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HomeMy WebLinkAbout20202628.tiffRESOLUTION RE: APPROVE CONTRACT AMENDMENT #2 FOR NURSE HOME VISITOR PROGRAM (NHVP) AND AUTHORIZE CHAIR TO SIGN AND SUBMIT ELECTRONICALLY WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, the Board has been presented with Contract Amendment #2 for the Nurse Home Visitor Program (NHVP) between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Public Health and Environment, and the Colorado Department of Human Services, Office of Early Childhood, commencing on August 30, 2019, and ending June 30, 2021, with further terms and conditions being as stated in said contract amendment, and WHEREAS, after review, the Board deems it advisable to approve said contract 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 Nurse Home Visitor Program (NHVP) between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Public Health and Environment, and the Colorado Department of Human Services, Office of Early Childhood, 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 contract amendment electronically. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 26th day of August, A.D., 2020, nunc pro tunc August 30, 2019. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST: dititusj jeo:ok Weld County Clerk to the Board County Attorney Date of signature: O' /a2/2o cc HL -(1&) Mike Freeman, Chair Kevin D. Ross 2020-2628 HL0052 oq/o4 /20 c1 /-?- c 4 „`v ll ©3O Memorandum TO: Mike Freeman, Chair Board of County Commissioners FROM: Mark Lawley Deputy Director Department of Public Health & Environment DATE: August 24, 2020 SUBJECT: FY20-21 Nurse Home Visitor Program (NHVP) Contract Amendment #2 with the Colorado Department of Human Services For the Board's approval is the FY20-21 Nurse Home Visitor Program (NHVP) Contract Amendment #2 between the Colorado Department of Human Services, Office of Early Childhood (CDHS) and the Board of County Commissioners of Weld County for the use and benefit of the Weld County Department of Public Health and Environment (WCDPHE) for the Nurse Home Visitor Program. At no cost to the client, specially trained registered nurses provide home visits to vulnerable low- income, first-tim mothers residing in Weld County beginning in pregnancy and continuing until the client's child reaches the age of two years. Clients are educated on positive maternal/child health practices, infant/toddler developmental needs, effective parenting, and maternal economic self-sufficiency. This evidence -based program has demonstrated multi -generational positive outcomes that benefit both families and the community as a whole. With the approval of this continuation contract, WCDPHE will be receiving funding of $955,298 to cover activities performed beginning July 1, 2020, and ending June 30, 2021. Assistant Count} determined them Attorney, Karin McDougal has reviewed the terms of this contract and found to be acceptable. The Board approved placement of this contract on the Board's agenda via pass -around dated August 20, 2020. I recommend aiiproval of this FY20-21 Nurse Home Visitor Program continuation contract amendment #2 With CDHS. 2020-2628 ,41- ee DocuSign Envelope ID: C787FAFB-OFA0-489A-BD9A-3C006289C269 CONTRACT AMENDMENT #2 SIGNATURE AND COVER PAGE State Agency Colorado Department of Human Services Office of Early Childhood Division of Original Contract Number 20 1HIA 129479 Contractor Weld County Department of Public Health and Environment 1555 North 17`h Avenue Greeley, CO 80631 Amendment Contract Number 21 1HIA 160161 Current Contract Maximum Amount Initial Term State Fiscal Year 2020 $954,006 *An appropriation for NHVP General Accounting Encumbrance (GAE) is hereby added to this contract. The maximum payable for GAE is subject to appropriated funds, not to exceed $50,000 which is split among other NHVP vendors. See Exhibit C: Additional Provisions. Extension Terms State Fiscal Year 2021 $955,298* *An appropriation for NHVP General Accounting Encumbrance (GAE) is hereby added to this contract. The maximum payable for GAE is subject to appropriated funds, not to exceed $70,000 which is split among other NHVP vendors. See Exhibit C: Additional Provisions. Total for All State Fiscal Years $1,909,304* Contract Performance Beginning Date August 30, 2019 Current Contract Expiration Date June 30, 2021 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. Weld CONTRACTOR County Department of Public Health and Environment r—OocuSigned by: V`^. r, iPt,,Deh6hof 'Q4iTi vaikiq St,{Vyl,rCpmrii?t E7498DE106,B^4A7.. 1 STATE OF COLORADO Jared Polis, Governor Colorado Department of Human Services Ic ie Barnes, Executive Director (iia Ca.Sfi,(,ia `_Ft+^GIQ7B44^ce By: Chair, Weld County Board of County Commissioners 8/26/2020 Date: By: Mary Anne Snyder, Director, Office of Early Childhood 8/26/2020 Date: In accordance with §24-30-202 C.R.S., this By: Amendment is not valid until signed and dated below by the State Controller or an authorized delegate. STATE CONTROLLER r— cu igned o er ros, CPA, MBA, JD owi v -D2A31DEB619C416... Andrea Eurich / Janet Miks / Toni Williamson 8/28/2020 Amendment Effective Date: Amendment Contract Number: 21 IHIA 160161 Page 1 of 3 Rev. 1/14/19 /a6 a0a0 - aL. DocuSign Envelope ID C787FAFB-0FA0-4B9A-BD9A-3C006289C269 1 PARTIES This Amendment (the "Amendment") to the Original Contract shown on the Signature and Cover Page for this Amendment (the "Contract") is entered into by and between the Contractor, and the State 2 TERMINOLOGY Except as specifically modified by this Amendment, all terms used in this Amendment that are defined in the Contract shall be construed and interpreted in accordance with the Contract 3 AMENDMENT EFFECTIVE DATE AND TERM A Amendment Effective Date This Amendment shall not be valid or enforceable until the Amendment Effective Date shown on the Signature and Cover Page for this Amendment The State shall not be bound by any provision of this Amendment before that Amendment Effective Date, and shall have no obligation to pay Contractor for any Work performed or expense incurred under this Amendment either before or after of the Amendment term shown in §3.B of this Amendment B Amendment Term The Parties' respective performances under this Amendment and the changes to the Contract contained herein shall commence on the Amendment Effective Date shown on the Signature and Cover Page for this Amendment and shall terminate on the termination of the Contract 4 PURPOSE In accordance with the provisions of this contract and its exhibits and attachments, the Contractor shall Provide trained visiting nurses to help educate mothers on the importance of nutrition and avoiding alcohol and drugs, including nicotine, and to assist and education mothers in providing general care for their children This Amendment shall extend the contract term for FY21, increase funds for services to be provided in FY21, and amends Exhibits B and C 5 MODIFICATIONS The Contract and all prior amendments thereto, if any, are modified as follows A Extend Contract Expiration Date from June 30, 2020 to June 30, 2021. The Contract Initial Contract Expiration Date on the Contract's Signature and Cover Page is hereby deleted and replaced with the Current Contract Expiration Date shown on the Signature and Cover Page for this Amendment B Increase Contract Maximum Amount by $955,298 for services in FY21 and increase Total for All State Fiscal Years from $954,006 to $1,909,304. The Contract Maximum Amount table on the Contract's Signature and Cover Page is hereby deleted and replaced with the Current Contract Maximum Amount table shown on the Signature and Cover Page for this Amendment C Exhibit B — Budget Exhibit B — Amendment #2, which is attached and incorporated into this Amendment, is hereby added to Exhibit B of the Original Contract Amendment Contract Number 21 IHIA 160161 Page 2 of 3 Rev 1/14/19 DocuSign Envelope ID C787FAFB-0FA0-4B9A-BD9A-3C006289C269 D Exhibit C — Additional Provisions Exhibit C — Amendment #2, which is attached and incorporated into this Amendment, hereby replaces Exhibit C — Amendment #1 6 LIMITS OF EFFECT AND ORDER OF PRECEDENCE This Amendment is incorporated by reference into the Contract, and the Contract and all prior amendments or other modifications to the Contract, if any, remain in full force and effect except as specifically modified in this Amendment Except for the Special Provisions contained in the Contract, in the event of any conflict, inconsistency, variance, or contradiction between the provisions of this Amendment and any of the provisions of the Contract or any prior modification to the Contract, the provisions of this Amendment shall in all respects supersede, govern, and control The provisions of this Amendment shall only supersede, govern, and control over the Special Provisions contained in the Contract to the extent that this Amendment specifically modifies those Special Provisions Amendment Contract Number 21 IHIA 160161 Page 3 of 3 Rev 1/14/19 DocuSign Envelope ID: C787FAFB-0FA0 4B9A-BD9A-3C006289C269 Exhibit B - Amendment #2 COLORADO Office of Early Childhood Department of Human Services Colorado Department of Human Services Office of Early Childhood BUDGET WITH JUSTIFICATION FORM Contractor Name Weld Health County Department of Public and Environment Budget Period July 1, 2020 - June 30, 2021 Project Name Nurse Home Visitor Program Counites Served Weld County Program Contact Phone Email Name, Title Dana Garvey, RN, BSN, CLC Services (970) 400-2405, dgarvey@co.weld.co.us Fiscal Contact Name, Title Phone Email Tanya Geiser Director, Administrative Services (970) 400-2122, tgeiser@co.weld.co.us Funded Caseload 150 ANY AMOUNT PAID AGAINST HOLDOVER NOTICE 21 IHIA 161212 WILL BE REDUCED FROM THE MAXIMUM AMOUNT PAYABLE ON THIS CONTRACT. Expenditure Categories Personnel Services - Salaried Employees FY 2021 Position Employee Title/ Name Description life/AD&D unemployment; vacation; of Work insurance; accrual and workers' -holiday; health Fringe compensation; Includes: insurance; and accrual Medicare; PERA; accrual- -sick. Gross or Annual Salary Fringe Percent of Time on Project Total For Amount Project A. Other Sources of Funding B. Medicaid Revenue C. CDHS Funding (NHVP) Individual Nursing staff salary not to exceed $111,664 (A Contract Amendment is required if any additional funds are added to the total contract amount) Nursing Staff includes Supervisor and Visitors one (1) six (6) Nurse Nurse Home Overall service Program delivery implementation and home visiting $655,256 $0 $0 $655,256 Non Nursing Staff Community Health Director - TBD Provides program oversight delivery to and ensure fidelity assists the and quality home visitors. of ._ $104,245 $40,583 10% $14,483 $0 $0 $14,483 Office Technician 1 - Rosie Varela Martinez Provides assistance support for the visitors. in data uploading NHVP, supervisor, and and general nurse home $43,152 $16,799 45% $26,978 $0 $0 $26,978 Office Technician 2 - Mary Saldivar Provides support visitors. assistance for the in data NHVP, supervisor, uploading and and general nurse home $47,593 $18,528 30% $19,836 $0 $0 $19,836 lb. Non Nursing Staff Total $61,297 $0 $0 $61,297 1. Total Personnel Services (including fringe benefits) $716,553 $0 $0 $716,553 Page 1 of 3 DocuSign Envelope ID: C787FAFB-0FA0 4B9A-BD9A-3C006289C269 Exhibit B - Amendment #2 Supplies & Operating Expenses FY 2021 Item Description of Item A. Other Sources of Funding B. Medicaid Revenue C. CDHS Funding (NHVP) Office supplies) Operating Expenses (i.e. Costs cover office supplies and printing which are necessary to perform the critical functions of this program. $0 $0 $2,500 Client Support Materials Costs include books, educational toys for clients, and items that the team deems necessary for client support. $0 $0 $8,000 Printing & Publications Covers costs for hard copies of documents and forms necessary to maintain model fidelity. $0 $0 $2,000 Postal & Shipping Services Covers costs for shipping requirements. $0 $0 $150 Communications (cellular, services) network Costs visiting enable include nurses charting cell the phone ability in the services to field through communicate with the unlimited use with of their texting each other cell and and phone WIFI clients hot for spot up to to ensure capabilities. 7 laptop the computers. This safety of nurse allows home the visitors home and to $0 $0 $5,400 Medical Supplies Covers costs for medical items purchased for client home visits. $0 $0 $1,000 Outside Services Covers costs associated with the calibration and servicing of scales used during home visits. $0 $0 $600 Electronic Medical Records Covers computer operation and it enables and technical us to and data progress processing expenses support (outside from double technical charting related to support). to single EMR charting maintenance EMR is a technology in an electronic and upgrades, driven format. EMR norm in licenses, the medical and EMR community $0 $0 $20,000 2. Total Supplies & Operating Expenses $0 $0 $39,650 Training and Technical Assistance FY 2021 Item Description of Item A. Other Sources of Funding B. Medicaid Revenue C. CDHS Funding (NHVP) Dance Education Fees Required core to the Training to facilitate Nurse Family nurses' Partnership work Model. with Training families happens on important required aspects of the in years 2, caregiver -child 3, 4, 7, 9 etc relationship that is $0 $0 $844 Nurse Family Partnership Service Office Mandatory National Training Includes mandatory program support training for fee new nurses, supervisors, and administrators; consultation for supervisors; and the $0 $0 $12,957 Professional Development Required training for new NHV Supervisor $0 $0 $4,200 PIPE Training Covers the to provide cost for a foundation the Partners for teaching In Parenting Education parenting techniques (PIPE) 2 -day to NFP clients. comprehensive training. This PIPE training is designed $0 $0 $325 CLC Training Covers The to CLC toddler the cost for the training provides age. Certified comprehensive lactation lactation Counselor (CLC) education 5 -day comprehensive needed to training, support NFP clients materials, with and certification breastfeeding exam. from birth $0 $0 $745 3. Total Training and Technical Assistance) $0 $0 $0 $19,071 Equipment (Over $5,000 Per Item) FY 2021 Name Description of Item A. Other Sources of Funding B. Medicaid Revenue C. CDHS Funding (NHVP) No costs in this category will be reimbursed by CDHS. $0 $0 $0 4. Total Equpment $0 $0 $0 Page 2 of 3 DocuSign Envelope ID: C787FAFB-0FA0 4B9A-BD9A-3C006289O269 Exhibit B - Amendment #2 Travel FY 2021 Item Description of Item A. Other Sources of Funding B. Medicaid Revenue C. CDHS Funding (NHVP) Mileage Expenses and Training; Travel Covers the NHVs, 1 costs for travel NHV supervisor, and to client 1 visits, Site Administrator community outreach, and trainings; as well as travel expenses for training 6 $0 $0 $32,725 NFP Supervisor Meetings Covers the cost for three state nurse supervisor meetings $0 $0 $205 NFP Nurse Practice Council Meetings Covers the cost for three state nurse practice council meetings $0 $0 $205 5. Total Travel $0 $0 $33,135 Contractors/Consultants (payments to third parties or entities) FY 2021 Name Description of Item A. Other Sources of Funding B. Medicaid Revenue C. CDHS Funding (NHVP) Mental Nurses Health Consultation for Covers volatile the cost for and complex monthly situations maternal/fetal with the clients. mental health specialist consultation services to help nurses address potentially $0 $0 $1,440 6. Total Contractors/Consultants $0 $0 $1,440 MODIFIED TOTAL DIRECT COSTS (MTDC) $0 $0 $809,849 Indirect Costs FY 2021 Item Description of Item A. Other Sources of Funding B. Medicaid Revenue C. CDHS Funding (NHVP) State Federal Indirect cost rate 17.96% of the modified total direct costs $0 $0 $145,449 Total Indirect $0 $0 $145,449 TOTAL $0 $0 $955,298 Page 3 of 3 DocuSign Envelope ID: C787FAFB-0FA0-4B9A-BD9A-3C006289C269 Exhibit C — Amendment #2 ADDITIONAL PROVISIONS 1. SERVICE PROVISIONS The Contractor shall provide the services according to the plans submitted in the "Statement of Work", attached and incorporated herein by this reference as EXHIBIT A. In all cases, the descriptions, plans, timetables, tasks, duties, and responsibilities of the Contractor as described in the Statement of Work, shall be adhered to in the performance of the requirements of this contract. In the event of a conflict, the terms and conditions of this contract shall control over the Statement of Work. Any significant changes to the Statement of Work (SOW) require an amendment to the contract. 2. GOALS AND OBJECTIVES The Contractor shall be responsible for the achievement of any goals and objectives as specified within the Statement of Work (EXHIBIT A) of this contract unless written notice of any modifications are furnished by the State to the Contractor allowing adequate time for compliance during the term of this contract. 3. COPY OF SUBCONTRACT The Contractor shall provide to the State a copy of any executed subcontract between the Contractor and any provider of services to fulfill any requirements of this contract. Subcontracts shall be emailed to the Contract Representative upon execution. 4. PAYMENT In consideration of the provision of services and reporting and subject to all payment and price provisions and further subject to verification by the State of full and satisfactory compliance with the terms of this contract, the State shall pay to the Contractor an amount not to exceed the amount specified in the Budget (EXHIBIT B), of this contract. A. The Contractor shall submit requests for payment to CDHSOEC_Invoicing@state.co.us no less than monthly on forms prescribed and provided by the State. B. Payment shall be made on a cost reimbursement basis for services rendered. C. IT IS UNDERSTOOD ANY COSTS THAT EXCEED THE CONTRACTED AMOUNT SHALL NOT BE PAID BY CDHS. If Contractor has a legitimate need for additional funds, the Contractor shall request additional funds from the CDHS 60 days prior to projected depletion of contracted funds. CDHS shall review each request and notify Contractor in writing of approval or denial. Approval of additional funds shall require an official modification to the Contract by Amendment or Option Letter. D. Timely Invoicing - Invoices shall be submitted no later than 45 days following the last day of the month. End of State Fiscal Year invoices are on a compressed timeframe. Invoices for all services provided prior to June 30th shall be invoiced by July 5th. Contractors who are unable to provide the invoice by July 5th shall notify the state of the amount to be booked as accounts payable by July 13th by sending an email to CDHS_OEC_Invoicing@state.co.us. Final invoices for services prior to June 30th shall be submitted by September 14th. Invoices received after September 14th may not be paid. E. The Contractor shall maintain source documentation to support all payment requested pursuant to this contract. All source documentation shall be provided to the State by the Contractor upon request. F. It is understood that the State reserves the right to offset funds pursuant to this contract based on the discovery of overpayment or improper use of funds by the Contractor. Overpayment or improper use of Page 1 of 3 Revision Date January 29, 2020 DocuSign Envelope ID: C787FAFB-0FA0-4B9A-BD9A-3O006289O269 Exhibit C — Amendment #2 funds is interpreted to apply to specific terms of prior year contracts, and includes without limitation requirements of the Generally Accepted Accounting Principles (GAAP) issued by the American Institute of Certified Public Accountants, and applicable sections of the Colorado Revised Statutes. 5. PARTICIPATION The Contractor representative(s) is required to participate in any Office of Early Childhood sponsored meetings related to this contract. 6. SUPPLANTING Payments made to the Contractor under this contract will supplement and not supplant other state, local or federal expenditures for services associated with this contract. 7. BUDGET CHANGES Contractor may request in writing adjustments to the direct costs in the current year budget (EXHIBIT B) not to exceed 10% of the total budget. Requests shall be made in the form of a written budget revision request to the appropriate program staff Written approval for the budget revision shall be required prior to any changes to the budget related to the budget revision request. The total dollar amount of the contract budget cannot be changed as a result of the budget revision request. Budget adjustment requests over 10%, adding new expense lines, and/or changes to the total dollar amount of the budget require a formal amendment. No adjustments to the Indirect Costs portion of the budget are allowable without a formal amendment. Contractor may request in writing up to a 5% increase to the "Gross or Annual Salary" of an individual employee if a position currently listed in the contract becomes vacant and the new incoming employee will be hired at a higher or lower salary. No increase within the salary range is authorized without prior written approval from CDHS. Adding additional staff requires an amendment to the contract. Vacancy savings cannot be used to change salary amounts for existing personnel without an amendment. Any change to personnel requires prior written approval from CDHS staff. This process will never change the Contract Maximum Amount. Contractor must use available unused funds from either vacancy savings or another category within the contract. The revision request may not at any time compromise the integrity of the funded program as determined by CDHS program staff 8. TRAVEL A. Mileage shall not exceed the State mileage rate per https://www.colorado.gov/pacific/osc/travel-fiscal-rule. B. Per Diem shall not exceed State per diem rate for the area of travel per https://www.colorado.gov/pacific/osc/travel-fiscal-rule. C. Hotel rates cannot exceed any rate established for conference attendance. D. Usage of airfare or Out of State Travel requires pre -approval from CDHS. 9. CRITICAL INCIDENT REPORTING Within 48 hours of the occurrence of a critical incident involving any child or family and/or an on duty agency staff member of any family support program staff funded through the Office of Early Childhood (OEC), the agency must report in writing the details of the critical incident to the OEC Program Manager for the involved family support program. Critical incidents may include, but are not limited to, awareness of an egregious incident of abuse and/or neglect, near fatality, or fatality of any child currently enrolled in a family support program; involuntary termination of a program staff's employment; criminal allegations involving program staff Page 2 of 3 Revision Date January 29, 2020 DocuSign Envelope ID: C787FAFB-0FA0-4B9A-BD9A-3C006289C269 Exhibit C — Amendment #2 and related to his/her employment; negative media attention about the family support program; any major injury or threat to the security of an agency staff member while on duty and visiting an enrolled child or family. 10. MANDATED REPORTING A. All program staff are required by law to report suspected child abuse and neglect. Mandatory reporters must report suspected child abuse and neglect to the local county child welfare agency, the local law enforcement agency, or by calling the child abuse reporting hotline system at 1-844-CO-4KIDS (1-844- 264-5437). B. All program staff are required to take the online mandatory reporter training on the CDHS Child Welfare Training System: https://www.coloradocwts.com/mandated-reporter-training. 11. GENERAL ACCOUNTING ENCUMBRANCE (GAE) A. Payment for Nurse Home Visitor Program (NHVP) to all contractors will be made as incurred, in whole or in part, from the total available funds not to exceed $120,000 ($50,000 for FY20; $70,000 for FY21), to be utilized for NHVP as follows: i. Nurse Family Partnership (NFP) training costs, often sites experience staff turnover in a fiscal year and they will be permitted to use the GAE to cover costs of NFP required training that was not included in their budget. ii. Travel costs associated with NFP training. For example, if a site hires a new Nurse Home Visitor, and this staff member is required to attend NFP orientation, the site will be able to bill the GAE for the training registration and travel expenses for the training. Travel costs may include mileage, hotel accommodations and per diem for the staff member attending the training. iii. Operational items not included in their budget such as cell phones, tablets, laptops. Due to staff turnover, sites are to not include potential operational item expenses in their budgets, but rather utilize the GAE in order to purchase necessary items for new staff It is understood each contractor shall obtain prior written approval from CDHS prior to incurring any costs related to NHVP GAE funds. It is further understood and agreed that the maximum amount of funds available state wide for the current fiscal year will be divided between all of the NHVP contracts. The State shall not be liable for any costs incurred without obtaining prior approval for the expenditure of NHVP GAE funds. The NHVP program manager will approve GAE expenditures on a case -by case basis and the state intermediary must concur that they believe the expenditure to be necessary to improving the program. NHVP program manager must approve the expenditure in writing. B. Payment to Contractor is made from available funds encumbered and shared across multiple contractors. The State may increase or decrease the total funds encumbered at its sole discretion and without formal notice to Contractor. No minimum payment is guaranteed to Contractor. The liability of the State for such payments is limited to the encumbered amount remaining of such funds. C. Invoices shall be submitted separately for pre -approved expenditures. i. The Contractor shall submit requests for payment to CDHS_OEC Invoicing@istate.co.us. Page 3 of 3 Revision Date January 29, 2020 New Contract Request Entity Information Entity Name* Entity ID A COLORADO DEPARTMENT OF HUMAN @00003650 SERVICES Contract Name * NURSE HOME VISITOR PROGRAM FY21 CONTRACT Contract Status CTB REVIEW Contract ID 4050 Contract Lead* TGEISER Contract Lead Email tgerser@co weld co us Contract Description* NURSE HOME VISITOR PROGRAM FY20-21 CONTRACT WITH CDHS 21 IHIA 160161 Contract Description 2 PREVIOUS CONTRACTS 20 IHIA 129479 19 IHIA 109304 15 IHA 68641 Contract Type GRANT Amount k $955 298 00 Renewable * NO Automatic Renewal NO Grant YES IGA NO Department HEALTH Department Email CM-Health@aeldgov corn Department Head Email ChMHealth- DeptHead@weldgov com County Attorney GENERAL COUNTY ATTORNEY EMAIL County Attorney Email CM- COUNTYAT T ORNEY@WELD GOV COM Grant Deadline Date If this is a renewal enter previous Contract ID 2786 If this is part of a MSA enter MSA Contract ID ❑ New Entity? Requested BOCC Agenda Date* 08126/2020 Parent Contract ID Requires Board Approval YES Department Project if Due Date 08/22/2020 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 07101 }2020 Review Date* 04/1512021 Renewal Date Termination Notice Period Committed Delivery Date Expiration Date A 06/3012021 Contact Information Contact Info - Contact Name Purchasing ` Purchasing Approver Approval -Process Department Head TANYA GEISER DH Approved Date 08/2412020 Final =Approval' BOCC Approved BOCC Signed Date BOCC Agenda Date 08/2612020 Originator TGEISER Contact Type Contact Email Finance Approver CHRIS D'OVIDIO Contact Phone 1 Purchasing Approved Date Finance Approved Date 08,24/2020 Tyler Ref # AG 082620 Legal Counsel KARIN MCDOUGAL Contact Phone 2 Legal Counsel Approved Date 08/24/2020 Hello