminated, which would impact our ability to conduct epidemiological investigations, disease outbreaks, and emergency response. Recommendation: I recommend approval of this contract amendment #5 with CDPHE for our Emergency Preparedness & Response program. Approve Schedule Re mmendation Work Session Other/Comments: Perry L. Buck Mike Freeman, Pro-Tem Scott K. James, Chair Steve Moreno Lori Saine 7. DocuSign Envelope ID: 13BA8D7B-8E16-4CFE-81A0-E3050CFE5166 CONTRACT AMENDMENT #5 SIGNATURE AND COVER PAGE(S) State Agency: Colorado Department of Public Health and Environment 4300 Cherry Creek Drive South Denver, Colorado 80246 Original Contract Number: 2020*0283 Contractor: Amendment Contract Number: Board of County Commissioners of Weld County 2023*0170 Amendment #5 (a political subdivision of the state of Colorado) 1150 "O" Street Greeley, Colorado 80631 for the use and benefit of the Weld County Department of Public Health and Environment 1555 North 17th Avenue Greeley, Colorado 80631 Contract Performance Beginning Date: Current Contract Expiration Date: July 1, 2019 June 30, 2023 CONTRACT MAXIMUM AMOUNT TABLE Document Contract Federal State Other Funding Term (dates) Total Type Number Funding Amount Funding Amount Amount i Original 2020*0283 $283,947.00 $0.00 $0.00 07/01/2019- $283,947.00 Contract 06/30/2020 Amendment #1 2020*0283 $0.00 $0.00 $0.00 07/01/2019- $0.00 Amendment #1 06/30/2020 Amendment #2 2020*0283 $278,024.00 $0.00 $0.00 07/01/2020- $278,024.00 Amendment #2 06/30/2021 Amendment #3 2020*0283 $0.00 $0.00 $0.00 09/30/2020- $0.00 Amendment #3 06/30/2021 Amendment #4 2022*0087 $280,277.00 $0.00 $0.00 07/01/2021 - Amendment #4 06/30/2022 $280,277.00 Amendment #5 2023*0170 $274,206.00 $0.00 $0.00 07/01/2022 - Amendment #5 06/30/2023 $274,206.00 Current Contract Maximum $1,116,454.00 Cumulative Amount Page 1 of 4 Amendment Contract Number: 2023*0170 Amendment #5 Ver 06.05.20 o?o0a2--/66'7 DocuSign Envelope ID: 13BA8D7B-8E16-4CFE-81A0-E3050CFE5166 SIGNATURE PAGE THE PARTIES HERETO HAVE EXECUTED THIS AMENDMENT Each person signing this Amendment represents and warrants that he or she is duly authorized to execute this Amendment and to bind the Party authorizing his or her signature. CONTRACTOR Board of County Commissioners of Weld County (a political subdivision of the state of Colorado) for the use and benefit of the Weld County Department of Public Health and Environment DocuSigned by: [—Soft JoALS C044G7D042AC4A7... By: Signature FULL NAME Name of Person Signing for Contractor TITLE Title of Person Signing for Contractor Date: 2022-06-17 STATE OF COLORADO Jared S. Polis, Governor Colorado Department of Public Health and Environment Jill Hunsaker Ryan, MPH, Executive Director r--DocuSigned by: ,-2EDF870A1A7D4FC... By: Signature Lisa McGovern Name of Executive Director Delegate Procurement & Contracts Section Director ft Title of Executive Director Delegate Date: 2022-06-21 In accordance with §24-30-202 C.R.S., this Contract is not valid until signed and dated below by the State Controller or an authorized delegate. STATE CONTROLLER Robert Jaros, CPA, MBA, JD ,-DocuSigned by: justiw `-C48A540EBA79405... By: Signature Justin Weigle Name of State Controller Delegate Health Divisions controller Title of State Controller Delegate Amendment Effective Date: 2022-06-29 -- Signature and Cover Pages End -- Page 2 of 4 Amendment Contract Number: 2023-0170 Amendment #5 Ver. 06.05.20 aTOo?a -4 r% DocuSign Envelope ID: 13BA8D7B-8E16-4CFE-81A0-E3050CFE5166 1. PARTIES This Amendment (the "Amendment") to the Original Contract shown on the Signature and Cover Page for this Amendment (the "Contract") is entered into by and between the Contractor, and the State. 2. TERMINOLOGY Except as specifically modified by this Amendment, all terms used in this Amendment that are defined in the Contract shall be construed and interpreted in accordance with the Contract. 3. AMENDMENT EFFECTIVE DATE AND TERM A. Amendment Effective Date This Amendment shall not be valid or enforceable until the Amendment Effective Date shown under the State Controller Signature. The State shall not be bound by any provision of this Amendment before that Amendment Effective Date, and shall have no obligation to pay Contractor for any Work performed or expense incurred under this Amendment either before or after of the Amendment term shown in §3.B of this Amendment. B. Amendment Term The Parties' respective performances under this Amendment and the changes to the Contract contained herein shall commence on the Amendment Effective Date shown under the State Controller Signature or July 1, 2022, whichever is later, and shall terminate on the termination of the Contract or June 30, 2023, whichever is earlier. 4. PURPOSE The Parties entered into the agreement to upgrade the public health departments ability to effectively respond to a range of public health threats, including infectious diseases, natural disasters, and biological, chemical, nuclear, and radiological events. The Parties now desire to modify the Statements of Work for the current term and to renew for an additional term for the following reason: To update the current term documents to align with the current term requirements and to continue Public Health Emergency Preparedness for an additional term. 5. MODIFICATIONS The Contract and all prior amendments thereto, if any, are modified as follows: A. The Contract Maximum Amount table is deleted and replaced with the Current Contract Maximum Amount table shown on the Signature and Cover Page for this Amendment. B. The Contract Initial Contract Expiration Date on the Contract's Signature and Cover Page is hereby deleted and replaced with the Current Contract Expiration Date shown on the Signature and Cover Page for this Amendment. C. The Parties now agree to modify Exhibit D, Epidemiologist Statement of Work of the agreement. Exhibit D, Epidemiologist Statement of Work, is deleted and replaced in its Page 3 of 4 Amendment Contract Number: 2023 *0170 Amendment #5 Ver 27.01.20 DocuSign Envelope ID: 136A8D7B-8E16-4CFE-81A0-E3050CFE5166 entirety with Exhibit D, Epidemiologist Statement of Work, attached to this Amendment for the following reason: To issue the fiscal year 2023 Epidemiologist Statement of Work. D. The Parties now agree to modify Exhibit E, Budget of the agreement. Exhibit E, Budget, is deleted and replaced in its entirety with Exhibit E, Budget, attached to this Amendment for the following reason: To provide a budget to continue the work for an additional term. E. The Parties now agree to modify the current term Exhibit G, Statement of Work of the agreement. Exhibit G, Statement of Work, is deleted and replaced in its entirety with Exhibit G, FY22 Statement of Work, attached to this Amendment for the following reason: To modify the current Statement of Work to delete Primary Activities and Deliverables as reflected on attached Exhibit G, FY22 Statement of Work. These deletions are necessary due to the impact of COVID-19. The SOW changes are effective through June 30, 2022. F. The Parties now agree to modify Exhibit G, Statement of Work for LPHA's of the agreement. Exhibit G, Statement of Work for LPHA's, is deleted and replaced in its entirety with Exhibit G, attached to this Amendment for the following reason: To provide a LPHA Statement of Work for the term of July 1, 2022 through June 30, 2023 to continue the work for an additional term. G. The Parties now agree to modify the current term Exhibit H, Regional Statement of Work of the agreement. Exhibit H, Regional Statement of Work, is deleted and replaced in its entirety with Exhibit H, FY22 Regional Statement of Work, attached to this Amendment for the following reason: To modify the current Regional Statement of Work to delete Primary Activities and Deliverables as reflected on attached Exhibit H, Regional Statement of Work. These deletions are necessary due to the impact of COVID-19. The Regional SOW changes are effective through June 30, 2022. H. The Parties now agree to modify Exhibit H, Regional Statement of Work of the agreement. Exhibit H, Regional Statement of Work, is deleted and replaced in its entirety with Exhibit H, Regional Statement of Work, attached to this Amendment for the following reason: To provide a Regional Statement of Work for the term of July 1, 2022 through June 30, 2023 to continue the work for an additional term. I. The Parties now agree to modify Exhibit I, Federal Provisions. Exhibit I, Federal Provisions, is deleted and replaced in its entirety with Exhibit I, Federal Provisions, attached to this Amendment, for the following reason: To reflect changes to the federal award identification information. 6. LIMITS OF EFFECT AND ORDER OF PRECEDENCE This Amendment is incorporated by reference into the Contract, and the Contract and all prior amendments or other modifications to the Contract, if any, remain in full force and effect except as specifically modified in this Amendment. Except for the Special Provisions contained in the Contract, in the event of any conflict, inconsistency, variance, or contradiction between the provisions of this Amendment and any of the provisions of the Contract or any prior modification to the Contract, the provisions of this Amendment shall in all respects supersede, govern, and control. The provisions of this Amendment shall only supersede, govern, and control over the Special Provisions contained in the Contract to the extent that this Amendment specifically modifies those Special Provisions. Page 4 of 4 Amendment Contract Number: 2023*0170 Amendment #5 Ver 27.01.20 DocuSign Envelope ID: 13BA8D7B-8E16-4CFE-81A0-E3050CFE5166 EXHIBIT D Statement of Work To Original Contract Number 2020*0283 Colorado PHEP Regional Epidemiologist SOW FY23 These provisions are to be read and interpreted in conjunction with the provisions of the contract specified above. I. Project Description: This project serves to provide funding to maintain staff that ensure epidemiology capacity and support for all counties in Colorado. Maintaining epidemiology staff will provide support for medical and public health care preparedness, response, and recovery capabilities at the state and local levels by ensuring all local public health agencies have access to epidemiology expertise, capacity for disease and outbreak investigation and public health surveillance. Public health systems are essential in preparing communities to respond to and recover from emergencies and threats. The Centers for Disease Control and Prevention (CDC) established the Public Health Emergency Preparedness (PHEP) program to build public health emergency response capabilities both nationally and locally. The staff funded by this project will focus their work on maintaining epidemiology capacity for non-COVID-19 communicable disease investigation and response and support for epidemiology response to other threats and incidents with public health implications. The epidemiologists funded by this project will monitor disease surveillance, conduct disease and outbreak investigation, support collection and submission of clinical and other specimens for testing for disease control purposes, participate in public health preparedness planning for their region, and respond to other threats and incidents with public health implications to implement disease control measures. II. Definitions: 1. CDC- Centers for Disease Control and Prevention 2. CDPHE-Colorado Department of Public Health and Environment 3. CO -SHARE -Colorado State Health and Readiness Exchange 4. CEDRS-Colorado Electronic Disease Reporting System 5. CDB - Communicable Disease Branch 6. COVID-I9-A highly contagious respiratory disease caused by the SARS-CoV-2 virus 7. HCC-Healthcare Coalition 8. IPP-Integrated Preparedness Plan 9. LPHA-Local Public Health Agency 10. NORS- National Outbreak Reporting System 11. OEPR-Office of Emergency Preparedness & Response 12. PHEP-Public Health Emergency Preparedness III. Work Plan: Goal #1: To protect the health of Coloradoans by maintaining capacity for preparedness, response, and recovery during public health emergencies. Objective #1: No later than the expiration date of the Contract, maintain public health surveillance and epidemiologic investigation activities in local public health area supported. Primary Activity #1 The Contractor shall provide epidemiological capacity for all local public health agencies in the assigned region. text Page 1 of 11 Amendment Contract Number: 2023"0170 Amendment 45 Ver. 06.15.21 DocuSign Envelope ID: 13BA8D7B-8E16-4CFE-81A0-E3050CFE5166 EXHIBIT D Sub Activities #1 1. Regions assigned to the Contractor will be identified at the first meeting with CDPHE. a. Area assigned can be accessed by the following link: https://www.google.com/maps/d/edit?mid=1 yukFn8n8sFd- DB wOF RIswN n2fnE&usp=sharing Primary Activity #2 The Contractor shall participate in epidemiology -related meetings. Sub -Activities #2 1. The Contractor shall participate in coordinated regional epidemiologist conference calls. a. CDPHE will provide an invitation to conference calls from 9:30 am -10:30 am on: i. The first and third Wednesday of each Month Primary Activity #3 The Contractor shall provide professional development opportunities for epidemiology staff that support the assigned region. Sub -Activities #3 1. The Contractor shall participate in a minimum of one (1) epidemiology focused conference or one (1) epidemiology focused training for professional development. 2. The Contractor shall record the date and learning objectives of the conference or training attended in the Grant Reporting Spreadsheet. Primary Activity #4 The Contractor shall assess specific public health surveillance data to assist with the prompt identification of potentially hazardous health situations to enable rapid decision making for the protection of community health. Sub -Activities #4 1. The Contractor shall assess disease reporting metrics reports supplied by CDPHE for the clinical laboratories and hospitals within the Contractor's assigned region. a. The Contractor shall assess disease reporting metrics reports supplied by CDPHE for the Contractor's assigned region. b. The Contractor shall resolve any issues identified in the disease reporting metrics reports for LPHAs within their assigned region. i. The Contractor shall record each disease reporting metrics report issue resolution in the Grant Reporting Spreadsheet. 2. The Contractor shall assess disease investigation metrics reports supplied by CDPHE for LPHAs within the Contractor's assigned region. a. The Contractor shall assess disease investigation metrics reports supplied by CDPHE for the Contractor's assigned region. b. The Contractor shall resolve any issues identified in the disease investigation metrics reports for LPHAs within their assigned region. The Contractor shall record each disease investigation metrics report issue resolution in the Grant Reporting Spreadsheet. Primary Activity #5 The Contractor shall complete a surveillance data analysis project on a CDPHE approved topic relevant to the Contractor's region. text Page 2 of 11 ,Amendment Contract Number: 202 3"0170 Amendment Ver. 06.15.21 DocuSign Envelope ID: 136A8D76-8E16-4CFE-81A0-E3050CFE5166 EXHIBIT D Sub -Activities #5 1. The Contractor shall identify the focus of the project per their discretion. a. The Contractor shall record the project description of the project including major findings in the Grant Reporting Spreadsheet b. The Contractor shall record major findings in the Grant Reporting Spreadsheet Primary Activity #6 The Contractor shall share public health surveillance data, reports, and concepts, with community organizations, at a minimum of every six (6) months. Sub -Activities #6 1. The Contractor shall present a surveillance or epidemiologic topic during a minimum of one (1) Health Care Coalition meeting within the Contractor's region. Examples of topics include: a. Sharing public health surveillance data b. Discussing the agency or region's epidemiological response plan c. Reviewing an outbreak investigation d. Reviewing the role of epidemiology in emergency preparedness and response e. Sharing epidemiological tools that can be used in emergency preparedness and response f. Training for Health Care Coalitions (HCCs) to address identified gaps in communicable disease response i. The date and topic of the presentation shall be recorded in the Grant Reporting Spreadsheet 2. The Contractor shall present a minimum of one (1) surveillance or epidemiologic topic to a public health or community organization within the Contractor's assigned region. a. The date and topic of the presentation in the Grant Reporting Spreadsheet. 3. The Contractor shall share surveillance reports with public health associates and stakeholders within the Contractor's region, at a minimum of every six (6) months and record the frequency and content of reports shared in the Grant Reporting Spreadsheet. Primary Activity #7 The contractor shall perform complete disease case and outbreak investigations to implement appropriate disease control and mitigation activities. Sub -Activities #7 1. The Contractor shall work with each Local Public Health Agency (LPHA) in the region to create or update a plan that will be used to maintain access to the following trained personnel at each agency: a. Staff that monitor routine jurisdictional public health surveillance b. Staff that monitor routine epidemiological investigation systems c. Staff that are trained to conduct routine disease investigations d. Staff that support surge requirements in response to events and emergencies that threaten public health i. The Contractor shall record the date of completion of planning for each LPHA in the region in the Grant Reporting Spreadsheet text Page 3 of 11 Amendment Contract Number: 2023'0170 Amendment #5 Ver. 06.15.21 DocuSign Envelope ID: 13BA8D7B-8E16-4CFE-81A0-E3050CFE5166 EXHIBIT D 2. The Contractor shall monitor the Colorado Electronic Disease Reporting System (CEDRS) for disease conditions reported in the region assigned. a. CEDRS section to monitor is the "follow-up outcome" referencing the number of "contact attempts." 3. The Contractor shall resolve any issues identified with LPHA disease investigation follow-up outcomes in the assigned region. a. A description of each issue and resolution shall be reported in the Grant Reporting Spreadsheet. Primary Activity #8 The Contractor shall participate with other regional associates in the development of communicable disease elements in the Regional Integrated Preparedness Plan (IPP) and record in the Grant Reporting Spreadsheet: a. Meeting date(s) b. Description of communicable disease elements incorporated in the IPP Primary Activity #9 The Contractor shall support disease prevention and response among people at higher risk of non-COVID-19 communicable disease infections through activities such as: a. Planning test sites b. Planning vaccine clinics c. Providing educational materials to community organizations d. Providing presentations to community organizations e. Facilitating or participating in tabletop or other exercises Sub -Activities #9 1. The Contractor shall record a description of the disease prevention and response activities in the Grant Reporting Spreadsheet that includes: a. Activity date(s) b. Description of activities Primary Activity #10 The Contractor shall maintain after-hours contact information for local public health agencies in the region. Sub -Activity #10 1. The Contractor shall provide updates to after-hours contact information sheet for local public health agencies in their region via email to CDPHE as information changes. 2• The Contractor shall record the dates after-hours contact information is confirmed quarterly for each LPHA in the region. 3. The Contractor shall participate in quarterly communicable disease response after-hours contact drills. Primary Activity #11 The Contractor shall respond to incidents with public health implications in order to implement appropriate disease control and mitigation activities. text Page 4 of 11 Amendment Contract Number 2023*0170 Amendment 45 Ver. 06.15.21 DocuSign Envelope ID: 13BA8D7B-8E16-4CFE-81A0-E3050CFE5166 EXHIBIT D Primary Activity #12 The Contractor shall resolve completion issues in the region related to timely and complete submission of National Outbreak Reporting System (NORS) forms for the following outbreaks: a. Waterborne and foodborne disease outbreaks b. Enteric disease outbreaks transmitted by contact with environmental sources c. Infected people or animals d. Unknown modes of transmission. Sub -Activities #12 1. The Contractor shall record the issues resolution for each NORS form in the region in the Grant Reporting Spreadsheet including a. Resolution date(s) b. Issue description c. Resolution description Primary Activity #13 The Contractor shall resolve completion issues in the region related to timely and complete submission of Outbreak Summary Reports containing the following minimum elements: a. Background b. Investigation start date c. Methods d. Results e. Discussion/conclusions f. Recommendations Sub -Activities #13 1. The Contractor shall record the issues resolution for outbreak report in the region in the Grant Reporting Spreadsheet including a. Resolution date(s) b. Issue description c. Resolution description Primary Activity #14 The Contractor shall participate in After Action Report Activities for responses to real world events with public health impacts such as non -pandemic disease outbreak response or natural disasters Sub Activity #14 1. The Contractor shall record in the Grant Reporting Spreadsheet the following: a. Spreadsheet entries must include: i. Date(s) of participation or report preparation ii. Description of role Primary Activity #15 The Contractor shall participate in response to a real situation of need or urgency outside of the region and record in the Grant Reporting Spreadsheet to include: a. Date(s) of response b. Event description c. Description of role text Page 5 of 11 Amendment Contract Number: 2023*0170 .Amendment #5 Ver. 06.15.21 DocuSign Envelope ID: 13BA8D7B-SE16-4CFE-81A0-E3050CFE5166 EXHIBIT D Primary Activity #16 The Contractor shall administer a laboratory testing practices survey developed by CDPHE for the clinical laboratories within the region. Sub -Activities #16 1. The Contractor shall review the draft laboratory testing practices survey prior to administering the survey. 2. The Contractor shall test the draft laboratory testing practices survey prior to administering the survey. 3. The Contractor shall provide updated -laboratory contact information to CDPHE prior to administering the laboratory testing practices survey. 4. The Contractor shall contact labs in the region to complete the laboratory testing practices survey. 5. The Contractor shall record completion of the laboratory testing practices survey for the region in the Grant Reporting Spreadsheet Primary Activity #17 The Contractor shall support the surveillance and epidemiologic components of preparedness and response plans within their assigned region such as: a. Planning development b. Planning updates c. Annual review of plans Sub -Activities #17 1. The Contractor shall record support provided for preparedness and response plans in the Grant Reporting Spreadsheet including a. Description of plans for each LPHA in the region developed, updated, or reviewed b. Description of role in development, update, or review of each plan Standards and Requirements 1. The content of electronic documents located on CDPHE and non-CDPHE websites and information contained on CDPHE and non-CDPHE websites may be updated periodically during the contract term. The contractor shall monitor documents and website content for updates and comply with all updates. 2. The Contractor shall utilize the Grant Reporting Spreadsheet to track progress and completion of activities and compliance with requirements within their region. The spreadsheet is located in the Colorado State Health and Readiness Exchange (CO - SHARE) and is incorporated and made part of this contract by reference and is available on the following website https://sites.google.com/state.co.us/co-share/home 3. CDPHE OEPR will assist the Contractor in accessing CO -SHARE if needed. Requests for assistance shall be submitted to the OEPR Systems Integration Team via email to cdphe epr sit@state.co.us 4. Epidemiology staff funded by this project shall meet minimum qualifications and training standards defined by the CDPHE Communicable Disease Branch. 5. The Contractor shall comply with primary disease case investigation responsibilities for local or state public health agencies and the public health response timelines text Page 6 of 11 ;Amendment Contract Number 20_0*0170 amendment Ver. 06.15.21 DocuSign Envelope ID: 13BA8D7B-8E16-4CFE-81A0-E3050CFE5166 EXHIBIT D outlined in the CDPHE Communicable Disease Manual (https://cdphe.colorado.gov/communicable-disease-manual) in the "CDPHE Guidance on Diseases Needing Case Investigation" (https://docs.google.com/document/d/lAHrfRPtAowO IhH ud5 oRWzmf3 MC5vEohN9 W071QxMOPM/edit) . This document and website are incorporated and made part of the contract by reference and are available on the following website: https://cdphe. colorado.gov/communicab le -disease -manual 6. The Contractor shall comply with reporting requirements when completing the Center for Disease Control and Prevention (CDC) National Outbreak Reporting System (HORS) forms and Outbreak Reports. This information is incorporated and made part of this contract by reference and is located on the CDPHE website https://cdphe. colorado. gov/infectious-disease-guidelines/outbreak-investigation- guidelines 7. The Contractor shall attend a minimum of 80% of the bi-monthly epidemiologist conference calls. a. CDPHE will record and monitor attendance 8. CDPHE will provide guidance and templates that can be used when developing, updating, and maintaining the surveillance and epidemiological components of the Health Care Coalition and other preparedness and response plans. 9. CDPHE will notify the Contractor of issues related to submission of the Outbreak Summary Reports submitted more than six (6) months following the first illness onset. a. The Contractor shall resolve issues within 2 weeks of notification. 10. CDPHE will notify the Contractor of issues related to submission of the NORS forms submitted more than two (2) months following the first illness onset. a. The Contractor shall resolve issues within 2 weeks of notification 11. The Contractor shall serve as an epidemiological resource within the region supported outside their assigned region in real situations of need or urgency for non-COVID disease case, outbreak, and incident investigations such as: a. Enteric diseases b. Respiratory diseases c. health care associated infections and exposures d. zoonotic diseases and exposures e. vector -borne disease and exposures f. blood borne diseases and exposures g. vaccine -preventable diseases and exposures h. other incidents with public health implications 12. CDPHE will supply disease reporting and investigation metrics reports in August 2022 and February 2023. 13. The Contractor shall comply with CDPHE requirements in the use of CEDRS for data reporting. 14. The Contractor shall complete the "follow-up outcome" variable in CEDRS for all reportable conditions where completion rates are less than 90% and local public health agencies have primary investigation duties. 15. The Contractor shall take corrective action to resolve completion rates less than 90% for required investigation fields for all reportable conditions that the Contractor has primary investigation duties. text Page 7 of 11 Amendment Contract number 2023"0170 Amendment g7 Ver. 06.15.21 DocuSign Envelope ID: 13BA8D7B-8E16-4CFE-81A0-E3050CFE5166 EXHIBIT D 16. The Contractor shall coordinate Communicable disease training and exercises identified in the Regional Integrated Preparedness Plan. 17. CDPHE will contact the Contractor and regional epidemiologist to request assistance with outbreak investigations or other emergency situations that occur outside of the region. a. Some situations may require the regional epidemiologist to travel to provide assistance. 18. CDPHE will provide the survey to be used for the Clinical Laboratory Survey by March 15, 2023. 19. The Contractor shall collaborate with other regional epidemiologists serving in their Health Care Coalition, if applicable. Expected Results of Activity(s) Compliance with CDC performance measures for PHEP Capability 13: Public Health Surveillance and Epidemiological Investigation which consists of Function 1: Conduct public health surveillance and detection Function 2: Conduct public health and epidemiological investigations Function 3: Recommend, monitor, and analyze mitigation actions Function 4: Improve public health surveillance and epidemiological investigation systems Measurement of Expected Results 1. NORS forms are complete 2. Outbreak Summary Reports are complete 3. Disease reporting by hospitals and lab is within required timeframe for all pathogens 4. Disease investigations in the region supported are timely and complete 5. Grant Reporting spreadsheet is complete for all deliverables Completion Date Deliverables 1. The Contractor shall submit a brief summary of how issues related to timely submission of NORS forms were resolved for outbreaks reported between April 1, 2022 and June 30, 2022 via the Grant Reporting spreadsheet No later than August 31, 2022 2. The Contractor shall submit a brief summary of how issues related to timely submission of Outbreak Summary reports were resolved for outbreaks between reported between April 1, 2022 and June 30, 2022 via the Grant Reporting spreadsheet No later than August 31, 2022 3. The Contractor shall submit documentation of completion of communicable disease personnel plans for each LPHA in the region via the Grant Reporting spreadsheet. No later than September 30, 2022 4. The Contractor shall submit documentation of any issues identified in the disease reporting metrics reports including how they were resolved for diseases reported between January 1, 2022 and June 2022 via the Grant Reporting spreadsheet. No later than 1 month after receiving the report 5. The Contractor shall submit documentation of any issues identified in the disease investigation metrics reports including how they were resolved for disease reported between January 1, 2022 and June 30, 2022 via the Grant Reporting Spreadsheet No later than 1 month after receiving the report 6. The Contractor shall submit the frequency of monitoring and any corrective action taken to resolve completion rates falling No later than September 30, 2022 text Page 8 of 11 Amendment Contract Number: 2023*0170 Amendment 45 Ver. 06.15.21 DocuSign Envelope ID: 13BA8D7B-8E16-4CFE-81A0-E3050CFE5166 EXHIBIT D below 90% for the "follow up outcome variable" for diseases reported between January 1, 2022 and June 30, 2022 via the Grant Reporting spreadsheet. 7. The Contractor shall submit a brief summary of how issues related to timely submission of NORS forms were resolved for outbreaks reported between July 1, 2022 and September 30, 2022 via the Grant Reporting spreadsheet. No later than November 30, 2022 8. The Contractor shall submit a brief summary of how issues related to timely submission of Outbreak Summary reports were resolved for outbreaks between reported between July 1, 2022 and September 30, 2022 via the Grant Reporting spreadsheet No later than November 30, 2022 9. The Contractor shall submit the method, and date surveillance data reports were shared with public health associates and stakeholders within the region supported between July 1, 2022 and December 31, 2022 via the Grant Reporting spreadsheet. No later than 1 month after receiving the report 10. The Contractor shall submit a brief summary of how issues related to timely submission of NORS forms were resolved for outbreaks reported between October 1, 2022 and December 31, 2022 via the Grant Reporting spreadsheet No later than February 28, 2023 11. The Contractor shall submit a brief summary of how issues related to timely submission of Outbreak Summary reports were resolved for outbreaks between reported between October 1, 2022 and December 31, 2022 via the Grant Reporting spreadsheet No later than February 28, 2023 12. The Contractor shall submit a brief summary of how the Contractor contributed to the communicable disease elements in the Regional Integrated Preparedness Plan (IPP) via the Grant Reporting spreadsheet. No later than the contract end date 13. The Contractor shall submit documentation of any issues identified in the disease reporting metric reports and how those issues were resolved for diseases reported between July 1, 2022 and December 31, 2022 via the Grant Reporting spreadsheet. No later than 1 month after receiving the report 14. The Contractor shall submit documentation of any issues identified in the disease investigation metric reports and how those issues were resolved for diseases reported between July 1, 2022 and December 31, 2022 via the Grant Reporting spreadsheet. No later than 1 month after receiving the report 15. The Contractor shall submit the frequency of monitoring and any corrective action taken to address completion rates falling below 90% for the "follow-up outcome" variable for diseases reported between July 1, 2022 and December 31, 2022 via the Grant Reporting spreadsheet. No later than March 31, 2023 16. The Contractor shall submit completed laboratory testing practices surveys for the region via Redcap to the contract monitor. No later than April 30, 2023 17. The Contractor shall submit documentation of their contact with labs in the region to administer the laboratory testing practices survey No later than April 30, 2023 18. The Contractor shall submit a brief summary of how issues related to timely submission of NORS forms were resolved for outbreaks reported between January 1, 2023 and March 31, 2023 via the Grant Reporting spreadsheet No later than May 31, 2023 19. The Contractor shall submit a brief summary of how issues related to timely submission of Outbreak Summary reports were resolved for outbreaks between reported between January 1, No later than May 31, 2023 text Page 9 of 11 Amendment Contract Number: 2023*0170 Amendment 45 Ver. 06.15.21 DocuSign Envelope ID: 13BA8D7B-8E16-4CFE-81A0-E3050CFE5166 EXHIBIT D 2023 and March 31, 2023 via the Grant Reporting spreadsheet 20. The Contractor shall submit a summary of the completed surveillance data analysis project via the Grant Reporting spreadsheet. No later than the contract end date 21. The Contractor shall submit the name of the HCC to which a surveillance or epidemiologic topic was presented, including the date of presentation and brief topic synopsis via the Grant Reporting spreadsheet. No later than the contract end date 22. The Contractor shall submit the name of the public health or community organization to which a surveillance or epidemiologic topic was presented, including the date of presentation and brief topic synopsis via the Grant Reporting spreadsheet. No later than the contract end date 23. The Contractor shall submit a brief summary of participation in After Action Report activities via the Grant Reporting spreadsheet. No later than the contract end date 24. The Contractor shall submit a brief summary of their role in communicable disease prevention or response efforts among people of higher risk of non-COVID-19 communicable disease infection via the Grant Reporting spreadsheet. No later than the contract end date 25. The Contractor shall submit a description of the situation of need or urgency outside of the supported region for which the epidemiologic assistance was provided via the Grant Reporting spreadsheet. No later than the contract end date 26. The Contractor shall submit confirmation of after-hours contact information updates for agencies in their region as staff change via the Grant Reporting spreadsheet. No later than the contract end date 27. The Contractor shall submit a brief description of activities completed or in progress related to the maintenance of the surveillance and epidemiological components of the HCC preparedness and response plans within the region via the Grant Reporting spreadsheet. No later than the contract end date 28. The Contractor shall submit the method, and date the surveillance data reports were shared with public health associates and stakeholders within the region between January 1, 2023 and June 15, 2023 via the Grant Reporting spreadsheet. No later than the contract end date 29. The Contractor shall submit documentation of completed epidemiology conference or training via the Grant Reporting spreadsheet. No later than the contract end date IV. Monitoring: CDPHE's monitoring of this contract for compliance with performance requirements will be conducted throughout the contract period by the OEPR Grants Manager. Methods used will include a review of documentation determined by CDPHE to be reflective of performance to include progress reports and other fiscal and programmatic documentation as applicable. The Contractor's performance will be evaluated at set intervals and communicated to the contractor. A Final Contractor Performance Evaluation will be conducted at the end of the life of the contract. V. Resolution of Non -Compliance: text Page 10 of 11 Amendment Contract Number. 20230170 Amendment 45 Ver. 06.15.21 DocuSIgn Envelope ID 13BA8D7B-8E16-4CFE-81A0-E3050CFE5166 EXHIBIT D The Contractor will be notified in writing within (15) calendar days of discovery of a compliance issue Within (30) calendar days of discovery, the Contractor and the State will collaborate, when appropriate, to determine the action(s) necessary to rectify the compliance issue and determine when the action(s) must be completed The action(s) and timeline for completion will be documented in writing and agreed to by both parties If extenuating circumstances arise that requires an extension to the timeline, the Contractor must email a request to the OEPR Grants Manager and receive approval for a new due date The State will oversee the completion/implementation of the action(s) to ensure timelines are met and the issue(s) is resolved If the Contractor demonstrates inaction or disregard for the agreed upon compliance resolution plan, the State may exercise its rights under the provisions of this contract text Page 11 of 11 Amendment Contract Number 2023"0170 Amendment 115 Ver 06 15 21 DocuSign Envelope ID 13BA8D7B-8E16-4CFE-81A0-E3050CFE5166 Exhibit E FY 23 ANNUAL BUDGET - EXHIBIT E COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT (CDPHE) DISEASE CONTROL AND PUBLIC HEALTH RESPONSE (DCPHR) Agency Name Weld County Department of Public Health and Environment Budget Period FY 23 Project Name Public Preparedness Health Emergency Program (PREP) Program Contact Title Phone Email Name, Val Smith, Communicable Disease Program Supervisor 970.400.2307 vsmith@weldgov.com Fiscal Contract Phone Email Name, Title Tanya Geiser, Director Finance & Contracting 970-400-2122 tgeiser@weldgov.com Date Completed 4/22/2022 All budget numbers are estimates. Contract billing will be on a cost reimbursement basis for actual expenses incurred. Position Title Description of Work Gross or Annual Salary Fringe Percent of Time on Project Total Amount Requested CDPHE from Regional Generalist Coordinated EPR programming and LPHA deliverables $ 96,463.83 $38,054.98 62% $ 83,401.66 Regional Epidemiologist Regional Epi investigations $ 73,997.09 $29,191.85 100% $ 103,188.94 Communicable Disease Supervisor Oversees daily EPI activities of Regional Generalist and Regional $ 98,765.60 $38,963.03 1% $ 1,377.29 Division Director Oversees Regional Communicable Disease Generalist, Supervisor Regional Epi and $111,973.83 $44,173.68 1% $ 1,561.48 $ - Personnel Services / Hourly Employees Position Title Description of Work Hourly Wage Hourly Fringe Total Hours Project # of on Total Amount Requested from CDPHE $ - Total Personnel Services (including fringe benefits) $ 189,529.00 Contractors / Consultants (payments to third parties or entities) Contractor Name Description of Work Rate Quantity Total Requested CDPHE Amount from $ - Total Contractors/Consultants $ - Sub Award Contractor Name Description of Work Rate Quantity Total Requested CDPHE Amount from $ - Total Subaward $ - Travel Item Description of Item Rate Quantity Total Amount Requested CDPHE from Local Travel mileage HCC meetings, EPR workgroup meetings, OEPR partner meetings $ 0.565 1000 $ 565.00 Local Travel Per diem Per diem @ $50 per day for 10 days covering two staff $ 50.00 10 $ 500.00 Travel State Epi National Conference Regional to and Council Territorial Epi for for Airfare @ $500.00 for one round-trip ticket $ 500.00 1 $ 500.00 CSTE Lodging @ $199 x 4 nights for one staff $ 199.00 4 $ 796.00 CSTE Per diem @ $50 x 4 days for one staff $ 50.00 4 $ 200.00 Amendment Contract Number: 2023*0170 Amendment #5 Page 1 of 3 DocuSign Envelope ID13BA8D7B-8E16-4CFE-81A0-E3050CFE5166 Exhibit E CSTE Ground transportation @ $50 for parking/shuttles for two travel days for one staff $ 50.00 2 $ 100.00 CSTE Conference registration @ $600.00 for one staff $ 600.00 1 $ 600.00 Travel to Preparedness for the Generalist Regional the Summit Regional and Epi Airfare @ $500.00 for one round trip ticket each for two staff $ 500.00 2 $ 1,000.00 Preparedness Summit Lodging @ $199 x 8 nights covering two staff $ 199.00 8 $ 1,592.00 Preparedness Summit Per diem @ $50 x 8 days covering two staff $ 50.00 8 $ 400.00 Preparedness Summit Ground transportation two staff @ $50 for parking/shuttles for two travel days for $ 50.00 4 $ 200.00 Preparedness Summit Conference registration @ $650 each for two staff $ 650.00 2 $ 1,300.00 Travel to Conference Regional and Regional the Generalist for CEMA Epi Conference registration @ $450 each for two staff $ 450.00 2 $ 900.00 Travel Health for and Disease the Communicable to the in the Regional Supervisor Public Rockies Epi Lodging @ $199 x 8 nights covering two staff $ 199.00 8 $ 1,592.00 PHiR Per diem @ $50 x 8 days covering two staff $ 50.00 8 $ 400.00 PHiR Conference registration @ $375 each covering two staff $ 375.00 2 $ 750.00 Zoonosis Conference for Regional Communicable Disease Supervisor Epi and Online registrations for two staff $ 45.00 2 $ 90.00 Total Travel $ 11,485.00 Supplies & Operating Expenses Item Description of Item Rate Quantity Total Amount Requested CDPHE from Medical Evaluations Medical evaluations for staff being FIT tested 35 tests @ $70 per test $ 70.00 35 $ 2,450.00 TSI Porta Machine Count Porta calibration Count Machine, accessories to FIT test N95 masks, and 5 year agreement $ 21,049.00 1 $ 21,049.00 Software fees To include annual renewals of Salamander, Ready Op and SAS $ 1,858.00 1 $ 1,858.00 Colorado Management Association Membership Emergency (CEMA) Annual Association membership(s) to the for the Regional Colorado Generalist Emergency and Regional Management Epidemiologist $ 45.00 2 $ 90.00 Council of State and Territorial Epidemiologists (CSTE) Membership Annual membership(s) to CSTE for the Regional Epidemiologist and the Communicable Disease Supervisor $ 250.00 2 $ 500.00 Colorado Public Health Association(CPHA) Membership Annual membership(s) for the Regional Epidemiologis: Communicable Disease Supervisor and the $ 45.00 2 $ 90.00 Supplies Misc. office/operating supplies, training supplies $ 22.00 12 $ 264.00 Phones Mobile phone charges (monthly average of $100/month x 2 phones) $ 120.00 12 $ 1,440.00 Small equipment items of Small PODs items and of equipment, medical maintenance cache supplies, AFN equipment for $ 12.00 12 $ 144.00 Printing General printing costs within the office; could include allocations $ 12.00 12 $ 144.00 Community and outreach education Weld outreach/education County branded events tent and tablecloth for use at community $ 602.00 1 $ 602.00 Advertising Distribution of messaging using AFN methods $ 10.00 12 $ 120.00 Amendment Contract Number: 2023*0170 Amendment #5 Page 2 of 3 DocuSign Envelope ID 13BA8D7B-8E16-4CFE-81A0-E3050CFE5166 Exhibit E Medical Supplies PPE and training, other exercises medical supplies to support POD operations, planning, $ 10.00 10 $ 100.00 & Operating Total Supplies Expenses $ 28,851.00 TOTAL DIRECT COSTS (TDC) $ 229,865.00 Less: Expenses per OMB 2CFR § 200 Contractor in excess of $25,000 $ - SubAward in excess of $25,000 $ - Rent $ - Equipment $ - Other Unallowable Expenses $ - Total Expenses per OMB 2CFR § 200 $ - MODIFIED TOTAL DIRECT (MTDC) $ 229,865.00 COSTS Indirect Costs Annual Budget Indirect Cost Description of Item Percentage Total Amount Requested CDPHE from Federally Indirect approved rate Federally approved indirect rate provided - attach approved rate certificate $ - CDPHE accepted or other agency rate CY22 CDPHE negotiated indirect rate = 19.29% 19.29% $ 44,340.96 10% allowable Federal de minimis rate Awards for If a negotiated rate isn't established (10%) $ - Total Indirect $ 44,341.00 TOTAL $ 274,206.00 All budget modifications must be pre -authorized by DCPHR program managers. Please contact the respective program manager PRIOR to incurring expenses in any budget category related to a modification. Amendment Contract Number: 2023*0170 Amendment #5 Page 3 of 3 DocuSign Envelope ID: 13BA8D7B-8E16-4CFE-81A0-E3050CFE5166 EXHIBIT G STATEMENT OF WORK Statement of Work FY22 These provisions are to be read and interpreted in conjunction with the provisions of the contract specified above. I. Project Description: This project serves to improve medical and public health care preparedness, response, and recovery capabilities at the federal, state, and local levels. The Public Health Emergency Preparedness (PHEP) cooperative agreement provides technical assistance and resources to support state, local, tribal, and territorial public health departments, along with Healthcare Coalitions (HCCs) and health care organizations, throughout Colorado to show measurable and sustainable progress toward achieving the preparedness and response capabilities that promote prepared and resilient communities through planning, training, and exercises. Public health systems are essential in preparing communities to respond to and recover from emergencies and threats. The Centers for Disease Control and Prevention (CDC) established the PHEP program to build public health emergency response capabilities both nationally and locally. II. Definitions: 1. AAR-After Action Report 2. AFN-Access and Functional Needs 3. CDC- Centers for Disease Control and Prevention 4. CDPHE-Colorado Department of Public Health and Environment 5. COOP -Continuity of Operations Plan 6. Cooperative Agreement -A legal instrument that includes sponsor involvement and facilitate the transfer of something of value from federal agencies to states, local governments, and private recipients for a public purpose or benefit. 7. CO-PHRCA-Colorado Public Health System Response Capacity Assessment 8. CO -SHARE -Colorado State Health and Readiness Exchange 9. COVIDI9- A highly contagious respiratory disease caused by the SARS-CoV-2 virus 10. CPG-Capability Planning Guide 11. CVM-Colorado Volunteer Mobilizer 12. DOC-Department Operations Center 13. EMS -Emergency Medical Services 14. EPR-Emergency Preparedness & Response 15. HAN-Health Alert Network 16. HCC-Healthcare Coalition 17. IP-Improvement Plan 18. IPPW-Regional Integrated Preparedness Planning Workshop 19. LPHA-Local Public Health Agency 20. LTP- Site -Local Transfer Point 21. Mission Drills -Emergency response drills for medical and public health professionals 22. OEPR-Office of Emergency Preparedness and Response 23. PHEP-Public Health Emergency Preparedness 24. POD -Point of Dispensing 25. RSS Site- Regional Stage and Storage Site 26. RTP-Regional Transfer Point Page 1 of 6 Ver. 01.11.19 DocuSign Envelope ID: 13BA8D7B-8E16-4CFE-81A0-E3050CFE5166 EXHIBIT G III. Work Plan: Goal #1: To protect the health of Coloradoans by increasing capacity for preparedness, response, and recovery during public health emergencies. Objective #1: No later than the expiration date of the Contract, improve public health preparedness, response, and recovery activities through planning. Primary Activity #1 The Contractor shall collaborate with the regional epidemiologist to create or update a plan to maintain access to trained personnel. Sub -Activity #1 The Contractors shall maintain access to the following trained personnel: a. Staff that monitor routine jurisdictional surveillance b. Staff that monitor epidemiological investigation systems, and c. Staff that support surge requirements in response to threats Primary Activity #2 The Contractor shall complete the 2021-22 CPG Survey with input from all relevant partners in the jurisdiction. Primary Activity #3 The Contractor shall participate in the Regional Integrated Preparedness Planning Workshop (IPPW). Primary Activity #4 The Contractor shall update their agency COOP with a special emphasis plans on pandemic components. Primary Activity #5 The Contractor shall complete a modified "Stories from the Field" Google form to document a minimum of two (2) examples of AFN community engagement during the COVID-19 response. Primary Activity #6 The Contractor shall complete a survey regarding the impact of the COVID- 19 Pandemic Impact Survey within their jurisdiction. Primary Activity #7 The Contractor shall initiate recovery efforts with communities planning impacted by COVID-19 within their jurisdiction. Primary Activity #8 The Contractor shall participate in public health preparedness, response, or recovery related conferences at the discretion of the Contractor. Objective #2: No later than the expiration date of the Contract, improve public health preparedness, response, and recovery activities through training. Primary Activity #1 The Contractor shall participate in COOP trainings offered by CDPHE. Primary Activity #2 The Contractor shall identify staff who have been trained as: a. Primary CVM administrator b. Alternate CVM administrator Objective #3: No later than the expiration date of the Contract, improve public health preparedness, response, and recovery activities through exercises. Page 2 of 6 Amendment Contract Number 2022-0114 Amendment #3 Ver. 01.11.19 DocuSign Envelope ID: 13BA8D7B-8E16-4CFE-81A0-E3050CFE5166 EXHIBIT G Primary Activity #1 The Contractor shall complete a COVID-19 AAR/IP Survey/assessment process document. Primary Activity #2 The Contractor shall participate in quarterly redundant 800 MgHz radio communication drills conducted by CDPHE. Primary Activity #3 The Contractor shall conduct a minimum of two (2) redundant communications drills with local operational sites. Primary Activity #4 The Contractor shall conduct a minimum of two (2) HAN Communication Drills. Primary Activity #5 The Contractor shall create mission drills or real events using the CVM. Sub -Activity #1 The Contractor shall test a minimum of two (2) mission drills to include all volunteers for whom the Contractor is the CVM Administrator. Objective #4: No later than the expiration date of the Contract, improve public health preparedness, and improve response and recovery activities by updating databases. Primary Activity #1 The Contractor shall update agency contact info twice yearly in CO -SHARE. Standards and Requirements 1. The content of electronic documents located on CDPHE and non-CDPHE websites and information contained on CDPHE and non-CDPHE websites may be updated periodically during the contract term. The contractor shall monitor documents and website content for updates and comply with all updates. 2. The Contractor shall comply with the `Public Health Emergency Preparedness and Response Capability -National Standards for State, Local, Tribal and Territorial Public Health, October 2018. ' This document is incorporated and made part of this contract by reference and is available on the following website https://www.cdc.gov/cpr/readiness/capabilities.htm 3. The Contractor shall complete the 2021-22 CO-PHRCA according to guidance provided by CDPHE. 4. CDPHE will provide access to the CO-PHRCA (Colorado Public Health System Response Capacity Assessment) within Quarter 1 of FY22. 5. CDPHE will provide guidance and other tools for completing the 2021-22 CO-PHRCA on the following website: httos://drive.google.com/drive/folders/1 DrN 1 uax6hf3LdQg3oMUNtxgSD uwcTNyi?usp=sharing 6. The IPPW will be attended by at a minimum, hospitals, EMS, emergency management organizations, and public health agencies. Page 3 of 6 Amendment Contract Number 2022-0114 Amendment #3 Ver. 01.11.19 DocuSign Envelope ID: 13BA8D7B-8E16-4CFE-81A0-E3050CFE5166 EXHIBIT G 7. CDPHE will provide the Google reporting form for "Stories from the Field" located here: https://drive.google.com/drive/folders/1 DrN 1 uax6hf3LdQg3pMUNtxgSD uwcTNyi?usp=sharing 8. CDPHE will provide access to the COVID-19 impact survey in the "PREP Resources" folder, located here: https://drive.google.com/drive/folders/1 DrN 1 uax6hf3LdQg3pMUNtxgSD uwcTNyi?usp=sharing 9. CDPHE will provide COVID-19 recovery resources and support for initiating recovery efforts with local jurisdictions. Resources are located here: https://drive.google.com/drive/folders/lDrNluax6hf3LdQg3pMUNtxq SD uwcTNyi?usp=sharing 10. CDPHE will provide a location to access the Grant Reporting Spreadsheet. 11. CDPHE will incorporate local and regional feedback gathered in the AAR/IP surveys/assessments into the Colorado statewide AAR/IP in FY22-23. 12. CVM administrators, both primary and alternate shall: a. have completed CVM Administrator training within the past 24 months b. signed the yearly confidentiality agreement c. be recognized by CDPHE as a CVM Administrator 13. CPDHE will provide CVM Administrator training for LPHA's quarterly. 14. A minimum of one (1) EPR Coordinator per agency must respond to the quarterly redundant communication drills conducted by CDPHE. a. Redundant Communication Drills (radios) will focus on the following: i. information sharing between the state and local department operations centers (DOC) ii. communication between the RSS site, RTP and LTP. 15. The Contractor shall utilize the CDPHE provided "Communications Drill Reporting Spreadsheet" to document drills conducted with local operational sites. 16. CDPHE will provide access to the Communication Drill Reporting Spreadsheet via COSHARE. 17. CDPHE will provide a link to the CO-PHRCA website. 18. Local operational sites include the following: a. Department Operations Center (DOC) b. Open Point of Dispensing (POD) Page 4 of 6 Amendment Contract Number 2022-0114 Amendment #3 Ver. 01.11.19 DocuSign Envelope ID: 13BA8D7B-8E16-4CFE-81A0-E3050CFE5166 EXHIBIT G c. d. e. f. Closed POD Regional Transfer Point (RTP) Local Transfer Point (LTP) Healthcare Coalition (HCC) member agencies. 19. CDPHE will provide the COVID-19 AAR/IP Survey. Expected Results of Activity(s) Colorado public health agencies will improve their ability to respond to public health emergencies and related events to which a public health response is necessitated. Measurement of Expected Results 1. CPG Survey 2. Communications Drill Reporting Spreadsheet 3. CVM reports 4. Updated COOP Plans 5. AAR/IP Survey 6. COVID-19 Impact Survey 1. The Contractor shall submit a plan for access to epidemiological support via CO -SHARE. Deliverables Completion Date No later than 9/30/2021 2. The Contractor shall submit the 2021-22 CPG Survey via CO-PHRCA. No later than 12/31/2021 3. The Contractor shall submit the names of the individuals assisting with the development of the Regional Integrated Preparedness Plan in the Grant Reporting Spreadsheet. 4. The Contractor shall submit all agency - initiated drill report information in the Communications Drill Reporting Spreadsheet via CO -SHARE. No later than 12/31/2021 No later than 12/31/2021 5. The Contractor shall submit updated agency contact information two (2) times per year via CO -SHARE. No later than 12/31/2021 for the first submission and 6/15/22 for the second submission 6. The Contractor shall submit CVM reports for two (2) completed mission drills or real events via CO -SHARE. No later than 3/31/2022 7. The Contractor shall submit copies of CVM administrator training certificates for primary and -alternate administrators via CO -SHARE. No later than 3/31/2022 Page 5 of 6 Amendment Contract Number 2022-0114 Amendment #3 Ver. 01.11.19 DocuSign Envelope ID: 13BA8D7B-8E16-4CFE-81A0-E3050CFE5166 EXHIBIT G 8. The Contractor shall submit updated agency tv.. star than 6/15/ 2022 � COOP plan via CO -SHARE. 9. The Contractor shall submit the names of the individuals participating in the CDPHE offered COOP training in the Grant Reporting Spreadsheet. No later than 6/15/2022 10. The Contractor shall submit the COVID-19 Pandemic Impact Survey via CO -SHARE. No later than 6/15/2022 11. The Contractor shall submit initial recovery No -later -than 6/15/2022 documents via CO -SHARE. planning 12. The Contractor shall submit the COVID-19 AAR/IP Survey via CO -SHARE. No later than 6/15/2022 13. The Contractor shall submit a "Stories from the Field" form via CO -SHARE. No later than 6/15/2022 IV. Monitoring: CDPHE's monitoring of this contract for compliance with performance requirements will be conducted throughout the contract period by the Contract Monitor. Methods used will include a review of documentation determined by CDPHE to be reflective of performance to include progress reports, invoices, site visit results, electronic data, and other fiscal and programmatic documentation as applicable. The Contractor's performance will be evaluated at set intervals and communicated to the contractor. A Final Contractor Performance Evaluation will be conducted at the end of the life of the contract. V. Resolution of Non -Compliance: The Contractor will be notified in writing within thirty (10) calendar days of discovery of a compliance issue. Within ten (30) calendar days of discovery, the Contractor and the State will collaborate, when appropriate, to determine the action(s) necessary to rectify the compliance issue and determine when the action(s) must be completed. The action(s) and timeline for completion will be documented in writing and agreed to by both parties. If extenuating circumstances arise that requires an extension to the timeline, the Contractor must email a request to the CDPHE Grants Manager and receive approval for a new due date. The State will oversee the completion/implementation of the action(s) to ensure timelines are met and the issue(s) is resolved. If the Contractor demonstrates inaction or disregard for the agreed upon compliance resolution plan, the State may exercise its rights under the provisions of this contract. Page 6 of 6 Amendment Contract Number 2022-0114 Amendment #3 Ver. 01.11.19 DocuSign Envelope ID: 13BA8D7B-8E16-4CFE-81A0-E3050CFE5166 Exhibit G STATEMENT OF WORK To Original Contract Number 2020*0283 LPHA SOW FY23 These provisions are to be read and interpreted in conjunction with the provisions of the contract specified above. I. Project Description: This project serves to improve medical and public health care preparedness, response, and recovery capabilities at the federal, state, and local levels. The Public Health Emergency Preparedness (PHEP) cooperative agreement provides technical assistance and resources to support state, local, tribal, and territorial public health departments, along with Healthcare Coalitions (HCCs) and health care organizations, throughout Colorado to show measurable and sustainable progress toward achieving the preparedness and response capabilities that promote prepared and resilient communities through planning, training, and exercises. Public health systems are essential in preparing communities to respond to and recover from emergencies and threats. The Centers for Disease Control and Prevention (CDC) established the PHEP program to build public health emergency response capabilities both nationally and locally. II. Definitions: 1. ArcGIS- a family of client software, server software, and online geographic information system services developed and maintained by Environmental Systems Research Institute 2. CDC- Centers for Disease Control and Prevention 3. CDPHE-Colorado Department of Public Health and Environment 4. CICO- Community Inclusion in Colorado 5. CMIST- Communicating, Maintaining Health, Independence, Support, Transportation 6. Cooperative Agreement -A legal instrument that includes sponsor involvement and facilitate the transfer of something of value from federal agencies to states, local governments, and private recipients for a public purpose or benefit. 7. CO -SHARE -Colorado State Health and Readiness Exchange 8. COVIDI9- A highly contagious respiratory disease caused by the SARS-CoV-2 virus 9. CVM-Colorado Volunteer Mobilizer 10. DOC-Department Operations Center 11. EMS -Emergency Medical Services 12. EPR-Emergency Preparedness & Response 13. HAN-Health Alert Network 14. HCC-Healthcare Coalition 15. IPPW-Regional Integrated Preparedness Planning Workshop 16. LPHA-Local Public Health Agency 17. LTP- Site -Local Transfer Point 18. Mission Drills -Emergency response drills for medical and public health professionals 19. OEPR-Office of Emergency Preparedness and Response 20. PHEP-Public Health Emergency Preparedness 21. POD -Point of Dispensing 22. RSS Site- Regional Stage and Storage Site 23. RTP-Regional Transfer Point 24. SNS -Strategic National Stockpile page 1 of 5 Amendment Contract Number: 2023*0170 Amendment #5 Ver. 01.11.19 Exhibit G DocuSign Envelope ID: 13BA8D7B-8E16-4CFE-81A0-E3050CFE5166 III. Work Plan: Goal #1: To protect the health of Coloradoans by increasing capacity for preparedness, response, and recovery during public health emergencies. Objective #1: No later than the expiration date of the Contract, improve public health preparedness, response, and recovery activities through planning. Primary Activity #1 The Contractor shall collaborate with the regional epidemiologist to create or update a plan to maintain access to trained personnel. Sub -Activity #1 1.The Contractors shall maintain access to the following trained personnel: a. Staff that monitor routine jurisdictional public health surveillance b. Staff that monitor routine epidemiological investigation systems c. Staff that are trained to conduct routine disease investigations d. Staff that support surge requirements in response to events and emergencies that threaten public health Primary Activity #2 The Contractor shall identify plans utilized during the COVID-19 response to redefine roles and responsibilities where appropriate based on lessons learned during the COVID-19 response. Primary Activity #3 The Contractor shall participate in their Regional All -Hazards Integrated Preparedness Planning Workshop (IPPW). Primary Activity #4 The Contractor shall review the Strategic National Stockpile (SNS) plan to identify areas that need revision based on the COVID-19 response. Primary Activity #5 The Contractor shall identify location information for at least two Communicating, Maintaining Health, Independence, Support, Transportation (CMIST) community resources from their jurisdiction. Sub -Activity #1 1. The Contractor shall provide information to CDPHE staff. Primary Activity #6 The Contractor shall update agency contact info twice yearly in Colorado State Health and Readiness Exchange (CO -SHARE). Objective #2: No later than the expiration date of the Contract, improve public health preparedness, response, and recovery activities through training. Primary Activity #1 The Contractor shall document drills conducted with local operational sites. a. The Communications Drill Reporting Spreadsheet via COSHARE will be utilized for reporting purposes. Primary Activity #2 The Contractor shall participate in public health preparedness, response, or recovery related conferences at the discretion of the Contractor. page 2 of 5 Amendment Contract Number: 2023*0170 Amendment #5 Ver. 01.11.19 Exhibit G DocuSign Envelope ID: 13BA8D7B-8E16-4CFE-81A0-E3050CFE5166 Primary Activity #3 The Contractor shall identify staff who have been trained as: a. Primary Colorado Volunteer Mobilizer (CVM) administrator b. Alternate CVM administrator Primary Activity #4 The Contractor shall complete the online course: "Introduction to Public Health and Medical Emergency Preparedness & Response (EPR)." a. Training shall be accessed via CO -TRAIN Objective #3: No later than the expiration date of the Contract, improve public health preparedness, response, and recovery activities through exercises. Primary Activity #1 The Contractor shall participate in quarterly redundant 800 MgHz radio communication drills conducted by CDPHE. Primary Activity #2 The Contractor shall conduct a minimum of two (2) redundant communications drills with local operational sites. Primary Activity #3 The Contractor shall conduct a minimum of two (2) Health Alert Network (HAN) Communication Drills. Primary Activity #4 The Contractor shall create mission drills or real events using the CVM. Sub -Activity #1 1. The Contractor shall test a minimum of two (2) mission drills to include all volunteers for whom the Contractor is the CVM Administrator. Standards and Requirements 1. The content of electronic documents located on CDPHE and non-CDPHE websites and information contained on CDPHE and non-CDPHE websites may be updated periodically during the contract term. The contractor shall monitor documents and website content for updates and comply with all updates. 2. The Contractor shall comply with the `Public Health Emergency Preparedness and Response Capability -National Standards for State, Local, Tribal and Territorial Public Health, October 2018. ' This document is incorporated and made part of this contract by reference and is available on the following website https://www.cdc.gov/cpr/readiness/capabilities.htm 3. The IPPW will be attended by at a minimum, hospitals, Emergency Medical Services (EMS), emergency management organizations, and public health agencies. 4. CDPHE will provide a location to access the Grant Reporting Spreadsheet. 5. The Contractor CVM administrators, both primary and alternate shall: • have completed CVM Administrator training within the past 24 months • signed the yearly confidentiality agreement • be recognized by CDPHE as a CVM Administrator page 3 of 5 Amendment Contract Number: 2023*0170 Amendment #5 Ver. 01_ 11.19 Exhibit G DocuSign Envelope ID: 13BA8D7B-8E16-4CFE-81A0-E3050CFE5166 6. CPDHE will provide CVM Administrator training for LPHA's quarterly. 7. A minimum of one (1) EPR Coordinator per agency must respond to the quarterly redundant communication drills conducted by CDPHE. a. Redundant Communication Drills (radios) will focus on the following: i. information sharing between the state and local department operations centers (DOC) ii. communication between the Regional Stage Storage Site (RSS) site, Regional Transfer Point (RTP) and Local Transfer Point (LTP) site. 8. CDPHE will provide access to the Communication Drill Reporting Spreadsheet via COSHARE. 9. Local operational sites include the following: a. Department Operations Center (DOC) b. Open Point of Dispensing (POD) c. Closed POD d. Regional Transfer Point (RTP) e. Local Transfer Point (LTP) f. Healthcare Coalition (HCC) member agencies. Expected Results of Activity(s) Colorado public health agencies will improve their ability to respond to public health emergencies and related events to which a public health response is necessitated. Measurement of Expected Results 1. Communications Drill Reporting Spreadsheet 2. CVM reports 3. Updated SNS Plans Completion Date Deliverables 1. The Contractor shall submit a plan for access to epidemiological support via CO -SHARE. No later than 9/30/2022 2. The Contractor shall submit plans identified during COVID-19 response for review into CO -SHARE. No later than 10/31/2022 3. The Contractor shall submit all agency- initiated drill report information in the Communications Drill Reporting Spreadsheet via CO -SHARE. No later than 12/31/2022 4. The Contractor shall submit updated agency contact information two (2) times per year via CO -SHARE. No later than 12/31/2022 for the first submission and 6/15/23 for the second submission page 4 0 Amendment Contract Number: 2023*0170 Amendment #5 Ver. 01.11.19 Exhibit G DocuSign Envelope ID: 13BA8D7B-8E16-4CFE-81A0-E3050CFE5166 Ctrmpilellon late 5. The Contractor shall submit CVM reports for two (2) completed mission drills or real events via CO -SHARE. No later than 3/31/2023 6. The Contractor shall submit copies of CVM administrator training certificates and confidentiality agreements for primary and alternate administrators via CO -SHARE. No later than 3/31/2023 7. The Contractor shall submit identified CMIST community partners on the Grant Reporting Spreadsheet. No later than 3/31/2023 8. The Contractor shall submit the names of the individuals who participated in the Regional All -Hazards IPPW. No later than 6/15/2023 9. The Contractor shall submit the updated agency SNS plan via CO -SHARE. No later than 6/15/2023 10. The Contractor shall submit the names of the individuals participating in the CDPHE offered "Introduction to Public Health and Medical" training in the Grant Reporting Spreadsheet. No later than 6/15/2023 IV. Monitoring: CDPHE's monitoring of this contract for compliance with performance requirements will be conducted throughout the contract period by the Contract Monitor. Methods used will include a review of documentation determined by CDPHE to be reflective of performance to include progress reports, invoices, site visit results, electronic data, and other fiscal and programmatic documentation as applicable. The Contractor's performance will be evaluated at set intervals and communicated to the contractor. A Final Contractor Performance Evaluation will be conducted at the end of the life of the contract. V. Resolution of Non -Compliance: The Contractor will be notified in writing within ten (10) calendar days of discovery of a compliance issue. Within thirty (30) calendar days of discovery, the Contractor and the State will collaborate, when appropriate, to determine the action(s) necessary to rectify the compliance issue and determine when the action(s) must be completed. The action(s) and timeline for completion will be documented in writing and agreed to by both parties. If extenuating circumstances arise that requires an extension to the timeline, the Contractor must email a request to the CDPHE Grants Manager and receive approval for a new due date. The State will oversee the completion/implementation of the action(s) to ensure timelines are met and the issue(s) is resolved. If the Contractor demonstrates inaction or disregard for the agreed upon compliance resolution plan, the State may exercise its rights under the provisions of this contract. Page 5 of 5 Amendment Contract Number: 2023*0170 Amendment #5 Ver. 01.11.19 DocuSign Envelope ID: 13BA8D7B-8E16-4CFE-81A0-E3050CFE5166 EXHIBIT H REGIONAL STATEMENT OF WORK FY22 To Original Contract Number 2020-0283 These provisions are to be read and interpreted in conjunction with the provisions of the contract specified above. I. Entity Name: Weld County Department of Public Health and Environment II. Project Description: This project serves to improve medical and public health care preparedness, response, and recovery capabilities at the federal, state and local levels. The Public Health Emergency Preparedness (PHEP) cooperative agreement provides technical assistance and resources to support state, local, tribal and territorial public health departments, along with Healthcare Coalitions (HCCs) and health care organizations throughout Colorado. These agencies will show measurable and sustainable progress toward achieving the preparedness and response capabilities that promote prepared and resilient communities through planning, training, and exercises. Public health systems are essential in preparing communities to respond to and recover from emergencies and threats. The Centers for Disease Control and Prevention (CDC) established the PHEP program to build public health emergency response capabilities both nationally and locally. III. Definitions: 1. AAR-After Action Report 2. CDC- Centers for Disease Control and Prevention 3. CDPHE-Colorado Department of Public Health and Environment 4. CO-PHRCA-Colorado Public Health System Response Capacity Assessment 5. CO -SHARE -Colorado State Health and Readiness Exchange 6. Cooperative Agreement -A legal instrument that includes sponsor involvement and facilitate the transfer of something of value from federal agencies to states, local governments, and private recipients for a public purpose or benefit. 7. COVIDI9- A highly contagious respiratory disease caused by the SARS-CoV-2 virus 8. COVIDI9 Impact Survey-CDPHE survey to assess the impact of COVIDI9 within jurisdictions 9. CPG-Capability Planning Guide 10. EMS -Emergency Medical Services 11. EPR-Emergency Preparedness & Response 12. HCC-Healthcare Coalition 13. IMATS- Inventory Management and Tracking System 14. IP-Improvement Plan 15. IPPW-Integrated Preparedness Planning Workshop 16. LPHA-Local Public Health Agency 17. MCM-Medical Countermeasure 18. PHEP-Public Health Emergency Preparedness 19. SNS-Strategic National Stockpile IV. Work Plan: Goal #1: To protect the health of Coloradoans by increasing capacity for preparedness, response, and recovery during public health emergencies. Objective #1: No later than the expiration date of the Contract, improve coordinated Regional public health preparedness, response and recovery activities through planning. Page 1 of 5 Amendment Contract Number 2022-0087 Amendment #4 Ver. 01 11.19 DocuSign Envelope ID: 13BA8D7B-8E16-4CFE-81A0-E3050CFE5166 EXHIBIT H Primary Activity #1 The Contractor shall facilitate the 2021-22 CPG Survey with LPHAs their region utilizing CO-PHRCA no later than December 31, 2021. Primary Activity #2 The Contractor shall coordinate the Regional Integrated Preparedness Planning Workshop (IPPW). Sub -Activity #1 The Contractor shall at a minimum, include the following entities in the IPPW: a. Hospitals b. EMS c. Emergency Management Organizations, and d. Regional Staff e. LPHAs Sub -Activity #2 The Contractor shall develop a meeting sign in sheet that includes the following: a. Participant name b. Agency name c. Participant email address d. Participant telephone number Primary Activity #3 The contractor shall participate in the development or update of the Regional Integrated Preparedness Plan to include four years of progressive exercise planning. Sub -Activity #1 The Contractor shall at a minimum include the following entities in the Regional Integrated Preparedness Plan: a. Hospitals b. EMS c. Emergency Management Organizations, and d. LPHAs Primary Activity #4 The Contractor shall in COVID-19 AAR/IP meetings with participate quarterly CDPHE. Primary Activity #5 The Contractor shall coordinate the completion of COVID-19 AAR /IP surveys with LPHAs in their region Primary Activity #6 The Contractor shall coordinate COVID-19 AAR/IP meetings in collaboration quarterly with the regional HCC Coordinator. Sub -Activity #1 The Contractor shall develop a COVID-19 AAR/IP meeting sign in sheet that includes the following: e. Participant name f. Agency name g. Participant email address h. Participant telephone number Objective #2: No later than the expiration date of the Contract, improve regional public health preparedness, response and recovery activities through exercises. Primary Activity #1 1. The Contractor shall facilitate the completion of COVID-19 AAR/IP survey/assessment process to capture local and regional feedback to include: a. LPHA Directors b. Local EPR Coordinators c. Healthcare Coalition Coordinators Page 2 of 5 Amendment Contract Number 2022-0087 Amendment #4 Ver. 01.11.19 DocuSign Envelope ID: 13BA8D7B-8E16-4CFE-81A0-E3050CFE5166 EXHIBIT H d. Regional Staff Primary Activity #2 The Contractor shall participate in quarterly redundant communication drills conducted by CDPHE. Primary Activity #3 The Contractor shall update the LPHA Contact List in CO -SHARE a minimum of two (2) times per year or when: a. Contact information changes b. New EPR Staff are added Primary Activity #4 The Contractor shall in a state/local assessment of the IMATS based on participate lessons learned through the COVID-19 response, Sub -Activity #1 The Contractor shall develop a sign in sheet for the IMATS assessment that includes the following: a. Participant name b. Agency name c. Participant email address d. Participant telephone number Sub -Activity #2 The Contractor shall report the names of staff who participated in the IMATS assessment on the Grant Reporting Spreadsheet. Primary Activity #5 The Contractor shall participate in an assessment of the SNS/MCM Regional Distribution Model (Regional Transfer Points) based on lessons learned through the COVID-19 response. Sub -Activity #1 The Contractor shall develop a sign in sheet for the SNS/MCM assessment that includes the following: a. Participant name b. Agency name c. Participant email address d. Participant telephone number Primary Activity #6 The Contractor shall complete a CDPHE provided COVID-19 Pandemic Response Impact Survey. Standards and Requirements 1. The content of electronic documents located on CDPHE and non-CDPHE websites and information contained on CDPHE and non-CDPHE websites may be updated periodically during the contract term. The contractor shall monitor documents and website content for updates and comply with all updates. 2. The Contractor shall comply with the `Public Health Emergency Preparedness and Response Capability -National Standards for State, Local, Tribal and Territorial Public Health, October 2018'. This document is incorporated and made part of this contract by reference and is available on the following website https://www.cdc.gov/cpr/readiness/capabilities.htm 3. The Contractor shall facilitate the 2021-22 CPG Survey by using the CO- PHRCA (Colorado Public Health System Response Capacity Assessment). 4. The Contractor shall facilitate the 2021-22 GPC Survey by using the CO- PHRCA in accordance with guidance and tools provided by CDPHE accessible on the following website: Page 3 of 5 Amendment Contract Number 2022-0087 Amendment #4 Ver. 01.11.19 DocuSign Envelope ID: 13BA8D7B-8E16-4CFE-81A0-E3050CFE5166 EXHIBIT H https://drive.google.com/drive/folders/ 1 DrN 1 uax6hf3 LdQg3 pMUNtxgSDuwc TNyi?usp=sharing website: 5. CDPHE will provide COVID-19 AAR/IP Surveys on the following https://drive.aooale.com/drive/folders/ 1DrN 1 uax6hf3LdQg3pMUNtxgSDuwc TNyi?usp=sharing within Quarter Health Distribution Impact 6. CDPHE will provide access to the Grant Reporting Spreadsheet 1 of FY22. 7. DPHE will provide access to the CO-PHRCA (Colorado Public System Response Capacity Assessment) within Quarter 1 of FY22. 8. CDPHE will post communication drill reports to CO -SHARE. 9. CDPHE will organize the assessment of the SNS/MCM Regional Model. 10. CDPHE will provide access to the COVID-19 Pandemic Response Survey in the "PHEP Resources" folder, located here: https://drive.google.com/drive/folders/ 1 DrN 1 uax6hf3LdQa3pMUNtxgSDuwc TNyi?usp=sharing the AAR/IP 11. CDPHE will incorporate local and regional feedback gathered in surveys/assessments into the Colorado statewide AAR/IP in FY22-23. Expected Results of Activity(s) Colorado public health agencies will improve their ability to respond to public health emergencies and related events to which a public health response is necessitated. Measurement of Expected Results 1. Updated Regional IPPW 2. Data collected from surveys 3. Evaluation data from participants of local and regional workshops 4. Increase in skills from the completion of drills and exercises Completion Date Deliverables 1. The Contractor shall submit the sign in sheet for the Regional IPPW via CO -SHARE. No later than 10/31/2021 2. The Contractor shall submit their Regional IPPW via CO- SHARE. No later than 10/31/2021 3. The Contractor shall submit the 2021-22 CPG Survey via the CO-PHRCA. No later than 12/31/2021 4. The Contractor shall submit a Regional COVID-19 AAR/IP survey via CO -SHARE. No later than 3/31/2022 ; No later than 6/15/2022 -in the COVID-19 AAR/IP participated quarterly meetings via the Grant Reporting Spreadsheet. Page 4 of 6 Amendment Contract Number 2022-0087 Amendment #4 Ver. 01.11.19 DocuSign Envelope ID: 13BA8D7B-8E16-4CFE-81A0-E3050CFE5166 EXHIBIT H 6, The Contractor shall submit the sign in sheet for the No -later than 6J4 2022 quarterly COVID-19 AAR/IP meetings with Regional HCCs via CO- SHARE, 7, The Contractor shall submit the Grant Reporting Spreadsheet No -later than 6/15/2022 containing the names of staff who in the IMATs participated assessment via CO -SHARE. 8. The Contractor shall submit the sign in sheet for the SNS/MCM Regional Distribution Model assessment via CO- SHARE. No later than 6/15/2022 9. The Contractor shall submit the COVID-19 Pandemic Impact Survey via CO -SHARE. No later than 6/15/2022 V. Monitoring: CDPHE's monitoring of this contract for compliance with performance requirements will be conducted throughout the contract period by the OEPR Grants Manager. Methods used will include a review of documentation determined by CDPHE to be reflective of performance to include progress reports and other fiscal and programmatic documentation as applicable. The Contractor's performance will be evaluated at set intervals and communicated to the contractor. A Final Contractor Performance Evaluation will be conducted at the end of the life of the contract. VI. Resolution of Non -Compliance: The Contractor will be notified in writing within ten (10) calendar days of discovery of a compliance issue. Within thirty (30) calendar days of discovery, the Contractor and the State will collaborate, when appropriate, to determine the action(s) necessary to rectify the compliance issue and determine when the action(s) must be completed. The action(s) and time line for completion will be documented in writing and agreed to by both parties. If extenuating circumstances arise that requires an extension to the time line, the Contractor must email a request to the OEPR Grants Manager and receive approval for a new due date. The State will oversee the completion/implementation of the action(s) to ensure time lines are met and the issue(s) is resolved. If the Contractor demonstrates inaction or disregard for the agreed upon compliance resolution plan, the State may exercise its rights under the provisions of this contract. Page 5 of 5 Amendment Contract Number 2022-0087 Amendment #4 Ver. 01.11.19 DocuSign Envelope ID: 13BA8D7B-8E16-4CFE-81A0-E3050CFE5166 Exhibit H STATEMENT OF WORK To Original Contract Number 2020*0283 REGIONAL SOW FY23 These provisions are to be read and interpreted in conjunction with the provisions of the contract specified above. I. Entity Name: Weld County Department of Public Health and Environment II. Project Description: This project serves to improve medical and public health care preparedness, response, and recovery capabilities at the federal, state and local levels. The Public Health Emergency Preparedness (PHEP) cooperative agreement provides technical assistance and resources to support state, local, tribal and territorial public health departments, along with Healthcare Coalitions (HCCs) and health care organizations throughout Colorado. These agencies will show measurable and sustainable progress toward achieving the preparedness and response capabilities that promote prepared and resilient communities through planning, training, and exercises. Public health systems are essential in preparing communities to respond to and recover from emergencies and threats. The Centers for Disease Control and Prevention (CDC) established the PHEP program to build public health emergency response capabilities both nationally and locally. III. Definitions: 1. CDC- Centers for Disease Control and Prevention 2. CDPHE-Colorado Department of Public Health and Environment 3. CO -SHARE -Colorado State Health and Readiness Exchange 4. Cooperative Agreement -A legal instrument that includes sponsor involvement and facilitatethe transfer of something of value from federal agencies to states, local governments, and private recipients for a public purpose or benefit 5. DSHEM: Division of Homeland Security and Emergency Management 6. EMS -Emergency Medical Services 7. EPR-Emergency Preparedness & Response 8. HCC-Healthcare Coalition 9. IPPW-Integrated Preparedness Planning -Workshop 10. LPHA-Local Public Health Agency 11. PHEP-Public Health Emergency Preparedness IV. Work Plan: Goal #1: To protect the health of Coloradoans by increasing capacity for preparedness, response, and recovery during public health emergencies. Objective #1: No later than the expiration date of the Contract, improve coordinated Regional public health preparedness, response and recovery activities through planning. A Amendment Contract Number: 2023 *0170 Amendment #5 Ver. 01.11.19 Page 1 of 4 Exhibit H DocuSign Envelope ID: 13BA8D7B-8E16-4CFE-81A0-E3050CFE5166 Primary Activity #1 The Contractor shall update the Regional Information Sharing plan. Sub -Activity #1 1. The Regional Information Sharing plan shall include the following entities at a minimum: a. Healthcare Coalitions (HCCs) b. Office of Emergency Management c. Division of Homeland Security and Emergency Preparedness' (DHSEM) Regional Field Officers d. All Hazard Regions Primary Activity #2 The Contractor shall coordinate their Regional All -Hazards Integrated Preparedness Planning Workshop (IPPW). Sub -Activity #1 1. The Contractor shall coordinate with the following entities: a. Regional Homeland Security Grants Coordinator b. Regional Healthcare Coalition Leaders Sub -Activity #2 2. The Contractor shall at a minimum, include the following entities in the IPPW: a. Hospitals b. EMS c. Emergency Management Organizations, and d. Regional Staff e. Local Public Health Agencies (LPHAs) £ HCCs Sub -Activity #3 3. The Contractor shall develop a meeting sign in sheet that includes the following: a. Participant name b. Agency name c. Participant email address d. Participant telephone number Primary Activity #3 The contractor shall develop or update the Regional All -Hazards Integrated Preparedness Plan (IPP) to include four years of progressive exercise planning. Sub -Activity #1 1. The Contractor shall obtain IPP input from the following entities: a. Regional Homeland Security Grants Coordinator b. Regional Healthcare Coalition Leaders Sub -Activity #2 2. The Contractor shall at a minimum include the following entities in the IPP: a. Hospitals b. EMS c. Emergency Management Organizations, and d. LPHAs e. HCCs Primary Activity #4 The Contractor shall participate in a Regional Staff quarterly conference call, led by Regional Staff. Objective #2: No later than the expiration date of the Contract, improve regional public health preparedness, response and recovery activities through exercises. Primary Activity #1 The Contractor shall participate in quarterly redundant communication drills conducted by CDPHE. A Amendment Contract Number: 2023 #0170 Amendment #5 Ver. 01.11.19 Page 2 of 4 Exhibit H DocuSign Envelope ID: 138A8D7B-8E16-4CFE-81A0-E3050CFE5166 Primary Activity #2 The Contractor shall update the LPHA Contact List in CO -SHARE a minimum of two (2) times per year or when: a. Contact information changes b. New EPR Staff are added Primary Activity #3 The Contractor shall complete the online course: "Introduction to Public Health and Medical EPR." a. The training shall be accessed via CO -TRAIN Sub -Activity #1 1. The Contractor shall report the names of staff who participated in the course on the Grant Reporting Spreadsheet. Standards and Requirements 1. The content of electronic documents located on CDPHE and non-CDPHE websites and information contained on CDPHE and non-CDPHE may be updated periodically during the contract term. The contractor monitor documents and website content for updates and comply updates. 2. The Contractor shall comply with the `Public Health Emergency and Response Capability -National Standards for State, Local, Tribal Territorial Public Health, October 2018'. This document is incorporated made part of this contract by reference and is available on the following website https://www.cdc.gov/cpr/readiness/capabilities.htm websites shall with all Preparedness and and within Quarter 3. CDPHE will provide access to the Grant Reporting Spreadsheet 1 of FY23. 4. CDPHE will post communication drill reports to CO -SHARE. Expected Results of Activity(s) Colorado public health agencies will improve their ability to respond to public health emergencies and related events to which a public health response is necessitated. Measurement of Expected Results 1. Updated Regional All -Hazards Integrated Preparedness Plan (IPP) 2. Evaluation data from participants of local and regional workshops 3. Participation in Emergency Preparedness drills and exercises 4. Updated Information Sharing Plan Completion Date Deliverables 1. The Contractor shall submit the sign in sheet for the Regional All -Hazards Integrated Preparedness Planning Workshop (IPPW) via CO -SHARE. No later than 6/15/2023 2. The Contractor shall submit the Regional All -Hazards Integrated Preparedness Plan (IPP) via CO- SHARE. No later than 6/15/2023 3. The Contractor shall submit names of staff participating in the quarterly Regional Staff Conference Calls on the Grant Reporting Spreadsheet. No later than 6/15/2023 A Amendment Contract Number: 2023*0170 Amendment #5 Ver. 01.11.19 Page 3 of 4 Exhibit H DocuSign Envelope ID: 13BA8D7B-8E16-4CFE-81A0-E3050CFE5166 4. The Contractor shall submit names of staff participating in quarterly redundant communication drills on the Grant Reporting Spreadsheet. No later than 6/15/2023 5. The Contractor shall submit the names of staff participating in the "Introduction to Public Health and Medical EPR" training course on the Grant Reporting Spreadsheet. No later than 6/15/2023 6. The Contractor shall submit the updated Information Sharing plan via CO -SHARE. No later than 6/15/2023 V. Monitoring: CDPHE's monitoring of this contract for compliance with performance requirements will be conducted throughout the contract period by the OEPR Grants Manager. Methods used will include a review of documentation determined by CDPHE to be reflective of performance to include progress reports and other fiscal and programmatic documentation as applicable. The Contractor's performance will be evaluated at set intervals and communicated to the contractor. A Final Contractor Performance Evaluation will be conducted at the end of the life of the contract. VI. Resolution of Non -Compliance: The Contractor will be notified in writing within ten (10) calendar days of discovery of a compliance issue. Within thirty (30) calendar days of discovery, the Contractor and the State will collaborate, when appropriate, to determine the action(s) necessary to rectify the compliance issue and determine when the action(s) must be completed. The action(s) and time line for completion will be documented in writing and agreed to by both parties. If extenuating circumstances arise that requires an extension to the time line, the Contractor must email a request to the OEPR Grants Manager and receive approval for a new due date. The State will oversee the completion/implementation of the action(s) to ensure time lines are met and the issue(s) is resolved. If the Contractor demonstrates inaction or disregard for the agreed upon compliance resolution plan, the State may exercise its rights under the provisions of this contract. A Amendment Contract Number: 2023*0170 Amendment #5 Ver. 01.11.19 Page 4 of 4 DocuSign Envelope ID: 13BA8D7B-8E16-4CFE-81A0-E3050CFE5166 Exhibit I Federal Provisions - Public Health Emergency Preparedness Program For the purposes of this Exhibit only, Contractor is also identified as "Subrecipient." This Contract has been funded, in whole or in part, with an award of Federal funds. In the event of a conflict between the provisions of these Supplemental Provisions for Federal Awards, the Special Provisions, the Contract or any attachments or exhibits incorporated into and made a part of the Contract, the Supplemental Provisions for Federal Awards shall control. In the event of a conflict between the Supplemental Provisions for Federal Awards and the FFATA Supplemental Provisions (if any), the FFATA Supplemental Provisions shall control. 1) Federal Award Identification. a. Subrecipient: Weld County Department of Public Health and Environment b. Subrecipient DUNS number: 075757955 c. The Federal Award Identification Number (FAIN) is Ivy Ivu90TP922028-04-00 . d. The Federal award date is TBD. e. The subaward period of performance start date is 7/1/2019 and end date is 6/30/2024. f. Federal Funds: Federal Budget Period Total Amount of Federal Funds Awarded Amount of Federal Funds Obligated to CDPHE 7/1/2022 - 6/30/2023 TBD TBD g. Federal award title of project or program: Public Health Emergency Preparedness Program. h. The name of the Federal awarding agency is: DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention and the contact information for the awarding official is Ruth Anderson vha@cdc.gov, Phone: 404 639-2737 ; the name of the pass -through entity is the State of Colorado, Department of Public Health and Environment (CDPHE), and the contact information for the CDPHE official is Stephanie Burke 4300 Cherry Creek Drive South OEPR Denver, CO 80246-1530 Stephanie. Burke@state.co.us. i. The Catalog of Federal Domestic Assistance (CFDA) number is CFDA# 93.069 and the grant name is Public Health Emergency Preparedness j. This award is not for research & development. k. Subrecipient is not required to provide matching funds. In the event the Subrecipient is required to provide matching funds, Section 8 of this Attachment applies. 1. The indirect cost rate for the Federal award (including if the de minimis rate is charged per 2 CFR §200.414 Indirect (F&A) costs) is pre -determined based upon the State of Colorado and CDPHE cost allocation plan. 2) Subrecipient shall at all times during the term of this contract strictly adhere to the requirements under the Federal Award listed above, and all applicable federal laws, Executive Orders, and implementing regulations as they currently exist and may hereafter be amended. Page 1 of 4 Amendment Contract Number: 2023-0170 Amendment #5 Ver. 25.02.20 DocuSign Envelope ID: 13BA8D7B-8E16-4CFE-81A0-E3050CFE5166 3) Any additional requirements that CDPHE imposes on Subrecipient in order for CDPHE to meet its own responsibility to the Federal awarding agency, including identification of any required financial and performance reports, are stated in the Exhibits. 4) Subrecipient's approved indirect cost rate is as stated in the Exhibits. 5) Subrecipient must permit CDPHE and auditors to have access to Subrecipient's records and financial statements as necessary for CDPHE to meet the requirements of 2 CFR §200.331 Requirements for pass - through entities, §§ 200.300 Statutory and National Policy Requirements through §200.309 Period of performance, and Subpart F —Audit Requirements of this Part. 6) The appropriate terms and conditions concerning closeout of the subaward are listed in Section 16 of this Attachment. 7) Performance and Final Status. Subrecipient shall submit all financial, performance, and other reports to CDPHE no later than 45 calendar days after the period of performance end date or sooner termination of this Contract containing an evaluation and review of Subrecipient's performance and the final status of Subrecipient's obligations hereunder. 8) Matching Funds. Subrecipient shall provide matching funds as stated in the Exhibits. Subrecipient shall have raised the full amount of matching funds prior to the Effective Date and shall report to CDPHE regarding the status of such funds upon request. Subrecipient's obligation to pay all or any part of any matching funds, whether direct or contingent, only extends to funds duly and lawfully appropriated for the purposes of this Contract by the authorized representatives of the Subrecipient and paid into the Subrecipient's treasury or bank account. Subrecipient represents to CDPHE that the amount designated as matching funds has been legally appropriated for the purposes of this Contract by its authorized representatives and paid into its treasury or bank account. Subrecipient does not by this Contract irrevocably pledge present cash reserves for payments in future fiscal years, and this Contract is not intended to create a multiple -fiscal year debt of the Subrecipient. Subrecipient shall not pay or be liable for any claimed interest, late charges, fees, taxes or penalties of any nature, except as required by Subrecipient's laws or policies. 9) Record Retention Period. The record retention period previously stated in this Contract is replaced with the record retention period prescribed in 2 CFR §200.333. 10) Single Audit Requirements. If Subrecipient expends $750,000 or more in Federal Awards during Subrecipient's fiscal year, Subrecipient shall procure or arrange for a single or program -specific audit conducted for that year in accordance with the provisions of Subpart F -Audit Requirements of the Uniform Guidance, issued pursuant to the Single Audit Act Amendments of 1996, (31 U.S.C. 7501-7507). 2 CFR §200.501. 11) Contract Provisions. Subrecipient shall comply with and shall include all of the following applicable provisions in all subcontracts entered into by it pursuant to this Contract: a. Office of Management and Budget Circulars and The Common Rule for Uniform Administrative Requirements for Grants and Cooperative Agreements to State and Local Governments, as applicable; b. when required by Federal program legislation, the "Davis -Bacon Act", as amended (40 U.S.C. 3141-3148) as supplemented by Department of Labor Regulations (29 CFR Part 5, "Labor Standards Provisions Applicable to Contracts Covering Federally Financed and Assisted Construction"); c. when required by Federal program legislation, the Copeland "Anti -Kickback" Act (40 U.S.C. 3145), as supplemented by Department of Labor regulations (29 CFR Part 3, "Contractors and Subcontractors on Public Building of Public Work Financed in Whole or in Part by Loans or Grants from the United States"). Page 2 of 4 Amendment Contract Number: 2023-0170 Amendment #5 Ver. 25.02.20 DocuSign Envelope ID: 13BA8D7B-8E16-4CFE-81A0-E3050CFE5166 d. 42 U.S.C. 6101 et seq., 42 U.S.C. 2000d, 29 U.S.C. 794 (regarding discrimination); e. the "Americans with Disabilities Act" (Public Law 101-336; 42 U.S.C. 12101, 12102, 12111 -12117,12131-12134,12141-12150,12161-12165,12181-12189,12201-12213 and 47 U.S.C. 225 and 47 U.S.C. 611); f. when applicable, the Contractor shall comply with the provisions of the "Uniform Administrative Requirements for Grants and Cooperative Agreements to State and Local Governments" (Common Rule); g. The Federal Funding Accountability and Transparency Act of 2006 (Public Law 109-282), as amended by §6062 of Public Law 110-252, including without limitation all data reporting requirements required there under. This Act is also referred to as FFATA. h. Contractor shall comply with the provisions of Section 601 of Title VI of the Civil Rights Act of 1964, as amended. i. Except as otherwise provided under 41 CFR Part 60, all contracts that meet the definition of "federally assisted construction contract" in 41 CFR Part 60-1.3 comply with the equal opportunity clause provided under 41 CFR 60-1.4(b), in accordance with Executive Order 11246, "Equal Employment Opportunity: (30 FR 12319, 12935, 3 CFR Part, 1964-1965 Comp., p. 339), as amended by Executive Order 11375, "Amending Executive Order 11246 Relating to Equal Employment Opportunity," and implementing regulations at 41 CFR part 60, "Office of Federal Contract Compliance Programs, Equal Employment Opportunity, Department of Labor. j. where applicable, Contract Work Hours and Safety Standards Act (40 U.S.C. 3701-3708). k. if the Federal award meets the defmition of "funding agreement" under 37 CFR § 401.2 (a) and the recipient or subrecipient wishes to enter into an agreement with a small business firm or nonprofit organization, comply with the requirements of 37 CFR Part 401, "Rights to Inventions Made by Nonprofit Organizations and Small Business Firms Under Government Grants, Contracts and Cooperative Agreements," and any implementing regulations issued by the awarding agency. 1. the Clean Air Act (42 U.S.C. 7401-7671q.) and the Federal Water Pollution Control Act (33 U.S.C. 1251-1387), as amended. m. if applicable, comply with the mandatory standards and policies on energy efficiency contained within the State of Colorado's energy conservation plan issued in compliance with the Energy Policy and Conservation Act, 42 U.S.C. 6201. n. the Contractor and all principals are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any federal department or agency; the Contractor and all principals shall comply with all applicable regulations pursuant to Executive Order 12549 (3 CFR Part 1986 Comp., p. 189) and Executive Order 12689 (3 CFR Part 1989 Comp., p. 235), Debarment and Suspension; and, o. the Contractor shall comply where applicable, the Byrd Anti -Lobbying Amendment (31 U.S.C. 1352). 12) Compliance. Subrecipient shall comply with all applicable provisions of The Office of Management and Budget Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance), including but not limited to these Supplemental Provisions for Federal Awards. Any revisions to such provisions automatically shall become a part of these Supplemental Provisions, without the necessity of either party executing any further instrument. CDPHE may provide Page 3 of 4 Amendment Contract Number: 2023-0170 Amendment #5 Ver. 25.02.20 DocuSign Envelope ID: 13BA8D7B-8E16-4CFE-81A0-E3050CFE5166 written notification to Subrecipient of such revisions, but such notice shall not be a condition precedent to the effectiveness of such revisions. 13) Procurement Procedures. Subrecipient shall use its own documented procurement procedures which reflect applicable State, local, and Tribal laws and regulations, provided that the procurements conform to applicable Federal law and the standards identified in the Uniform Guidance, including without limitation, §§200.318 through 200.326 thereof. 14) Certifications. Unless prohibited by Federal statutes or regulations, CDPHE may require Subrecipient to submit certifications and representations required by Federal statutes or regulations on an annual basis (2 CFR §200.208). Submission may be required more frequently if Subrecipient fails to meet a requirement of the Federal award. Subrecipient shall certify in writing to CDPHE at the end of the Contract that the project or activity was completed or the level of effort was expended. 2 CFR §200.201(b)(3). If the required level of activity or effort was not carried out, the amount of the Contract must be adjusted. 15) Event of Default. Failure to comply with the Uniform Guidance or these Supplemental Provisions for Federal Awards shall constitute an event of default under the Contract pursuant to 2 CFR §200.339 and CDPHE may terminate the Contract in accordance with the provisions in the Contract. 16) Close- Out. Subrecipient shall close out this Contract within 45 days after the End Date. Contract close out entails submission to CDPHE by Subrecipient of all documentation defined as a deliverable in this Contract, and Subrecipient's final reimbursement request. If the project has not been closed by the Federal awarding agency within 1 year and 45 days after the End Date due to Subrecipient's failure to submit required documentation that CDPHE has requested from Subrecipient, then Subrecipient may be prohibited from applying for new Federal awards through the State until such documentation has been submitted and accepted. 17) Erroneous Payments. The closeout of a Federal award does not affect the right of the Federal awarding agency or CDPHE to disallow costs and recover funds on the basis of a later audit or other review. Any cost disallowance recovery is to be made within the record retention period. EXHIBIT END Page 4 of 4 Amendment Contract Number: 2023-0170 Amendment #5 Ver. 25.02.20 Contr Entity information New Contract Request Entity Name* COLORADO DEPT OF PUBLIC HEALTH 'ENVIRONMENT Entity ID* '?00001926 Contract Name* CDPHE FY22-2.3 PUBLIC HEALTH EMERGENCY PREPAREDNESS & RESPONSE CONTRACT AMD :5 Contract Status CTB .REVIEW El New Entity? Contract ID 5980 Contract Lead* KIAKJS-HOTCHKISS Contract Lead Snail kjakus- hotr_hki ss :aueiclgov.com Parent Contract ID Requires Board Approval; YES Department Project Contract Description* CONTRACT AMENDMENT 5 FOR PUBLIC HEALTH EMERGENCY PREPAREDNESS & RESPONSE FY22--2 2023'40170AS Contract Description 2 PREVIOUS CONTRACT NUMBER 2022'0087A4, CT2420-283A3; C'T2020-283A2; CT2020'283, 19-108864: :18-98472 Contract Type* AMENDMENT Amount'* 5274,206.00 Renewable* NO Automatic Renewal NO Grant. YES !GA NO Department HEALTH Department Email CM-Healthgweldgo .corn Department Head Email CM-Health- DeptHeadc�veldgov,con County Attorney GENERAL COUNTY ATTORNEY EMAIL County Attorney Email C M1- COUNTY.ATTORNEY= NELDG OV,COM Grant Deadline Date If this is a renewal enter previous Contract ID If this is part of a MSA enter MISA Contract ID Requested BOCC Agenda Date', ate * 'AF6.1 3' 2022 Due Date 06:'09 2022 Will a work session with BOCC be required?* NO Does Contract require Purchasing Dept. to be included? NO Note: the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts are not in OnBase Contract Elates Effective Date. 07;'01,+2022 Terminat on Notice Period Contact Information Contact Info Contact Narne Purchasing Purchasing Approver Approval Process Department Head TANYA GEISER DH Approved Date 06113:' 2022 Final Approval BOCC Approved MCC Signed Date BOCC Agenda Date 06r 15,2022 Originator KJAK;U S-HOTC'H KISS Review Date* 03'31 2023 Committed Delivery Date Contact Type Contact Email Finance Approver CHRIS D'QVIDIO Renewal Date Expiration Date* 06 30 2023 Contact Phone 1'. Purchasing Approved Date Legai Counsel KARIN M1CDOUGAU Contact Phone 2 Finance Approved Date Legal Counsel Approved Date 06,13.,'2022 06:1 3.'2022 Tyler Ref # AC 061522 Hello