The URL can be used to link to this page

Browse Search

Home My WebLink About20211568.tiffRESOLUTION RE: APPROVE CONTRACT AMENDMENT #3 FOR NURSE HOME VISITOR PROGRAM (NHVP) 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 #3 for the Nurse Home Visitor Program (NHVP) 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 Human Services, Office of Early Childhood, Division of Community and Family Support, commencing on July 1, 2019, and ending June 30, 2022, with further terms and conditions being as stated in said amendment, and WHEREAS, after review, the Board deems it advisable to approve said amendment, a copy of which is attached hereto and incorporated herein by reference. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that Contract Amendment #3 for the Nurse Home Visitor Program (NHVP) 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 Human Services, Office of Early Childhood, Division of Community and Family Support, be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to electronically sign and submit said amendment. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 16th day of June, A.D., 2021, nunc pro tunc July 1, 2019. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST: letifik, sidito;z4 Weld County Clerk to the Board BY: APP Deputy Clerk to the Board ounty Attorney Date of signature: 6 `I 23 ij i i Steve reno, Chair Lori Sai cc : HLCTG) 07/x,6(2) 2021-1568 H L0053 0-2,,&0„e Memorandum TO: FROM: DATE: SUBJECT: Steve Moreno, Chair Board of County Commissioners Mark Lawley, Executive Director Department of Public Health & Environment June 8, 2021 FY21-22 Nurse Home Visitor Program (NHVP) Contract Amendment #3 with the Colorado Department of Human Services For the Board's approval is the FY21-22 Nurse Home Visitor Program (NHVP) Contract Amendment #3 between the Colorado Department of Human Services, Office of Early Childhood (CDHS) and the Board of County Commissioners of Weld County for the use and benefit of the Weld County Department of Public Health and Environment (WCDPHE) for the Nurse Home Visitor Program. At no cost to the client, specially trained registered nurses provide home visits to vulnerable low-income, first-time mothers residing in Weld County beginning in pregnancy and continuing until the client's child reaches the age of two years. Clients are educated on positive maternal/child health practices, infant/toddler developmental needs, effective parenting, and maternal economic self-sufficiency. This evidence -based program has demonstrated multi -generational positive outcomes that benefit both families and the community as a whole. With the approval of this continuation contract, WCDPHE will be receiving funding of $995,911 to cover activities performed beginning July 1, 2021, and ending June 30, 2022. This Agreement has been reviewed by Assistant County Attorney, Karin McDougal, and it meets with her approval. The Board approved placement of this contract on the Board's agenda via pass -around dated June 7, 2021. I recommend approval of the FY21-22 Nurse Home Visitor Program (NHVP) Contract Amendment #3 with the Colorado Department of Human Services 2021-1568 HR0093 BOARD OF COUNTY COMMISSIONERS PASS -AROUND REVIEW TITLE: FY21-22 Nurse Home Visitor Program (NHVP) Contract Amendment #3 with the Colorado Department of Human Services DEPARTMENT: PUBLIC HEALTH & ENVIRONMENT DATE: June 7, 2021 PERSON REQUESTING: Mark Lawley, Executive Director Brief description of the problem/issue: For the Board's review and approval is the FY21-22 Nurse Home Visitor Program (NHVP) Contract Amendment #2 between the Colorado Department of Human Services, Office of Early Childhood (CDHS) and the Board of County Commissioners of Weld County for the use and benefit of the Weld County Department of Public Health and Environment (WCDPHE) for the Nurse Home Visitor Program. At no cost to the client, specially trained registered nurses provide home visits to vulnerable low-income, first- time mothers residing in Weld County beginning in pregnancy and continuing until the client's child reaches the age of two years. Clients are educated on positive maternal/child health practices, infant/toddler developmental needs, effective parenting, and maternal economic self-sufficiency. This evidence -based program has demonstrated multi -generational positive outcomes that benefit both families and the community as a whole. With the approval of this continuation contract, WCDPHE will be receiving funding of $995,911 to cover activities performed beginning July 1, 2021, and ending June 30, 2022. This Agreement has been reviewed by Assistant County Attorney, Karin McDougal, and it meets with her approval. What options exist for the Board? (include consequences, impacts, costs, etc. of options): Approving this contract amendment will allow WCDPHE nurses to continue to provide evidence -based education and interventions to at -risk first-time mothers and children in Weld County. These visits follow strictly prescribed curricula which results in high levels of engagement and successful outcomes for mothers and children. Declining this grant will result in the loss of State funding for this evidence -based program that teaches effective parenting and the development of maternal/parental self-sufficiency for low-income, first-time mothers. Recommendation: I recommend approval of this FY21-22 Nurse Home Visitor Program continuation contract with CDHS. Perry L. Buck Mike Freeman Scott K. James, Pro -Tern Steve Moreno, Chair Lori Saine Approve Schedule Recommendation Work Session Other/Comments: atd4 Vet CONTRACT AMENDMENT #3 SIGNATURE AND COVER PAGE State Agency Colorado Department of Human Services Office of Early Childhood Division of Community and Family Support Original Contract Number 20 IHIA 129479 Contractor Weld County Department of Public Health and Environment 1555 North 17th Avenue Greeley, CO 80631 Amendment Contract Number 22 IHIA 168245 Current Contract Maximum Amount Initial Term State Fiscal Year 2020 $954,006* *An appropriation for NHVP General Accounting Encumbrance (GAE) is hereby added to this contract. The maximum amount payable for GAE is subject to appropriated funds, not to exceed $190,000 which is split among other NHVP vendors. See Exhibit C: Additional Provisions. Extension Terms State Fiscal Year 2021 $955,298* *An appropriation for NHVP General Accounting Encumbrance (GAE) is hereby added to this contract. The maximum amount payable for GAE is subject to appropriated funds, not to exceed $70,000 which is split among other NHVP vendors. See Exhibit C: Additional Provisions. State Fiscal Year 2022 $995,911* *An appropriation for NHVP General Accounting Encumbrance (GAE) is hereby added to this contract. The maximum amount payable for GAE is subject to appropriated funds, not to exceed $140,000 which is split among other NHVP vendors. See Exhibit C: Additional Provisions. Total for All State Fiscal Years $2,905,215* Contract Performance Beginning Date July 1, 2019 Current Contract Expiration Date June 30, 2022 Amendment Contract Number: 22 IHIA 168245 Page 1 of 4 Rev. 1/14/19 DocuSign Envelope ID: AEEB3ACB-E825-4B00-B8AA-F55993C37685 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 Weld County Department of Public Health and Environment ,—DocuSigned by: •—E 7D6e14EAA7 By: Chair, Weld County Board of County Commissioners Date: Steve Moreno 6/17/2021 STATE OF COLORADO Jared Polis, Governor Colorado Department of Human Services Michelle Barnes, Executive Director DocuSigned by: Us& �' i y: i�s�d1t% Tea; Chief Financial Officer/Director, Division of Operations, Office of Early Childhood 6/17/2021 Date: In accordance with §24-30-202 C.R.S., this Amendment is not valid until signed and dated below by the State Controller or an authorized delegate. By: STATE CONTROLLER Robert Jaros, CPA, MBA, JD r— DocuSigned by: 7;. 10414.0.dow XnciiiqtfinertIanet Miks / Toni Williamson Amendment Effective Date: 6/17/2021 Amendment Contract Number: 22 IHIA 168245 Page 2 of 4 Rev. 1/14/19 Loa( - /56 1. PARTIES This Amendment (the "Amendment") to the Original Contract shown on the Signature and Cover Page for this Amendment (the "Contract") is entered into by and between the Contractor, and the State. 2. TERMINOLOGY Except as specifically modified by this Amendment, all terms used in this Amendment that are defined in the Contract shall be construed and interpreted in accordance with the Contract. 3. AMENDMENT EFFECTIVE DATE AND TERM A. Amendment Effective Date This Amendment shall not be valid or enforceable until the Amendment Effective Date shown on the Signature and Cover Page for this Amendment. The State shall not be bound by any provision of this Amendment before that Amendment Effective Date, and shall have no obligation to pay Contractor for any Work performed or expense incurred under this Amendment either before or after of the Amendment term shown in §3.B of this Amendment. B. Amendment Term The Parties' respective performances under this Amendment and the changes to the Contract contained herein shall commence on the Amendment Effective Date shown on the Signature and Cover Page for this Amendment or July 1, 2021, whichever is later and shall terminate on the termination of the Contract. 4. PURPOSE In accordance with the provisions of this contract and its exhibits and attachments, the Contractor shall: Provide trained visiting nurses to help educate mothers on the importance of nutrition and avoiding alcohol and drugs, including nicotine, and to assist and education mothers in providing general care for their children. This Amendment shall extend the contract term for FY22, increase funds for services to be provided in FY22, and amends Exhibits B and C. 5. MODIFICATIONS The Contract and all prior amendments thereto, if any, are modified as follows: A. Extend Contract Expiration Date from June 30, 2021 to June 30, 2022. 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. B. Increase Contract Maximum Amount by $995,911 for services in FY22 and increase Total for All State Fiscal Years from $1,909,304 to $2,905,215. The Contract Maximum Amount table on the Contract's Signature and Cover Page is hereby deleted and replaced with the Current Contract Maximum Amount table shown on the Signature and Cover Page for this Amendment. Amendment Contract Number: 22 IHIA 168245 Page 3 of 4 Rev. 1/14/19 C. Exhibit B — Budget Exhibit B — Amendment #3, which is attached and incorporated into this Amendment, is hereby added to Exhibit B of the Original Contract. D. Exhibit C — Additional Provisions Exhibit C — Amendment #3, which is attached and incorporated into this Amendment, hereby replaces Exhibit C of the Original Contract. 6. LIMITS OF EFFECT AND ORDER OF PRECEDENCE This Amendment is incorporated by reference into the Contract, and the Contract and all prior amendments or other modifications to the Contract, if any, remain in full force and effect except as specifically modified in this Amendment. Except for the Special Provisions contained in the Contract, in the event of any conflict, inconsistency, variance, or contradiction between the provisions of this Amendment and any of the provisions of the Contract or any prior modification to the Contract, the provisions of this Amendment shall in all respects supersede, govern, and control. The provisions of this Amendment shall only supersede, govern, and control over the Special Provisions contained in the Contract to the extent that this Amendment specifically modifies those Special Provisions. Amendment Contract Number: 22 IHIA 168245 Page 4 of 4 Rev. 1/14/19 Exhibit B - Amendment #3 COLORADO Office of Early Childhood Department of Human Services Colorado Department of Human Services Office of Early Childhood BUDGET WITH JUSTIFICATION FORM Contractor Name Weld County Department of Public Health and Environment Budget Period July 1, 2021 - June 30, 2022 Project Name Nurse Home Visitor Program Counites Served Weld County Program Contact Name, Title Phone Email Dana Garvey, RN, BSN, CLC Nurse Home Visitor Supervisor, Public Health Services (970) 400-2405, dgarvey@co.weld.co.us Fiscal Contact Name, Title Phone Email Tanya Geiser Finance Director (970) 400-2122, tgeiser@co.weld.co.us Funded Caseload 150 Expenditure Categories Personnel Services - Salaried Employees FY 2022 Position Title/ Employee Name Description of Work and Description of Fringe: Medicare; unemployment; workers' compensation; PERA; life/AD&D insurance; health insurance; accrual -vacation; accrual -holiday; and accrual -sick. Gross or Annual Salary Fringe Percent of Time on Project Total Amount For Project A. Other. Sources of Funding B. Medicaid Revenue C. CDHS Funding (NHVP) Individual Nursing staff salary not to exceed $129,885 (A Contract Amendment is required if any additional funds are added to the total contract amount) Nursing Staff includes one (1) Nurse Supervisor and six (6) Nurse Home Visitors Overall Program implementation and home visiting service delivery $699,403 $0 $0 $699,403 Non Nursing Staff Chief Nursing Officer - Cynthia Horn Provides oversight to ensure fidelity and quality of program $141,499 $55,085 5% $9,829 $0 $0 $9,829 Public Health Services Director - Shaun May Provides oversight to ensure fidelity and quality of program $116,259 $45,260 2% $3,230 $0 $0 $3,230 Office Technician 1 - Rosie Varela Martinez Provides assistance in data uploading and general support for $44,178 $17,199 75% $46,033 $0 $0 $46,033 Office Technician 2 - Mary Saldivar Provides assistance in data uploading and general support for $48,560 $18,905 25% $16,866 $0 $0 $16,866 lb. Non Nursing Staff Total $75,958 $0 $0 $75,958 1. Total Personnel Services (including fringe benefits) $775,361 $0 $0 $775,361 Supplies & Operating Expenses FY 2022 Item Description of Item A. Other Sources of Funding B. Medicaid Revenue C. CDI.1S Funding (NHYP) Office Operating & Printing Expenses (i.e. supplies) Costs cover office supplies and printing which are necessary to perform the critical functions of this program. $0 $0 $2,000 Client Support Materials Costs include books, educational toys for clients, video clips and items that the team deems necessary for client support. $0 $0 $8,000 Translation Services Translation Services to serve clients with various language needs. $0 $0 $1,000 Postal & Shipping Services Covers costs for shipping requirements. $0 $0 $150 Communications (cellular, network services, Costs include cell phone services with unlimited texting and WIFI for up to 7 laptop computers. This allows the home visiting nurses $0 $0 $7,500 Medical Supplies Covers costs for medical items purchased for client home visits. $0 $0 $500 Outside Services Covers costs associated with the calibration and servicing of scales used during home visits. $0 $0 $750 Electronic Medical Records Covers computer and data processing expenses related to EMR maintenance and upgrades, EMR licenses, and EMR operation and technical support (outside technical support). EMR is a technology driven norm in the medical community and it enables us to progress from double charting to single charting in an electronic format. $0 $0 $20,000 Telehealth Operating Expenses Costs to cover expenses related to telehealth delivery of the NFP program. $0 $0 $50 2. Total Supplies at Operating Expenses 0 $0 $39,95O Training and Technical Assistance FY 2022 Item Description of Item Total A. Other Sources of Funding B. Medicaid Revenue C. CDHS Funding (NHV•,p) NFP Program Participation & Education Required program participation and education for nurses, supervisors and administrators $19,836 $0 $0 $19,836 Dance Education & Licensing Required licensing and education for a program component $1,590 $0 $0 $1,590 Professional Development Covers cost of additional training for NHVs $4,550 $0 $0 $4,550 Laptop Covers cost of laptop to aid in completing work from multiple locations. $1,800 $0 $0 $1,800 3_ Total Training and Technical Assistance $27,776. $0 $0 $27,776 Equipment (Over $5,000 Per Item) FY 2022 Name Description of Item A. Other Sources of Funding B. Medicaid Revenue C. CDHS Funding (Ir1HVP) No costs in this category will be reimbursed by CDHS. $0 $0 $0 4. Total Equpment $0 $0 $0 Travel FY 2022 Item Description of Item A. Other Sources of Funding B. Medicaid Revenue g- s Funding (NHVP) Visit Outreach Mileage Covers the costs for travel to client visits, community outreach, and trainings; as well as travel expenses for training 6 NHVs, 1 NHV supervisor, and 1 Site Administrator $0 $0 $21,540 NFP Supervisor Meetings Covers the cost for three state nurse supervisor meetings $0 $0 $205 NFP Nurse Practice Council Meetings Covers the cost for three state nurse practice council meetings $0 $0 $205 5. Total Travel $0 $0 $21,950 Page 1 of 2 Exhibit B - Amendment ##3 Contractors/Consultants (payments to third parties or entities) FY 2022 Name Description of Item A. Other Sources of Funding B. Medicaid Revenue C. CDHS Funding (NHVP) Mental Health Consultation for Nurses Covers the cost for monthly maternal/fetal mental health specialist consultation services to help nurses address potentially volatile and complex situations with the clients $0 $0 $1,500 6. Total Contractors/Consultants $0 $0 $1,500 MODIFIED TOTAL DIRECT COSTS (MTDC) $0 $0 $866,537 Indirect Costs FY 2022 Description of Item A. Other Sources of Funding B. Medicaid Revenue C. CDHS Funding (NHVP) Negotiated Indirect cost rate Negotiated rate of 14.93% of MTDC $0 $0 $129,374 Total Indirect $0 $0 $129,374 TOTAL � $995;911 Page 2 of 2 Exhibit C — Amendment #3 ADDITIONAL PROVISIONS 1. SERVICE PROVISIONS The Contractor shall provide the services according to the plans submitted in the "Statement of Work", attached and incorporated herein by this reference as EXHIBIT A. In all cases, the descriptions, plans, timetables, tasks, duties, and responsibilities of the Contractor as described in the Statement of Work, shall be adhered to in the performance of the requirements of this contract. In the event of a conflict, the terms and conditions of this contract shall control over the Statement of Work. Any significant changes to the Statement of Work (SOW) require an amendment to the contract. 2. GOALS AND OBJECTIVES The Contractor shall be responsible for the achievement of any goals and objectives as specified within the Statement of Work (EXHIBIT A) of this contract unless written notice of any modifications are furnished by the State to the Contractor allowing adequate time for compliance during the term of this contract. 3. COPY OF SUBCONTRACT The Contractor shall provide to the State a copy of any executed subcontract between the Contractor and any provider of services to fulfill any requirements of this contract. Subcontracts shall be emailed to the Contract Representative upon execution. 4. PAYMENT In consideration of the provision of services and reporting and subject to all payment and price provisions and further subject to verification by the State of full and satisfactory compliance with the terms of this contract, the State shall pay to the Contractor an amount not to exceed the amount specified in the Budget (EXHIBIT B), of this contract. A. The Contractor shall submit requests for payment to CDHS_OEC Invoicin state.co.us no less than monthly on forms prescribed and provided by the State. B. Payment shall be made on a cost reimbursement basis for services rendered. C. It is understood any vacancy savings in the personnel category and/or any savings in any other category shall require written approval from the State prior to any redistribution of any savings by the Contractor. ANY CST SAVINGS THAT ART-, REDISTRIBUTED BY CON TRACTOR WITH UT WRITTEN APPROVAL SI IA! ,L O I BE REIMBURSED BY T -,E4 STATE. D. IT IS UNDERSTOOD ANY COSTS THAT EXCEED THE CONTRACTED AMOUNT SHALL NOT BE PAID BY CDHS. If Contractor has a legitimate need for additional funds, the Contractor shall request additional funds from the CDHS 60 days prior to projected depletion of contracted funds. CDHS shall review each request and notify Contractor in writing of approval or denial. Approval of additional funds shall require an official modification to the Contract by Amendment or Option Letter. E. Timely Invoicing - Invoices shall be submitted no later than 40 days following the last day of the month. End of State Fiscal Year invoices are on a compressed timeframe. Invoices for all services provided prior to June 30th shall be invoiced by July 5th. Contractors who are unable to provide the invoice by July 5th shall notify the state of the amount to be booked as accounts payable by July 13th by sending an email to CDHS_OEC_Invoicing@state.co.us. Final invoices for services prior to June 30th shall be submitted by September 14th. Invoices received after September 14th may not be paid. Page 1 of 4 Revision Date December 4, 2020 Exhibit C — Amendment F. The Contractor shall maintain source documentation to support all payment requested pursuant to this contract. All source documentation shall be provided to the State by the Contractor upon request. G. It is understood that the State reserves the right to offset funds pursuant to this contract based on the discovery of overpayment or improper use of funds by the Contractor. Overpayment or improper use of funds is interpreted to apply to specific terms of prior year contracts, and includes without limitation requirements of the Generally Accepted Accounting Principles (GAAP) issued by the American Institute of Certified Public Accountants, and applicable sections of the Colorado Revised Statutes. he State shall review monthly invoices throughout the fiscal year. If, after a numoer of months, the State determines the Contractor is not needing/using the funding allocated for the Contractor's work in the Contract, the State shat remove these funds from the contract budget by ption fetter for a proportional reduction of services with prior written notification to the Contractor. 5. PARTICIPATION The Contractor representative(s) is required to participate in any Office of harly Childhood sponsored meetings related to this contract. 6 SUPPLANTING Payments made to the Contractor under this contract will supplement and not supplant other state, local or federal expenditures for services associated with this contract. 7® BUDGET CHANGES Contractor may request in writing adjustments to the direct costs in the current year budget (EXHIBIT B) not to exceed 10% of the total budget. Requests shall be made in the form of a written budget revision request to the appropriate program staff. Written approval for the budget revision shall be required prior to any changes to the budget related to the budget revision request. The total dollar amount of the contract budget cannot be changed as a result of the budget revision request. Budget adjustment requests over 10%, adding new expense lines, and/or changes to the total dollar amount of the budget require a formal amendment. No adjustments to the Indirect Costs portion of the budget are allowable without a formal amendment. Contractor may request in writing up to a 5% increase to the "Gross or Annual Salary" of an individual employee if a position currently listed in the contract becomes vacant and the new incoming employee will be hired at a higher or lower salary. No increase within the salary range is authorized without prior written approval from CDHS. Adding additional staff requires an amendment to the contract. Vacancy savings cannot be used to change salary amounts for existing personnel without an amendment. Any change to personnel requires prior written approval from CDHS staff This process will never change the Contract Maximum Amount. Contractor must use available unused funds from either vacancy savings or another category within the contract. The revision request may not at any time compromise the integrity of the funded program as determined by CDHS program staff T =::I:' A. VEL Mileage shall not exceed the State mileage rate per https://www.colorado.gov/pacific/osc/travel-fiscal-rule. B. Per Diem shall not exceed State per diem rate for the area of travel per haps://www.coloradoogov/pacific/osc/travel-fiscalarule. C Hotel rates cannot exceed any rate established for conference attendance. D. Usage of airfare or Out of State Travel requires pre -approval from CDHS. Page 2of4 Revision Date December 4, 2020 Exhibit C — Amendment #3 9. CRITICAL INCIDENT REPORTING Within 48 hours of the occurrence of a critical incident involving any child or family and/or an on duty agency staff member of any family support program staff funded through the Office of Early Childhood (OEC), the agency must report in writing the details of the critical incident to the OEC Program Manager for the involved family support program. Critical incidents may include, but are not limited to, awareness of an egregious incident of abuse and/or neglect, near fatality, or fatality of any child currently enrolled in a family support program; involuntary termination of a program staffs employment; criminal allegations involving program staff and related to his/her employment; negative media attention about the family support program; any major injury or threat to the security of an agency staff member while on duty and visiting an enrolled child or family. 10. MANDATED REPORTING A. All program staff are required by law to report suspected child abuse and neglect. Mandatory reporters must report suspected child abuse and neglect to the local county child welfare agency, the local law enforcement agency, or by calling the child abuse reporting hotline system at 1-844-CO-4KIDS (1-844- 264-5437). B. All program staff are required to take the online mandatory reporter training on the CDHS Child Welfare Training System: https://www.coloradocwts.com/mandated-reporter-training. 11. GENERAL ACCOUNTING ENCUMBRANCE (GAE) A. Payment for Nurse Home Visitor Program (NHVP) to all contractors will be made as incurred, in whole or in part, from the total available funds not to exceed $400,000 ($190,000 for FY20; $70,000 for FY21; $140,000 for FY22), to be utilized for NHVP as follows: i. Nurse Family Partnership (NFP) training costs, often sites experience staff turnover in a fiscal year and they will be permitted to use the GAE to cover costs of NFP required training that was not included in their budget. ii. Travel costs associated with NFP training. For example, if a site hires a new Nurse Home Visitor, and this staff member is required to attend NFP orientation, the site will be able to bill the GAE for the training registration and travel expenses for the training. Travel costs may include mileage, hotel accommodations and per diem for the staff member attending the training. iii. Operational items not included in their budget such as cell phones, tablets, laptops. Due to staff turnover, sites are to not include potential operational item expenses in their budgets, but rather utilize the GAE in order to purchase necessary items for new staff. iv. Transition salaries to pay new staff during the overlap with the staff member leaving in order to provide time for adequate training. Once the original staff member leaves, the new staff member's salary would be paid against the existing line in their budget. v. Translation and interpretation services to serve clients who are deaf or hard of hearing, and those whose primary language is not English. Page 3 of 4 Revision Date December 4, 2020 Exhibit C — Amendment #3 It is understood each contractor shall obtain prior written approval from CDHS prior to incurring any costs related to NHVP GAE funds. It is further understood and agreed that the maximum amount of funds available state wide for the current fiscal year will be divided between all of the NHVP contracts. The State shall not be liable for any costs incurred without obtaining prior approval for the expenditure of NHVP GAE funds. The NHVP program manager will approve GAE expenditures on a case -by case basis and the state intermediary must concur that they believe the expenditure to be necessary to improving the program. NHVP program manager must approve the expenditure in writing. B. Payment to Contractor is made from available funds encumbered and shared across multiple contractors. The State may increase or decrease the total funds encumbered at its sole discretion and without formal notice to Contractor. No minimum payment is guaranteed to Contractor. The liability of the State for such payments is limited to the encumbered amount remaining of such funds. C. Invoices shall be submitted separately for pre -approved expenditures. i. The Contractor shall submit requests for payment to CDHS OEC Invoicing(cstate.co.us. Page 4 of 4 Revision Date December 4, 2020 Contract Form New Contract Request Entity Information Entity Name* Entity ID* COLORADO DEPARTMENT OF HUMAN @00003650 SERVICES Contract Name* ❑ New Entity? Contract ID NURSE HOME VISITOR PROGRAM FY22 CONTRACT AMD#3 4847 Contract Status CTB REVIEW Contract Lead* TGEISER Contract Lead Email tgeisergco.weld.co.us Contract Description * NURSE HOME VISITOR PROGRAM FY21-22 CONTRACT WITH CDHS 22 IHIA 168245 Contract Description 2 PREVIOUS CONTRACTS 21 IHIA 160161, 20 IHIA 129479, 19 IHIA 149304, 15 IHA 68641 Contract Type CONTRACT Amount* $995,91 1.00 Renewable* NO Automatic Renewal NO Grant YES IGA NO Department HEALTH Department Email CM -Health eve ldgov.com Department Head Email CM -Health - De ptHe ad@we I dgov. con County Attorney GENERAL COUNTY A I I ORNEY EMAIL County Attorney Email CM- COUNTYA I I ©RNEY@-WELDG OV.COM Requested BOCC Agenda Date* 06,14, 2021 Parent Contract ID Requires Board Approval YES Department Project # Due Date 06;10;'2021 Will a work session with BOCC be required?* NO Does Contract require Purchasing Dept. to be included? NO Grant Deadline Date If this is a renewal enter previous Contract ID if dais is of a MSA enter MSA Contract ID Note: the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts are not in OnEase Contract Dates Effective Date 07/01/2021 Review Date* 03/31/2022 Renewal Date Termination Notice Period Committed Delivery Date Contact Information Contact Info Contact Name Purchasing Expiration Date* 06,/.30,`2022 Contact Type Contact Email Contact Phone I Contact Phone 2 Purchasing r Purchasing Approval Process Department Head TANYA GEISER DH Approved Date 06:10 12021 Final Approval C Ap BOCC Signed Date BOCC Agenda Date 06116,2021 Originator TGEISER Finance Approver CHRIS D'OV1DJO Legal Counsel GAPE KALOUSEK Finance Approved Date Legal Counsel Approved Date 06110/2021 06'10/2021 Tyler Ref # AG 061621 Hello