HomeMy WebLinkAbout20201886.tiffRESOLUTION
RE: APPROVE CONTRACT AMENDMENT #3 FOR WOMEN'S WELLNESS CONNECTION
CANCER PREVENTION AND EARLY DETECTION PROGRAM AND AUTHORIZE
CHAIR TO SIGN AND ELECTRONIC SUBMITTAL
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS, the Board has been presented with Contract Amendment #3 for the Women's
Wellness Connection Cancer Prevention and Early Detection 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 June 30, 2020, and ending June 29, 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 #3 for the Women's Wellness Connection Cancer
Prevention and Early Detection 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 electronically submit said amendment.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 22nd day of June, A.D., 2020.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
ATTEST: G JCdso•
Weld County Clerk to the Board
BY:
County Attorney
Date of signature: 0
Mike Freeman, Chair
l A Steve
9�a-k-er-
K. James
rbara Kirk
Kevin D. Ross
ro-Tem
Cc: HL(TG)
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2020-1886
HL0052
D vo.2
Memorandum
TO: Mike Freeman, Chair
Board of County Commissioners
FROM: Mark Lawley
Deputy Director
Department of Public Health & Environment
DATE: June 9, 2020
SUBJECT: Women's Wellness Connection - Cancer
Prevention & Early Detection Contract
Amendment #3
For the Board's approval is Contract Amendment #3 between the Colorado Department of Public
Health and Environment and the Board of County Commissioners for the County of Weld, State
of Colorado, on behalf of the Weld County Department of Public Health and Environment
(WCDPHE) for the Women's Wellness Connection (WWC) Cancer Prevention & Early Detection
(CPED) program.
The WWC program provides low-income, uninsured and underserved women, who are lawfully
present in Colorado, access to timely, high quality screening and diagnostic services to detect
breast and cervical cancer at the earliest stages. In addition, the Targeted Outreach component of
the program helps recruit qualifying women and reduce barriers to screenings, while providing
education about the importance of breast and cervical cancer screenings to all eligible women.
This contract amendment #3 shall be effective June 30, 2020, through June 29, 2021, with funding
not to exceed $90,139 during the contract period. Of this amount, $300 is Federal funding and
$89,839 is State funding.
Assistant County Attorney, Karin MacDougal has reviewed the terms of this contract and
determined them to be acceptable.
The Board approved placement of this contract amendment on the Board's agenda via pass -around
dated June 5, 2020.
I recommend approval of this Women's Wellness Connection Cancer Prevention & Early
Detection Contract Amendment #3 with CDPHE.
2020-1886
1/Ais
141-OOS-4
CONTRACT AMENDMENT #3
SIGNATURE AND COVER PAGE(S)
State Agency:
Colorado Department Of Public Health and Environment
PSD - WWC
4300 Cherry Creek Drive South
Denver, Colorado 80246
Original Contract Number:
18 FHLA 104208
Contractor:
Amendment Contract Number:
Board of County Commissioners of Weld County
2018*3282 Amendment #3
1150 O Street
Greely, 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:
January 01, 2018
June 29, 2021
CONTRACT MAXIMUM AMOUNT TABLE
Document
Contract Number
Federal Funding
State Funding
Other
Funding
Term (dates)
Total
Type
Amount
Amount
Amount
Original
18 FHLA 104208
$6,650.00
$73,514.00
$0.00
1/01/2018 - 6/29/2018
$80,164.00
Contract
GFCL #1
18 FHLA 110269
$35,850.00
$144,321.00
$0.00
6/30/2018 -6/29/2019
$180,171.00
Option Letter #1
2018*3282
Option Letter #1
- $1,526.00
- $20,104.00
$0.00
4/01/2018 - 6/29/2019
- $21,630.00
Contract
2018*3282
$31,037.00
$124,317.00
$0.00
6/30/2019-6/29/2020
$155,354.00
Amendment #1
Amendment #1
Contract
2018*3282
- $29,267.00
- $23,393.00
$0.00
10/31/2019 — 6/29/2020
- $52,660.00
Amendment #2
Amendment #2
Contract
2018*3282
$300.00
$89,839.00
$0.00
6/30/2020 - 6/29/2021
$90,139.00
Amendment #3
Amendment #3
Current Contract Maximum
Cumulative Amount
$431,538.00
Page 1 of 4
Amendment Contract Number: 2018*3282 Amendment #3
Ver01.11.19
DocuSign Envelope ID: 4E7A14FC-0102-4BD7-B99D-CC647CE0339F
SIGNATURE PAGE
THE PARTIES HERETO HAVE EXECUTED THIS AMENDMENT
Each person signing this Amendment represents and warrants that he or she is duly authorized to execute this Amendment
and to bind the Party authorizing his or her signature.
CONTRACTOR
Board of County Commissioners of Weld County for the
use and benefit of the Weld County Department of
Public Health and Environment
r—DocuSigned by:
'r't,tmaln,
`—FnQQR7r1R47AFAQ7
By: Signature
Mike Freeman
Name of Person Signing for Contractor
Chair, Board of Commissioners
STATE OF COLORADO
Jared S. Polis, Governor
Colorado Department of Public Health and Environment
Jill Hunsaker Ryan, MPH, Executive Director
,-DocuSigned by:
visa M cGovu,v>n
By: Signature
Lisa McGovern
Name of Executive Director Delegate
Procurement & Contracts Section Director
Title of Person Signing for Contractor
Date:
2020-06-22
Title of Executive Director Delegate
Date:
2020-06-22
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
r—DocuSigned by:
Y
368F8AFC06511 C4...
By: Signature
Travis Yoder
Name of State Controller Delegate
Controller
Title of State Controller Delegate
Contract Effective Date:
2020-06-23
-- Signature and Cover Pages End --
Page 2 of 4
Amendment Contract Number: 2018*3282 Amendment #3
Ver. 27.01.20
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 June 30, 2020, whichever is later, and shall terminate on the
termination of the Contract.
4. PURPOSE
The Parties entered into the agreement that serves to implement strategies to address cancer
prevention and early detection at one or more levels of the socio-ecologcial framework,
depending on the needs of the underserved population served by and living within the service
area.
The Parties now desire to renew for an additional term and change current Contract Maximum
Total for the following reason: to renew the 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 H., Statement of Work of the agreement. Exhibit
H., Statement of Work, is deleted and replaced in its entirety with Exhibit H., Statement of
Work, attached to this Amendment for the following reason: to renew the contract.
Page 3 of 4
Amendment Contract Number: 2018*3282 Amendment #3 Ver 27.01.20
D. The Parties now agree to modify Revised Exhibit I., Budget of the agreement. Revised
Exhibit I., Budget, is deleted and replaced in its entirety with Exhibit K., Budget, attached
to this Amendment for the following reason: to renew the contract.
E. The Parties now agree to modify Revised Exhibit G., Additional Provisions of the
agreement. Revised Exhibit G., Additional Provisions, is deleted and replaced in its
entirety with Exhibit J., Additional Provisions, attached to this Amendment for the
following reason: to renew the contract.
F. The Parties now agree to add Exhibit L., Federal Provisions — Colorado Cancer Prevention
and Control 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: 2018*3282 Amendment #3 Ver 27.01.20
EXHIBIT H
STATEMENT OF WORK
To Original Contract Number 18 FHLA 104208
These provisions are to be read and interpreted in conjunction with the provisions of the contract specified above.
I. Entity Name: Board of County Commissioners of Weld County for the use and benefit of the Weld County
Department of Public Health and Environment
II. Project Description:
This project serves to reduce cancer health disparities, and morbidity and mortality rates in Colorado.
Cancer screening will increase by implementing one or more approved strategies (education and direct
assistance, system changes, health navigation, CDPHE-funded screening procedures) to address cancer
prevention and early detection in the Contractor's service area, depending on the needs of the underserved
population served by and living within the service area.
People needing services in Colorado in the Contractor's service area will benefit from this project by
receiving cancer screening prevention and early detection services. CDPHE is funding this project to meet
the goal of reducing cancer health disparities, morbidity and mortality in Colorado by increasing cancer
screening and early detection.
III. Definitions:
1. CDPHE: Colorado Department of Public Health and Environment.
2. Direct assistance: Assistance to individuals who are in need of breast or cervical cancer screening
services and have identified barriers to accessing services at a health system. Assistance may include
such things as providing additional in depth one-on-one breast and cervical health education to address
needs (health literacy, fear of screening, how to access the health system, etc.), providing language
interpretation and translation services prior to and at the first screening appointment, scheduling a
screening appointment, arranging transportation to the first screening appointment, assisting to enroll
in health insurance, and addressing any other barriers that may arise.
3. eCaST data system: A program management and public health surveillance tool used by CDPHE to
meet program reporting and documentation requirements.
4. Health system: Individual health clinic (includes provider -owned clinic), Federally Qualified Health
Center (FQHC), community health center, hospital, hospital network for the use and benefit of a
hospital within their network (may include hospital foundations), safety net clinic, rural health center,
or a local public health agency.
5. Individual or client -level data: Data elements specific to each individual or client participating in the
program.
6. Health navigation: Individualized assistance offered to clients to help overcome health care system
barriers and facilitate timely access to quality screening and diagnostics as well as initiation of
treatment services for persons diagnosed with cancer.
7. Service area: Geographic area served by the organization.
8. Subpopulation: Unique populations (example, uninsured or Hispanic) served by the organization for
this project, as approved by CDPHE.
IV. Work Plan:
Goal #1: Reduce cancer health disparities, and morbidity and mortality rates, in Colorado.
Objective #1: No later than the expiration date of the contract, improve prevention and early detection of cancer among
underserved Coloradans served by and living within the service area of the Contractor.
Page 1 of 5
Amendment Contract Number. 2018*3282_ Amendment tt3
Ver. 01.11.19
EXHIBIT H
Primary Activity #1
The Contractor shall provide education to individuals in the communities within the service area
about breast and cervical cancer prevention and early detection (including during cancer awareness
months), and provide direct assistance to women to access breast and cervical cancer screening
services at a health system.
Sub -Activities #1
1. The Contractor shall provide education in the community through presentations, training, and
distribution of information, at a minimum number of community events, as approved by
CDPHE.
2. The Contractor shall provide direct assistance to a minimum number of women from the
identified community subpopulation to access breast and cervical cancer screening services, as
approved by CDPHE.
3. The Contractor shall provide aggregate data on education provided in the community.
4. The Contractor shall provide individual -level data on women receiving direct assistance to
access breast and cervical cancer screening.
Primary Activity #2
The Contractor shall navigate eligible low-income women to timely and complete breast and
cervical cancer screening procedures.
Sub -Activities #2
1. The Contractor shall provide health navigation for the group(s) of eligible low-income women
as approved by CDPHE.
2. The Contractor shall enter client -level data on qualifying breast and cervical cancer screening
procedures and health navigation services into the eCaST data system.
Primary Activity #3
The Contractor shall provide CDPHE-funded breast and cervical cancer screening procedures to
eligible low-income women.
Sub -Activities #3
1. The Contractor shall enter data on qualifying procedures into the eCaST data system.
Standards and
Requirements
1. The content of electronic documents located on CDPHE and non-CDPHE websites and
information contained on CDPHE and non-CDPHE websites may be updated periodically
during the contract term. The contractor shall monitor documents and website content for
updates and comply with all updates.
2. The Contractor shall comply with any changes, revisions, inclusions, and exclusions to the
CDPHE Cancer Prevention and Early Detection Program. The CDPHE Cancer Prevention and
Early Detection Program is subject at any time to changes, revisions, inclusions, and
exclusions as needed and/or pursuant to directives or changes required by rule, regulation,
statute or guidance.
3. The Contractor shall comply with all requirements stated in the CDPHE Cancer Prevention
and Early Detection Program Manual. This document is incorporated and made part of this
contract by reference and is available on the following website: www.cdphecancer.org.
4. The Contractor shall use all CDPHE-required forms.
5. The Contractor shall submit all final reports as non -reimbursable deliverables.
6. The Contractor shall be guided by the annual CDPHE Cancer Prevention and Early Detection
continuing application that identifies CDPHE-approved planned strategies. The Cancer
Prevention and Early Detection continuing application template shall be incorporated and made
Page 2 of 5
Amendment Contract Number 2018 "3282 Amcnument,;4 3
Ver. 01.11.19
EXHIBIT H
part of this contract by reference and is located on the following website:
www.cdphecancer.org.
7. CDPHE will review and provide feedback of the CDPHE Cancer Prevention and Early
Detection continuing application within 30 calendar days of the receipt.
8. The Contractor shall prepare for implementation of any new strategies approved by CDPHE
during the annual CDPHE Cancer Prevention and Early Detection continuing application.
9. The Contractor shall attend a post -award orientation provided by CDPHE as well as other
required meetings, trainings, webinars and telephone calls for the purpose of information -
sharing, training, technical assistance and contract monitoring.
10. The Contractor shall notify CDPHE within 15 days of a change in key staff responsible for the
performance of work outlined in this statement of work (SOW).
11. The Contractor shall have new staff members receive required training within two (2) months
of hire.
12. The Contractor shall participate in CDPHE evaluation efforts.
13. The Contractor shall compile required evaluation and program monitoring data.
14. The Contractor shall submit all deliverables to CDPHE via the method indicated in the
CDPHE Cancer Prevention and Early Detection Program Manual.
15. The Contractor shall comply with any changes, revisions, inclusions, and exclusions to the
CDPHE Cancer Prevention and Early Detection Program. The CDPHE Cancer Prevention and
Early Detection Program is subject at any time to changes, revisions, inclusions, and
exclusions as needed and/or pursuant to directives or changes required by rule, regulation,
statute or guidance.
16. The Contractor shall comply with all requirements stated in the CDPHE Cancer Prevention
and Early Detection Program Manual. This document is incorporated and made part of this
contract by reference and is available on the following website: www.cdphecancer.org.
17. The Contractor shall use all CDPHE-required forms.
18. The Contractor shall submit all final reports as non -reimbursable deliverables.
19. The Contractor shall be guided by the annual CDPHE Cancer Prevention and Early Detection
continuing application that identifies CDPHE-approved planned strategies. The Cancer
Prevention and Early Detection continuing application template shall be incorporated and made
part of this contract by reference and is located on the following website:
www.cdphecancer.org.
20. CDPHE will review and provide feedback of the CDPHE Cancer Prevention and Early
Detection continuing application within 30 calendar days of the receipt.
21. The Contractor shall prepare for implementation of any new strategies approved by CDPHE
during the annual CDPHE Cancer Prevention and Early Detection continuing application.
22. The Contractor shall attend a post -award orientation provided by CDPHE as well as other
required meetings, trainings, webinars and telephone calls for the purpose of information -
sharing, training, technical assistance and contract monitoring.
23. The Contractor shall notify CDPHE within 15 days of a change in key staff responsible for the
performance of work outlined in this statement of work (SOW).
24. The Contractor shall have new staff members receive required training within two (2) months
of hire.
25. The Contractor shall participate in CDPHE evaluation efforts.
26. The Contractor shall compile required evaluation and program monitoring data.
Page 3 of 5
\'mendment Contract NL[F .F: 2018*3282 amendment t -t3
Ver. 01.11.19
EXHIBIT H
27. The Contractor shall submit all deliverables to CDPHE via the method indicated
CDPHE Cancer Prevention and Early Detection Program Manual.
28. If purchasing gift cards, the Contractor shall provide to CDPHE upon request
procedures related to gift card purchasing and handling. At a minimum, the
include the following:
a. How the gift card inventory is tracked and maintained.
b. Gift card storage and safeguards against theft.
c. The primary person responsible for securing and distribution of gift
d. A gift card distribution log that records each gift card number, dollar
printed name and signature of each gift card recipient.
Clinical Services and Health Navigation Strategies:
1. The Contractor shall enter client -level data on qualifying breast and cervical
procedures and health navigation services into the eCaST data system no
annually and in the final year by December 31.
2. The Contractor shall comply with required current national clinical guidelines.
clinical guidelines are incorporated and made part of this Contract by reference
available on the following website at www.cdphecancer.org.
in the
written
procedures shall
cards.
amount, and the
cancer screening
later than June 29,
Current national
and are
older shall ensure
United States. The
of
document
24-76.5-103. [This
In addition,
owned are also
for enrollment of
into Health
and referral
for Health Colorado
materials for
with Limited English
are exempt from
Information on
materials is
on the following
3. Contractors that provide direct services to individuals 18 years of age and
they only provide services of benefit to individuals lawfully present in the
Contractor shall maintain documentation demonstrating the individual's establishment
lawful presence, which shall include documentation of an appropriate identification
and an affidavit as required by Colorado Revised Statutes (C.R.S.), Section
does not apply to Non-profit charitable organizations, 8 U.S.C. § 1642(d).
Federally Qualified Health Centers (FQHCs) that are not solely government
exempt from verifying lawful presence, 42 U.S.C. § 254b(b)(1).J
4. For Clinical Services only, the Contractor shall comply with the requirements
eligible low-income women with an eligible breast or cervical cancer diagnosis
First Colorado's Breast and Cervical Cancer Treatment Program (BCCP).
5. For Clinical Services only, the Contractor shall offer clients printed resource
materials that direct them to the nearest community Medicaid and Connect
enrollment location(s), including online enrollment options. Printed resource
Medicaid and Connect for Health Colorado shall be available for clients
Proficiency (LEP). Contractors that routinely offer enrollment services onsite
this requirement because the services go beyond this minimum requirement.
enrollment resources, referral locations, LEP and outreach and promotional
incorporated and made a part of this contract by reference and is available
website www.cdphecancer.org.
Expected Results of
Activity(s)
1. Increased number of individuals screened for CDPHE-approved cancers.
2. Increased number of quality of CDPHE-approved cancer screenings provided within priority
populations
Measurement of
Expected Results
Analysis of programmatic data submissions, including progress reports, assessments, continuing
applications and evaluation information.
Completion Date
Page 4 of 5
Amendment Contract Number.- ?t)1 ft"`3282 Amendment 143
Ver. 01.11.19
EXHIBIT H
Deliverables
1. The Contractor shall submit a CDPHE Cancer Prevention and Early
Detection continuing application for the next funding year (June 30
through June 29) for CDPHE review and approval.
No later than 1/8
annually
2. The Contractor shall submit final numbers (if applicable) and budget
for CDPHE Cancer Prevention and Early Detection strategies for which
the Contractor is funded for the next funding year (June 30 through July
1).
No later than 2/21
annually
3. The Contractor shall submit progress reports using a CDPHE-provided
template.
No later than 1/15
and 8/15 annually
V. Monitoring:
CDPHE's monitoring of this contract for compliance with performance requirements will be conducted
throughout the contract period by the CDPHE Cancer Prevention and Early Detection Program 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. 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 requires an extension to the timeline, the Contractor must email a request
to the CDPHE Cancer Prevention and Early Detection Program 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 5 of 5
Amendment Contract Number_ 201 8"3282 Amendment 43 Ver. 01.11.19
EXHIBIT J
ADDITIONAL PROVISIONS
To Original Contract Number 18 FHLA 104208
These provisions are to be read and interpreted in conjunction with the provisions of the Contract specified above.
1. To receive compensation under the Contract, the Contractor shall submit a signed Monthly Invoice Form.
This form is a customized CDPHE Reimbursement Invoice Form that CDPHE will distribute to the
Contractor annually. The Contractor may contact the CDPHE Program Manager to obtain additional copies
of the invoice form. The invoice form 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 the Statement of Work and Budget.
Scan the completed and signed CDPHE Reimbursement Invoice Form into an electronic document. Email
the scanned invoice and Expenditure Details page to: Cancer Prevention and Early Detection Contracts
Monitor via email at cdphe Cancerstate.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 state funds to satisfy federal cost sharing and matching requirements unless
approved in writing by CDPHE.
If applicable, the Contractor shall be reimbursed for the purchase of allowable Health Navigation and
Clinical Services supplies/operating costs identified in the Women's Wellness Connection (WWC) Health
Navigation and Clinical Services Allowable Purchases document. This document is located at the
following website www.cdphecancer.org and is incorporated and made part of this Contract by reference.
2. To receive compensation for Health Navigation and Clinical Services provided to eligible individual clients
as identified in the Statement of Work under this Contract, the Contractor shall:
a. Navigate eligible low-income women to timely and complete breast and cervical cancer screening
procedures (Health Navigation); and/or,
b. Provide CDPHE-funded breast and cervical cancer screening and/or diagnostic procedures (Clinical
Services), to eligible clients.
Colorectal cancer screening and diagnostic services are not eligible for Health Navigation or Clinical
Services reimbursement.
a. eCaST Data System
Data entered into the electronic cancer surveillance and tracking (eCaST) data system are the basis for
calculating reimbursement for each client receiving Health Navigation or Clinical Services. To be
considered for payment, all Cancer Prevention and Early Detection Health Navigation and Clinical
Services related cancer screening and diagnostic procedures shall be entered into eCaST within thirty
(30) days of service being performed. Health Navigation or Clinical Services cases that exceed sixty
(60) calendar days in screening length and negatively affect WWC's Performance Indicators may not
be reimbursed at the discretion of the State. Reimbursement is determined by the clinical outcome of
each case; therefore, cases must be clinically complete or administratively closed before
reimbursement occurs. Contractors shall only be paid for cases that meet eligibility, performance, and
data requirements. Based on performance, the Cancer Prevention and Early Detection Program may
unilaterally change the groups of eligible clients who may be served with eCaST funding.
b. Bundled Payment System (BPS)
Page 1 of 4
Amendment Contract Number: 2018*3282 Amendment #3 Ver. 01.11.19
EXHIBIT J
The Contractor shall be paid for Health Navigation or Clinical Services to individual clients in
accordance with rates as outlined in the Cancer Prevention and Early Detection Bundled Payment
Syst5m for Health Navigation with or without the Clinical Services. This document is incorporated and
made a part of this Contract by reference and is available on the following website at
www.cdphecancer.org
Rates may be revised or updated during the contract term. Reimbursement policies are defined in the
Cancer Prevention and Early Detection Program Manual. This manual is located at the following
website www.cdphecancer.org and is incorporated and made part of this Contract by reference.
The Contractor shall not charge the Cancer Prevention and Early Detection program for Clinical
Services not listed on the CPT Code List. This document is incorporated and made part of this Contract
by reference and is available on the following website: www.cdphecancer.org.
c. Payment Procedures
Payment to Contractor for Health Navigation and Clinical Services provided to eligible individual
clients is made from available funds encumbered and shared across multiple contractors. The State
may increase or decrease the total funds encumbered at its sole discretion and without formal notice to
Contractor. No minimum payment is guaranteed to Contractor. The liability of the State for such
payments is limited to the encumbered amount remaining of such funds.
Payment to Contractor for expenses not included in the BPS for Cancer Prevention and Early
Detection Health Navigation and Clinical Services is made from available funds encumbered and in
accordance with the Statement of Work and Budget set forth under this Contract.
Payment to the Contractor for eCaST is made from available funds encumbered through a General
Accounting Encumbrance (GAE) and shared across multiple contractors. CDPHE may increase or
decrease the total funds encumbered in the GAE at its sole discretion and without formal notice to the
Contractor. No minimum payment is guaranteed to the Contractor. The liability of the State for such
payments is limited to the encumbered amount remaining of such funds.
d. Expenditure Cap for Health Navigation and Clinical Services to Individual Clients
CDPHE will set the expenditure cap for Health Navigation and Clinical Services to individual clients
for the Contractor for each budget period. CDPHE may increase or decrease the Contractor
expenditure cap at its sole discretion based on the Contractor's spending rate. The Contractor may
request to increase or decrease this expenditure cap. Once the expenditure cap is reached or the share
of program funds are fully expended, the State will not reimburse for additional expenses incurred by
Contractor unless CDPHE opts to increase the cap.
3. Time Limit For Acceptance Of Deliverables.
a. Evaluation Period. The State shall have fifteen (15) 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 fifteen (15)
calendar days, to correct the noted deficiencies.
4. Health Insurance Portability and Accountability Act (HIPAA) Business Associate Determination.
Page 2 of 4
Amendment Contract Number: 2018*3282 Amendment #3 Ver. 01.11.19
EXHIBIT J
The State has determined that this Contract does not constitute a Business Associate relationship under
HIPAA.
5. The State, at its discretion, shall have the option to extend the term under this Contract beyond the Initial
Term for a period or for successive periods, of 1 year at the same rates and under the same terms specified
in the Contract. In order to exercise this option, the State shall provide written notice to Contractor in as
form substantially equivalent to Exhibit E. If exercised, the provisions of the Option Letter shall become
part of and be incorporated in the original contract. The total duration of this contract shall not exceed 5
years.
6. 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 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 Exhibit E. Delivery of Goods and/or performance of Services shall continue at
the same rates and terms as described in this Contract.
7. The State, at its discretion, may unilaterally increase or decrease the total funds available under this Grant,
the funds available under the Grant during any State fiscal Year or the funds available for any specific line
items described in this Grant. In order to exercise this right, the State shall provide written notice to
Grantee in a form substantially equivalent to Exhibit E. The exercise of this right shall not be valid until it
has been approved by the contractor.
8. Notwithstanding the terms contained in General Provisions, Section 8, Insurance -Contractor, of this
Contract, the parties agree to add the following language to the end of Paragraph 8:
J•
The Contractor agrees to maintain in full force and effect a Professional Liability Insurance Policy in
the minimum amount of $1,000,000 per occurrence and $1,000,000 in the aggregate, written on an
occurrence form that provides coverage for its work undertaken pursuant to this Contract. If a policy
written on an occurrence form is not commercially available, the claims -made policy shall remain in
effect for the duration of this Contract and for at least two (2) years beyond the completion and
acceptance of the work under this Contract, or, alternatively, a two (2) year extended reporting period
must be purchased.
9. If Contractor indicates full expenditure of funds under this Contract by March 29 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. CDPHE will notify the Contractor of the potential
need to decrease the current or upcoming budget. If the Contractor indicates at a later date than March 29
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 March 29, CDPHE will reallocate unspent funds
without any penalties to the Contractor.
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.
10. The Contractor shall request prior approval in writing from the Cancer Prevention and Early Detection
Program for any modification to the expenditure cap for Health Navigation and Clinical Services to
individual clients.
11. 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. 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 ninety (90) days prior to the
end of the contract period and may require an amendment in accordance with General Provisions, Section
16, Contract Modifications, of this Contract.
12. All data collected, used or acquired shall be used solely for the purposes of this 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
Page 3 of 4
Amendment Contract Number: 2018*3282 Amendment #3 Ver. 01.11.19
EXHIBIT J
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 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 Contract and in accordance with professional
standards.
13. Neither the U.S. Department of Health and Human Services (HHS) nor the Centers for Disease Control
(CDC) logo may be displayed on any conference materials if such display would cause confusion as to the
conference source or give false appearance of Government endorsement. Use of the HHS name or logo is
governed by U.S.C. 1320b-10, which prohibits misuse of the HHS name and emblem in written
communication. A non-federal entity is unauthorized to use the HHS name or logo governed by U.S.C.
1320b-10. The appropriate use of the HHS logo is subject to review and approval of the Office of the
Assistant Secretary for Public Affairs (OASPA).
14. The Contractor agrees to provide services to all Program participants and employees in a smoke -free
environment in accordance with Public Law 103227, also known as "the ProChildren Act of 1994", (Act).
Public Law 103227 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.
15. Notwithstanding the terms contained in the General Provisions, Section 10, Confidential or Proprietary
Information, Contractor shall protect the confidentiality of all applicant or recipient records and other
materials that are maintained in accordance with this Contract. Except for purposes directly connected with
the administration of this 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.
16. The Contractor affirms that it maintains no affiliations or contractual relationships, direct or indirect, with
tobacco companies, owners, affiliate, subsidiaries, holding companies, or companies involved in any way
in the production, processing, distribution, promotion, sales, or use of tobacco.
17. The State of Colorado, specifically the Colorado Department of Public Health and Environment, shall be
the owner of all equipment as defined by Federal Accounting Standards Advisory Board (FASAB)
Generally Accepted Accounting Principles (GAAP) purchased under this Contract. At the end of the term
of this Contract, the State shall approve the disposition of all equipment.
18. Contractor shall not use state funds provided under this Contract for the purpose of lobbying as defined in
Colorado Revised Statutes (C.R. S.) 24-6-301(3.5)(a).
Page 4 of 4
Amendment Contract Number: 2018*3282 Amendment #3 Ver. 01.11.19
Exhibit K., Budget
CDPHE
COLORADO
Department of Public
Health & Environment
PREVENTION SERVICES DIVISION- 12 MONTH BUDGET WITH JUSTIFICATION FORM
Contract Routing # CT-2018*3282, Amendment #3
Contractor Name
Weld County Department of Public Health and
Environment
Program Contact Name,
Title, Phone and Email
Cynthia Horn, Director, Clinical
Services
970-400-2433
chorn@weldgov.com
Budget Period
06/30/2020 - 06/29/2021
Fiscal Contact Name, Title,
Phone and Email
Tanya Geiser, Director, Admin
Services
970-400-2122,
tgeiser@weldgov.com
Project Name
Cancer Prevention and Early Detection (CPED):
Targeted Community Outreach (TCO)
Health Navigation and Clinical Services (HNCS)
Contract (CT or PO) Number
CT FAAA FHLA 201800003282
Expenditure Categories
Personal Services
Salaried Employees
Position Title
Description of Work
Gross or
Annual Salary
Fringe
Percent of
Time on
Project
Total Amount
Requested from
CDPHE
Supervisor
For TCO. Provide supervision and oversight to the TCO
staff and program; assist with progress reports,
evaluation of program, participate in webinars and site
visits; provide input and assistance for completion of
the continuing application for Target Community
Outreach
$ 120,393.43
$ 46,869.16
1.5%
$ 2,508.94
Clinical Manager
For HNCS. Provide clinical supervision and grant
oversight; assure clinic is prepared to serve clients;
complete progress reports, program evaluations,
participate in webinars, site visits and chart audits;
complete continuing application, and review
recommendations for Health Navigation and Clinical
Services.
$ 136,210.46
$ 53,026.73
1.0%
$ 1,892.37
$
Personal Services
Hourly Employees
Position Title
Description of Work
Hourly Wage
Hourly Fringe
Total # of
Hours on
Project
Total Amount
Requested from
CDPHE
Page 1 of 5
January 2018
Exhibit K., Budget
PREVENTION SERVICES DIVISION- 12 MONTH BUDGET WITH JUSTIFICATION FORM
Contract Routing # CT-2018*3282, Amendment #3
Contractor Name
Weld County Department of Public Health and
Environment
Program Contact Name,
Title, Phone and Email
Cynthia Horn, Director, Clinical
Services
970-400-2433
chorn@weldgov.com
Budget Period
06/30/2020 - 06/29/2021
Fiscal Contact Name, Title,
Phone and Email
Tanya Geiser, Director, Admin
Services
970-400-2122,
tgeiser@weldgov.com
Project Name
Cancer Prevention and Early Detection (CPED):
Targeted Community Outreach (TCO)
Health Navigation and Clinical Services (HNCS)
Contract (CT or PO) Number
CT FAAA FHLA 201800003282
Target Community Health
Outreach Worker
For TCO. Attend community events and work with
community agencies to provide outreach and
education about breast and cervical cancer screenings,
provide information about local resources and provide
women direct assistance in obtaining cancer
screenings. Participate in webinars, site visits and
required trainings; assist with progress reports, provide
input and assistance for completion of the continuing
application for TCO.
$ 22.14
$ 8.62
2080.0
$ 63,978.93
Office Technician
For TCO & HNCS. Support Health Navigation and
Clinical Services (Make copies, answer phones,
interpret as needed). Provide administrative program
support; answering phone calls and providing clerical
support to assist TCO program.
$ 22.87
$ 8.90
52.0
$ 1,652.21
$ -
Total Personal Services (including fringe benefits)
$ 70,032.45
Supplies & Operating Expenses
Item
Description of Item
Rate
Quantity
Total Amount
Requested from
CDPHE
Outreach and Education
Expenses
For TCO. Development and purchase of education materials and
outreach supplies to promote awareness of breast and cervical cancer
prevention and early detection, as well as the availability of direct
assistance. This includes items to improve engagement of the
community during outreach events.
$ 125.00
4.00
$ 500.00
Postage
For TCO. Postage for mailing of small media to targeted zip codes,
reminder letters & follow up questions for TCO.
$ 0.55
100.00
$ 55.00
Registration
For TCO. Registration costs for Targeted Community Outreach staff to
attend relevant trainings such as health navigation or Motivational
Interviewing training.
$ 200.00
1.00
$ 200.00
Page 2 of 5
January 2018
Exhibit K., Budget
PREVENTION SERVICES DIVISION- 12 MONTH BUDGET WITH JUSTIFICATION FORM
Contract Routing # CT-2018*3282, Amendment #3
Contractor Name
Weld County Department of Public Health and
Environment
Program Contact Name,
Title, Phone and Email
Cynthia Horn, Director, Clinical
Services
970-400-2433
chorn@weldgov.com
Budget Period
06/30/2020 - 06/29/2021
Fiscal Contact Name, Title,
Phone and Email
Tanya Geiser, Director, Admin
Services
970-400-2122,
tgeiser@weldgov.com
Project Name
Cancer Prevention and Early Detection (CPED):
Targeted Community Outreach (TCO)
Health Navigation and Clinical Services (HNCS)
Contract (CT or PO) Number
CT FAAA FHLA 201800003282
Translation &
Interpretation Services
For TCO. Translation of outreach materials as needed for culturally and
liguistically appropriate relevent small media and education materials
to be distributed for educational benefits of the community.
Interpretation services to assist with outreach, direct assistance or
community presentations. (Certified medical interpreters used via
telephone or video)
$ 25.00
3.00
$ 75.00
Misc Office & Small
Equipment Supplies
For TCO. Office and outreach supplies for Targeted Community
Outreach (not included in indirect)
$ 12.0
12.00
$ 150.00
Operating/Supplies
For HNCS Non-eCaST. Allowable purchase of supplies/operating items
listed on the Health Navigation and Clinical Services allowable purchase
document on the Cancer Prevention and Early Detection website:
https://www.colorado.gov/pacific/cancerplan/invoicing-and-fiscal-
management
$ 1,500.00
1.00
$ 1,500.00
Electronic Medical Record
(EMR) Fees
For TCO. The TCO worker will take a laptop to outreach events and will
utilize EMR to schedule screening appointments for clients who qualify
pp q fY
for direct assistance ($15 monthly fee x 12 months).
$ 15.00
12.00
$ 180.00
Phone Services
For TCO. The TCO program will use a cell phone for outreach and
contacting clients who qualify for direct assistance; In addition, the
phone will be used as a WIFI hot spot when at community events ($70
monthly fee x 12 months)
$ 70.00
12.00
$ 840.00
Program and Community
Incentives
For TCO. Gift cards for hair stylists who assist with identifying women in
beauty salons in Weld County who are in need of breast and cervical
cancer screenings and refer those women to the TCO worker for direct
assistance for breast and cervical cancer screening services.
$ 30.00
15.00
$ 450.00
Printing
For TCO. Printing costs for culturally and linguistically appropriate
relevent small media to be distributed for educational benefits of the
community. This includes appropriate and approved education
materials for breast and cervical cancer screening and early prevention.
$ 0.50
300.00
$ 150.00
$ -
Total Supplies & Operating
$ 4,100.00
Page 3 of 5
January 2018
Exhibit K., Budget
PREVENTION SERVICES DIVISION- 12 MONTH BUDGET WITH JUSTIFICATION FORM
Contract Routing # CT -2018"3282, Amendment #3
Contractor Name
Weld County Department of Public Health and
Environment
Program Contact Name,
Title, Phone and Email
Cynthia Horn, Director, Clinical
Services
970-400-2433
chorn@weldgov.com
Budget Period
06/30/2020 - 06/29/2021
Fiscal Contact Name, Title,
Phone and Email
Tanya Geiser, Director, Admin
Services
970-400-2122,
tgeiser@weldgov.com
Project Name
Cancer Prevention and Early Detection (CPED):
Targeted Community Outreach (TCO)
Health Navigation and Clinical Services (HNCS)
Contract (CT or PO) Number
CT FAAA FHLA 201800003282
Travel
Total Amount
Item
Description of Item
Rate
Quantity
Requested from
CDPHE
For TCO and HNCS Non-eCaST. Per diem for meals for (2) staff to attend
in -person training and overnight meetings. Per diem is $20 per person
Meals
per day. Estimated 2 people x 2 meals x $20 per day x 2 days. However,
Weld County only reimburses based upon actual expenditures, not per
diem.
$ 20.00
8.0
$ 160.00
Mileage
For TCO and HNCS Non-eCaST. Mileage for staff to attend in -person
training and meetings, travel to other community and clinic locations,
attend community events, visit community organizations to promote
breast and cervical screenings and offer direct assistance to women.
$ 0.555
2293.00
$ 1,272.62
Current mileage reimbursement rate is $0.555/mile.
For TCO and HNCS Non-eCaST. Lodging for staff to attend in person
Lodging
overnight training and meetings. Estimated 2 people @ $200/night.
$ 200.00
2.00
$ 400.00
For TCO and HNCS Gas cards (5 x $10) to assist participants in traveling
Participant travel expenses
to health system for screening.
$ 10.00
5.00
$ 50.00
$
Total Travel
$ 1,882.62
Contractual
Total Amount
Subcontractor Name
Description of Item
Rate
Quantity
Requested from
CDPHE
For TCO. Work with local media outlets and advertisers to promote
TBD
breast and cervical cancer screening.
$ 200.00
1.0
$ 200.00
North Colorado Health
Alliance
For TCO and HNCS. EMR vendor support for reports and data collection
to complete continuing application.
$ 100.00
2.0
$ 200.00
$
Total Contractual
$ 400.00
Page 4 of 5
January 2018
Exhibit K., Budget
PREVENTION SERVICES DIVISION- 12 MONTH BUDGET WITH JUSTIFICATION FORM
Contract Routing # CT-2018*3282, Amendment #3
Contractor Name
Weld County Department of Public Health and
Environment
Program Contact Name,
Title, Phone and Email
Cynthia Horn, Director, Clinical
Services
970-400-2433
chorn@weldgov.com
Budget Period
06/30/2020 - 06/29/2021
Fiscal Contact Name, Title,
Phone and Email
Tanya Geiser, Director, Admin
Services
970-400-2122,
tgeiser@weldgov.com
Project Name
Cancer Prevention and Early Detection (CPED):
Targeted Community Outreach (TCO)
Health Navigation and Clinical Services (HNCS)
Contract (CT or PO) Number
CT FAAA FHLA 201800003282
SUB -TOTAL OF DIRECT COSTS
$ 76,415.07
Indirect
Item
Description of Item
Total Amount
Requested from
CDPHE
CDPHE-Negotiated Indirect
Cost Rate
Weld County's negotiated indirect rate for CY2020 is 17.96% of MDTC.
$ 13,723.93
Total Indirect
$ 13,723.93
Page 5 of 5
January 2018
Exhibit L
Federal Provisions - Colorado Cancer Prevention and Control
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: Board of County Commissioners of Weld County for the use and benefit of the
Weld County Department of Public Health and Environment
b. Subrecipient DUNS number: 075757955
c. The Federal Award Identification Number (FAIN) is NU58DP006347 .
d. The Federal award date is TBD .
e. The subaward period of performance start date 06/30/2017and end date is 06/29/2022.
f. Federal Funds:
Federal Budget Period
Total Amount of Federal
Funds Awarded
Amount of Federal Funds
Obligated to CDPHE
6/30/2020 - 6/29/2021
$14,321,376.00
$3,684,941.00
g. Federal award title of project or program: Colorado Cancer Prevention and Control.
h. The name of the Federal awarding agency is: Department of Health and Human Services,
Centers for Disease Control and Prevention and the contact information for the awarding
official is Karen Boone; 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 Ms. Erin Ulric.
i. The Catalog of Federal Domestic Assistance (CFDA) number is 93.898 and the grant name is
Cancer Prevention and Control Programs for State, Territorial and Tribal Organizations
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: 2018*3282 Amendment #3 Ver. 25.02.20
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: 2018*3282 Amendment #3 Ver. 25.02.20
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 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: 2018*3282 Amendment #3 Ver. 25.02.20
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: 2018*3282 Amendment #3 Ver. 25.02.20
Contract Form
New Contract Request
Entity information
Entity Name* Entity 1D*
COLORADO DEPT OF PUBLIC @00001926
HEALTH/ENVIRONMENT
Contract Name*
WOMEN'S WELLNESS CONNECTION TARGETED
COMMUNITY OUTREACH PROGRAM FY21 TASK ORDER
AMENDMENT #3
Contract Status
CTB REVIEW
Contract ID
3712
Contract Lead*
TGEISER
Contract Lead Email
tgeiser@co.weld. co_ u s
❑ New Entity?
Parent Contract ID
Requires Board Approval
YES
Department Project #
Contract Description*
TASK ORDER CONTRACT AMENDMENT #3 RENEWAL FOR THE WOMEN'S WELLNESS CONNECTION (WWC) TARGETED
COMMUNITY OUTREACH PROGRAM FY20-21: 2018'3282A3
Contract Description 2
PREVIOUS CONTRACT NUMBER 2018`3282A2: 18 FHLA 104208: 17-99140: 15-75542
Contract Type
CONTRACT
Amount*
$90,139.00
Renewable*
NO
Automatic Renewal
NO
Grant
YES
!GA
NO
Department
HEALTH
Department Email
CM-Health(�weldgov corn
Department Head Email
CM-Health-
DeptHead@weldgov.com
County Attorney
GENERAL COUNTY
ATTORNEY EMAIL
County Attorney Email
CM-
COUNTYATTORNEY@WELD
GOV. COM
Grant Deadline Date
If this is a renewal enter previous Contract ID
3202
If this is part of a MSA enter MSA Contract ID
Requested BOCC Agenda
Date *
06/15/2020
Due Date
06/11/2020
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
07/01/2020
Review Date*
0410112021
Renewal Date
Termination Notice Period
Committed Delivery Date Expiration Date*
06!30;2021
Contact Information
Contact Info
Contact Name
Purchasing
Purchasing Approver
Approval Process
Department Head
TANYA GEISER
DH Approved Date
06/15/202D
Final Approval
BOCC Approved
BOCC Signed Date
BOCC Agenda. Date
06/22/2020
Originator
TGEISER
Contact Type
Contact Email
Finance Approver
BARB CONNOLLY
Contact Phone 1 Contact Phone 2
Purchasing Approved Date
Finance Approved Date
06/162020
Tyler Ref #
AG 062220
Legal Counsel
GABE KALOUSEK
Legal Counsel Approved Date
06'18,2020
Submit
Hello