HomeMy WebLinkAbout20202920.tiffRESOLUTION
RE: APPROVE CONTRACT AMENDMENT #4 FOR PROMOTING SAFE AND STABLE
FAMILIES (PSSF) GRANT AND AUTHORIZE CHAIR TO SIGN AND
ELECTRONICALLY SUBMIT
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS, the Board has been presented with Contract Amendment #4 for Promoting
Safe and Stable Families (PSSF) Grant 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
Human Services, and the Colorado Department of Human Services, Office of Early Childhood,
commencing October 1, 2020, and ending September 30, 2021, with further terms and conditions
being as stated in said amendment, and
WHEREAS, after review, the Board deems it advisable to approve said amendment, a
copy of which is attached hereto and incorporated herein by reference.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld
County, Colorado, that Contract Amendment #4 for Promoting Safe and Stable Families (PSSF)
Grant 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 Human Services, 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 amendment electronically.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 23rd day of September, A.D., 2020.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
ATTEST: dithio je:4
Weld County Clerk to the Board
Deputy Clerk to the Board
APPPRCD AS
7
County A ttorney
Date of signature: O9/2q/
Mike Freeman, Chair
cc: v4SD,ACT(3c/cp)
1O/O1/O
2020-2920
HR0092
c n tract =O 4 Oc-1O
PRIVILEGED AND CONFIDENTIAL
MEMORANDUM
DATE: September 15, 2020
TO: Board of County Commissioners — Pass -Around
FR: Jamie Ulrich, Director, Human Services
RE: Intergovernmental Contract Amendment #4 for the Promoting Safe
and Stable Families (PSSF) Grant
Please review and indicate if you would like a work session prior to placing this item on the Board's agenda.
Request Board Approval of the Department's Intergovernmental Contract Amendment #4 for the
Promoting Safe and Stable Families (PSSF) Grant. The Department is requesting approval of the State of
Colorado Human Services' Intergovernmental Contract Amendment #4 for the PSSF grant award. The
Department was originally awarded $120,000.00 annually, with the initial six-month contract, April 1, 2017 -
September 30, 2017 (Tyler ID 2017-2019), pro -rated for the amount of $60,000.00. This contract was renewed
for three additional full year terms, October 1, 2017 - September 30, 2018 (Tyler ID 2017-3163), October 1,
2018 - September 30, 2019 (Tyler ID 2018-4163), and October 1, 2019 — September 30, 2020 (Tyler ID 2019-
3579) for the full award amount of $120,000.00 annually. The State has renewed the grant for a fourth full year
term, October 1, 2020 - September 30, 2021, for the full amount of $120,000.00.
The PSSF program enables states to operate coordinated programs of community -based family support services,
family preservation services, time -limited family reunification services, and adoption promotion and support
services to accomplish goals. We will continue to collaborate with Catholic Charities in this effort.
This amendment is due to the State by September 30, 2020.
I do not recommend a Work Session. I recommend approval of this Amendment and authorize the Chair to sign
via DocuSign.
Mike Freeman, Chair
Scott James
Barbara Kirkmeyer
Steve Moreno, Pro -Tern
Kevin Ross
Apnrove
Recommendation Work Session
Schedule
Other/Comments:
Pass -Around Memorandum; September 15, 2020 — CMS ID 4040
2020-2920
(307/3
DocuSign Envelope ID: DDF4B9A8-7544-488B-B16B-095E2C6810E6
INTERGOVERNMENTAL CONTRACT AMENDMENT #4
SIGNATURE AND COVER PAGE
State Agency
Colorado Department of Human Services
Office of Early Childhood
1575 Sherman Street, 1' Floor
Denver, CO 80203
Original Contract Number
17 IHIA 98658
Contractor
Weld County Department of Human Services
PO BOX A
Greeley, CO 80632
Amendment Contract Number
21 IHIA 162133
Current Contract Maximum Amount
Initial Term
Federal Fiscal Year 2017
$60,000
Contract Performance Beginning Date
July 19, 2017
Extension Terms
Current Contract Expiration Date
Federal Fiscal Year 2018
$120,000
September 30, 2021
Federal Fiscal Year 2019
$120,000
Federal Fiscal Year 2020
S120,000
Federal Fiscal Year 2021
$120,000
Total for All Federal Fiscal Years
$540,000
THE PARTIES HERETO HAVE EXECUTED THIS AMENDMENT
Each person signing this Amendment represents and warrants that he or she is duly authorized to execute this Amendment
and to bind the Party authorizing his or her signature.
CONTRACTOR
Weld County Department of Human Services
f—DocuSigned by:
kb- Flet,t AJA,
`-- E74 B8DB083D44A 1...
By: Mike Freeman, Weld County Commissioner
Date:
9/23/2020
STATE OF COLORADO
Jared Polis, Governor
Michelle Barnes
e--DocuSigned by: Executive Director
Auni ate- spy
D542F7A428374C6...
By: Mary Anne Snyder, Director, Office of Early Childhood
Date:
9/23/2020
In accordance with §24-30-202 C.R.S., this Amendment is not valid until signed and dated below by the State Controller or an
authorized delegate.
STATE CONTROLLER
�Docujiipelnc,t Jaros, CPA, MBA, JD
74;v14: 14414 n.
By: '—D2A31DEB6t9C416...
Andrea Eurich / Janet Miks / Toni Williamson
9/25/2020
Amendment Effective Date:
Amendment Contract Number: 21 IHIA 162133 Page 1 of 3
Rev. 1/14/19
DocuSign Envelope ID: DDF4B9A8-7544-488B-B16B-095E2C6810E6
1. PARTIES
This Amendment (the "Amendment") to the Original Contract shown on the Signature and Cover
Page for this Amendment (the "Contract") is entered into by and between the Contractor, and the
State.
2. TERMINOLOGY
Except as specifically modified by this Amendment, all terms used in this Amendment that are
defined in the Contract shall be construed and interpreted in accordance with the Contract.
3. AMENDMENT EFFECTIVE DATE AND TERM
A. Amendment Effective Date
This Amendment shall not be valid or enforceable until the Amendment Effective Date
shown on the Signature and Cover Page for this Amendment. The State shall not be bound
by any provision of this Amendment before that Amendment Effective Date, and shall have
no obligation to pay Contractor for any Work performed or expense incurred under this
Amendment either before or after of the Amendment term shown in §3.B of this
Amendment.
B. Amendment Term
The Parties' respective performances under this Amendment and the changes to the
Contract contained herein shall commence on the Amendment Effective Date shown on the
Signature and Cover Page for this Amendment or October 1, 2020, whichever is later and
shall terminate on the termination of the Contract.
4. PURPOSE
To provide resources for the implementation of the Promoting Safe and Stable Families (PSSF)
program; which is a part of the Social Security Act Title IVB Subpart 2 federal programming.
The purpose of the grant is to help prevent the unnecessary separation of children from their
families, improve the quality of care and services to children and their families, and ensure
permanency for children by reuniting them with their parents, by adoption or by another
permanent living arrangement. Services provided will address: family support, family
preservation, time -limited family reunification and adoption promotion and support. This
Amendment extends the contract expiration date, increases funding for services in Federal Fiscal
Year (FFY) 2021, Amends Exhibits A, B, D, and E.
5. MODIFICATIONS
The Contract and all prior amendments thereto (Original CMS # 17 IHIA 98658; Amendment #1
CMS 18 IHIA 104226; Option Letter #1 CMS 19 IHIA 113057; Amendment #2 CMS 19 IHIA
113085; Amendment #3 CMS 20 IHIA 139710) are modified as follows:
A. Extend the Contract Expiration Date from September 30, 2020 to September 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.
Amendment Contract Number: 21 IHIA 162133
Page 2 of 3 Rev. 1/14/19
DocuSign Envelope ID: DDF4B9A8-7544-488B-B16B-095E2C6810E6
B. Increase the Contract Maximum amount for FFY21 by $120,000 and increase the
Total for All Federal Fiscal Years from $420,000 to $540,000.
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 A — Statement of Work
Exhibit A — Amendment #4, which is attached and incorporated into this Amendment, shall
be added to Exhibit A of the Original Contract.
D. Exhibit B — Budget
Exhibit B — Amendment #4, which is attached and incorporated into this Amendment, shall
be added to Exhibit B of the Original Contract.
E. Exhibit D — Supplemental Provisions for Federal Awards
Exhibit D — Amendment #4, which is attached and incorporated into this Amendment, shall
be added to Exhibit D of the Original Contract.
F. Exhibit E — Additional Provisions
Exhibit E — Amendment #4, which is attached and incorporated into this Amendment, shall
replace Exhibit E — Amendment #3.
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 162133
Page 3 of 3 Rev. 1/14/19
DocuSign Envelope ID: DDF4B9A8-7544-488B-B16B-095E2C6810E6
EXHIBIT A — Amendment #4
STATEMENT OF WORK (SOW)
PROMOTING SAFE AND STABLE FAMILIES
CASE MANAGEMENT
WELD COUNTY DEPARTMENT OF HUMAN SERVICES
822 7TH STREET, SUITE 150
GREELEY, CO 80632
OCTOBER 1, 2020 - SEPTEMBER 30, 2021
Page 1 of 14
DocuSign Envelope ID: DDF4B9A8-7544-4888-B16B-095E2C6810E6
EXHIBIT A — Amendment #4
INTRODUCTION/BACKGROUND
The Promoting Safe and Stable Families (PSSF) program operates within the Child Maltreatment Prevention Unit of the Division of Community and
Family Support and is housed in the Office of Early Childhood (OEC). OEC operates under this mission: "We believe all children are valued, healthy
and thriving when investment occurs in their early years and they receive access to opportunities where they can learn and grow. We insist on the
highest quality early childhood experiences with a firm commitment to family and community."
The purpose of this program is to enable States to develop and establish, or expand, and to operate coordinated programs of community -based family
support services, family preservation services, time -limited family reunification services, and adoption promotion and support services to accomplish
the following objectives:
• To prevent child victimization among families at risk through the provision of supportive family services.
• To assure children's safety within the home and preserve intact families in which children have been maltreated, when the family's problems
can be addressed effectively.
• To address the problems of families whose children have been placed in foster care so that reunification may occur in a safe and stable
manner in accordance with the
• Adoption and Safe Families Act of 1997.
• To support adoptive families by providing support services as necessary so that they can make a lifetime commitment to their children.
The Child and Family Services Improvement and Innovation Act P.L. 112-34 amended the Part B Title IV to include mentoring programs.
Federal guidance [CFDA 93.556] sets a minimum of 20 percent of program PSSF funds be spent on Family Support, 20 percent on Family
Preservation, 20 percent on Time -Limited Family Reunification, and 20 percent on Adoption Promotion & Support unless a waiver is granted by the
Federal Administration for Children and Families (ACF).
SCOPE OF WORK
The Weld County Department of Human Services and Catholic Charities share the same goals of maintaining the unity of families, advocating for
services for families while keeping children safe, and fostering stability in children's living arrangements. Through a blend of both preventive
services and crisis intervention management, all services are intended to stabilize families to ensure the well-being of their children by preventing
future abuse/neglect and building safe, healthy and nurturing environment for children.
Through case management utilizing the PSSF Intensive Case Management model (PSSF ICM), families and fathers shall demonstrate increased life
skills and confidence so that they can better address stressors, self -advocate, become self-sufficient, and increase their knowledge of how to access
benefits and resources. Families shall be provided resources and training to further develop their skills.
Page 2 of 14
DocuSign Envelope ID: DDF4B9A8-7544-488B-B16B-095E2C6810E6
EXHIBIT A — Amendment #4
PERIOD OF PERFORMANCE
October 1, 2020 - September 30, 2021
Families shall work with a case manager for up to six months. There shall a short assessment period in which a service plan and goals shall be
developed for families utilizing the PSSF ICM model. Families shall be provided community and human services resources and be offered family
team meetings to further assist in the development of a service plan. They shall complete a pre -assessment within the first two weeks of contact and
shall complete a post -assessment to evaluate their successes with the CFSA tool.
WORK PLAN
Work Plan
OUTCOMES, BENCHMARKS, AND MILESTONES
lent, and increase then
o access bene tsand:
The Weld County Department of Human Services in partnership with Catholic Charities shall provide 25 families with intensive
case management series utilizing the PSSF Intensive Case Management model. Families shall complete a pre- and post -assessment.
Weld County Department of Human Services shall see a reduced number of families entering the Child Welfare system, as they
work with Community Case Managers.
This partnership shall allow collaboration in providing community based supportive services to families who are in crisis or at risk
of involvement in the child welfare system. Through the PSSF Intensive Case Management model, these families shall gain skills
and knowledge to improve their overall family and housing stability.
Key Activity A. Family Assessment/Consultation — Case Management using PSSF Intensive Case Management Model
Completion of
assessment utilizing
tools such as the CFSA
(Colorado Family
Support Assessment)
Intake
To be completed
within the 2"d face
to face contact,
typically takes 1 —
3 weeks.
Community Case Manager shall evaluate
outcomes of CFSA to have as a focal point
for services, which include Engagement, goal
setting and action steps for families.
CFSA —Pre- and post-test shall show
improvements in the focused family plan with
at a minimum of families showing an
improvement in two of the 11 areas of focus.
Community Case
Manager, Weld
County
Department of
Human Services
Page 3 of 14
Catholic
Charities Case
Manager
Family
Support for
Family
Stability
Salaried
Employees
DocuSign Envelope ID: DDF4B9A8-7544-488B-B16B-095E2C6810E6
EXHIBIT A — Amendment #4
Work Plan
Tasks.
Time Period.
Deliverable
Measurement"
Pea rk
PO e;':
tegotry
Family Engagement
Meeting
Completed during
intake process —
1st or 2nd face -to-
face contact and
continued at a
minimum 30-60
days.
Initial Plan Development is created with
family
Review scheduled time frames set for goals
monthly
Community Case
Manager, Weld
County
Department of
Human Services
Catholic
Charities Case
Manager
Family
Support for
Family
Stability
Salaried
Employees
Schedule Family Team
Meeting
Within 2 - 3
weeks of intake
Goal setting plan is established with family
and case manager.
Family shall share progress of their goal setting
plan at follow up family team meeting.
Community Case
Manager, Weld
County
Department of
Human Services
Family
Support for
Family
Stability
Salaried
Employees
Transition stage
Completed prior
to closer of case
typically 3-6
months.
Community Case Manager shall work with
the family to initiate their transition plan.
Workers shall complete the transition stage
with the families served. 45% of families shall
complete all aspects of their agreed upon goals
set through Intensive Case Management
Community Case
Manager, Weld
County
Department of
Human Services
Catholic
Charities Case
Manager
Family
Support for
Family
Stability
Salaried
Employees
Page 4 of 14
DocuSign Envelope ID: DDF4B9A8-7544-488B-B16B-095E2C6810E6
EXHIBIT A — Amendment #4
Work Plan
Key Activity B : Reporting and performance monitoring
Tasks
.
Tirane I'eriod
?elrakle`
,.,
Measittement ' .,
Per�ot(sj :'
Re�p+�nsi'bte:
Budget
"Category
PSSF sites shall comply
with CDHS data
collection methodology
system. Data reports
shall show
tasks/activities
completed to align with
designated outcomes
and measures of
services provided.
10/1/20-9/30/21
Data on all PSSF services/activities is
entered into OEC data -system.
• Completion of PSSF intake form in
Salesforce or by entering other intake
tool completion date in designated fields.
• PSSF program staff shall set goals with
families engaged in PSSF services, goals
are identified on goal setting sheet or
designated goal fields, including status
of goals. (required for intensive case
management)
• CFSA 2.0 assessments completed for
families participating in intensive case
management services; or family
preservation/support category families
without an open child welfare
involvement or receiving more than 6
total hours of PSSF services required.
PSSF sites are strongly encouraged to
complete the CFSA 2. 0 or at a minimum
the Protective Factors Survey with
families even if they do not meet criteria
above. (exceptions include respite
services, and social connections,
events/support group participation)
• PSSF services — each family with an
open PSSF case should be receiving at
least one service. Service should include
activities related to the service,
individual participating in the service,
and service category identified.
• An assessment for each service should
be documented with pre/post-dates and
name of assessment in designated fields.
• Flex funds — can be provided to families
that have an open PSSF service. Flex
funds are only provided to support the
family goals.
Required data shall be entered into OEC data-
system within 7 working days of completing a
task or activity (i.e. intake, goal setting, PSSF
services, case management notes, referral for
services, flex funding, instrumentation tools
including CFSA 2.0 or assessment tools are
identified and dates of pre/post and included).
Weld County
Department of
Human Services
Family
Support for
Family
Stability
Salaried
Employees
Page 5 of 14
DocuSign Envelope ID: DDF4B9A8-7544-488B-B16B-095E2C6810E6
EXHIBIT A — Amendment #4
Work Plan
Expenditure
reports/sub-contractor
budgets
Monthly or when
requested.
Oct. 1, 2020 -
Sept. 30, 2021
Expenditure reports submitted on a monthly
basis to CDHS
If using a sub -contractor, expenditure reports
should be kept on file for back up
documentation and should be provided upon
request.
Sub -contractors must submit a budget to the
State PSSF Program Manager for all PSSF
funds received.
Contractor shall submit all expenditure reports
by the 20th day of each month. Final billing
must be submitted by the October 3rd.
Sub -Contractor budget shall be sent prior to
October 1, 2020 to State PSSF Program
Manager. Budget shall be kept on record with
existing contract amendment.
Weld County
Department of
Human Services
PSSF Programs shall
run reports and monitor
outcomes using OEC
data -system
Quarterly or when
requested Oct. 1,
2020- Sept. 30,
2021
Reports shall be reviewed in the CDHS data -
system to ensure performance targets are
being met.
Reports shall be submitted to CDHS on
quarterly basis or as needed by the program.
Report templates
shall be created
by State Program
Administrator,
and accessible by
Supervisor in
each site.
Key Activity C: Program Evaluation
Tasks Time Period
Deliverable
PSSF program staff
shall complete program
trainings as
recommended or
required by CDHS.
PSSF site shall send at
least one person per site
to the biennial
Strengthening Families
Conference and the
biennial PSSF program
grantee meeting.
Oct. 1, 2020 to
Sept. 30`h, 2021
PSSF program staff shall complete trainings
necessary/pertinent for program delivery.
Participation in conference and grantee
meeting.
Page 6 of 14
Staff attendance or documented information
regarding completion for recommended or
pertinent trainings, which may include but is
not limited to Motivational Interviewing, CFSA
2.0, Strengthening Families, Financial Health,
mandated reporter, CDHS data system training
for users, and other required certification
trainings related to services being provided by
the PSSF site to meet model fidelity. (ie if
providing Nurturing Parenting, you must have
a certified trainer)
PSSF Program
staff Weld
County
Department of
Human Services
and/or Catholic
Charities
Family
Support for
Family
Stability -
Travel
DocuSign Envelope ID: DDF4B9A8-7544-488B-B16B-095E2C6810E6
EXHIBIT A — Amendment #4
CONFIDENTIALITY
PSSF Provider Agencies and its employees shall not access the OEC data system for any purpose other than in the performance of providing PSSF
services as outlined by this contract or sub contract. The PSSF Provider Agency and its employees agree to only access those areas of the OEC data
system necessary to perform contracted functions, to access only information of those children and families referred for services, and to keep
confidential all information gained during performance of PSSF services.
SCHEDULE/MILESTONES
Through the work of case management, we shall provide supportive services and training to 25 families on the Guadalupe Campus and at a minimum
and reach out to 40 community families. With home and community -based services, the development of service plans and system navigation that
could include family team engagement meetings, case planning and community outreach, the goal is to preserve family unity and reduce involvement
of the child welfare system.
Services would be available to stabilize families and reduce crisis and the deterioration of the family system. Our outcome is to reduce the number of
families that shall enter or re-enter the child welfare system. Families may continue to outreach to services available through Human Services (e.g.,
the Family Resource Division), without having an open child welfare case. Overall less than 3% of all Case Management cases shall enter or re-enter
the child welfare system by the end of year one.
ACCEPTANCE CRITERIA
The referral process may be initiated through a Catholic Charities or child welfare referral. The Community Case Manager and Catholic Charities
Case Manager shall review and track all referrals. They shall work together with Department of Human Services Family Resource Supervisor and
Family Resource Division Head to review and collect data for program evaluation and development.
The acceptance of all deliverables shall reside with the Office of Early Childhood, Promoting Safe and Stable Families Program Manager. The
designated program manager shall monitor all deliverables in order to ensure the completeness of each stage of the project and that the scope of work
has been met. The OEC program manager shall either sign off on the approval, or reply to the vendor, in writing, advising what tasks must still be
accomplished.
Page 7 of 14
DocuSign Envelope ID: DDF4B9A8-7544-488B-B16B-095E2C6810E6
EXHIBIT A — Amendment #4
STATEMENT OF WORK (SOW)
PROMOTING SAFE AND STABLE FAMILIES
KINSHIP/ADOPTION/POST PERMANENCY SUPPORT AND EDUCATION
WELD COUNTY DEPARTMENT OF HUMAN SERVICES
PO BOX A
GREELEY, CO 80632
SUB -CONTRACTOR:
CATHOLIC CHARITIES AND COMMUNITY SERVICES
OF THE ARCHDIOCESE OF DENVER, WELD COUNTY REGION
1442 NORTH 11TH AVENUE
GREELEY, COLORADO 80631
OCTOBER 1, 2020 - SEPTEMBER 30, 2021
Page 8 of 14
DocuSign Envelope ID: DDF4B9A8-7544-488B-B16B-095E2C6810E6
EXHIBIT A — Amendment #4
INTRODUCTION/BACKGROUND
The Promoting Safe and Stable Families (PSSF) program operates within the Child Maltreatment Prevention Unit of the Division of Community and
Family Support and is housed in the Office of Early Childhood (OEC). OEC operates under this mission: "We believe all children are valued, healthy
and thriving when investment occurs in their early years and they receive access to opportunities where they can learn and grow. We insist on the
highest quality early childhood experiences with a firm commitment to family and community."
The purpose of this program is to enable States to develop and establish, or expand, and to operate coordinated programs of community -based family
support services, family preservation services, time -limited family reunification services, and adoption promotion and support services to accomplish
the following objectives:
• To prevent child victimization among families at risk through the provision of supportive family services.
• To assure children's safety within the home and preserve intact families in which children have been maltreated, when the family's problems
can be addressed effectively.
• To address the problems of families whose children have been placed in foster care so that reunification may occur in a safe and stable
manner in accordance with the
• Adoption and Safe Families Act of 1997.
• To support adoptive families by providing support services as necessary so that they can make a lifetime commitment to their children.
The Child and Family Services Improvement and Innovation Act P.L. 112-34 amended the Part B Title IV to include mentoring programs.
Federal guidance [CFDA 93.556] sets a minimum of 20 percent of program PSSF funds be spent on Family Support, 20 percent on Family
Preservation, 20 percent on Time -Limited Family Reunification, and 20 percent on Adoption Promotion & Support unless a waiver is granted by the
Federal Administration for Children and Families (ACF).
SCOPE OF WORK
The project shall continue and enhance a long-term collaboration of support and services provided by Catholic Charities and Weld County DHS to
relative, post permanency kinship, foster and adoptive parents and their children through Parent Caf� Support Groups and training. Parent Cafes shall
meet shall meet at least twice a month, providing both parent and children's groups.
Parent Groups: Through individual deep self -reflection and peer to peer learning, participants explore their strengths, learn about the Protective
Factors, and create strategies from their own wisdom and experiences. The goals are to strengthen families, protect children from abuse and neglect,
and preserve permanency for families by enhancing caregivers' ability to meet the emotional, developmental and educational needs of their children.
Parent Cafes are skill -based and informational but shall also help parents reduce social isolation and develop new support systems and social
connections.
Children's Groups: The goal is to offer a safe and supportive environment where children have the opportunity to learn new ways to cope with
conflicts and stress in their lives including the challenges that may arise from being separated from birth parents and may raise in the care of foster,
Page 9 of 14
DocuSign Envelope ID: DDF4B9A8-7544-488B-B16B-095E2C6810E6
EXHIBIT A — Amendment #4
kinship or adoptive homes. Fun activities, educational games and play shall also enhance children's experience of participating in the group. The
children's group shall take place while the support group for parents is in session.
The Parent Cafe Support Groups shall be facilitated by staff from Catholic Charities and/or Weld County DHS. When appropriate, community
experts shall be brought in to present to the group. Parent needs, involvement and determination shall help set the schedule for topics covered in the
parent education trainings. The trainings shall be drawn from components of evidenced -based parent education and training models. The goal shall be
to equip caregivers with tools to manage children's behavior, understand child development and improve the parent/child relationship. Parents shall
be offered $5 incentive gift cards for their first Parent Caf� Support group attendance, $10 for their third and $15 for their sixth. In addition, $25
incentive gift cards shall be awarded as door prizes at most groups.
PERIOD OF PERFORMANCE
October 1, 2020 - September 30, 2021.
Page 10 of 14
DocuSign Envelope ID: DDF4B9A8-7544-488B-B16B-095E2C6810E6
EXHIBIT A — Amendment #4
WORK PLAN
Work Plan
OUTCOMES, BENCHMARKS, AND MILESTONES
Pre- and post-test shall measure the changes in each parent's expectations and the program shall use tools and techniques to help child
behavior regulation and enhance the parent/child relationship.
A pre-test and assessment shall be conducted at the beginning of the new working group and then repeated to determine progress toward
goals for the group.
Key Activity A: Kinship/Adoptio
n/Post Permanency Parent Education and Support Group
Tasks` Time:Pe iod, Deliverable
Plan and conduct
Bimonthly foster
care, kinship and
adoptive Support
Groups for
families.
Twenty to
Twenty-four
groups shall be
held —one to two
per month during
the months of
October 2020 -
September 2021.
Catholic Charites and DHS shall plan the focus of each
group utilizing internal trainers and when the budget
allows contracted trainers with expertise in the fields of
trauma, loss, child development, parenting skills etc.
Up to 50 families shall be served
through these groups during the grant
cycle period. 50% shall have
demonstrated new parenting skills, self -
reported better communication and
connectedness with other kinship
families. Families shall have at a
minimum of two identified community
resources that can further assist them
with parenting and support.
Catholic
Charities
Regional
Director,
Director of
Case
Management
and Case
Manager
Weld County
DHS Team
Family
Preservation
for Family
Stability/
Adoption
Support
services/Fam
ily Support
for Family
Stability
Provide bi
monthly
children's group
during parent
support group.
Groups shall be
held one or two
times per month.
October 2020 -
September 2021.
Support groups for children in a safe and supportive
environment where they can learn new ways to cope with
conflicts and stress in their lives including the challenges
that may arise from being separated from birth parents
Up to 50 children shall participate in the
children's group within the grant cycle.
Catholic
Charities staff
and Weld
County DHS
team.
Family
Support for
Family
Stability/Ad
option
Support
services
Page 11 of 14
DocuSign Envelope ID: DDF4B9A8-7544-488B-B16B-095E2C6810E6
EXHIBIT A — Amendment #4
Work Plan
Key Activity B : Reporting and performance monitoring
Tasks
Tian Penny
Dieliverable
Measnr�iuerxt
Pert h{
Re pons e .
Bu t
.Ca g ry:
PSSF sites shall
comply with
CDHS data
collection
methodology
system. Data
reports shall show
tasks/activities
completed to align
with designated
outcomes and
measures of
services provided.
10/1/20-9/30/21
Data on all PSSF services/activities is entered into OEC
data -system.
• Completion of PSSF intake form in Salesforce or by
entering other intake tool completion date in designated
fields.
• PSSF program staff shall set goals with families
engaged in PSSF services, goals are identified on goal
setting sheet or designated goal fields, including status
of goals. (required for intensive case management)
• CFSA 2.0 assessments completed for families
participating in intensive case management services; or
family preservation/support category families without
an open Child Welfare involvement or receiving more
than 6 total hours of PSSF services required. PSSF sites
are strongly encouraged to complete the CFSA 2. 0 or
at a minimum the Protective Factors Survey with
families even if they do not meet criteria above.
(exceptions include respite services, and social
connections, events/support group participation)
• PSSF services — each family with an open PSSF case
should be receiving at least one service. Service should
include activities related to the service, individual
participating in the service, and service category
identified.
• An assessment for each service should be documented
with pre/post-dates and name of assessment in
designated fields.
• Flex funds — can be provided to families that have an
open PSSF service. Flex funds are only provided to
support the family goals.
Required data shall be entered into OEC
data -system within 5 working days of
completing a task or activity (i.e. intake,
goal setting, PSSF services, case
management notes, referral for services,
flex funding, instrumentation tools
including CFSA 2.0 or assessment tools
are identified and dates of pre/post and
included).
Weld County
Department of
Human
Services and
Catholic
Charities
Adoption
Promotion
and
Support/Fam
ily
Preservation
for Family
Stability
Page 12 of 14
DocuSign Envelope ID: DDF4B9A8-7544-488B-B16B-095E2C6810E6
EXHIBIT A — Amendment #4
Work Plan
f sks
Time Polio ri
Deli er ble
Measurexuent
or3'.
Expenditure
reports/sub-
contractor budgets
Monthly or when
requested.
Oct. 1, 2020-
Sept. 30, 2021
Expenditure reports submitted on a monthly basis to
CDHS
If using a sub -contractor, expenditure reports should be
kept on file for back up documentation and should be
provided upon request.
Sub -contractors must submit a budget to the State PSSF
Program Manager for all PSSF funds received.
Contractor shall submit all expenditure
reports by the 20th day of each month.
Final billing must be submitted by the
October 3rd.
Sub -Contractor budget shall be sent
prior to October 1, 2020 to State PSSF
Program Manager. Budget shall be kept
on record with existing contract
amendment.
Weld County
Department of
Human
Services and
Catholic
Charities
PSSF Programs
shall run reports
and monitor
outcomes using
OEC data system
Quarterly or
when requested
Oct. 1, 2020
Sept. 30, 2021
Reports shall be reviewed in the CDHS data -system to
ensure performance targets are being met.
Reports shall be submitted to CDHS on
quarterly basis or as needed by the
program.
Report
templates shall
be created by
State Program
Administrator,
and accessible
by Supervisor
in each site.
Key Activity C: Program Evaluation
I asks
T ipae Period
Del►veiable
Meaurewnent
1'erson{s)
poll
Budget
PSSF program
staff shall
complete program
trainings as
recommended or
required by
CDHS.
PSSF site shall
send at least one
person per site to
the biennial
Strengthening
Families
Conference and
the biennial PSSF
program grantee
meeting.
Oct. 1, 2020 to
Sept. 30th, 2021
PSSF program staff shall complete trainings
necessary/pertinent for program delivery.
Participation in conference and grantee meeting.
Staff attendance or documented
information regarding completion for
recommended or pertinent trainings,
which may include but is not limited to
Motivational Interviewing, CFSA 2.0,
Strengthening Families, Financial
Health, mandated reporter, CDHS data
system training for users, and other
required certification trainings related to
services being provided by the PSSF site
to meet model fidelity. (ie if providing
Nurturing Parenting, you must have a
certified trainer)
PSSF Program
staff
Page 13 of 14
DocuSign Envelope ID: DDF4B9A8-7544-488B-B16B-095E2C6810E6
EXHIBIT A — Amendment #4
CONFIDENTIALITY
PSSF Provider Agencies and its employees shall not access the OEC data system for any purpose other than in the performance of providing PSSF
services as outlined by this contract or sub contract. The PSSF Provider Agency and its employees agree to only access those areas of the OEC data
system necessary to perform contracted functions, to access only information of those children and families referred for services, and to keep
confidential all information gained during performance of PSSF services.
SCHEDULE/MILESTONES
Forty percent of the families shall continue participation in the Parent Caf� Support Groups for six months. Parents shall report they have learned and
are utilizing three new tools to regulate self and child behaviors or encourage good behavior and three tools in strengthening the parent/child
relationship.
ACCEPTANCE CRITERIA
The acceptance of all deliverables shall reside with the Office of Early Childhood, Promoting Safe and Stable Families Program Manager. The
designated program manager shall monitor all deliverables in order to ensure the completeness of each stage of the project and that the scope of work
has been met. The OEC program manager shall either sign off on the approval, or reply to the vendor, in writing, advising what tasks must still be
accomplished.
Page 14 of 14
DocuSign Envelope ID: DDF4B9A8-7544-488B-B16B-095E2C6810E6
Exhibit B - Amendment #4
a
COLORADO
Office of Early Childhood
Department of Hunan Services
Contractor Name
Weld County Department of Human Services
Budget Period
October 1, 2020 - September 30, 2021
Project Name
Promoting Safe and Stable Families
Colorado Department of Human Services
Office of Early Childhood
BUDGET WITH JUSTIFICATION FORM
Program Contact Name and Title
Phone
Email
Julie Witkowski, Family Resource Division Head
(970)400-6777
witkowia(6 weldgov.com
Fiscal Contact Name and Title
Phone
Email
Lennie Bottorff, Fiscal Manager
(970)400-6537
bottorll Oweldgov.com
Counties/Areas Served:
Weld County
Expenditure Categories
Personnel Services - Salaried Employees
FFY 2021
Position Title/
Employee Name
Description of Work and
What is Included in Fringe Benefits
Gross or
Annual
Salary
Fringe
Number of
Months on
Project
Cost Based on
Percent of Time
on
Administration
Cost Based on
Percent of Time
on
Time -limited
Reunification
(TLR)
Cost Based on
Percent of lime
on
Adoption
Promotion and
Support (APS)
Cost Based on
Percent of Time
on
Family
Preservation for
Family Stability
Cost Based on
Percent of Time
on
Family Support
for Family
Stability
Total
Percent
of lime
on
Project
Total Amount
Requested from
CDHS
Community Case Manager
Provides outreach, case management and Parent Cafe support group
coordination/facilitation for at risk families who have been referred by
child welfare, community referral or self -referred. Provides informaton
on available community resources and other Weld County family
resource programs to help families in need. Goal is to preserve families
and prevent entry into the child welfare system. Fringe includes
medical, dental & retirement.
$54,208
$17,345
12
$ -
$ -
$ -
$ -
$ 34,901
48.777%
$ 34,901
Total Personnel Services including fringe benefits)
.$;
4.90
$ X4,901`-
Contractors/Consultants (payments to third parties or entities)
FFY 2021
Name
Description of Item
Administration
Time -Limited
Reunification
(LTR)
Adoption
Promotion and
Support (APS)
Family
Preservation for
Family Stability
Family Support
for Family
Stability
Total Amount
Requested from
CDHS
Catholic Charities
Catholic Charities will provide Case Management, outreach and Parent Cafe Support Groups to families at
risk of entering the Child Welfare system. Case Management will include assistance to stabalize families in
order for them to become self-suffient. There will be direct oversight and supervision of staff who are
facilitating support groups for kinship and adoptive families not involved in the child welfare system.
Parent Cafe Support Group discussions will focus on increasing families' knowledge base of childhood
trauma, emotional development and educational needs of children. Department of Human Services staff
will facilitate Parent Cafe Support Groups for kinship, foster and adoptive families already involved in the
child welfare system. Training and support will be focused on educating families on maneuvering OHS and
community systems, understaning of trauma, reunification and development of parenting skills to avoid
placement disruptions.
$ -
$ -
$ 34,857
$ 35,143
$ -
$ 70,000
Total Contractors/Consultants
-
$ ..
S' :.34,8577
$ 3.5.143
$"
; 70,000
Page 1 of 2
DocuSign Envelope ID: DDF4B9A8-7544-488B-B16B-095E2C6810E6
Exhibit B - Amendment d4
Travel
FFY 2021
Time -Limited
Adoption
Family
Family Support '
Total Amount
Reunification
Promotion and
Preservation for
for Family
Requested from
Item
Description of Item
Administration
(LTR)
Support (APS)
Family Stability
Stability
CDHS
Grantee Meetings and
Required training for DHS and Catholic Charities - to include registration fee, mileage, lodging, and meals.
$ -
$ -
$ -
$ -
$ - - 1,200
$ 1,200
Strengthening Colorado Families
and Communities Conference
Hotel rates cannot exceed any rate established for conference attendance. Mileage shall not to exceed the
Federal mileage rate. Per Diem shall not to exceed Federal GSA per diem rates for the area of travel.
(https://www.gsa.gov/travel-resources) * Usage of airfare or Out of State Travel requires pre -approval from
CDHS
TotalTrevel
$
$' '
, ,
l
$ 14200
Supplies & Operating Expenses
FFY 2021
Time -Limited
Adoption
Family
Family Support
Total Amount
Reunification
Promotion and
Preservation for
for Family '
Requested from
Item
Description of Item
Administration
(LTR)
Support (APS)
Family Stability
Stability
CDHS
Licenses for OES database
Community Case Manger, Adoption Support and Resource Coordinator, Catholic Charities and Kinship
$ -
$ -
$ 130
$ 130
$ 260 -
$ 520
Support Groups
Parent Cafe Presenters, training materials, location fee, child care, children's group supplies
$ -
$ -
$ -
$
$ 10,879..
$ 10,879
Support Groups
Incentives for families attending support group
$ -
$ -
$ -
$
$ 2,500
$ 2,500
:Total Supplies 8c Operating:Expenses
$ ;,`
'.
$� .: _ 130
, -'.. � 130
$, _ , �, - M3* 9 � � , `c'
13x899
MODIFIED TOTAL DIRECT COSTS (MTDC)
$ -
$ -
$ 34,987
$ 35,273
$ 49,740
$ 120,000
Uniform Guidance § 200.68 - MTDC means all direct salaries and wages, applicable fringe benefits, materials and supplies,
services, travel, and up to the first $25,000 of each subaward. MTDC excludes equipment, capital expenditures, charges for patient
care, rental costs, tuition remission, scholarships and fellowships, participant support costs and the portion of each subaward in
excess of $25,000.
Indirect Costs
[not to exceed 10% unless Negotiated Federal Indirect Cost rate or Negotiated State Indirect Cost rate is attached]
FFY 2021
Time -Limited
Adoption
Family
Family Support
Total Amount
Reunification
Promotion and
Preservation for
for Family
Requested from
Item
Description of Item
Administration
(LTR)
Support (APS)
Family Stability
Stability
CDHS
No costs shall be reimbursed by CDHS for this category.
$ -
$ -
-$ - -
$ -
$ -
$
Total Indirect
$ -
S;,.
$
'
TOTAL ADMINISTRATION
$
TOTAL TIME -LIMITED REUNIFICATION (LTR)
$
TOTAL ADOPTION PROMOTION AND SUPPORT (APS)
$ 34,987
TOTAL FAMILY PRESERVATION FOR FAMILY STABILITY
$ 35,273
TOTAL FAMILY SUPPORT FOR FAMILY STABILITY
$ 49,740
1, S. fie -w.,.„
�:! $,9y� 9
.:<
}.a ',k...'
'::4'B 1 t i,§
pyq �
PERCENTAGE OF BUDGET BY PROJECT
. ..
FFY 2021
Time -Limited
Reunification
Adoption
Promotion and
Family
Preservation for
Family Support
for Family
Administration
(LTR)
Support (APS)
Family Stability
Stability
Total Percentage
PERCENTAGE OF BUDGET BY PROJECT
0%
0%
29%
29%
41%
100%
Match Projection / Required Percentage of total budget including match.] 3p%
, ;' -
$ ; -
$ 14994
$' 15,,117
'$ , 21',317 :
S ' 51.,428
TOTAL BUDGET (INCLUDING. MATCH)
$ -
$ -
$ 49,981
$ 50,390
$ 71,057
$ 171,428
Figures are rounded using basic accounting standards. (0.00-0.49 = 0; 0.50-0.99 = 1.0)
Page 2 of 2
DocuSign Envelope ID: DDF4B9A8-7544-488B-B16B-095E2C6810E6
EXHIBIT D - Amendment #4 - Supplemental Provisions for Federal Awards
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
i. Subrecipient: Weld County Department of Human Services;
ii. Subrecipient DUNS number: 809153096;
iii. The Federal Award Identification Number (FAIN) is G-2001COFPSS;
iv. The Federal award date is April 20, 2020;
v. The subaward period of performance start date is October 1, 2019 and end date is September 30, 2021;
vi. Federal Funds:
Contract or
Fiscal Year
Amount of Federal funds
obligated by this Contract
Total amount of Federal
funds obligated to the
Subrecipient
Total amount of the
Federal Award committed
to Subrecipient by CDHS
FFY21
$120,000
$120,000
$120,000
vii. Federal award project description: Promoting Safe and Stable Families Program;
viii. The name of the Federal awarding agency is US Department of Health and Human Services; the name of
the pass -through entity is the State of Colorado, Department of Human Services (CDHS); and the contact
information for the awarding official is Mary Alice Cohen, Director, Division for Community and Family
Support, 1575 Sherman Street, Is` Floor, Denver, CO 80203; maryalice.cohen@state.co.us; 303-866-
5023;
ix. The Catalog of Federal Domestic Assistance (CFDA) number is 93.556, name is Promoting Safe and Stable
x. Families, aid dollar amount is $2,572,865;
xi. This award is not for research & development;
xii. 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 CDHS cost allocation plan.
2) All requirements imposed by CDHS on Subrecipient so that the Federal award is used in accordance with Federal
statutes, regulations, and the terms and conditions of the Federal award, are stated in the General Provisions, Exhibit
A - Statement of Work, and Exhibit E - Additional Provisions.
3) Any additional requirements that CDHS imposes on Subrecipient in order for CDHS to meet its own responsibility to
the Federal awarding agency, including identification of any required financial and performance reports, are stated in
the General Provisions, Exhibit A - Statement of Work, and Exhibit E - Additional Provisions.
4) Subrecipient's approved indirect cost rate is a CI?I€IS gigot et rats f' 0 %.
5) Subrecipient must permit CDHS and auditors to have access to Subrecipient's records and financial statements as
necessary for CDHS to meet the requirements of 2 CFR §200.331 Requirements for pass -through entities, §§ 200.300
Statutory and Natioial 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 Exhibit and
the General Provisions, Exhibit A - Statement of Work, and Exhibit E - Additional Provisions.
7) Performance and Final Status. Subrecipient shall submit all financial, performance, and other reports to CDHS no
later than 30 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
Supplemental Provisions for Federal Awards
Page 1 of 5 Issued 3/16/2016
Revised 11/18/2016
DocuSign Envelope ID: DDF4B9A8-7544-488B-B16B-095E2C6810E6
If a box below is checked, the accompanying provision applies.
i. ❑ Subrecipient is not required to provide matching funds.
ii. Er Subrecipient shall provide matching funds as stated in Exhibit B - Budget. Subrecipient shall have
raised the full amount of matching funds prior to the Effective Date and shall report to CDHS 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 CDHS 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.
i. Election. Subrecipient shall have a single audit conducted in accordance with Uniform Guidance §200.514
(Scope of audit), except when it elects to have a program -specific audit conducted in accordance with
§200.507 (Program -specific audits). Subrecipient may elect to have a program -specific audit if Subrecipient
expends Federal Awards under only one Federal program (excluding research and development) and the
Federal program's statutes, regulations, or the terms and conditions of the Federal award do not require a
financial statement audit of CDHS. A program -specific audit may not be elected for research and
development unless all of the Federal Awards expended were received from CDHS and CDHS approves in
advance a program -specific audit.
ii. Exemption. If Subrecipient expends less than $750,000 in Federal Awards during its fiscal year, Subrecipient
shall be exempt from Federal audit requirements for that year, except as noted in 2 CFR §200.503 (Relation to
other audit requirements), but records shall be available for review or audit by appropriate officials of the
Federal agency, the State, and the Government Accountability Office.
iii. Subrecipient Compliance Responsibility. Subrecipient shall procure or otherwise arrange for the audit
required by Part F of the Uniform Guidance and ensure it is properly performed and submitted when due in
accordance with the Uniform Guidance. Subrecipient shall prepare appropriate financial statements,
including the schedule of expenditures of Federal awards in accordance with Uniform Guidance §200.510
(Financial statements) and provide the auditor with access to personnel, accounts, books, records, supporting
documentation, and other information as needed for the auditor to perform the audit required by 2 CFR Part
F -Audit Requirements.
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:
i. Equal Employment Opportunity. 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 shall include 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,"
Supplemental Provisions for Federal Awards
Page 2 of 5 Issued 3/16/2016
Revised 11/18/2016
DocuSign Envelope ID: DDF4B9A8-7544-488B-B16B-095E2C6810E6
and implementing regulations at 41 CFR part 60, "Office of Federal Contract Compliance Programs, Equal
Employment Opportunity, Department of Labor."
"During the performance of this contract, the contractor agrees as follows:
a) The contractor will not discriminate against any employee or applicant for employment because of
race, color, religion, sex, or national origin. The contractor will take affirmative action to ensure that
applicants are employed, and that employees are treated during employment, without regard to their
race, color, religion, sex, or national origin. Such action shall include, but not be limited to the
following: Employment, upgrading, demotion, or transfer, recruitment or recruitment advertising;
layoff or termination; rates of pay or other forms of compensation; and selection for training,
including apprenticeship. The contractor agrees to post in conspicuous places, available to employees
and applicants for employment, notices to be provided by the contracting officer setting forth the
provisions of this nondiscrimination clause.
b) The contractor will, in all solicitations or advertisements for employees placed by or on behalf of the
contractor, state that all qualified applicants will receive consideration for employment without regard
to race, color, religion, sex, or national origin.
c) The contractor will send to each labor union or representative of workers with which he has a
collective bargaining agreement or other contract or understanding, a notice to be provided by the
agency contracting officer, advising the labor union or workers' representative of the contractor's
commitments under section 202 of Executive Order 11246 of September 24, 1965, and shall post
copies of the notice in conspicuous places available to employees and applicants for employment.
d) The contractor will comply with all provisions of Executive Order 11246 of September 24, 1965, and
of the rules, regulations, and relevant orders of the Secretary of Labor.
e) The contractor will furnish all information and reports required by Executive Order 11246 of
September 24, 1965, and by the rules, regulations, and orders of the Secretary of Labor, or pursuant
thereto, and will permit access to his books, records, and accounts by the contracting agency and the
Secretary of Labor for purposes of investigation to ascertain compliance with such rules, regulations,
and orders.
f) In the event of the contractor's non-compliance with the nondiscrimination clauses of this contract or
with any of such rules, regulations, or orders, this contract may be canceled, terminated or suspended
in whole or in part and the contractor may be declared ineligible for further Government contracts in
accordance with procedures authorized in Executive Order 11246 of September 24, 1965, and such
other sanctions may be imposed and remedies invoked as provided in Executive Order 11246 of
September 24, 1965, or by rule, regulation, or order of the Secretary of Labor, or as otherwise
provided by law.
g) The contractor will include the provisions of paragraphs (1) through (7) in every subcontract or
purchase order unless exempted by rules, regulations, or orders of the Secretary of Labor issued
pursuant to section 204 of Executive Order 11246 of September 24, 1965, so that such provisions will
be binding upon each subcontractor or vendor. The contractor will take such action with respect to
any subcontract or purchase order as may be directed by the Secretary of Labor as a means of
enforcing such provisions including sanctions for noncompliance: Provided, however, that in the
event the contractor becomes involved in, or is threatened with, litigation with a subcontractor or
vendor as a result of such direction, the contractor may request the United States to enter into such
litigation to protect the interests of the United States."
ii. 4.2 Davis -Bacon Act. Davis -Bacon Act, as amended (40 U.S.C. 3141-3148). When required by Federal
program legislation, all prime construction contracts in excess of $2,000 awarded by non -Federal entities
must include a provision for compliance with the Davis -Bacon Act (40 U.S.C. 3141-3144, and 3146-3148) as
Supplemental Provisions for Federal Awards
Page 3 of 5 Issued 3/16/2016
Revised 11/18/2016
DocuSign Envelope ID: DDF4B9A8-7544-488B-B16B-095E2C6810E6
supplemented by Department of Labor regulations (29 CFR Part 5, "Labor Standards Provisions Applicable
to Contracts Covering Federally Financed and Assisted Construction"). In accordance with the statute,
contractors must be required to pay wages to laborers and mechanics at a rate not less than the prevailing
wages specified in a wage determination made by the Secretary of Labor. In addition, contractors must be
required to pay wages not less than once a week. The non -Federal entity must place a copy of the current
prevailing wage determination issued by the Department of Labor in each solicitation. The decision to award
a contract or subcontract must be conditioned upon the acceptance of the wage determination. The non -
Federal entity must report all suspected or reported violations to the Federal awarding agency. The contracts
must also include a provision for compliance with 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 or Public Work Financed in Whole or in Part by Loans or Grants from the United States"). The Act
provides that each contractor or Subrecipient must be prohibited from inducing, by any means, any person
employed in the construction, completion, or repair of public work, to give up any part of the compensation to
which he or she is otherwise entitled. The non -Federal entity must report all suspected or reported violations
to the Federal awarding agency.
iii. Rights to Inventions Made Under a Contract or Agreement. If the Federal Award meets the definition of
"funding agreement" under 37 CFR §401.2 (a) and Subrecipient wishes to enter into a contract with a small
business firm or nonprofit organization regarding the substitution of parties, assignment or performance of
experimental, developmental, or research work under that "funding agreement," Subrecipient must 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.
iv. Clean Air Act (42 U.S.C. 7401-7671q.) and the Federal Water Pollution Control Act (33 U.S.C. 1251-1387),
as amended. Contracts and subgrants of amounts in excess of $150,000 must contain a provision that requires
the non -Federal award to agree to comply with all applicable standards, orders or regulations issued pursuant
to the Clean Air Act (42 U.S.C. 7401-7671q) and the Federal Water Pollution Control Act as amended (33
U.S.C. 1251-1387). Violations must be reported to the Federal awarding agency and the Regional Office of
the Environmental Protection Agency (EPA).
v. Debarment and Suspension (Executive Orders 12549 and 12689). A contract award (see 2 CFR 180.220)
must not be made to parties listed on the government wide exclusions in the System for Award Management
(SAM), in accordance with the OMB guidelines at 2 CFR 180 that implement Executive Orders 12549 (3
CFR part 1986 Comp., p. 189) and 12689 (3 CFR part 1989 Comp., p. 235), "Debarment and Suspension."
SAM Exclusions contains the names of parties debarred, suspended, or otherwise excluded by agencies, as
well as parties declared ineligible under statutory or regulatory authority other than Executive Order 12549.
vi. Byrd Anti -Lobbying Amendment (31 U.S.C. 1352). Contractors that apply or bid for an award exceeding
$100,000 must file the required certification. Each tier certifies to the tier above that it will not and has not
used Federal appropriated funds to pay any person or organization for influencing or attempting to influence
an officer or employee of any agency, a member of Congress, officer or employee of Congress, or an
employee of a member of Congress in connection with obtaining any Federal contract, grant or any other
award covered by 31 U.S.C.1352. Each tier must also disclose any lobbying with non -Federal funds that takes
place in connection with obtaining any Federal award. Such disclosures are forwarded from tier to tier up to
the non -Federal award.
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
Supplemental Provisions for Federal Awards Page 4 of 5 Issued 3/16/2016
Revised 11/18/2016
DocuSign Envelope ID: DDF4B9A&-7544-488B-B16B-095E2C6810E6
executing any further instrument. CDHS may provide 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, CDHS 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 CDHS 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 CDHS may terminate
the Contract in accordance with the termination provisions in the Contract.
16) Close Out. Subrecipient shall close out this Contract within 90 days after the End Date. Contract close out entails
submission to CDHS by Subrecipient of all documentation defined as a deliverable in this Contract, and
Subrecipient's final reimbursement request. CDHS shall withhold 5% of the allowable costs until all final project
documentation has been submitted and accepted by State as substantially complete. If the project has not been closed
by the Federal awarding agency within 1 year and 90 days after the End Date due to Subrecipient's failure to submit
required documentation that CDHS 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
CDHS 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
Supplemental Provisions for Federal Awards Page 5 of 5 Issued 3/16/2016
Revised 11/18/2016
DocuSign Envelope ID: DDF4B9A8-7544-488B-B16B-095E2C6810E6
Exhibit E — Amendment #4
ADDITIONAL PROVISIONS
1. SERVICE PROVISIONS
The Contractor shall provide the services according to the plans submitted in the "Statement of Work",
attached and incorporated herein by this reference as EXHIBIT A. In all cases, the descriptions, plans,
timetables, tasks, duties, and responsibilities of the Contractor as described in the Statement of Work, shall
be adhered to in the performance of the requirements of this contract. In the event of a conflict, the terms
and conditions of this contract shall control over the Statement of Work. . Any significant changes to the
Statement of Work (SOW) require an amendment to the contract.
2. GOALS AND OBJECTIVES
The Contractor shall be responsible for the achievement of any goals and objectives as specified within the
Statement of Work (EXHIBIT A) of this contract unless written notice of any modifications are furnished
by the State to the Contractor allowing adequate time for compliance during the term of this contract.
3. COPY OF SUBCONTRACT
The Contractor shall provide to the State a copy of any executed subcontract between the Contractor and
any provider of services to fulfill any requirements of this contract. Subcontracts shall be emailed to the
Contract Representative upon execution.
4. PAYMENT
In consideration of the provision of services and reporting and subject to all payment and price provisions
and further subject to verification by the State of full and satisfactory compliance with the terms of this
contract, the State shall pay to the Contractor an amount not to exceed the amount specified in the Budget
(EXHIBIT B), of this contract.
A. The Contractor shall submit requests for payment to CDHS OEC Invoicing a,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. Advances will not be
approved except in documented situations of cash flow emergency, for a specified term, with the prior
written approval of the State, and in accordance with State fiscal rules and procedures.
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.
Final invoices for services provided through September shall be submitted no later than 45 days
following the last day of the month.
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: DDF4B9A8-7544-4888-B16B-095E2C6810E6
Exhibit E — Amendment #4
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 Federal mileage rate per https://www.gsa.gov/travel-resources.
B. Per Diem shall not exceed Federal GSA per diem rates for the area of travel per
https://www.gsa.gov/travel-resources
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. DATA COLLECTION
The Contractor will participate in reporting designated outcome measures. The required data will be entered
into an approved CDHS database no later than five (5) working days after completion of task/service or
activity supported by PSSF funds.
10. REPORTING REQUIREMENTS
The Contractor is required to submit quarterly programmatic reports and year end progress reports. Reports
must be submitted to CHDS four times per year on the federal fiscal year calendar. The first report is due
on the last business day of July. The second report is due on the last business day of October. The third
Page 2 of 3 Revision Date: January 29, 2020
DocuSign Envelope ID: DDF4B9A8-7544-488B-8168-095E2C6810E6
Exhibit E — Amendment #4
report is due on the last business day of January and the final report is due on the last business day of April
each year.
11. SUBRECIPIENT
Contractors determined to be a Sub -recipient of federal funds shall complete the sub -recipient performance
report and assessment survey at: http://eepurl.com/ccRiDP upon contract execution. Failure to complete the
performance report and assessment survey shall delay payment to the Contractor.
12. 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 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.
13. MANDATED REPORTING
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).
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.
Page 3 of 3 Revision Date: January 29, 2020
Contract Form
New Contract Request
Entity Information
Entity Name* Entity ID
COLORADO DEPARTMENT OF HUMAN 4J0003650
SERVICES
Contract Name*
COLORADO DEPARTMENT OF HUMAN SERVICES
(INTERGOVERNMENTAL CONTRACT AMENDMENT #4)
Contract Status
CTB REVIEW
Contract ID
4040
Contract Lead*
CULLINTA
❑ New Entity?
Parent Contract ID
Requires Board Approval
YES
Contract Lead Email Department Project #
cullinta co.weld.co.ns;cobb
xxlk@co.weld.co.us
Contract Description*
INTERGOVERNMENTAL CONTRACT AMENDMENT #4 FOR PROMOTING SAFE AND STABLE FAMILIES (PSSF) FUNDING. TERM:
OCTOBER 1, 2020 -SEPTEMBER 30. 2021. AMOUNT: $120,000.00.
Contract Description 2
Contract Type*
CONTRACT
Amount*
$120,000.00
Renewable
NO
Automatic Renewal
Department
HUMAN SERVICES
Department Email
CM-
HumanServices weldgov.Co
Department Head Email
CM-HumanServices-
DeptHeadSweldgov.com
County Attorney
GENERAL COUNTY
Al I ORNEY EMAIL
County Attorney Email
CM-
COUNTYA I 1 O RN EY,A WELDG
OV.COM •
Requested BOCC Agenda
Date*
09x30,'2020
Due Date
09:`26~'2020
Will a work session with BDCC be required?*
NO
Does Contract require Purchasing Dept_ to be included?
If this is a renewal enter previous Contract ID
If this is part of a MSA enter Contract ID
Note: the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts are not in
OnBase
Contract Dates
Termination Notice Period
Contact Information
Contact Info
Contact Name Contact Type
Purchasing
Approval Process
Department Head
JAMIE ULRICH
OH Approved Date
09 `1 ,2020
Final Approval
BOCC Approved
BOCC Signed Date
BOCC Agenda Date
09,+23,,2020
Originator
CULLiNTA
Review Date*
08/01/2021
Committed Delivery Date
Finance Approver
BARB CONNOLLY
Renewal Date
Expiration Date
09 30,2021
Contact Phone 1 Contact Phone 2
Purchasing Approved Date
Legal Counsel
GABE KALOUSEK
Finance Approved Date Legal Counsel Approved Date
09,21 ;`2020 09,+21 /2020
Tyler Ref
AG 092320
Hello