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Home My WebLink About20202947.tiffRESOLUTION RE: APPROVE CONTRACT AMENDMENT #2 FOR MATERNAL AND CHILD HEALTH (MCH) PROGRAM AND AUTHORIZE CHAIR TO SIGN AND ELECTRONICALLY SUBMIT 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 #2 for the Maternal and Child Health (MCH) 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 October 1, 2020, and ending September 30, 2021, 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 #2 for the Maternal and Child Health (MCH) 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 sign and submit said amendment electronically. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 28th day of September, A.D., 2020. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST: d ) jC-%(1 Weld County Clerk to the Board Mike Fr-eman, Chair AP Coun " Attorney Date of signature: 09 /30 /2 CC: HI-C-ra) 3/25/21 2020-2947 HL0052 -44 4/2? Memorandum TO: Mike Freeman, Chair Board of County Commissioners FROM: Mark Lawley Deputy Director Department of Public Health & Environment DATE: September 22, 2020 SUBJECT: Contract Amendment #2 for FY20-21 Maternal and Child Health (MCH) Program with CDPHE For the Board's approval is FY20-21 Contract Amendment #2 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 the Maternal and Child Health (MCH) Program. The MCH program encompasses two separate and distinct programs as described below. Early Childhood Obesity Prevention The strategies in the Early Childhood Obesity Prevention Action Plan are to focus closely upon the maternal and child population and be a voice for maternal and early childhood health in existing partnerships and efforts. Evidenced based strategies to reduce early childhood obesity include working with childcare centers to increase structured physical activity and breastfeeding support, working with employers to accommodate breastfeeding employees, and promoting community wide consistent messaging for preventing obesity. Childhood obesity increases the risk of developing a variety of health problems in adolescence, and later in life. Health Care Program for Children with Special Needs (HCP): Care Coordination The HCP program provides care coordination and referral services to Weld County children and youth with special health care needs from birth to age 21, who have, or are at risk for, physical, developmental, behavioral or emotional conditions. There are no financial or diagnostic criteria; services are provided at no cost to any Weld County family. The HCP program provides information and resources, individual care coordination/case management, access to primary and specialty care, and referral to community resources. This program also facilitates the development and enhancement of community -based systems of care for children and youth with special health care needs. Services provided include interagency collaboration and consultation. The contract represents total funding for one year and will not exceed $319,054 for the period October 1, 2020, through September 30, 2021. Assistant County Attorney, Karin MacDougal, has reviewed the terms of this contract and found them to be acceptable. The Board approved placement of this contract amendment on the Board's agenda via pass -around dated September 21, 2020. I recommend approval of this renewal contract for the Maternal and Child Health Program with CDPHE. 2020-2947 eq / NLoa�� DocuSign Envelope ID: ACFCF25E-B5A8-410D-9F2E-3BFA70EF1 DBF CONTRACT AMENDMENT # 2 SIGNATURE AND COVER PAGE(S) State Agency: Colorado Department Of Public Health and Environment CYF/Maternal and Child Health 4300 Cherry Creek Drive South Denver, CO 80246 Original Contract Number: 17 FHLA 92905 Contractor: Amendment Contract Number: Board of County Commissioners of Weld County for the use and 2019*2292 Amendment #2 benefit of the Weld County Department of Public Health and Environment 1555 North 17th Avenue Greeley, CO 80631 Contract Performance Beginning Date: Current Contract Expiration Date: October 1, 2016 September 30, 2021 CONTRACT MAXIMUM AMOUNT TABLE Document Contract Number Federal Funding State Funding Other Funding Term (dates) Total Type Amount Amount Amount Original Contract 17 FHLA 92905 $135,054.00 $184,000.00 $0.00 10/1/16-9/30/17 $319,054.00 GFCL #1 18 FHLA 103799 $142,054.00 $177,000.00 $0.00 10/1/17-9/30/18 $319,054.00 Amendment #1 18 FHLA 112297 $185,054.00 $134,000.00 $0.00 10/1/17-9/30/18 $319,054.00 Option Letter #1 2019*2292 Option Letter 1 $199,054.00 $120,000.00 $0.00 10/1/19-9/30/20 $319,054.00 Amendment #2 2019*2292 Amendment# 2 $219,054.00 $0.00 $0.00 10/01/20- 9/30/21 $219,054.00 Amendment #2 2019*2292 Amendment# 2 $0.00 $100,000.00 $0.00 10/01/20- 6/30/21 $100,000.00 Current Contract Maximum $1,595,270.00 Cumulative Amount Page 1 of 4 Amendment Contract Number: 2019*2292 Amendment # 2 Ver 01.11.19 02.601.0 - a f¢7 DocuSign Envelope ID: CC500F03-4D36-4B9C-82A3-DD0CE2AD2EAC 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 --DoeuSi9ned by: NO- FVuAtiaaA. L74p00000304444 _ By: Signature Mike Freeman Name of Person Signing for Contractor chair, Board of Commissioners Title of Person Signing for Contractor Date: 2020-09-29 STATE OF COLORADO Jared S. Polis, Governor Colorado Department of Public Health and Environment Jill Hunsaker Ryan, MPH, Executive Director Lisa McGovern Name of Executive Director Delegate Procurement & Contracts Section Director Title of Executive Director Delegate Date: 2020-09-29 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 Docusipned by: �i,_. ,•, a Y..d4.,, 00514G, By: Signature Travis Yoder Name of State Controller Delegate controller Title of State Controller Delegate Contract Effective Date: 2020-09-29 -- Signature and Cover Pages End -- Page 2 of 4 Amendment Contract Number: 2019.2292 Amendment # 2 Ver 27.01.20 DocuSign Envelope ID: ACFCF25E-B5A8-410D-9F2E-3BFA70EF1 DBF 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 October 1, 2020, whichever is later, and shall terminate on the termination of the Contract or September 30, 2021, whichever is earlier. 4. PURPOSE The Parties entered into the agreement to Implement population health strategies and provide services that will measurably impact the health and well being of the MCH population. The Parties now desire to renew for an additional term and change current Contract Maximum Total for the following reason: To Provide Services as set forth in the original contract. 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, Statement of Work, of the agreement, Exhibit D, Statement of Work, is deleted and replaced in its entirety with Exhibit D, Statement of Work, attached to this Amendment for the following reason: To provide services as set forth in the Original Contract. D. The Parties now agree to modify, Exhibit F, Budget, of the agreement, Exhibit F, Budget, is deleted and replaced in its entirety with Exhibit F, Budget, attached to this Amendment Page 3 of 4 Amendment Contract Number: 2019*2292 Amendment #2 Ver 27.01.20 DocuSign Envelope ID: ACFCF25E-B5A8-410D-9F2E-3BFA70EF1DBF for the following reason: To ensure funding is available to provide services as set forth in the Original Contract. E. The Parties now agree to modify, Exhibit A, Additional Provisions, of the agreement, Exhibit A, Additional Provisions, is deleted and replaced in its entirety with Exhibit A, Additional Provisions, attached to this Amendment for the following reason: To reflect changes to the federal award identification information F. The Parties now agree to add Exhibit G, Federal Provisions -Maternal and Child Health Services 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: 2019*2292 Amendment #2 Ver 27.01.20 DocuSign Envelope ID: ACFCF25E-B5A8-410D-9F2E-3BFA70EF1 DBF EXHIBIT D STATEMENT OF WORK To Original Contract Number 17 FHLA 92905 These provisions are to be read and interpreted in conjunction with the provisions of the contract specified above. I. Entity Name: Weld County Public Health II. Project Description: This project serves to develop, implement and evaluate evidence -based MCH Action Plans and HCP Care Coordination services that contribute to the improvement of MCH performance measures and outcomes. The MCH Action Plans outline goals and activities that, once implemented, will improve the health outcomes in the MCH priorities that have been selected by a particular Local Public Health Agency (LPHA). For Weld County Public Health, the priority is Early Childhood Obesity Prevention (ECOP). ECOP: Early childhood obesity rates will be reduced by implementing ECOP evidence -based strategies in conjunction with early care and education programs professionals and key community stakeholders. Through implementation of these strategies, the agency will raise knowledge and skills of early care and education program staff members and will support program staff in creating healthier environments (through policy and system changes) for children in their care. This provides children, and often their teachers, the opportunity to adopt healthy preferences to potentially last a lifetime. On a system level, it is beneficial because it helps reduce obesity related chronic disease, thereby requiring fewer healthcare resources. This project is important because the combined 2019 prevalence rates for overweight and obesity in children ages 2 through 4 years residing in Colorado and Weld County are 20.6% and 26.1% respectively. Compared to children with healthy weight, children who are overweight in kindergarten are four times more likely to have obesity by the 8th grade and experience health risks associated with obesity. Early care and education settings that adopt healthy environments can directly influence what children eat and drink, and their physical activity levels. III. Definitions: 1. CDPHE - Colorado Department of Public Health and Environment 2. CDS - the state HCP-developed data system for documentation of clinic coordination, care coordination and information only services for children and youth with special health care needs 3. CYSHCN - children and youth with special health care needs 4. HCP — a program for children and youth with special health care needs 5. HCP Care Coordination — the state HCP developed intervention model for providing care coordination for families of children and youth with special health care needs 6. HCP Consultants — the program staff for HCP who provide technical assistance, consultation and training on HCP program components. 7. LPHAs — local public health agencies . MCH — Maternal and child health 9. MCH Action Plans — action plans are work plans that Contractors select or develop to describe the goals, objectives, key activities, persons responsible, and timelines of the MCH effort. Action plans may be state developed and related to MCH priorities or may be developed by the Contractor.. 10. MCH Generalist Consultants - the primary MCH program staff who monitor MCH contracts and who provide technical assistance and consultation to contractors on program development and implementation. 11. MCH/HCP 4 Square Progress Report - dual purpose reporting tool: contractor reports quarterly progress on MCH priority implementation in the quarterly tabs / MCH Generalist Consultant/HCP Consultant reports outcomes of three annual progress check in meetings in the progress check in tabs. Page 1 of 4 Amendment Contract Number 2019'2292 Amendment # 2 Ver. 01.11.19 DocuSign Envelope ID: ACFCF25E-B5A8-410D-9F2E-3BFA70EF1DBF EXHIBIT D IV. Work Plan: Goal #1: Promote healthy outcomes for Colorado women, children and youth through implementation of local action plans. Objective #1: No later than the expiration of the contract, improve the health and well-being of mothers and children by employing primary prevention and early intervention public health strategies. Primary Activity #1 The Contractor shall implement evidence -based strategies to improve maternal and child health. Sub -Activities #1 1. The Contractor shall implement each activity specified within the agency's CDPHE approved, customized action plan(s). 2. The Contractor shall engage in a minimum of one (1) training or technical assistance opportunity to support community engagement strategies specific to MCH initiatives. 3. The Contractor shall participate in a minimum of three (3) check -in calls with their MCH Generalist Consultant. Primary Activity #2 The Contractor shall implement the HCP Model of Care Coordination for CYSHCN residing within the Contractor's jurisdiction. Sub -Activities #2 1. The Contractor shall provide information and resources for community stakeholders and families of children and/or youth with special health care needs. 2. The Contractor shall participate in HCP statewide meetings via webinar every other month as scheduled. 3. The Contractor shall submit HCP Planning forms and budgets for care coordination. Primary Activity #3 The Contractor shall determine which of the new MCH Priorities will be selected for implementation beginning in fiscal year 2022. Sub -Activity #3 1. The Contractor shall begin planning with the MCH Generalist Consultant, HCP Consultant and MCH Implementation Team Leads to evaluate their readiness and decide which of the new MCH Priorities will be implemented beginning in fiscal year 2022. 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 be guided by the MCH priority local action plans that correspond with their selected priorities. This information is located on the MCH website www.mchcolorado.org and incorporated and made part of this contract by reference. 3. The Contractor shall comply with MCH Guidelines. This information is located on the MCH website www.mchcolorado.org and incorporated and made part of this contract by reference. . 4. The Contractor shall participate in consultation, technical assistance, oversight and training by state HCP staff on HCP care coordination services, including HCP documentation. 5. The Contractor shall use a medical home approach for CYSHCN. 6. The Contractor shall be guided by the by the Medical Home Priority Resource Document available on the MCH website, incorporated and made part hereof by reference, and located at www.mchcolorado.org 7. The Contractor shall engage families with CYSHCN and community family leaders to solicit consumer feedback when serving the CYSHCN population by referencing the Reducing Barriers to a Medical Home Approach resource document available online Page 2 of 4 Amendment Contract Number 2019*2292 Amendment # 2 Ver. 01.11.19 DocuSign Envelope ID: ACFCF25E-B5A8-410D-9F2E-3BFA70EF1 DBF EXHIBIT D on the HCP website, incorporated and made part hereof www.hcpcolorado.org. by reference, and located at the HCP Policy & Guidelines expectations set forth therein. of care coordination. The HCP at www.hcpcolorado.org. These 8. The Contractor shall perform work in accordance with and shall follow the policies, procedures, and program Also included in this document is the HCP model Policy & Guidelines are located on the HCP web site forms are incorporated and made part of this contract 9. The Contractor shall complete all required data documentation developed data system for documentation of Care Referral services, for HCP services in accordance with The HCP Policy & Guidelines are located www.hcpcolorado.org. These forms are incorporated by reference. in CDS, the state HCP- Coordination and Information & the HCP Policy & Guidelines. on the HCP web site at and made part of this contract by to attend scheduled check in calls HCP statewide meetings, activities for local HCP staff to the CDPHE HCP Program. Action Plan until approved by in the Submission Details 4 Square Progress Report, unless Statement of Work. the contract term as a non - reference. 10. The Contractor shall designate appropriate personnel with MCH Generalist Consultants. 11. The Contractor shall designate personnel to attend scheduled HCP annual meetings, and quarterly scheduled promote learning and increase skills, as organized by 12. The Contractor shall not begin activities in the Local CDPHE. 13. The Contractor shall submit all deliverables as is described field on the quarterly priority tabs of the MCH/HCP stated otherwise in the Deliverables Section of this 14. The Contractor shall submit all final reports after reimbursable deliverable. Expected Results of Activity(s) Increase or maintain the health status and needs of the maternal and child population within the Contractor's jurisdiction. Measurement of Expected Results 1. Detailed analysis of all progress reports. 2. The Contractor meets a minimum of ninety percent (90%) of the combined target (including care coordination and information and referral work) as calculated in the annual HCP Electronic Planning Form. 3. Data contained in CDS provides documentation of the care coordination services provided. Completion Date Deliverables 1. The Contractor shall submit this deliverable by completing the quarterly tabs for Q1, Q2, and Q3 of the MCH/HCP 4 -square Progress Report, which is a CDPHE-approved Google template. No later than 1/15/2021, 4/15/2021 and 7/15/2021 2. Early Childhood Obesity Prevention Priority: The Contractor shall submit this deliverable by entering quarterly data into the ECOP local data collection tracking tool reflecting the previous quarter's data for each selected objective in their action plan. No later than 1/15/2021, 4/15/2021, 7/15/2021 and 9/30/2021 Page 3 of 5 Amendment Contract Number 2019*2292 Amendment # 2 Ver. 01.11.19 DocuSign Envelope ID: ACFCF25E-B5A8-410D-9F2E-3BFA70EFIDBF EXHIBIT D 3. Early Childhood Obesity Prevention Priority: The Contractor shall submit electronically post intervention assessment tools completed to assess physical activity knowledge, skills, and practice improvements in early care and education licensed centers and homes. No later than 1/15/2021, 4/15/2021, 7/15/2021 and 9/30/2021 4. Early Childhood Obesity Prevention Priority: The No later than 9/30/2021 Contractor shall submit electronically a program sustainability plan with a description of how the breastfeeding and/or healthy early care and education environment work will be transferred to another entity or phased out for each objective implemented in the ECOP Local Action Plan. 5. The Contractor shall submit this deliverable by completing the quarterly tabs for Q4 of the MCH No later than 10/31/2021 Progress Report, which is a CDPHE-approved template. V. Monitoring: CDPHE's monitoring of this contract for compliance with performance requirements will be conducted throughout the contract period by the MCH Generalist. Methods used will include a review of documentation determined by CDPHE to be reflective of performance to include progress reports and invoices, and other fiscal and programmatic documentation as applicable. The Contractor's performance will be evaluated at set intervals and communicated to the contractor. A Final Contractor Performance Evaluation will be conducted at the end of the life of the contract. VI. Resolution of Non -Compliance: The Contractor will be notified in writing within 15 calendar days of discovery of a compliance issue. Within 30 calendar days of discovery, the Contractor and the State will collaborate, when appropriate, to determine the action(s) necessary to rectify the compliance issue and determine when the action(s) must be completed. The action(s) and timeline for completion will be documented in writing and agreed to by both parties. If extenuating circumstances arise that require an extension to the timeline, the Contractor must email a request to the MCH Generalist 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 4 of 4 Amendment Contract Number 2019*2292 Amendment 4 2 Ver. 01.11.19 DocuSign Envelope ID: ACFCF25E-B5A8-410D-9F2E-3BFA70EF1 DBF Exhibit F Budget COLORADO Department of Public Health & Environment PREVENTION SERVICES DIVISION - 12 MONTH BUDGET WITH JUSTIFICATION FORM Contractor Name Weld County Department of Public Health and Environment Program Contact Name, Title, Phone and Email Mike Schwan, Health Communication Specialist (970) 400-2343 mschwan@co.weld.co.us Budget Period 10/1/2020 - 9/30/2021 Contract (CT or PO) Number Fiscal Contact Name, Title, Phone and Email Tanya Geiser, Director, Administrative Services (970) 400-2122 tgeiser@co.weld.co.us CT FHLA 2021*2109 Identify the population for this budget Child/Adolescent (CA) Identify all action plans related to this budget Early Childhood Obesity Prevention (ECOP) Expenditure Categories Personal Salaried Services Employees Position Title Description of Work Gross or Annual Salary Fringe Percent of Time on Project Total Amount Requested from CDPHE Health Communications Specialist Plans, coordinates, and action p an. Will work MCH program with the county -funded. implements Weld ECOP approximately 1.0 in the remainder of the time $ 69,892.29 $ 27,209.07 62.0% $ 60,202.84 Health Communications Supervisor Provides supervisor/oversight of MCH/ECOP program and participates in program evaluation. $ 79,591.09 $ 30,984.81 5.0% $ 5,528.80 Data Analyst Coordinates ECOP workplan grant evaluation and related data analysis $ 104,682.00 $ 40,752.70 4.0% $ 5,817.39 $ Personal Hourly Employees Services Position Title Description of Work Hourly Wage Hourly Fringe Tota Hours Project # of on Total Amount Requested from CDPHE $ Total Personal Services (including fringe benefits) $ 71,549.03 Supplies & Operating Expenses Item Description of Item Rate Quantity Tota Requested CDPHE Amount from Supplies and Materials Miscellaneous office and other operating supplies and health promot onal materials $5.00 12 $ 60.00 Refreshments Light refreshments for ECOP trainings. An estimated average of $10 will be spent for refreshments for six trainings. The refreshments will be offered to childcare professionals and employers attending the ECOP trainings. $10.00 6 $ 60.00 Total Supplies & Operating Expenses $ 120.00 Travel Item Description of Item Rate Quantity Total Amount Requested from CDPHE Mileage Travel to meetings and outreach opportunities such childhood council meetings, childcare centers and engaged in ECOP work. Mileage is reimbursed at $0.56/mile. as early worksites $0.56 695.25 $ 389.34 Contract Amendment Number: 2019*2292 Amendment #2 Page 1 of 4 DocuSign Envelope ID: ACFCF25E-B5A8-410D-9F2E-3BFA70EF1 DBF Exhibit F Budget Total Travel $ 389.34 Contractual Subcontractor Name Description of Item Rate Quantity Total Amount Requested from CDPHE $ - Total Contractual $ - SUB -TOTAL BEFORE INDIRECT $ 72,058.37 Indirect Item Description of Item Total Amount Requested from CDPHE Federally -Negotiated Indirect Cost Rate CDPHE-Negotiated Indirect Cost Rate Weld's negotiated indirect rate with CDPHE is 17.96% of MTDC for 2020; we will use our 2021 indirect rate once that is determined. $ 12,941.63 De Minimis Indirect Cost Rate _ Total Indirect $ 12,941.63 TOTAL AMOUNT REQUESTED FROM CDPHE $ 85,000.00 Contract Amendment Number: 2019*2292 Amendment #2 Page 2 of 4 DocuSign Envelope ID: ACFCF25E-B5A8-410D-9F2E-3BFA70EF1 DBF Exhibit F Budget Contractor Name Weld County Department of Public Health & Environment Program Contact Name, Title, Phone and Email Amy Antuna, RN, BSN, HCP Program Coordinator 970 -400 - 2322 aantuna@co.weld.co.us Budget Period 10/1/2020 - 9/30/2021 Contract (CT or PO) Number CT FHLA 2021 *2109 Fiscal Contact Name, Title, Phone and Email Tanya Geiser Director, Administrative Services 970 -400 - 2122 tiveServicestgeiser@co.weld.co.us Identify the population for this budget CYSHCN - HCP Care Coordination (CC) Identify all action plans related to this budget Care Coordination Expenditure Categories Personal Salaried Services Employees Position Title Description of Work Gross or Annual Salary Fringe Percent of Time on Project Total Amount Requested from CDPHE HCP Program Coordinator Provides direct oversight and supervision of HCP care coordination program and staff, directs and provides care coordination services, oversees HCP program planning, reporting, evaluation, and budgetary activities, participates in HCP program outreach and represents HCP on several community -based groups and state HCP/MCH workgroups. MCH/HCP FTE is .68, but will work approximately 1.0 in the MCH program with the remainder of the time county -funded. $ 83,908.29 $ 32,665.50 68.0% $ 79,270.18 PHS Nurse Provides clients, attends MCH/HCP care coordination assists with HCP community/state services to HCP HCP program outreach and meetings. funded through the state. $ 59,898.86 $ 23,318.63 100.0% $ 83,217.49 FTE is 1.0 Chief Nursing Officer Provides oversight staff, participates HCP program. MCH/HCP work more in this of HCP program in reporting and HCP and evaluation of .01 but will likely county -funded. $ 134,048.86 $ 52,185.22 1.0% $ 1,862.34 FTE is program as Public Health Worker Social Provides clients provide as assigned MCH/HCP this program social work upon request HCP population by HCP services from -based program but will -funded. to HCP coordinator. likely HCP program staff, available to program outreach work more in $ 70,935.14 $ 27,615.05 1.5% $ 1,478.25 FTE is 0.02 as county Program Evaluator Provides components likely work funded. internal evaluation of of program. MCH more in this program MCH and HCP is .02 but will county - $ 69,127.37 $ 26,911.29 2.0% $ 1,920.77 FTE as Personal Hourly Employees Services Position Title Description of Work Hourly Wage Hourly Fringe Tota Hours Project # of on Total Amount Requested from CDPHE Amendment Contract Number: 2019*2292 Amendment #2 Page 3 of 4 DocuSign Envelope ID: ACFCF25E-B5A8-410D-9F2E-3BFA70EF1 DBF Exhibit F Budget HCP Office Technician Administrative support coordinator and team. interpretation and translation, EMR data entry, materials HCP staff with care coordination to HCP program Responsibilities include CDS data entry, preparation, assists activities, etc. $20.44 $7.96 1040.0 $ 29,536.00 MCH/HCP FTE is 0.5. Total Personal Services (including fringe benefits) $ 197,285.03 Supplies & Operating Expenses Item Description of Item Rate Quantity Total Amount Requested from CDPHE Meeting supplies/materials HCP program outreach and promotional materials for systems building activities. May include allocations for printing and office supplies (i.e. brochures, handouts, etc.). $19.14 4 $ 76.56 Total Supplies & Operating Expenses $ 76.56 Travel Item Description of Item I Rate Quantity Total Amount Requested from CDPHE Mileage MCH - HCP staff will travel to MCH/HCP meetings at various sites, and participate in various outreach opportunities and client home visits related to the HCP program. Annual HCP team travel is reimbursed at $.56/mile. I $0.56 100 $ 56.00 Total Travel $ 56.00 Contractual Subcontractor Name Description of Item Rate Quantity Total Amount Requested from CDPHE Private Sector Consultant Provides program assessment, community -based CYSHCN assessment, and informs WCDPHE management and HCP program staff. $1,000.00 1 $ 1,000.00 Total Contractual $ 1,000.00 SUB -TOTAL BEFORE INDIRECT $ 198,417.59 Indirect Item Description of Item Total Amount Requested from CDPHE Federally Indirect -Negotiated Cost Rate CDPHE-Negotiated Indirect Cost Rate Weld's negotiated indirect rate with CDPHE is 17.96% of MTDC for 2020; we will use our 2021 indirect rate once that is determined. 35,636.41 De Minimis Indirect Cost Rate _ Total Indirect $ 35,636.41 TOTAL AMOUNT REQUESTED FROM CDPHE $ 234,054.00 Amendment Contract Number: 2019*2292 Amendment #2 Page 4 of 4 DocuSign Envelope ID: ACFCF25E-B5A8-410D-9F2E-3BFA70EF1DBF EXHIBIT A ADDITIONAL PROVISIONS To Task Order Contract Dated 07/21/2016 CMS Task Order Routing Number 17 FHLA 92905 These provisions are to be read and interpreted in conjunction with the provisions of the Task Order Contract specified above. 1. To receive compensation under the Contract, the Contractor shall submit a signed Monthly CDPHE Reimbursement Invoice Form. This form is accessible from the CDPHE internet website https://www.colorado.gov/pacific/cdphe/standardized-invoice-form-and-links and is incorporated and made part of this Contract by reference. CDPHE will provide technical assistance in accessing and completing the form. The CDPHE Reimbursement Invoice Form and Expenditure Details page must be submitted no later than forty-five (45) calendar days after the end of the billing period for which services were rendered. Expenditures shall be in accordance with this Statement of Work and Budget. Scan the completed and signed CDPHE Reimbursement Invoice Form into an electronic document. Email the scanned invoice with the Excel workbook containing the Expenditure Details page to: cdphe.psmchreports@state.co.us Final billings under the Contract must be received by the State within a reasonable time after the expiration or termination of the Contract; but in any event no later than forty-five (45) calendar days from the effective expiration or termination date of the Contract. Unless otherwise provided for in the Contract, "Local Match", if any, shall be included on all invoices as required by funding source. The Contractor shall not use federal funds to satisfy federal cost sharing and matching requirements unless approved in writing by the appropriate federal agency. 2. Time Limit for Acceptance of Deliverables. a. Evaluation Period. The State shall have Forty Five (45) calendar days from the date a deliverable is delivered to the State by the Contractor to evaluate that deliverable, except for those deliverables that have a different time negotiated by the State and the Contractor. b. Notice of Defect. If the State believes in good faith that a deliverable fails to meet the design specifications for that particular deliverable, or is otherwise deficient, then the State shall notify the Contractor of the failure or deficiencies, in writing, within Fifteen (15) calendar days of: 1) the date the deliverable is delivered to the State by the Contractor if the State is aware of the failure or deficiency at the time of delivery; or 2) the date the State becomes aware of the failure or deficiency. The above time frame shall apply to all deliverables except for those deliverables that have a different time negotiated by the State and the Contractor in writing pursuant to the State's fiscal rules. c. Time to Correct Defect. Upon receipt of timely written notice of an objection to a completed deliverable, the Contractor shall have a reasonable period of time, not to exceed Thirty (30) calendar days, to correct the noted deficiencies. If the Contractor fails to correct such deficiencies within Thirty (30) calendar days, the Contractor shall be in default of its obligations under this Task Order Contract and the State, at its option, may elect to terminate this Task Order Contract or the Master Contract and all Task Order Contracts entered into pursuant to the Master Contract. 3. Health Insurance Portability and Accountability Act (HIPAA) Business Associate Determination. The State has determined that this Contract does not constitute a Business Associate relationship under HIPAA. Page 1 of 4 Amendment Contract Number. 2019*2292 Amendment #2 DocuSign Envelope ID: ACFCF25E-B5A8-410D-9F2E-3BFA70EF1 DBF EXHIBIT A 4. If Contractor indicates full expenditure of funds under this Contract by June 30 of each grant year and the full expenditure does not occur, CDPHE has the option to reduce current or upcoming Contract by said amount or a percent deemed reasonable by CDPHE. The State will notify the Contractor of the potential need to decrease the current or upcoming budget. If the Contractor indicates at a later date than June 30 of each grant year an expectation of surplus of funds or inability to fully expend said funds for unforeseen circumstances that Contractor had not anticipated by June 30, CDPHE will reallocate unspent funds without any penalties to the Contractor. 5. Upon receipt of timely written notice of an objection by the State for inability to fully expend funds, the Contractor shall have a reasonable period of time not to exceed ten (10) calendar days to respond to the action. If no dispute is received by the State within ten (10) calendar days, the State has the option to reduce the current budget for the current year and any upcoming budget for future contractual agreements. 6. Contractor shall request prior approval in writing from the State for all modifications to the Statement of Work/Work Plan or for any modification to the direct costs in excess of twenty-five percent (25%) of the total budget for direct costs. Contractor shall submit a Budget Revision Request Form incorporated and made part of this Task Order Contract by reference and located at www.mchcolorado.org. Any request for modifications to the Budget in excess of twenty-five percent (25%) of the total budget for direct costs shall be submitted to the State at least 90 days prior to the end of the contract period and may require an amendment in accordance with General Provisions, Section 5, of this Task Order Contract. 7. The Contractor shall adhere to the same guidance as the State when considering food and beverage purchases. Food or beverages may be purchased for events related to the MCH action plan such as training, community meetings or events that engage external stakeholders, and/or multi -county regional meetings. Title V and State General funds may not be used to purchase food or beverages while conducting routine staff meetings and specialty clinics. Contact the MCH Generalist Consultant if guidance is necessary 8. Contractor shall retain and use all revenues generated by MCH Program for services in those programs. The revenue cannot be used for other programs or purposes. 9. Title V, Section 504 (b) (6). Title V funds may not be used to pay for any item or service (other than an emergency item or service) furnished by an individual or entity convicted of a criminal offense under the Medicare or any State health care program (i.e., Medicaid, Maternal and Child Health, or Social Services Block Grant Programs). 10. Notwithstanding the terms contained in General Provisions of the Master Contract, Section 9, Rights in Data, Documents and Computer Software or Other Intellectual Property, unless otherwise provided for, all data collected or produced or derived exclusively from the Contractor's or subcontractor's work under this Task Order Contract shall remain the sole property of the State, whether in individual, aggregate, identified or de -identified form or any other form required by the State. To facilitate follow-up, research, surveillance and evaluation, any such data collected, used or acquired shall be made available in any form required by the State, to the State and any other entity designated by the State. Any such data collected, used or acquired shall be used solely for the purposes of this Task Order Contract. The Contractor and its subcontractors agree not to release, divulge, publish, transfer, sell, or otherwise make known any such data to unauthorized persons without the express prior written consent of the State or as otherwise required by law. This includes a prior written request by the Contractor to the State for submission of abstracts or reports to conferences, which utilize data collected under this Task Order Contract. Notwithstanding the foregoing, the Contractor shall be entitled to retain a set of any such data collected or work papers necessary to perform its duties under this Task Order Contract and in accordance with professional standards. Page 2 of 4 Amendment Contract Number: 2019*2292 Amendment #2 DocuSign Envelope ID: ACFCF25E-B5A8-410D-9F2E-3BFA70EF1DBF EXHIBIT A 11. Notwithstanding the terms contained in General Provisions of the Master Contract, Section 9, Rights in Data, Documents and Computer Software or Other Intellectual Property, or Section 23.i, General Provisions, Media or Public Announcements, the State of Colorado, specifically the Department of Public Health and Environment, shall be the owner of all printed materials, graphic representations, educational materials, audio-visual products, or any other media, in whatever form, created under this Task Order Contract. This requirement applies, but is not limited to, any brochure, flyer, presentation, billboard, radio spot, website, banner advertisement. The State reserves the right to require logos, or other wording on any material, representation, product or other media form created under this Task Order Contract. Any material, representation, product or other media form that will use the State's or logo or information must be approved by the State prior to production and distribution. A minimum of ten (10) business days is required for the review and approval process. 12. Contractor agrees to provide services to all Program participants and employees in a smoke free environment in accordance with Public Law 103-227, also known as "the Pro -Children Act of 1994", (Act). Public Law 103-227 requires that smoking not be permitted in any portion of any indoor facility owned or leased or contracted for by an entity and used routinely or regularly for the provision of health, day care, early childhood development services, education or library services to children under the age of 18, if the services are funded by Federal programs either directly or through State or local governments, by Federal grant, contract, loan, or loan guarantee. The law also applies to children's services that are provided in indoor facilities that are constructed, operated, or maintained with such Federal funds. The law does not apply to children's services provided in private residences; portions of facilities used for inpatient drug or alcohol treatment; service providers whose sole source of applicable Federal funds is Medicare or Medicaid; or facilities where Women, Infants and Children (WIC) coupons are redeemed. Failure to comply with the provision of Public Law 103-227 may result in the imposition of a civil monetary penalty of up to $1,000 for each violation and/or the imposition of an administrative compliance order on the responsible entity. By signing this Task Order Contract, Contractor certifies that Contractor shall comply with the requirements of the Act and shall not allow smoking within any portion of any indoor facility used for the provision of services for children as defined by the Act. Contractor agrees that it shall require the language of the Act be included in any subcontracts which contain provisions for children's services and that all subcontractors shall sign and agree accordingly. 13. Notwithstanding the terms contained in the General Provisions of the Master Contract, Section 10, Confidential or Proprietary Information, the Contractor shall protect the confidentiality of all applicant or recipient records and other materials that are maintained in accordance with this Task Order Contract. Except for purposes directly connected with the administration of this Task Order Contract, no information about or obtained from any applicant or recipient shall be disclosed in a form identifiable with the applicant or recipient without the prior written consent of the applicant or recipient, or the parent or legal guardian of a minor applicant or recipient with the exception of information protected by Colorado Statute as it applies to confidentiality for adolescent services in which case the adolescent minor and not the parent or legal guardian must provide consent or as otherwise properly ordered by a court of competent jurisdiction. Contractor shall have written policies governing access, duplication, and dissemination of all such information. Contractor shall advise its employees, agents, servants, and any subcontractors that they are subject to these confidentiality requirements. 14. The State may require continued performance for a period of up to 4 years at the same rates and same terms specified in the Task Order Contract. If the State exercises the option, it will provide written notice to Contractor at least 30 days prior to the end of the current contract term in a form substantially equivalent to Attachment A-1. If exercised, the provisions of the Option Letter shall become part of and be incorporated into the original Task Order Contract. The total duration of this Task Order Contract, including the exercise of any options under this clause, shall not exceed 5 years. (Note: 5 years is the maximum allowable.) Page 3 of 4 Amendment Contract Number. 2019*2292 Amendment #2 DocuSign Envelope ID: ACFCF25E-B5A8-410D-9F2E-3BFA70EF1 DBF EXHIBIT A 15. The State, at its discretion, shall have the option to increase or decrease the statewide quantity of Goods and/or Services based upon the rates established in this Task Order Contract, and modify the maximum amount payable accordingly. In order to exercise this option, the State shall provide written notice to Contractor in as form substantially equivalent to Attachment A-1. Delivery of Goods and/or performance of Services shall continue at the same rates and terms as described in this Task Order. 16. The Contractor shall not charge for services those individuals of families at or below the official poverty guidelines, updated periodically in the Federal Register by the U.S. Department of Health and Human Services under the authority of 42 U.S.C. 9902(2), in accordance with Title V, Section 501 (1) (B) and Section 505 (5) (D). The most current version of this document is available on the MCH website: www.mchcolorado.org and is incorporated and made part of this Task Order Contract by this reference and the Health Care Program for Children with Special Health Care Needs (HCP) website www.hcpcolorado.org and is incorporated and made part of this Task Order Contract by this reference. If the State receives new poverty guidelines from the DHHS during the term of this Task Order Contract, the State shall immediately update the guidelines on the MCH and HCP websites. The Contractor shall use these new poverty guidelines, if any, when posted to the websites. If any charges are imposed for services to clients who are above the one hundred percent (100%) of poverty level, such charges must be on a sliding scale which takes into account the client's family size, income and resources. These charges and the sliding fee scale must be made available to the general public and to all clients and must be based on the agency's usual and customary cost for the service. Clients must understand they shall not be denied services for inability to pay any of the sliding fee charges. Page 4 of 4 Amendment Contract Number. 2019*2292 Amendment #2 DocuSign Envelope ID: ACFCF25E-B5A8-410D-9F2E-3BFA70EF1 DBF Exhibit G Federal Provisions - Maternal and Child Health Services 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: 878208826 C. The Federal Award Identification Number (FAIN) is B04MC33825. d. The Federal award date is 03/26/2020. e. The subaward period of performance start date is 10/01/2019 and end date is 09/30/2021. f. Federal Funds: Federal Budget Period Total Amount of Federal Funds Awarded Amount of Federal Funds Obligated to CDPHE 10/1/2019 - 9/30/2021 $1,043,997.00 $1,043,997.00 g. Federal award title of project or program: Maternal and Child Health Services. h. The name of the Federal awarding agency is: U.S. Department of Health and Human Services and the contact information for the awarding official is Debra Wagler, dwagler@hrsa.org , 301-443-5467; 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 Rachel Hutson, 4300 Cherry Creek South Dr Denver, CO 80246-1530. i. The Catalog of Federal Domestic Assistance (CFDA) number is 93.994 and the grant name is Maternal and Child Health Services. 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: 2019*2292 Amendment #2 Ver. 25.02.20 DocuSign Envelope ID: ACFCF25E-B5A8-410D-9F2E-3BFA70EF1DBF 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: 2019*2292 Amendment #2 Ver. 25.02.20 DocuSign Envelope ID: ACFCF25E-B5A8-410D-9F2E-3BFA70EF1 DBF 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: 2019*2292 Amendment #2 Ver. 25.02.20 DocuSign Envelope ID: ACFCF25E-B5A8-410D-9F2E-3BFA70EF1 DBF 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: 2019*2292 Amendment #2 Ver. 25.02.20 New Contract Request Entity Information Entity Name* COLORADO DEPT OF PUBLIC HEALTH ENVIRONMENT Entity ID* ;Z&00001926 Contract Name * MATERNAL & CHILD HEALTH PROGRAM FY20-21 TASK ORDER AMENDMENT 2 Contract Status CTB REVIEW Contract ID 4129 Contract Lead* TGEISER Contract Lead Email tgerserico.weld.co.us Contract Description* MATERNAL CHILD HEALTH QM'CH) FY2i -21 TASK ORDER AMENDMENT =2 New Entity? Parent Contract ID Requires Board Approval YES Department Project # Contract Description 2 15 FHLA 72161 (2014-2738); 16 FHLA 82757 (201 5-2861 ): 1 7 FHLA 92905 (2016-2791 ): 18 FHLA 103;99 (GFCL) 1 9 FHLA 112297 Contract Type* GRANT Amount 5319,054.00 Renewable* NO Automatic Renewal NO Grant YES IGA Department HEALTH Department Email CM-HealthLeTweldgov.cona Department Head Email CM -Health- Does Contract require Purchasing Dept. to be included? DeptHead@weldgov.com NO Requested BOCC Agenda Date* 09:28,2020 Due Date 09:'24; 2020 Will a work session with BOCC be required?* NO County Attorney GENERAL COUNTY ATTORNEY EMAIL County Attorney Email CM- COUN'TYA r r ORNEY`WELDG OV. COM Grant Deadline Date If this is a renewal enter previous Contract ID 2067 if this is part of a MSA enter MSA Contract ID Note: the Previous Contract Number and Master Services Agreement Number should he left blank if those contracts are not in OnBase Contract Dates Effective Date 10:03 2020 Review Date* 08.01 2021 Renewal Date Termination Notice Period Committed Delivery Date Contact Information Contact Info Contact Name Purchasing Contact Type Contact Email Expiration Date* 09'30:2021 Contact Phone 1Contact Phone 2 Purchasing Approver Purchasing Approved Date Approval Process Department Head TANYA GEISER DH Approved Date 09:`24 2020 Final Approval ROCC Approved 8©CC Signed Date 8OCC Agenda Date 099'28 2020 Originator TGEISER Finance Approver BARB CONNOLLY Legal Counsel KARIN MCDOUGAL Finance Approved Date Legal Counsel Approved Date 09,242020 09 24'2020 Tyler Ref # AG 092820 Hello