HomeMy WebLinkAbout20211653.tiffRESOLUTION
RE: APPROVE AMENDMENT #4 TO CONTRACT FOR IMMUNIZATION CORE SERVICES
PROGRAM AND AUTHORIZE CHAIR TO SIGN AND SUBMIT ELECTRONICALLY
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS, the Board has been presented with Amendment #4 to the Contract for the
Immunization Core Services Program between the County of Weld, State of Colorado, by and
through the Board of County Commissioners of Weld County, on behalf of the Department of
Public Health and Environment, and the Colorado Department of Public Health and Environment,
commencing July 1, 2018, 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 Amendment #4 to the Contract for the Immunization Core Services
Program between the County of Weld, State of Colorado, by and through the Board of County
Commissioners of Weld County, on behalf of the Department of Public Health and Environment,
and the Colorado Department of Public Health and Environment, be, and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized
to electronically sign and submit said amendment.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 23rd day of June, A.D., 2021, nunc pro tunc July 1, 2018.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
ATTEST: ditiL) aC,Geo;cic �--�
Steve i oreno. C air
Weld County Clerk to the Board
iiII11 _ Scd
BY. Deputy Clerk to the Board
APP ED M:
l Coun ttorney
Date of signature: LiI 1)1Z
Lori
Cc; H(.CTG)
07/06 /21
2021-1653
HL0053
Memorandum
TO: Steve Moreno, Chair
Board of County Commissioners
FROM: Mark Lawley, Executive Director
Department of Public Health & Environment
DATE: June 14, 2021
SUBJECT: CDPHE Immunization Core Services FY21-
22 Contract Amendment #4
For the Board's approval is contract amendment #4 to the Immunization Core Services contract
between the Colorado Department of Public Health and Environment (CDPHE) and the Weld
County Board of Commissioners for the benefit and use of the Weld County Department of
Public Health and Errvironment (WCDPHE).
The purpose of the Weld County Immunization Program is to increase immunization rates in
Weld County residents and therefore, reduce morbidity and mortality of infectious disease. In
2020, over 3,500 vaccines were administered by WCDPHE (non-COVID-19 vaccines). We
follow CDC guidelines for best immunization practices and provide follow-up of Weld county
residents to reduce aid eliminate vaccine -preventable diseases. We provide immunizations and
educational materials in collaboration with schools, daycares, and community agencies. In
addition to provision of immunizations, WCDPHE provides technical support to community
physician offices on the complex immunization schedules, conduct reminder/recall activities, and
maintain accurate and timely reporting of immunizations to the Colorado Immunization
Information System (CIIS).
With the approval of this contract amendment, Weld County will be reimbursed $86,711 for the
grant period, all of which are federal funds. The term of this contract is from July 1, 2021, through
June 30, 2022.
This contract has been reviewed by the Weld County Attorneys' office and it meets with their
approval.
The Board approved placement of this contract amendment on the Board's agenda via pass -around
dated June 14, 2021.
I recommend approval of this Immunization Core Services contract amendment with CDPHE.
2021-1653
H L0053
BOARD OF COUNTY COMMISSIONERS
PASS -AROUND REVIEW
TITLE: CDPHE Immunization Core Services FY21-22 Contract Amendment #4
DEPARTMENT: PUBLIC HEALTH & ENVIRONMENT
PERSON REQUESTING: Mark Lawley, Executive Director
DATE: June 14, 2021
Brief description of the problem/issue:
Enclosed for the Board's review and approval is contract amendment #4 to the Immunization Core Services
contract between the Colorado Department of Public Health and Environment (CDPHE) and the Weld County
Board of Commissioners for the benefit and use of the Weld County Department of Public Health and
Environment (WCDPHE).
The purpose of the Weld County Immunization Program is to increase immunization rates in Weld County
residents and therefore, reduce morbidity and mortality of infectious disease. In 2020, over 3,500 vaccines
were administered by WCDPHE (non-COVID-19 vaccines). We follow CDC guidelines for best immunization
practices and provide follow-up of Weld county residents to reduce and eliminate vaccine -preventable
diseases. We provide immunizations and educational materials in collaboration with schools, daycares, and
community agencies. In addition to provision of immunizations, WCDPHE provides technical support to
community physician offices on the complex immunization schedules, conduct reminder/recall activities, and
maintain accurate and timely reporting of immunizations to the Colorado Immunization Information System
(CIIS).
With the approval of this contract amendment, Weld County will be reimbursed $86,711 for the grant period, all
of which are federal funds. The term of this contract is from July 1, 2021, through June 30, 2022.
This contract has been sent to Assistant Weld County Attorney, Karin, McDougal, for review and we will await
her approval prior to placement on the Board's agenda.
What options exist for the Board? (include consequences, impacts,.costs, etc. of options):
Approval of this contract amendment with CDPHE will provide funding to allow WCDPHE to provide the most
proven prevention and control method for vaccine -preventable diseases, the provision of accurate and
scheduled immunizations for children and adults.
Declining this contract amendment will result in the loss of funding for epidemic response to Hepatitis A & other
vaccine preventable diseases including provision of free (State supplied) Hepatitis A vaccine, and funding
provision of adult immunizations for uninsured, under -insured, and income challenged adults. WCDPHE would
also lose the funding that currently aids in the maintenance of the WCDPHE child and adult immunization
program.
Recommendation: I recommend the approval of this Immunization Core Services contract amendment with
CDPHE.
Perry L. Buck
Mike Freeman
Scott K. James, Pro-Tem
Steve Moreno, Chair
Lori Saine
Approve Schedule
Recommendation Work Session Other/Comments:
DocuSign Envelope ID: 648A6393-B67B-48A2-AABE-E4DEEC9EFF3D
CONTRACT AMENDMENT #4
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:
19 FHHA 109514
Contractor:
Amendment Contract Number:
Board of County Commissioners of Weld County
2021*3657 Amendment #4
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, 2018
June 30, 2022
CONTRACT MAXIMUM AMOUNT TABLE
Document
Contract
Number
Federal
Funding
State Funding
Amount
Other Funding
Amount
Term (dates)
Total
Type
Amount
Original
Contract
19 FHHA
109514
$85,392.00
$48,644.00
$0.00
07/01/2018-
06/30/2019
$134,036.00
GFCL #1
19 FHHA
113425
$0.00
$43,251.00
$0.00
09/17/2018-
06/30/2019
$43,251.00
Contract
Amendment #1
19 FHHA
127526
$17,442.00
$0.00
$0.00
03/01/2019-
06/30/2019
$17,442.00
Contract Option
19 FHHA
$824.00
$0.00
$0.00
05/10/2019-
Letter #1
127526
06/30/2019
$824.00
Contract
2020*115
$83,774.00
$92,756.00
$0.00
07/01/2019-
Amendment #2
Amendment #2
06/30/2020
$176,530.00
Contract Option
Letter #2
2020*115
Option Letter
#2
$0.00
$20,022.00
$0.00
03/01/2020-
06/30/2020
$20,022.00
2020*3440
07/01/2020 -
Contract
Amendment #3
$86,757.00
$92,069.00
$0.00
06/30/2021
$178,826.00
Amendment #3
Contract Option
Letter #3
2020*3440
#3
$75,653.00
$68,977.00
$0.00
08/01/2020-$144,630.00
2021 *3657
07/01/2021 -
Contract
Amendment #4
Amendment #4
$86,711.00
$0.00
$0.00
06/30/2022
$86,711.00
Current Contract Maximum
$802,272.00
Cumulative Amount
Page 1 of 3
Amendment Contract Number: 2021 *3657 Amendment #4
Ver 06.05.20
DocuSign Envelope ID: 648A6393-B67B-48A2-AABE-E4DEEC9EFF3D
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
Weld County Department of Public Health and
Environment
DocuSigned by:
C
likevua
E04487D842AE4A7...
By: Signature
Steve Moreno
Name of Person Signing for Contractor
County Commissioner Chair
Title of Person Signing for Contractor
Date:
2021-06-23
STATE OF COLORADO
Jared S. Polis, Governor
Colorado Department of Public Health and Environment
Jill Hunsaker Ryan, MPH, Executive Director
p—DocuSigned by:
Gsa M cGa,.vu.
'-2EDF870A1A7D4FC...
By: Signature
Lisa McGovern
Name of Executive Director Delegate
Procurement & Contracts Sec
Title of Executive Director Delegate
Date:
2021-06-23
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:
368F8AFC06514C4
By: Signature
Travis Yoder
Name of State Controller Delegate
controller
Title of State Controller Delegate
Amendment Effective Date:
2021-06-26
-- Signature and Cover Pages End --
Page 2 of 3
Amendment Contract Number: 2021 *3657 Amendment #4
Ver 06 05.20
ion Direct
v?tk2V -14,53
DocuSign Envelope ID: 648A6393-B67B-48A2-AABE-E4DEEC9EFF3D
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, 2021,
whichever is later and shall terminate on the termination of the Contract or June 30, 2022, whichever is earlier.
4. PURPOSE
The Parties entered into the agreement to reduce and eliminate vaccine preventable diseases in Colorado by
increasing and maintaining immunization coverage. Local public health agencies will provide core immunization
services, according to established best practices and standards, to improve the health of individuals and communities.
The Parties now desire to renew for an additional term and change current Contract Maximum Total for the
following reason: to renew.
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
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 G, Statement of Work of the agreement. Exhibit G, Statement of
Work, is deleted and replaced in its entirety with Exhibit G, Statement of Work, attached to this
Amendment for the following reason: to renew.
D. The Parties now agree to modify Exhibit H, Budget of the agreement. Exhibit H, Budget, is deleted and
replaced in its entirety with Exhibit H, Budget, attached to this Amendment for the following reason: to
renew.
E. The Parties now agree to modify Exhibit I, Federal Provisions. Exhibit I, Federal Provisions, is deleted and
replaced in its entirety with the 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 3 of 3
Amendment Contract Number: 2021'3657 Amendment #4 Ver 06.05.20
DocuSign Envelope ID: 648A6393-B67B-48A2-AABE-E4DEEC9EFF3D
EXHIBIT G
STATEMENT OF WORK
To Original Contract Number 19 FHHA 109514
Amendment Contract Number: 2021*3657 Amendment #4
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 reduce and eliminate vaccine -preventable diseases in Colorado
by increasing and maintaining immunization coverage. Local public health agencies will promote and
provide immunization services, and respond to strategic priorities identified by CDPHE, according to
established best practices and standards and in alignment with the Colorado Public Health Transformation
Core Public Health Services concepts. This project will protect the health of the residents of Colorado.
III. Definitions:
1. ACIP:
2. CALPHO
3. CCC:
4. CCR:
5. CDC:
6. CDPHE:
7. CIB:
8. CIIS:
9. Deputization:
11. FAQ:
12. FQHC:
13. Core Immunization services: Immunization services with community stakeholders based on
evidence -based strategies to increase vaccination rates.
14. Insured: A person who is covered by health insurance.
15. Jurisdiction: Power or right of a legal or political agency to exercise its authority over a
person, subject matter, or territory.
16. MMR Measles, mumps, and rubella vaccine.
17. MOU: Memorandum of Understanding
18. RHC: Rural Health Center
19. School: As defined by the Colorado Board of Health rule 6 CCR 1009-2, all child care
facilities licensed by the Colorado Department of Human Services including: child care centers,
school -age child care center, preschools, day camps, resident camps, day treatment centers,
family child care homes, foster care homes, and head start programs; public, private, or parochial
kindergarten, elementary or secondary schools through grade twelve, or a college or university.
20. Section 317 Vaccine: Vaccine funding used to support infrastructure critical to vaccine
program success including vaccine for: uninsured and underinsured adults, outbreak response
and preparedness support.
21. VFC: Vaccines for Children
22. VPD: Vaccine -preventable disease
23. WIG: Wildly Important Goal - a current strategic priority of CDPHE
Advisory Committee on Immunization Practices
Colorado Association of Local Public Health Officials
Child Care Centers as defined by Colorado State Board of Health Rule 6 CCR 1009-2
Code of Colorado Regulations
Centers for Disease Control and Prevention
Colorado Department of Public Health and Environment
Colorado Immunization Branch
Colorado Immunization Information System
The formal extension of authority to provide VFC vaccines to eligible underinsured
children from a participating FQHC or RHC to another VFC-enrolled provider; typically a local public
health agency. Previously called Delegation of Authority.
10. Evidence -based: Conscientious use of current scientific evidence and clinical expertise.
Frequently Asked Questions
Federally Qualified Health Center
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EXHIBIT G
IV. Work Plan:
Goal #1: Reduce vaccine -preventable diseases in Colorado by increasing or maintaining immunization
coverage.
Objective #1: No later than the expiration of the contract, provide core immunization services intended to
improve the health of individuals and communities.
Primary Activity #1
The Contractor shall implement core immunization services within its
jurisdiction.
Sub -Activities #1
1. The Contractor shall promote within their jurisdiction all ACIP-
recommended VFC vaccines through the VFC program for the population
served.
2. The Contractor shall analyze the need for provision of immunizations
within their jurisdiction.
a. According to the analysis, the Contractor shall provide
immunizations within their jurisdiction.
3. The Contractor shall promote within their jurisdiction that children eligible
for VFC vaccine per ACIP recommendations are screened and vaccinated.
4. The Contractor shall promote within their jurisdiction all ACIP-
recommended Section 317 vaccines are available through the Section 317
program for the population served.
5. The Contractor shall promote within their jurisdiction that persons eligible
for Section 317 vaccine per ACIP recommendations are screened and
vaccinated.
6. The Contractor shall promote within their jurisdiction that inventory of all
ACIP-recommended private vaccines is available for the insured population
served.
a. The Contractor shall refer insured clients to health care providers
outside of their jurisdiction in instances that private vaccine is not
available within their jurisdiction.
7. The Contractor shall promote within their jurisdiction that persons eligible
for private vaccine per ACIP recommendations are screened and
vaccinated.
8. The Contractor shall submit immunization data to CIIS for all
immunizations administered by their agency within 14 days of vaccine
administration.
9. The Contractor shall promote use of CIIS to providers in their jurisdiction.
10. The Contractor shall review the county level Immunization Rates Report
for the following information:
a. Children 19-35 months of age no later than 30 days after distribution
by CIB
b. Adolescents 13-17 years of age no later than 30 days after distribution
by CIB
c. Compare to the CDC National Immunization Surveys; Child and Teen
and CIIS-generated statewide rates provided by CIB in order to
increase awareness of county versus state and national immunization
rates within the 30 days that the rates report is distributed by the CIB.
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Amendment Contract Number: 2021 *3657 Amendment #4
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DocuSign Envelope ID: 648A6393-8678-48A2-AABE-E4DEEC9EFF3D
EXHIBIT G
11. The Contractor shall provide immunization subject matter expertise to the
following:
a. Decision makers
b. Policy makers
c. Health care providers
d. The public
12. The Contractor shall meet with local stakeholders to implement a minimum
of one (1) evidence -based strategy that is culturally and linguistically
appropriate to eliminate the following:
a. immunization disparities by race
b. immunization disparities by ethnicity
c. immunization disparities by socio-economic status
13. The Contractor shall promote informed vaccine decision making by
educating a minimum of one (1) of the following:
a. consumers
b. health care providers
c. staff who administer immunizations
d. policy makers
14. The Contractor shall address vaccine hesitancy by educating a minimum of
one (1) of the following:
a. consumers
b. health care providers
c. staff who administer immunizations
d. policy makers
15. The Contractor shall promote vaccine services availability by educating a
minimum of one (1) of the following:
a. consumers
b. healthcare providers
c. staff who administer immunizations
d. policy makers
16. The Contractor shall promote seasonal influenza vaccine to improve
preparedness in the event of an influenza pandemic according to the
following criteria:
a. The Contractor shall promote seasonal influenza vaccine
with new organizations.
b. The Contractor shall continue seasonal influenza vaccine
coordination with existing organizations.
c. The Contractor shall promote seasonal influenza vaccine
with commercial sector organizations.
17. The Contractor shall maintain a deputization MOU with an FQHC/RHC.
18. The Contractor shall deliver information to schools and CCCs about
the Colorado State Board of Health Rule 6 CCR 1009-2 annual reporting
requirement.
a. The Contractor shall follow up with schools who fail to report data.
b. The Contractor shall follow up with CCCs who fail to report data.
19. The Contractor shall support a network of VFC providers.
a. The Contractor shall perform ongoing recruitment of new VFC
providers.
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Amendment Contract Number: 2021 *3657 Amendment #4
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EXHIBIT G
b. The Contractor shall educate current VFC providers about the VFC
program requirements.
20. The Contractor shall respond to cases of VPD in their jurisdiction in order
to implement core immunization services.
21. The Contractor shall maintain staff readiness for a VPD outbreak.
22. The Contractor shall participate in CIB Immunization calls for up-to-date
information.
a. The Contractor shall listen to the audio recording of the call
provided by the CIB within 30 days when the Contractor does not
attend call.
23. The Contractor shall attend a minimum of one (1) immunization -related
training or conference.
Objective #2: No later than the expiration of the contract, the Contractor shall implement evidence -based
strategies to improve immunization rates in populations identified as underimmunized by CDPHE.
Primary Activity #1
The Contractor shall utilize immunization strategies to address strategic
priorities identified by CDPHE.
Sub -Activities #1
1. The Contractor shall utilize immunization strategies to address
underimmunization in populations as defined in the WIG.
2. The Contractor shall review the list of strategies from Strategies to improve
Colorado vaccination rates.
3. The Contractor shall plan local activities to use evidence -based strategies
that are culturally and linguistically appropriate to increase immunization
rates with the following:
a. Health care providers
b. Pharmacists
c. Long-term care facility staff
d. Infection control specialists
e. School officials
f. The public
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 use the final results of the CDC National Immunization
Surveys; Child and Teen and CIIS-generated statewide rates provided by
CIB via email communication in order to increase awareness of county
versus state and national immunization rates.
3. The Contractor shall comply with the requirements for entering/submitting
immunization data into CIIS as agreed to in the CIIS Letter of Agreement
found within the online CIIS Resource Center located on the following
website, https://www.cophr.com/emrlogin.asp. The content of this website is
incorporated and made part of this contract by reference.
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Amendment Contract Number: 2021 *3657 Amendment #4
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DocuSign Envelope ID: 648A6393-8678-48A2-AABE-E4DEEC9EFF3D
EXHIBIT G
4. The Contractor shall comply with the ACIP recommendations for vaccine
administration located on the following website,
http://www.cdc.gov/vaccines/acip/index.html. The content of this website is
incorporated and made part of this contract by reference.
5. The Contractor shall promote compliance with school immunization rules
within the Colorado State Board of Health Rule 6 CCR 1009-2 located on
the following website,
https://www.sos. state.co. us/CCR/Generate Rul ePdf.do?ru I e Vers ionId=7698
&fileName=6%20CCR%201009-2. This document establishes
immunization standards and is incorporated and made part of this contract
by reference.
6. The Contractor shall create a login to access the school and childcare
immunization data for the Contractor's jurisdiction located on the following
website, https://www.colorado.gov/pacific/cdphe/school-and-child-care-
immunization-data-reporting. The content of this website is incorporated and
made part of this contract by reference.
7. The Contractor shall maintain a signed VFC recertification agreement when
providing VFC vaccines for their jurisdiction.
8. The Contractor shall comply with the requirements for utilizing VFC
vaccine agreed to in the VFC recertification agreement packet provided by
CIB when providing VFC vaccines for their jurisdiction.
9. The Contractor shall comply with the eligibility requirements for utilizing
Section 317 vaccine as provided by CIB via email when providing 317
vaccines for their jurisdiction.
10. The Contractor shall use a minimum of one (1) evidence -based strategy to
eliminate coverage disparities by race, ethnicity and socio-economic status
located on the following website,
https://docs.google.com/document/d/ 1 t9ZsuW2zmaY-1S-
LpTrNicjCmaCXzaUtvVam62fy1J8/edit?ts=5f3b39bc. The content of this
website is incorporated and made part of this contract by reference.
11. The Contractor shall use deputization MOU guidance as provided by CIB
via email.
12. CDPHE will provide programmatic technical assistance, upon request.
13. The Contractor shall complete an electronic quarterly progress report using
the FY22 Immunization Core Services Quarterly Progress Report, via the
following website, https://fs9.formsite.com/ColoradoIMMprogram/FY22-
Core-ProgressReport/index.html. The content of this website is incorporated
and made part of this contract by reference.
14. The Contractor shall complete the final electronic quarterly progress
report as a non -reimbursable deliverable.
15. The Contractor shall provide signed VFC recertification packet and
agreements via the following website when providing VFC vaccines for their
jurisdiction:
https://fs9.forms ite.com/ColoradolMMprogram/dvgdvwg52n/index. htm I .
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Amendment Contract Number: 2021 *3657 Amendment #4
Ver. 01.11.19
DocuSign Envelope ID: 648A6393-8676-48A2-AABE-E4DEEC9EFF3D
EXHIBIT G
The content of this website is incorporated and made part of this contract by
reference.
16. The Contractor shall utilize strategies of CALPHO and CDPHE's Colorado
Public Health System Transformation: Core Public Health Services Needs
Assessment Report. Jan 2020 located on the following website,
https: //drive.google. com/file/d/13WfziCL1vm0I ZcFsWJke8W4MjRbxL8r/vie
w?usp=sharing. This document establishes immunization
standards and is
Report Card via the
incorporated and made part of this contract by reference.
17. The Contractor shall access the MMR Dashboard and
following website:
https://cohealthviz.dphe.state.co.us/t/DCEED Public/views/MMRFactSheet/
MMRFactSheetIntro?:showAppBanner=false&:display count=n&:showViz
Home=n&:origin=viz share link. The content of this
website is
for their
targets via email
fact -based
rates located on
incorporated and made part of this contract by reference.
18. The Contractor shall strive to meet immunization targets
jurisdiction set by the CIB to attain a WIG.
19. CDPHE will provide each jurisdiction's immunization
within 90 days of the execution of the contract.
20. The Contractor shall promote immunizations by utilizing
strategies from Strategies to improve Colorado vaccination
the following website,
https://docs.google.com/document/d/It9Zs uW2zmaY-IS-
LpTrNicjCmaCXzaUtvVam62fyIJ8/edit?usp=sharing. The content of this
website is incorporated and made part of this contract by reference.
21. The CIB will maintain a FAQ document to address questions regarding this
project located on the following website:
https://docs.google.com/document/d/19HwfWcWg5bv57VgWJH5Z7sHpEz
OPuRvGSRT8kzwxOh4/edit?usp=sharing The content
of this website is
incorporated and made part of this contract by reference.
Expected Results of
Activity(s)
1. Immunizations are offered within the Contractor's jurisdiction.
2. Immunizations are marketed within the Contractor's jurisdiction.
3. Immunizations are administered within the Contractor's jurisdiction.
Measurement of Expected
Results
1. Data contained in Immunization Rates Report.
2. Data contained in the CDPHE Dashboard and Report Card.
3. Data contained in quarterly progress reports.
Completion Date
Deliverables
1. All Contractors providing VFC vaccines shall
electronically submit signed VFC recertification
packet and agreements.
No later than 30
business days
following the receipt of
the recertification
packet
2. The Contractor shall submit an electronic quarterly
progress report using the FY22 Immunization Core
Services Quarterly Progress Report.
No later than 30
calendar days
following the last
calendar day of
Page 6 of 7
Amendment Contract Number: 2021 *3657 Amendment #4
Ver. 01.11.19
DocuSign Envelope ID: 648A6393-B67B-48A2-AABE-E4DEEC9EFF3D
EXHIBIT G
September, December,
and March
3. The Contractor shall submit the final electronic
quarterly progress report using the FY22 Immunization
Core Services Quarterly Progress Report.
No later than 15 days
after the end term of
the contract
4. The Contractor shall submit immunization data for
all immunizations administered by the Contractor's
agency to CIIS.
No later than 14 days
following vaccine
administration
V. Monitoring:
CDPHE's monitoring of this contract for compliance with performance requirements will be conducted
throughout the contract period by the CDPHE Contract Monitor. Methods used will include a review of
documentation determined by CDPHE to be reflective of performance to include progress reports and other
fiscal and programmatic documentation as applicable. The Contractor's performance will be evaluated at
set intervals and communicated to the contractor.
VI. Resolution of Non -Compliance:
The Contractor will be notified in writing within 15 calendar days of discovery of a compliance issue.
Within 30 calendar days of discovery, the Contractor and the State will collaborate, when appropriate, to
determine the action(s) necessary to rectify the compliance issue and determine when the action(s) must be
completed. The action(s) and 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 Contract Monitor 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 7 of 7
Amendment Contract Number: 2021 *3657 Amendment #4
Ver. 01.11.19
DocuSign Envelope ID: 648A6393-6676-48A2-AABE-E4DEEC9EFF3D
EXHIBIT H
To Original Contract Routing Number: 19 FHHA 109514
Original Budget
Immunization Core Activities - Weld
Federal (FY22)
Federal Funds
$86,711
Total Amount
$86,711
Amendment Contract Number: 2021 *3657 Amendment #4 Page 1 of 1
DocuSign Envelope ID: 648A6393-8678-48A2-AABE-E4DEEC9EFF3D
Exhibit I
Federal Provisions - CDC-RFA-IP19-1901 Immunization and Vaccines for Children
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 number075757955
c. The Federal Award Identification Number (FAIN) is NH23IP922600.
d. The Federal award date is To Be Determined.
e. The subaward period of performance start date is 07/01/2019 and end date is 06/30/2024.
f. Federal Funds:
Federal Budget Period
Total Amount of Federal
Funds Awarded
Amount of Federal Funds
Obligated to CDPHE
7/1/2019 - 6/30/2021
$14,155,406.00
$6,354,442.00
g. Federal award title of project or program: Immunization and Vaccines for Children.
h. The name of the Federal awarding agency is: The Department of Health and Human
Services — Centers for Disease Control and Prevention and the contact information for the
awarding official is Maribeth Eckert, 1600 Clifton Road, Atlanta, Georgia, 30333, 404-
639-8800; 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
Patsy Parker, 4300 Cherry Creek Drive South, A-3, Denver, Colorado 80246 303-692-
2669.
i. The Catalog of Federal Domestic Assistance (CFDA) number is 93.268 and the grant name is
Immunization and Vaccines for Children.
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 2021 *3657 Amendment #4 Ver. 25.02.20
DocuSign Envelope ID: 648A6393-B67B-48A2-AABE-E4DEEC9EFF3D
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 fmancial, 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 2021.3657 Amendment #4 Ver. 25.02.20
DocuSign Envelope ID: 648A6393-8678-48A2-AABE-E4DEEC9EFF3D
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 defmition of
"federally assisted construction contract" in 41 CFR Part 60-1.3 comply with the equal
opportunity clause provided under 41 CFR 60-1.4(b), in accordance with Executive Order
11246, "Equal Employment Opportunity: (30 FR 12319, 12935, 3 CFR Part, 1964-1965
Comp., p. 339), as amended by Executive Order 11375, "Amending Executive Order 11246
Relating to Equal Employment Opportunity," and implementing regulations at 41 CFR part
60, "Office of Federal Contract Compliance Programs, Equal Employment Opportunity,
Department of Labor.
j. where applicable, Contract Work Hours and Safety Standards Act (40 U.S.C. 3701-3708).
k. if the Federal award meets the definition of "funding agreement" under 37 CFR § 401.2 (a)
and the recipient or subrecipient wishes to enter into an agreement with a small business firm
or nonprofit organization, comply with the requirements of 37 CFR Part 401, "Rights to
Inventions Made by Nonprofit Organizations and Small Business Firms Under Government
Grants, Contracts and Cooperative Agreements," and any implementing regulations issued by
the awarding agency.
1. the Clean Air Act (42 U.S.C. 7401-7671q.) and the Federal Water Pollution Control Act (33
U.S.C. 1251-1387), as amended.
m. if applicable, comply with the mandatory standards and policies on energy efficiency
contained within the State of Colorado's energy conservation plan issued in compliance with
the Energy Policy and Conservation Act, 42 U.S.C. 6201.
n. the Contractor and all principals are not presently debarred, suspended, proposed for
debarment, declared ineligible, or voluntarily excluded from covered transactions by any
federal department or agency; the Contractor and all principals shall comply with all
applicable regulations pursuant to Executive Order 12549 (3 CFR Part 1986 Comp., p. 189)
and Executive Order 12689 (3 CFR Part 1989 Comp., p. 235), Debarment and Suspension;
and,
o. the Contractor shall comply where applicable, the Byrd Anti -Lobbying Amendment (31
U.S.C. 1352).
12) Compliance. Subrecipient shall comply with all applicable provisions of The Office of Management
and Budget Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal
Awards (Uniform Guidance), including but not limited to these Supplemental Provisions for Federal
Awards. Any revisions to such provisions automatically shall become a part of these Supplemental
Provisions, without the necessity of either party executing any further instrument. CDPHE may provide
Page 3 of 4
Amendment Contract Number 2021 "3657 Amendment #4 Ver. 25.02.20
DocuSign Envelope ID: 648A6393-B67B-48A2-AABE-E4DEEC9EFF3D
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 2021'3657 Amendment #4 Ver. 25.02.20
Contract Form
New Contract Request
Entity Information
Entity Name*
COLORADO DEPT OF PUBLIC
HEALTH/ ENVIRONMENT
Entity ID*
x.00001926
❑ New Entity?
Contract Name* Contract ID
CDPHE IMMUNIZATION CORE SERVICES FY21-22 TASK 4868
ORDER CONTRACT AMENDMENT #4
Contract Status
CTB REVIEW
Contract Lead*
KJAKUS-HOTCHKISS
Contract Lead Email
kjaku s-
hotchki ssiPweldgov.com
Parent Contract ID
Requires Board Approval
YES
Department Project #
Contract Description *
TASK ORDER CONTRACT AMENDMENT #4 FOR THE IMMUNIZATION CORE SERVICES PROGRAM FY21 -22
2021'3657A4
Contract Description 2
2020*3440A3, 2020'115A2, 19 FHHA 127526 AMD1
ORIG CONTRACT 19 FHHA 109514
Contract Type*
AMENDMENT
Amount*
586,711.00
Renewable*
NO
Automatic Renewal
NO
Grant
YES
IGA
NO
Department
HEALTH
Department Email
CM -Health. weldgov.com
Department Head Email
CM-Health-
DeptHead Tweldgov.com
County Attorney
GENERAL COUNTY
ATTORNEY EMAIL
County Attorney Email
CM-
COU NTYATTORN EYT WELDG
OV,COM
Grant Deadline Date
If this is a renewal enter previous Contract ID
3714
If this is part of a MSA enter MSA Contract ID
Requested BOCC Agenda
Date*
0623f2021
Due Date
06/19;2021
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
On Base
Contract Dates
Effective Date
07: 01 2021
Review Date*
O3;'01; 2022
Termination Notice Period Committed Delivery Date
Contact Information
Contact Info
Contact Name
Purchasing
Contact Type Contact Email
Renewal Date
Expiration Date r
06:'30:2022
Contact Phone I Contact Phone 2
Purchasing Approver Purchasing Approved Date
Approval Process
Department Head
TANYA GEISER
DH Approved Date
06 '17;2021
Final Approval
BOCC Approved
BOCC Signed Date
BOCC Agenda Date
06'23,2021
Originator
KjAKUS-HOTCHKISS
finance Approver
CHRIS D`OVIDIO
Legal Counsel
BOB CHOATE
Finance Approved Date Legal Counsel Approved Date
06;' 1 7; 2021 06;' 18,' 2021
Tyler Ref
AG 062321
Hello