HomeMy WebLinkAbout20202948.tiffRESOLUTION
RE: APPROVE CONTRACT AMENDMENT #2 FOR WISEWOMAN PROGRAM FOR
CHRONIC DISEASE PREVENTION AND AUTHORIZE CHAIR TO SIGN AND
ELECTRONICALLY SUBMIT
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS, the Board has been presented with Contract Amendment #2 for the
WISEWOMAN (Well -Integrated Screening and Evaluation for Woman Across the Nation)
Program for Chronic Disease Prevention between the County of Weld, State of Colorado, by and
through the Board of County Commissioners of Weld County, on behalf of the Weld County
Department of Public Health and Environment, and the Colorado Department of Public Health
and Environment, commencing September 30, 2020, and ending September 29, 2021, with
further terms and conditions being as stated in said amendment, and
WHEREAS, after review, the Board deems it advisable to approve said amendment, a
copy of which is attached hereto and incorporated herein by reference.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld
County, Colorado, that Contract Amendment #2 for the WISEWOMAN (Well -Integrated Screening
and Evaluation for Woman Across the Nation) Program for Chronic Disease Prevention between
the County of Weld, State of Colorado, by and through the Board of County Commissioners of
Weld County, on behalf of the Weld County Department of Public Health and Environment, and
the Colorado Department of Public Health and Environment, be, and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized
to sign and submit said amendment electronically.
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2020-2948
HL0052
CONTRACT AMENDMENT #2 FOR WISEWOMAN PROGRAM FOR CHRONIC DISEASE
PREVENTION
PAGE 2
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 28th day of September, A.D., 2020.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
ATTEST: dottifeo G ;eA
Weld County Clerk to the Board
BY:
AP
my Attorney
Date of signature: oq/3o
Mike Freeman, Chair
Steve oreno, Pro-Tem
Sco K. James
Kevin D. Ross
2020-2948
HL0052
C_AL»,-� Cf .1-P -6 Ii 31
Memorandum
TO: Mike Freeman, Chair
Board of County Commissioners
FROM: Mark Lawley
Deputy Director
Department of Public Health & Environment
DATE: September 23, 2020
SUBJECT: CDPHE FY20-21 WISEWOMAN Chronic
Disease Prevention Contract Amendment
#2
For the Board's approval is the WISEWOMAN Chronic Disease Prevention Contract Amendment
#2 between the Colorado Department of Public Health and Environment (CDPHE) and the Weld
County Board of Commissioners for the benefit and use of the Weld County Department of Public
Health and Environment (WCPDHE).
The goal of the WISEWOMAN project is to reduce chronic disease, including but not limited to,
cardiovascular disease (CVD), prediabetes, diabetes, and high cholesterol among underserved
populations in Colorado and Weld County. This includes delivery of CVD and diabetes screenings
to eligible clients and implementing healthy behavior support services such as individualized
health coaching.
The purpose of this Amendment #2 is to renew the contract to continue to perform chronic disease
prevention work. The period of performance is September 30, 2020, to September 29, 2021, and
the maximum amount payable by the State for the work to be performed by the WCDPHE during
this term is $3,000.00.
Assistant County Attorney, Karin MacDougal, has reviewed the terms of this contract and
determined them to be acceptable.
The Board approved placement of this contract amendment on the Board's agenda via pass -around
dated September 22, 2020.
I recommend approval of this WISEWOMAN Chronic Disease Prevention Contract Amendment
#2 with CDPHE.
2020-2948
09/28
DocuSign Envelope ID: 8B09F15D-5C23-4498-A634-C8E1CO292326
CONTRACT AMENDMENT #2
SIGNATURE AND COVER PAGE(S)
State Agency:
Colorado Department Of Public Health and Environment
PSD/HPCDP
4300 Cherry Creek Drive South
Denver, Colorado 80246
Original Contract Number:
2019*3454
Contractor:
Board of County Commissioners of Weld County
1150 "O" St., Greeley, CO 80631
for the use and benefit of the Weld County Department of Public
Health and Environment
1555 North 17th Avenue
Greeley, Colorado 80631
Amendment Contract Number:
2019*3454 Amendment #2
Contract Performance Beginning Date:
April 1, 2019
Current Contract Expiration Date:
September 29, 2021
CONTRACT MAXIMUM AMOUNT TABLE
Document
Type
Contract
Number
Federal Funding
Amount
State Funding
Amount
Other Funding
Amount
Term (dates)
Total
Original
Contract
2019*3454
$16,799.00
$0.00
$0.00
4/1/19-9/29/19
$16,799.00
Option Letter #1
2019*3454
Option Letter #1
$4,568.00
$0.00
$0.00
7/24/19-9/29/19
$4,568.00
Amendment #1
2019*3454
Amendment #1
$3,000.00
$0.00
$0.00
9/30/19-9/29/20
$3,000.00
Amendment #2
2019*3454
Amendment #2
$3,000.00
$0.00
$0.00
9/30/20-9/29/21
$3,000.00
Current Contract Maximum
Cumulative Amount
$27,367.00
Page 1 of 4
Amendment Contract Number: 2019*3454 Amendment #2
Ver01.11.19
2c2o- 0,270v
DocuSign Envelope ID: 8B09F15D-5C23-4498-A634-C8E1CD292326
SIGNATURE PAGE
THE PARTIES HERETO HAVE EXECUTED THIS AMENDMENT
Each person signing this Amendment represents and warrants that he or she is duly authorized to execute this Amendment
and to bind the Party authorizing his or her signature.
CONTRACTOR
Board of County Commissioners of Weld County for the
use and benefit of the Weld County Department of
Public Health and Environment
.-DocuSigned by:
kik Frt, AktuA,
'-E04467D642AE4AZ.
Mike Freema)': Signature
Cl6` td? o1i8HiVnoSiigLth>gtrii)g�i per
Title of Person Signing for Contractor
2020-09-28
Date:
STATE OF COLORADO
Jared S. Polis, Governor
Colorado Department of Public Health and Environment
Jill Hunsaker Ryan, MPH, Executive Director
p-DocuSigned by:
Lisa. kchrNa,nn.
`� F570AlAh'
By: signature
Lisa McGovern
Name of Executive Director Delegate
Procurement & Contracts Section Director
Title of Executive Director Delegate
Date:
2020-09-28
In accordance with §24-30-202 C.R.S., this Contract is not valid until signed and dated below by the State Controller or
an authorized delegate.
STATE CONTROLLER
Robert Jaros, CPA, MBA, JD
DocuSigned by:
366.6A.FC0F514,4 ..
By: Signature
Travis Yoder
Name of State Controller Delegate
Controller
Title of State Controller Delegate
Contract Effective Date:
2020-09-28
-- Signature and Cover Pages End --
Page 2 of 4
Amendment Contract Number: 2019*3454 Amendment #2
Ver. 27.01.20
DocuSign Envelope ID: 8B09F15D-5C23-4498-A634-C8E1CD292326
1. PARTIES
This Amendment (the "Amendment") to the Original Contract shown on the Signature and Cover
Page for this Amendment (the "Contract") is entered into by and between the Contractor, and the
State.
2. TERMINOLOGY
Except as specifically modified by this Amendment, all terms used in this Amendment that are
defined in the Contract shall be construed and interpreted in accordance with the Contract.
3. AMENDMENT EFFECTIVE DATE AND TERM
A. Amendment Effective Date
This Amendment shall not be valid or enforceable until the Amendment Effective Date
shown under the State Controller Signature. The State shall not be bound by any provision of
this Amendment before that Amendment Effective Date, and shall have no obligation to pay
Contractor for any Work performed or expense incurred under this Amendment either before
or after of the Amendment term shown in §3.B of this Amendment.
B. Amendment Term
The Parties' respective performances under this Amendment and the changes to the Contract
contained herein shall commence on the Amendment Effective Date shown under the State
Controller Signature or September 30, 2020, whichever is later, and shall terminate on the
termination of the Contract or September 29, 2021, whichever is earlier.
4. PURPOSE
The Parties entered into the agreement to implement strategies to address cardiovasular disease
prevention.
The Parties now desire to renew for an additional term and change current Contract Maximum
Total for the following reason: To continue the next year of the project.
5. MODIFICATIONS
The Contract and all prior amendments thereto, if any, are modified as follows:
A. The Contract Maximum Amount table is deleted and replaced with the Current Contract
Maximum Amount table shown on the Signature and Cover Page for this Amendment.
B. The Contract Initial Contract Expiration Date on the Contract's Signature and Cover Page
is hereby deleted and replaced with the Current Contract Expiration Date shown on the
Signature and Cover Page for this Amendment.
C. The Parties now agree to modify Exhibit E, Additional Provisions, of the agreement.
Exhibit E, Additional Provisions, is deleted and replaced in its entirety with Exhibit E,
Page 3 of 4
Amendment Contract Number: 2019*3454 Amendment 42 Ver 27.01.20
DocuSign Envelope ID: 8B09F15D-5C23-4498-A634-C8E1CD292326
Additional Provisions, attached to this Amendment for the following reason: to remove the
federal funding information so that it can be included in the Federal Provisions.
D. The Parties now agree to modify Exhibit G, Budget, of the agreement. Exhibit G, Budget,
is deleted and replaced in its entirety with Exhibit G, Budget, attached to this Amendment
for the following reason: To include the next year of funding.
E. The Parties now agree to add Exhibit H: Federal Provisions - Colorado's WISEWOMAN
Program.
6. LIMITS OF EFFECT AND ORDER OF PRECEDENCE
This Amendment is incorporated by reference into the Contract, and the Contract and all prior
amendments or other modifications to the Contract, if any, remain in full force and effect except
as specifically modified in this Amendment. Except for the Special Provisions contained in the
Contract, in the event of any conflict, inconsistency, variance, or contradiction between the
provisions of this Amendment and any of the provisions of the Contract or any prior modification
to the Contract, the provisions of this Amendment shall in all respects supersede, govern, and
control. The provisions of this Amendment shall only supersede, govern, and control over the
Special Provisions contained in the Contract to the extent that this Amendment specifically
modifies those Special Provisions.
Page 4 of 4
Amendment Contract Number: 2019*3454 Amendment #2 Ver 27.01.20
DocuSign Envelope ID: 8B09F15D-5C23-4498-A634-C8E1CD292326
EXHIBIT E
ADDITIONAL PROVISIONS
To Original Contract Routing Number 2019*3448
These provisions are to be read and interpreted in conjunction with the provisions of the Contract specified above.
I. To receive compensation under the Contract, the Contractor shall submit a signed Monthly CDPHE
Reimbursement Invoice Form. This form is accessible from the CDPHE internet website
https://www.colorado.Qov/pacific/cdphe/standardized-invoice-form-and-links and is incorporated and made
part of this Contract by reference. CDPHE will provide technical assistance in accessing and completing
the form. The CDPHE Reimbursement Invoice Form and Expenditure Details page must be submitted no
later than forty-five (45) calendar days after the end of the billing period for which services were rendered.
Expenditures shall be in accordance with the Statement of Work and Budget
Scan the completed and signed CDPHE Reimbursement Invoice Form into an electronic document. Email
the scanned invoice and the Expenditure Details page and to: CDPHE Program Assistant, at
cdphe_chronicdiseaseRFA@state.co.us.
Final billings under the Contract must be received by the State within a reasonable time after the expiration
or termination of the Contract; but in any event no later than forty-five (45) calendar days from the
effective expiration or termination date of the Contract.
Unless otherwise provided for in the Contract, "Local Match", if any, shall be included on all invoices as
required by funding source.
The Contractor shall not use federal funds to satisfy federal cost sharing and matching requirements unless
approved in writing by the appropriate federal agency.
The Contractor shall not use state funds to satisfy federal cost sharing and matching requirements unless
approved in writing by CDPHE.
2. If identified in the Implementation Plan under this Contract, the Contractor shall provide WISEWOMAN
cardiovascular screening, risk reduction counseling, referral and healthy behavior support options to
eligible clients during the term of this Contract in order to receive compensation for WISEWOMAN
services provided to eligible individual clients.
a. eCaST Data System
Data entered into the electronic cancer surveillance and tracking (eCaST) data system are the basis for
calculating reimbursement for each client receiving WISEWOMAN services. To be considered for
payment, all WISEWOMAN services must be entered into eCaST within thirty (30) days of service being
performed. WISEWOMAN services that negatively affect the program's Performance Measures may or
may not be reimbursed at the discretion of the State. Contractors shall only be paid for WISEWOMAN
services that meet eligibility, performance and data requirements. Based on performance, the
WISEWOMAN Program may unilaterally change the groups of eligible clients who may be served.
b. Bundled Payment System (BPS)
The Contractor shall be paid in accordance with rates as outlined in the WISEWOMAN Bundled Payment
System. This document is incorporated and made a part of this Contract by reference and is available on the
following WISEWOMAN website at https://www.colorado.gov/cdphe/wisewoman-provider-resources.
Contractors shall be paid only for WISEWOMAN services that meet eligibility, performance and data
requirements. Rates may be revised or updated during the contract term. Reimbursement policies are
Page 1 of 4
Amendment Contract Number 2019*3454 Amendment 42 Ver. 01.11.19
DocuSign Envelope ID: 8B09F15D-5C23-4498-A634-C8E1CD292326
EXHIBIT E
defined in the WISEWOMAN Program Manual. This manual is located at the following website:
https://www.colorado.gov/pacific/cdphe/wisewoman-provider-resources and is incorporated and made a
part of this Contract by reference.
c. Payment Procedures
Payment to Contractor for WISEWOMAN services is made from available funds encumbered and shared
across multiple contractors. The State may increase or decrease the total funds encumbered at its sole
discretion and without formal notice to Contractor. No minimum payment is guaranteed to Contractor. The
liability of the State for such payments is limited to the encumbered amount remaining of such funds.
Payment to Contractor for expenses not included in the WISEWOMAN BPS is made from available funds
encumbered and in accordance with the Statement of Work and Budget set forth under this Contract.
d. WISEWOMAN service expenditure cap
CDPHE will set the individual Contractor WISEWOMAN service expenditure cap for each budget period.
CDPHE may increase or decrease the Contractor service expenditure cap at its sole discretion based on the
Contractor's spending rate. The Contractor may request to increase or decrease this service expenditure
cap. Once the service expenditure cap is reached or the shared program funds are fully expended, the State
will not reimburse for additional expenses incurred by the Contractor unless CDPI-IE opts to increase the
cap.
3. Time Limit For Acceptance Of Deliverables.
a. Evaluation Period. The State shall have fifteen (15) calendar days from the date a deliverable is
delivered to the State by the Contractor to evaluate that deliverable, except for those deliverables
that have a different time negotiated by the State and the Contractor.
b. Notice of Defect. If the State believes in good faith that a deliverable fails to meet the design
specifications for that particular deliverable, or is otherwise deficient, then the State shall notify
the Contractor of the failure or deficiencies, in writing, within fifteen (15) calendar days of: I) the
date the deliverable is delivered to the State by the Contractor if the State is aware of the failure or
deficiency at the time of delivery; or 2) the date the State becomes aware of the failure or
deficiency. The above time frame shall apply to all deliverables except for those deliverables that
have a different time negotiated by the State and the Contractor in writing pursuant to the State's
fiscal rules.
c. Time to Correct Defect. Upon receipt of timely written notice of an objection to a completed
deliverable, the Contractor shall have a reasonable period of time, not to exceed fifteen (15)
calendar days, to correct the noted deficiencies.
4. Health Insurance Portability and Accountability Act (HIPAA) Business Associate Determination.
The State has determined that this Contract does not constitute a Business Associate relationship under
HIPAA.
5. All data collected, used or acquired shall be used solely for the purposes of this Contract. The Contractor
and its subcontractors agree not to release, divulge, publish, transfer, sell, or otherwise make known any
such data to unauthorized persons without the express prior written consent of the State or as otherwise
required by law. This includes a prior written request by the Contractor to the State for submission of
abstracts or reports to conferences, which utilize data collected under this Contract.
Notwithstanding the foregoing, the Contractor shall be entitled to retain a set of any such data collected or
work papers necessary to perform its duties under this Contract and in accordance with professional
standards.
Page 2 of 4
Amendment Contract Number 2019*3454 Amendment #2 Ver. 01.11.19
DocuSign Envelope ID: 8B09F15D-5C23-4498-A634-C8E1CD292326
EXHIBIT E
6. If Contractor indicates full expenditure of funds under this Contract by March 31st of each grant year and
the full expenditure does not occur, CDPHE has the option to reduce current or upcoming Contract by said
amount or a percent deemed reasonable by CDPHE. CDPHE will notify the Contractor of the potential
need to decrease the current or upcoming budget. If the Contractor indicates at a later date than March 31st
of each grant year an expectation of surplus of funds or inability to fully expend said funds for unforeseen
circumstances that Contractor had not anticipated by March 31st CDPHE will reallocate unspent funds
without any penalties to the Contractor.
Upon receipt of timely written notice of an objection by the State for inability to fully expend funds, the
Contractor shall have a reasonable period of time not to exceed ten (10) calendar days to respond to the
action. If no dispute is received by the State within ten (10) calendar days, the State has the option to
reduce the current budget for the current year and any upcoming budget for future contractual agreements.
7. The State, at its discretion, shall have the option to extend the term under this Contract beyond the Initial
Term for a period or for successive periods, of 1 year at the same rates and under the same terms specified
in the Contract. In order to exercise this option, the State shall provide written notice to Contractor in a
form substantially equivalent to Exhibit D. If exercised, the provisions of the Option Letter shall become
part of and be incorporated in the original contract. The total duration of this contract shall not exceed 5
years.
8. The State, at its discretion, shall have the option to increase or decrease the statewide quantity of Goods
and/or Services based upon the rates established in this Contract, and increase the maximum amount
payable accordingly. In order to exercise this option, the State shall provide written notice to Contractor in
a form substantially equivalent to Exhibit D. Delivery of Goods and/or performance of Services shall
continue at the same rates and terms as described in this Contract.
9. Contractor shall request prior approval in writing from the State for all modifications in the Statement of
Work/Work Plan or for any modification to the direct costs in excess of twenty-five percent (25%) of the
total budget for direct costs shall be submitted to CDPHE at least ninety (90) days prior to the end of the
contract period and may require an amendment in accordance with General Provisions, Section 16,
Contract Modifications, of this Contract.
10. The State of Colorado, specifically the Colorado Department of Public Health and Environment, shall be
the owner of all equipment as defined by Federal Accounting Standards Advisory Board (FASAB)
Generally Accepted Accounting Principles (GAAP) purchased under this Contract. At the end of the term
of this Contract, the State shall approve the disposition of all equipment.
11. Contractor shall not use funds provided under this Contract for the purpose of lobbying as defined in
Colorado Revised Statutes (C.R.S.) 24-6-301(3.5)(a).
12. Neither the U.S. Department of Health and Human Services (HHS) nor the Centers for Disease Control
(CDC) logo may be displayed on any conference materials if such display would cause confusion as to the
conference source or give false appearance of Government endorsement. Use of the HHS name or logo is
governed by U.S.C. 1320b-10, which prohibits misuse of the HHS name and emblem in written
communication. A non-federal entity is unauthorized to use the HHS name or logo governed by U.S.C.
1320b-10. The appropriate use of the HHS logo is subject to review and approval of the Office of the
Assistant Secretary for Public Affairs (OASPA).
13. Notwithstanding the terms contained in the General Provisions of the Master Contract, Section 25,
Conformance with Law, the Contractor shall comply with the provisions of Section 601 of Title VI of the
Civil Rights Act of 1964, as amended, which states that "no person in the United States shall on the
grounds of race, color or national origin, be excluded from participation in, be denied the benefits of, or be
subjected to discrimination under any program actively receiving Federal financial assistance." The Office
for Civil Rights has established that it is the responsibility of any program that is a recipient of federal
funds to ensure that any Limited English Proficient (LEP) person or beneficiary have meaningful access to
Page 3 of 4
Amendment Contract Number 2019*3454 Amendment #2 Ver. 01.11.19
DocuSign Envelope ID: 8B09F15D-5C23-4498-A634-C8E1CD292326
EXHIBIT E
programs, services and information. The Contractor and contract personnel shall adopt and implement
policies and procedures in which reasonable steps are taken to provide language assistance in order to
ensure equal access to LEP persons or beneficiaries. The Contractor and contract personnel shall advise
LEP individuals that language assistance will be provided at no cost to the LEP person or beneficiary.
14. The Contractor agrees to provide services to all Program participants and employees in a smoke free
environment in accordance with Public Law 103227, also known as "the ProChildren Act of 1994", (Act).
Public Law 103227 requires that smoking not be permitted in any portion of any indoor facility owned or
leased or contracted for by an entity and used routinely or regularly for the provision of health, day care,
early childhood development services, education or library services to children under the age of 18, if the
services are funded by Federal programs either directly or through State or local governments, by Federal
grant, contract, loan, or loan guarantee.
15. Notwithstanding the terms contained in the General Provisions, Section 10, Confidential or Proprietary
Information, Contractor shall protect the confidentiality of all applicant or recipient records and other
materials that are maintained in accordance with this Contract. Except for purposes directly connected with
the administration of this Contract, no information about or obtained from any applicant or recipient shall
be disclosed in a form identifiable with the applicant or recipient without the prior written consent of the
applicant or recipient, or the parent or legal guardian of a minor applicant or recipient with the exception of
information protected by Colorado Statute as it applies to confidentiality for adolescent services in which
case the adolescent minor and not the parent or legal guardian must provide consent or as otherwise
properly ordered by a court of competent jurisdiction. Contractor shall have written policies governing
access, duplication, and dissemination of all such information. Contractor shall advise its employees,
agents, servants, and any subcontractors that they are subject to these confidentiality requirements.
Page 4 of 4
Amendment Contract Number 2019*3454 Amendment #2 Ver. 01.11.19
DocuSign Envelope ID: 8B09F15D-5C23-4498-A634-C8E1CD292326
Exhibit G Budget
COLORADO
Department of Public
Health & Environment
PREVENTION SERVICES DIVISION- 12 MONTH BUDGET WITH JUSTIFICATION FORM
Original Contract Routing #2019*3454
Contractor
Name
Weld
County Department of
Environment
Public
Health
and
Program
Title,
Name,
and Email
Cynthia
chorn@weldgov.com
Coordinator
970-400-2433
Horn,
Program
Phone
Contact
Budget Period
9/30/2020- 9/29/2021
Fiscal
Contact
Phone and
Name,
Email
Title,
Tanya
Director, Admin
970-400-2122
tgeiser@weldgov.com
Geiser
Services
Project
Name
Chronic
Disease Grants - WISEWOMAN
Contract (CT or PO)
Number
CT FHLA 2019*3454
Expenditure
Categories
Salaried
Personal
Employees
Services
Position Title
Description of Work
Gross
Annual
or
Salary
Fringe
Percent of
Time on
Project
Total
Requested
CDPHE
Amount
from
$
Personal
Hourly
Employees
Services
Position Title
Description of Work
Hourly
Wage
Hourly
Fringe
Total
Hours
Project
# of
on
Total
Requested
CDPHE
Amount
from
Health
Coach
1
Attend
Motivational
Interviewing training
$ 20.15
$ 7.84
8.0
$ 223.92
Health
Coach 2
Attend Motivational
Interviewing training
$ 20.15
$ 7.84
8.0
$ 223.92
Total
Personal
Services (including
fringe
benefits)
$ 447.84
Amendment Contract Number: 2019*3454 Amendment #2
Page 1 of 3
January 2018
DocuSign Envelope ID: 8B09F15D-5C23-4498-A634-C8E1CD292326
Exhibit G Budget
PREVENTION SERVICES DIVISION- 12 MONTH BUDGET WITH JUSTIFICATION FORM
Original Contract Routing #2019*3454
Contractor Name
Weld
County Department of Public
Environment
Health
and
Program
Title,
Phone
Contact Name,
and Email
Cynthia
chorn@weldgov.com
Horn,
Coordinator
970-400-2433
Program
Budget
Period
9/30/2020- 9/29/2021
Fiscal
Contact Name,
Phone and
Email
Title,
Director,
970-400-2122
tgeiser@weldgov.com
Tanya
Admin
Geiser
Services
Project Name
Chronic
Disease Grants - WISEWOMAN
Contract
Number
(CT or PO)
CT FHLA 2019*3454
Supplies
&
Operating
Expenses
Item
Description of
Item
Rate
Quantity
Total
Requested
CDPHE
Amount
from
Point of
Service supplies
Point of
controls,
service
gloves
device
alcohol
testing supplies
wipes and
lancets
- A1c and
lipid
cartridges,
$ 1,560.00
1.0
$ 1,560.00
Healthy
lifestyle
supplies
Educational
behavioral
lifestyles.
material
and
Based
supplies
on
to engage
historical
clients
data.
in
healthy
$ 200.00
1.0
$ 200.00
Motivational
training
Interviewing
Registration
training x 2
for
health
Motivational
coaches)
Interviewing
training ($100 each
$ 100.00
2.0
$ 200.00
Total
Supplies
& Operating
$ 1,960.00
Travel
Item
Description of
Item
Rate
Quantity
Total
Requested
CDPHE
Amount
from
Mileage
Travel
coaches
each
mileage
2021,
way.
expenses
may
244
at 2 cents
but at this
for
attend
miles
time
motivational
on
below
separate
x $.555/mile;
federal
we are
not
interviewing
days
rate.
certain
Weld
at
Mileage
approximately
County
what
training;
rate
that
2 health
61 miles
reimburses
may increase
rate may
in
be.
$ 0.555
244.00
$ 135.42
Total
Travel
$ 135.42
Contractual
Subcontractor
Name
Description of
Item
Rate
Quantity
Total
Requested
CDPHE
Amount
from
$
Total
Contractual
$ -
Amendment Contract Number: 2019"3454 Amendment #2
Page 2 of 3
January 2018
DocuSign Envelope ID: 8B09F15D-5O23-4498-A634-C8E1CD292326
Exhibit G Budget
PREVENTION SERVICES DIVISION- 12 MONTH BUDGET WITH JUSTIFICATION FORM
Original Contract Routing #2019*3454
Contractor Name
Weld
County Department of Public
Environment
Health
and
Program
Title,
Phone
Contact Name,
Cynthia
chorn@weldgov.com
Horn,
Coordinator
970-400-2433
Program
and Email
Budget
Period
9/30/2020- 9/29/2021
Fiscal
Contact Name,
Phone and Email
Title,
Tanya
Director, Admin
970-400-2122
tgeiser@weldgov.com
Geiser
Services
Project
Name
Chronic
Disease Grants - WISEWOMAN
Contract
Number
(CT or PO)
CT FHLA
2019*3454
SUB
-TOTAL
OF DIRECT
COSTS
$ 2,543.26
Indirect
Item
Description of
Item
Total
Requested
CDPHE
Amount
from
CDPHE-Negotiated
Cost Rate
Indirect
FY2020
determined
17.96%
of Modified
total
direct
costs; will use 2021 rate in 2021 once that rate is
$ 456.74
Total
Indirect
$ 456.74
TOTAL
$ 3,000.00
Amendment Contract Number: 2019*3454 Amendment #2
Page 3 of 3
January 2018
DocuSign Envelope ID: 8B09F15D-5C23-4498-A634-C8E1CD292326
Exhibit H
Federal Provisions - Colorado's WISEWOMAN Program
For the purposes of this Exhibit only, Contractor is also identified as "Subrecipient." This Contract has
been funded, in whole or in part, with an award of Federal funds. In the event of a conflict between the
provisions of these Supplemental Provisions for Federal Awards, the Special Provisions, the Contract or
any attachments or exhibits incorporated into and made a part of the Contract, the Supplemental
Provisions for Federal Awards shall control. In the event of a conflict between the Supplemental
Provisions for Federal Awards and the FFATA Supplemental Provisions (if any), the FFATA
Supplemental Provisions shall control.
1) Federal Award Identification.
a. Subrecipient: Board of County Commissioners of Weld County
b. Subrecipient DUNS number: 075757955
c. The Federal Award Identification Number (FAIN) is NU58DP006656.
d. The Federal award date is 06/28/2020.
e. The subaward period of performance start date is 09/30/2018 and end date is 09/29/2023.
f. Federal Funds:
Federal Budget Period
Total Amount of Federal
Funds Awarded
Amount of Federal Funds
Obligated to CDPHE
9/30/2020 - 9/29/2021
$2,385,000.00
$795,000.00
g. Federal award title of project or program: Colorado's WISEWOMAN Program.
h. The name of the Federal awarding agency is: DEPARTMENT OF HEALTH AND
HUMAN SERVICES Centers for Disease Control and Prevention and the contact
information for the awarding official is Deanna Campbell 4700 Buford Highway Chamblee,
GA 30341 Phone: 770-488-1117; the name of the pass -through entity is the State of
Colorado, Department of Public Health and Environment (CDPHE), and the contact
information for the CDPHE official is Ms. Michelle Shultz 4300 CHERRY CREEK
SOUTH DR DENVER, CO 80246-1523 Phone: 3036922496.
i. The Catalog of Federal Domestic Assistance (CFDA) number is 93.436 and the grant name is
WELL -INTEGRATED SCREENING AND EVALUATION FOR WOMEN ACROSS THE
NATION (WISEWOMAN).
j. This award is not for research & development.
k. Subrecipient is not required to provide matching funds. In the event the Subrecipient is
required to provide matching funds, Section 8 of this Attachment applies.
1. The indirect cost rate for the Federal award (including if the de minimis rate is charged per 2
CFR §200.414 Indirect (F&A) costs) is pre -determined based upon the State of Colorado and
CDPHE cost allocation plan.
Page 1 of 4
Amendment Contract Number: 2019*3454 Amendment #2 Ver. 25.02.20
DocuSign Envelope ID: 8B09F15D-5C23-4498-A634-C8E1CD292326
2) Subrecipient shall at all times during the term of this contract strictly adhere to the requirements under
the Federal Award listed above, and all applicable federal laws, Executive Orders, and implementing
regulations as they currently exist and may hereafter be amended.
3) Any additional requirements that CDPHE imposes on Subrecipient in order for CDPHE to meet its
own responsibility to the Federal awarding agency, including identification of any required financial and
performance reports, are stated in the Exhibits.
4) Subrecipient's approved indirect cost rate is as stated in the Exhibits.
5) Subrecipient must permit CDPHE and auditors to have access to Subrecipient's records and financial
statements as necessary for CDPHE to meet the requirements of 2 CFR §200.331 Requirements for pass -
through entities, §§ 200.300 Statutory and National Policy Requirements through §200.309 Period of
performance, and Subpart F —Audit Requirements of this Part.
6) The appropriate terms and conditions concerning closeout of the subaward are listed in Section 16 of
this Attachment.
7) Performance and Final Status. Subrecipient shall submit all financial, performance, and other
reports to CDPHE no later than 45 calendar days after the period of performance end date or sooner
termination of this Contract containing an evaluation and review of Subrecipient's performance and the
final status of Subrecipient's obligations hereunder.
8) Matching Funds. Subrecipient shall provide matching funds as stated in the Exhibits. Subrecipient
shall have raised the full amount of matching funds prior to the Effective Date and shall report to CDPHE
regarding the status of such funds upon request. Subrecipient's obligation to pay all or any part of any
matching funds, whether direct or contingent, only extends to funds duly and lawfully appropriated for the
purposes of this Contract by the authorized representatives of the Subrecipient and paid into the
Subrecipient's treasury or bank account. Subrecipient represents to CDPHE that the amount designated as
matching funds has been legally appropriated for the purposes of this Contract by its authorized
representatives and paid into its treasury or bank account. Subrecipient does not by this Contract
irrevocably pledge present cash reserves for payments in future fiscal years, and this Contract is not
intended to create a multiple -fiscal year debt of the Subrecipient. Subrecipient shall not pay or be liable for
any claimed interest, late charges, fees, taxes or penalties of any nature, except as required by
Subrecipient's laws or policies.
9) Record Retention Period. The record retention period previously stated in this Contract is replaced
with the record retention period prescribed in 2 CFR §200.333.
10) Single Audit Requirements. If Subrecipient expends $750,000 or more in Federal Awards during
Subrecipient's fiscal year, Subrecipient shall procure or arrange for a single or program -specific audit
conducted for that year in accordance with the provisions of Subpart F -Audit Requirements of the Uniform
Guidance, issued pursuant to the Single Audit Act Amendments of 1996, (31 U.S.C. 7501-7507). 2 CFR
§200.501.
11) Contract Provisions. Subrecipient shall comply with and shall include all of the following applicable
provisions in all subcontracts entered into by it pursuant to this Contract:
a. Office of Management and Budget Circulars and The Common Rule for Uniform
Administrative Requirements for Grants and Cooperative Agreements to State and Local
Governments, as applicable;
b. when required by Federal program legislation, the "Davis -Bacon Act", as amended (40
U.S.C. 3141-3148) as supplemented by Department of Labor Regulations (29 CFR Part 5,
"Labor Standards Provisions Applicable to Contracts Covering Federally Financed and
Assisted Construction");
Page 2 of 4
Amendment Contract Number: 2019*3454 Amendment #2 Ver. 25.02.20
DocuSign Envelope ID: 8B09F15D-5C23-4498-A634-C8E1CD292326
c. when required by Federal program legislation, the Copeland "Anti -Kickback" Act (40 U.S.C.
3145), as supplemented by Department of Labor regulations (29 CFR Part 3, "Contractors
and Subcontractors on Public Building of Public Work Financed in Whole or in Part by Loans
or Grants from the United States").
d. 42 U.S.C. 6101 et seq., 42 U.S.C. 2000d, 29 U.S.C. 794 (regarding discrimination);
e. the "Americans with Disabilities Act" (Public Law 101-336; 42 U.S.C. 12101, 12102, 12111
- 12117, 12131 - 12134, 12141 - 12150, 12161 - 12165, 12181 - 12189, 12201 - 12213 and 47
U.S.C. 225 and 47 U.S.C. 611);
f. when applicable, the Contractor shall comply with the provisions of the "Uniform
Administrative Requirements for Grants and Cooperative Agreements to State and Local
Governments" (Common Rule);
g. The Federal Funding Accountability and Transparency Act of 2006 (Public Law 109-282), as
amended by §6062 of Public Law 110-252, including without limitation all data reporting
requirements required there under. This Act is also referred to as FFATA.
h. Contractor shall comply with the provisions of Section 601 of Title VI of the Civil Rights Act
of 1964, as amended.
i. Except as otherwise provided under 41 CFR Part 60, all contracts that meet the definition of
"federally assisted construction contract" in 41 CFR Part 60-1.3 comply with the equal
opportunity clause provided under 41 CFR 60-1.4(b), in accordance with Executive Order
11246, "Equal Employment Opportunity: (30 FR 12319, 12935, 3 CFR Part, 1964-1965
Comp., p. 339), as amended by Executive Order 11375, "Amending Executive Order 11246
Relating to Equal Employment Opportunity," and implementing regulations at 41 CFR part
60, "Office of Federal Contract Compliance Programs, Equal Employment Opportunity,
Department of Labor.
j. where applicable, Contract Work Hours and Safety Standards Act (40 U.S.C. 3701-3708).
k. if the Federal award meets the definition of "funding agreement" under 37 CFR § 401.2 (a)
and the recipient or subrecipient wishes to enter into an agreement with a small business firm
or nonprofit organization, comply with the requirements of 37 CFR Part 401, "Rights to
Inventions Made by Nonprofit Organizations and Small Business Firms Under Government
Grants, Contracts and Cooperative Agreements," and any implementing regulations issued by
the awarding agency.
I. the Clean Air Act (42 U.S.C. 7401-7671q.) and the Federal Water Pollution Control Act (33
U.S.C. 1251-1387), as amended.
m. if applicable, comply with the mandatory standards and policies on energy efficiency
contained within the State of Colorado's energy conservation plan issued in compliance with
the Energy Policy and Conservation Act, 42 U.S.C. 6201.
n. the Contractor and all principals are not presently debarred, suspended, proposed for
debarment, declared ineligible, or voluntarily excluded from covered transactions by any
federal department or agency; the Contractor and all principals shall comply with all
applicable regulations pursuant to Executive Order 12549 (3 CFR Part 1986 Comp., p. 189)
and Executive Order 12689 (3 CFR Part 1989 Comp., p. 235), Debarment and Suspension;
and,
o. the Contractor shall comply where applicable, the Byrd Anti -Lobbying Amendment (31
U.S.C. 1352).
Page 3 of 4
Amendment Contract Number: 2019*3454 Amendment #2 Ver. 25.02.20
DocuSign Envelope ID: 8B09F15D-5C23-4498-A634-C8E1CD292326
12) Compliance. Subrecipient shall comply with all applicable provisions of The Office of Management
and Budget Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal
Awards (Uniform Guidance), including but not limited to these Supplemental Provisions for Federal
Awards. Any revisions to such provisions automatically shall become a part of these Supplemental
Provisions, without the necessity of either party executing any further instrument. CDPHE may provide
written notification to Subrecipient of such revisions, but such notice shall not be a condition precedent to
the effectiveness of such revisions.
13) Procurement Procedures. Subrecipient shall use its own documented procurement procedures which
reflect applicable State, local, and Tribal laws and regulations, provided that the procurements conform to
applicable Federal law and the standards identified in the Uniform Guidance, including without limitation,
§§200.318 through 200.326 thereof.
14) Certifications. Unless prohibited by Federal statutes or regulations, CDPHE may require
Subrecipient to submit certifications and representations required by Federal statutes or regulations on an
annual basis (2 CFR §200.208). Submission may be required more frequently if Subrecipient fails to meet
a requirement of the Federal award. Subrecipient shall certify in writing to CDPHE at the end of the
Contract that the project or activity was completed or the level of effort was expended. 2 CFR
§200.201(b)(3). If the required level of activity or effort was not carried out, the amount of the Contract
must be adjusted.
15) Event of Default. Failure to comply with the Uniform Guidance or these Supplemental Provisions for
Federal Awards shall constitute an event of default under the Contract pursuant to 2 CFR §200.339 and
CDPHE may terminate the Contract in accordance with the provisions in the Contract.
16) Close- Out. Subrecipient shall close out this Contract within 45 days after the End Date. Contract
close out entails submission to CDPHE by Subrecipient of all documentation defined as a deliverable in
this Contract, and Subrecipient's final reimbursement request. If the project has not been closed by the
Federal awarding agency within I year and 45 days after the End Date due to Subrecipient's failure to
submit required documentation that CDPHE has requested from Subrecipient, then Subrecipient may be
prohibited from applying for new Federal awards through the State until such documentation has been
submitted and accepted.
17) Erroneous Payments. The closeout of a Federal award does not affect the right of the Federal
awarding agency or CDPHE to disallow costs and recover funds on the basis of a later audit or other
review. Any cost disallowance recovery is to be made within the record retention period.
EXHIBIT END
Page 4 of 4
Amendment Contract Number: 2019*3454 Amendment #2 Ver. 25.02.20
New Contract Request
Entity Information
Entity Name*
COLORADO DEPT OF PUBLIC
HEALTH ,`ENVIRONMENT
Entity ID*
s 0000192.6
Contract Name*
WOMEN'S WELLNESS CONNECTION WISEWOMAN POGRAM
FY21 AMENDMENT #2
Contract Status
CTB REVIEW
❑ New Entity?
Contract ID
4131
Contract Lead*
TGEISER
Contract Lead Email
tgeiser: tco.weld.co. u s
Parent Contract ID
Requires Board Approval
YES
Department Project
Contract Description*
RENEWAL CONTRACT AMENDMENT r2 FOR THE WOMEN'S WELLNESS CONNECTION (WWQ WISEWOMAN PROGRAM FY20-21
Contract Description 2
2019-3454A2; 2019-3454, AMENDMENT 41 ; 1 9 FHLA 1 1 3:51 1 ; 18 FHLA 100917; 16 FHLA 87548; 15 FHLA 77061
Contract Type*
GRANT
Amount*
S 3,000.00
Renewable'
NO
Automatic Renewal
NO
Grant
YES
ICA
NO
Department
HEALTH
Department Email
CM-Health:w-vveldgov,com
Department Head Email
CM-Health-
DeptHeadAweldgov.com
County Attorney
GENERAL COUNTY
ATTORNEY EMAIL
County Attorney Email
CM-
COIJ NTY.ATTO RN EY W ELDG
OV,COM
Grant Deadline Date
If this is a renewal enter previous Contract ID
3125
If this is part of a MSA enter MSA Contract ID
Requested BOCC Agenda
Date*
09 28 2020
Due Date
09 24'2020
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.
09 30'2020
Review Date*
08`01 x'2021
Renewal Date
Termination Notice Period
Committed Delivery Date
Expiration Date's
09{29:2021
Contact Info
Contact Name Contact Type Contact Email Contact Phone 1Contact Phone 2
Purchasing
Purchasing Approver Purchasing Approved Date
Approval Process.
Department Head
TANYA GEISER
DH Approved Date
09:24,,2020
Final Approval
8OCC Approved
BOCC Signed Date
BOCC Agenda. Date
09; 282020
Originator
TGE1SEE
Finance Approver
BARB CONNOLLY
Legal Counsel
KARIN MCDOUGAL
Finance Approved Date Legal Counsel Approved Date
09;`24 '2020 09 24' 2020
Tyler Ref #
AG 092820
Bri White
From:
Sent:
To:
Cc:
Subject:
Tanya Geiser
Friday, September 25, 2020 9:32 AM
Bri White
Esther Gesick; Chloe Rempel
RE: Wisewoman Program
Good question! It is still accurate —without WWC we would not have the WISEWOMAN component. I think it is okay to
just refer to it as WISEWOMAN since it is its own contract.
Tanya
Ext 2122
From: Bri White <bwhite@weldgov.com>
Sent: Friday, September 25, 2020 9:27 AM
To: Tanya Geiser <tgeiser@weldgov.com>
Cc: Esther Gesick <egesick@weldgov.com>; Chloe Rempel <crempel@weldgov.com>
Subject: Wisewoman Program
Good morning, Tanya!
I'm finalizing the Resolution for the WISEWOMAN Program and I have a question for you. On past
Resolutions, we have called it the "WISEWOMAN Program Under the Women's Wellness Connection
Program," but we aren't finding any reference to the Women's Wellness Connection Program in the contract
itself. Do you know if this is still true, that the WISEWOMAN Program operates under the Women's Wellness
Connection Program, or should we forego that concept?
Thank you!
Bri White
Deputy Clerk to the Board
Weld County
1150 O Street
Greeley, CO 80631
tel.: 970-400-4219
Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended
only for the person or entity to which it is addressed and may contain information that is privileged, confidential
or otherwise protected from disclosure. If you have received this communication in error, please immediately
notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the
taking of any action concerning the contents of this communication or any attachments by anyone other than
the named recipient is strictly prohibited.
1
Hello