HomeMy WebLinkAbout20192323.tiffRESOLUTION
RE: APPROVE TASK ORDER CONTRACT AMENDMENT #1 FOR TUBERCULOSIS
PREVENTION AND CONTROL PROGRAM AND AUTHORIZE CHAIR TO SIGN
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 Task Order Contract Amendment #1 for
the Tuberculosis Prevention and Control Program 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 July 1, 2019, and ending June 30, 2020, 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 the Task Order Contract Amendment #1 for the Tuberculosis Prevention
and Control Program 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 said amendment.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 19th day of June, A.D., 2019.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLQRADO
ATTEST: ditilu4) jC,Gto%(4.
Weld County Clerk to the Board
BY:
Deputy Clerk to the Board
APP:: c AS T
Barbara Kirkmeyer, Chair
ott K. James
Mike Freeman, Pro -Tern
ounty At orney
Steve Moreno
Date of signature: 0 7, 19
cc- :l-11.C"TG
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9-/a-/9
2019-2323
HL0051
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Memorandum
TO: Barbara Kirkmeyer, Chair
Board of County Commissioners
FROM: Mark E. Wallace, MD, MPH
Executive Director
Department of Public Health & Environment
DATE: June 11, 2019
SUBJECT: CDPHE FY19-20 Tuberculosis Prevention
and Control Program Task Order Contract
Amendment #1
For the Board's approval is a Task Order Contract Amendment #1 between the Colorado
Department of Public Health and Environment ("CDPHE") and the Board of County
Commissioners for the County of Weld, State of Colorado, on behalf of the Weld County
Department of Public Health and Environment ("WCDPHE").
This task order contract amendment is for the continuation of the Tuberculosis (TB) Prevention
and Control Program to assist in preventing and controlling TB in Weld County. The term for this
task order contract is from July 1, 2019, through June 30, 2020, in the amount of $53,000, all of
which is State funding. Additional funding from the Directly Observed Therapy and Diagnostic
Blanket funds will be granted as necessary for the treatment of active TB disease and for contract
investigations.
This Agreement has been reviewed by Assistant County Attorney, Karin McDougal, and it meets
with her approval.
Furthermore, this amendment was approved for placement on the Board's agenda via pass -around
dated May 13, 2019.
I recommend approval of this TB Prevention and Control Program task order contract with
CDPHE.
2019-2323
CONTRACT AMENDMENT #1
SIGNATURE AND COVER PAGE(S)
State Agency :
Colorado Department Of Public Health and Environment
4300 Cherry Creek Drive South
Denver, CO 80246
Original Contract Number
19 109285
Contractor
Amendment Contract Number
Board of County Commissioners of Weld County
2020*0134
1150 "O" Street
Greeley, Colorado 80631
for the use and benefit of the
Weld County Department of Public Health and Environment
1555 North 17th Avenue
Greeley, Colorado 80631
Contract Performance Beginning Date :
Current Contract Expiration Date :
The later of the Effective date or July 1, 2018
June 30, 2020
CONTRACT MAXIMUM AMOUNT TABLE
Document
Contract
Federal
State Funding
Other Funding
Term (dates)
Total
Number
Funding
Amount
Amount
T YPe
Amount
Original
Contract
19 109285
$7,500.00
$45,000.00
$0.00
07/01/2018-
06/30/2019
$5Z500.00
Contract
2020*0134
$0.00
$53,000.00
$0.00
07/01/2019 -
Amendment #1
Amendment
06/30/2020
$53,000.00
#1
Current Contract Maximum
$105,500.00
Cumulative Amount
THE PARTIES HERETO HAVE EXECUTED THIS AMENDMENT
Each person signing this Amendment represents and warrants that he or she is duly authorized to execute this Amendment
and to bind the Party authorizing his or her signature.
CONTRACTOR
Board of County Commissioners of Weld County
a politi9a1 subdivisigrydf the state ooffCC/ofoorado)
arbara Kirkmeyezr, Chaiir�l
Board of Weld County Commissioners
By: Print Name & Title
Date:
2UN 19 2D)9
STATE OF COLORADO
Jared S. Polis, Governor
Colorado Department Of Public Health and Environment
Jill Hunsaker Ryan, MPH
Executive Director
By: Lisa McGovern, Procurement and Contracts Section
Director, CDPHE
Date:
253
i
Page 1of3
version 31.1.19
oz.o t9..c3 Z36)
PROGRAM APPROVAL
Colorado Department of Public Health and Environment
By:
Signature of Authorized CDPHE Progra$ Approver
Date:
e/44//i
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.
By:
STATE CONTROLLER
Robert Jaros, CPA, MBA, JD
ontrolter, CDPHE
Amendment Effective Date: 61 /41 1
t. 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 July 1, 2019, whichever is later and shall terminate on the termination
of the Contract or June 30, 2020, whichever is earlier.
4. PURPOSE
The Parties entered into the agreement to provide diagnostic; patient education and treatment
services for individuals with suspected/known latent TB infection (LTBI) and those classified
with Class A and Class B TB status or who are suspected of having active TB. Also for
individuals who are identified as newly arrived refugees, asylees and other high risk persons with
LTB1.
The Parties now desire to renew for an additional term and change current Contract Maximum
Total for the following reason: to renew.
Page 2 of 3 version 31.1.19
5. MODIFICATIONS
The Contract and all prior amendments thereto, if any, are modified as follows:
A. The Contract Maximum Amount is deleted and replaced with the Current Contract
Maximum Amount 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 Amendment and all prior amendments thereto, if any, are modified as follows:
i. The Parties now agree to modify Exhibit: B of the agreement. Exhibit B is deleted and
replaced in its entirety with Exhibit F to renew.
ii. The Parties now agree to modify Exhibit: C of the agreement. Exhibit C is deleted and
replaced in its entirety with Exhibit G to renew.
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 3 of 3 version 31.1.9
EXHIBIT F
STATEMENT OF WORK
To Original Contract Routing Number: 19 109285
Contract Amendment #1 Routing Number: 2020* 134
These provisions are to be read and interpreted in conjunction with the provisions of the contract specified above.
I. Entity Name: Weld County Health Department
II. Project Description: This project serves to provide diagnostic, patient education and treatment services for individuals
with suspected/known latent TB infection (LTBI) and those classified with Class A and Class B TB status or who are
suspected of having active TB. Also for individuals who are identified as newly arrived refugees, asylees and other high
risk persons with LTBI.
III. Definitions:
1. AFB smear — Acid -Fast Bacilli; a rapid test used to detect infectious mycobacteria
2. Asylee -- individuals who, on their own, travel to the United States and subsequently apply for and receive a
grant of asylum.
3. CDPHE — Colorado Department of Public Health and Environment
4. Class A — Pulmonary TB, the applicant has an abnormal chest radiograph suggestive of active TB disease, and
one or more sputum smears positive for acid -fast bacteria
5. Class B1 - Immigrant with an abnormal CXR with evidence of TB, and/or the individual has a history of
treatment for active TB disease.
6. Class B2 — The individual was diagnosed with latent TB infection (LTBI). These are typically children whose
TST result was positive and CXR was normal.
7. DOT — Directly Observed Therapy
8. HIV— Human Immunodeficiency Virus
9. IGRA — interferon gamma (y) release assay (whole blood TB test)
10. LEP — limited English proficiency (Over -the -Phone Interpretation (OPI) provider only)
11. LTBI — Latent Tuberculosis Infection
12. OPI — over -the -phone interpretation
13. PO — Purchase Order
14. Refugee -- any person who is outside his or her country of nationality or habitual residence and is unable or
unwilling to return to or seek protection of that country due to a well-founded fear of persecution based on race,
religion, nationality, membership in a particular social group, or political opinion
15. RVCT — Report of Verified Case of Tuberculosis
16. TB — Tuberculosis
17. TB -18— CDPHE's TB surveillance form
18. TBdb — CDPHE Tuberculosis Data Base
19. TST — Tuberculin Skin Test
IV. Work Plan:
Goal #1: Prevent and control tuberculosis infection and active TB disease throughout the Contractor's jurisdiction
Objective #1: No later than the expiration date of the Contract, the Contractor shall assist in supporting tuberculosis
prevention and control activities throughout the agency's jurisdiction.
Primary Activity #1
The Contractor shall locate all patients with suspected or confirmed TB.
Sub -Activities #1
1. The Contractor shall provide, or arrange for, chest x-rays and interpretations for
individuals with suspected or confirmed TB.
2. The Contractor shall provide interpretations for individuals with suspected or confirmed
TB, as necessary.
3. The Contractor shall collect specimens for mycobacteriology testing on all persons
suspected of having TB.
4. The Contractor shall arrange for the transportation of the specimens to the CDPHE
laboratory for testing.
5. The Contractor shall arrange for the placement of patients who require isolation.
Page 1 of 6
EXHIBIT F
a. The Contractor shall contact CDPHE TB Program for assistance.
b. The Contractor shall contact CDPHE to request reimbursement from CDPHE for
those costs incurred by the Contractor in isolating a patient.
6. The Contractor shall provide, or arrange for, the treatment of patients with suspected or
confirmed active TB, including DOT.
7. The Contractor shall ensure patients' adherence to TB treatment.
8. The Contractor shall inform those individuals whom refuse testing of the risks associated
with HIV/TB co -infection.
9. A minimum of once a month, the Contractor shall monitor and evaluate those persons
with suspected or confirmed active TB disease by in -person assessment.
10. As needed, the Contractor shall offer limited English proficiency services via an
accredited Over -the -Phone Interpretation (OPI) provider to be reimbursed using TB
DOT/Diagnostic reimbursement invoice template by the CDPHE TB Program at a rate
not to exceed $0.75/minute. The instructions are incorporated and made part of this
Contract by reference and is available on the following website under the Over -the -phone
(OPI) section, ps://www.colorado.gov/pacific/cdphe/tb-Ipha.
Primary Activity #2
The Contractor shall ensure that all contacts to newly identified infectious TB cases are
identified, investigated, and receive appropriate evaluation.
Sub -Activities #2
1. The Contractor shall provide, or arrange for, chest x-rays and interpretations for
individuals with newly identified infectious, suspected, confirmed, and LTBI TB cases.
2. The Contractor shall provide, or arrange for, the treatment of patients, including DOT,
and ensure the completion of therapy for infected patients.
3. The Contractor shall provide, or arrange for, an HIV antibody test for all persons with
LTBI with HIV risk factors or who originate from an HIV -endemic area.
4. The Contractor shall inform all individuals whom refuse testing of the risks associated
with HIV/TB co -infection.
5. A minimum of once a month, the Contractor shall monitor and evaluate persons with
LTBI during treatment.
6. The Contractor shall ask all TB clients about current health insurance enrollment and
offered materials to become insured if not currently insured.
7. The Contractor shall complete a preliminary Tuberculosis Contact Investigation Record.
The instructions are incorporated and made part of this contract by reference and is
available at the following link, Tuberculosis Contact Investigation Record to the CDPHE
TB Program after initiation of each contact investigation.
Primary Activity #3
The Contractor shall provide or arrange for newly arrived refugees, asylees and other eligible
individuals with Class B TB designation to complete a TB screening.
Sub -Activities #3
1. A minimum of thirty (30) calendar days of the Contractor's receipt of written notification
from CDPHE of the arrival of a Class B immigrant or refugee, the Contactor shall
provide, or arrange for a TB screening that includes the following:
a. medical evaluation
b. tuberculin skin test or IGRA
c. chest radiograph
d. three spontaneous sputum specimens for AFB smear and culture collected on
consecutive days
2. Upon completion of testing and examination, the Contractor shall complete, sign, and
date the CDC 75.17 form or Class B tuberculosis Follow Up worksheet, and return it
within ninety (90) days to:
Colorado Department of Public Health and Environment
Tuberculosis Program
Attn: Class B Coordinator
4300 Cherry Creek Drive South
Denver, CO 80246
Page 2 of 6
EXHIBIT F
Primary Activity #4
The Contractor shall identify, investigate, and evaluate persons with a high risk of LTBI.
Sub -Activities #4
1. The Contractor shall offer an HIV antibody test to 100% of persons with LTBI and
provide, or arrange for, HIV antibody test with a test result rate >80%.
a. The Contractor shall record 80% of all HIV antibody testing result rates for
LBTI patients into the CDPHE TBdb.
b. The Contractor shall record 95% of all HIV testing result rates among suspect
and confirmed cases of active TB disease, and enter that information into the
CDPHE TBdb.
2. The Contractor shall offer an HIV antibody test to 100% of persons diagnosed with active
TB disease.
a. The Contractor shall provide an HIV antibody test for those clients with a test result
rate >95%, regardless of their age or the apparent absence of risk factors for HIV
infection.
3. A minimum of once a month, the Contractor shall monitor and evaluate persons with
LTBI during treatment for all such patients.
4. For those persons identified with LTBI or active TB, the Contractor shall initiate treatment
in accordance with CDC guidance found at the following links:
httos://www.cdc.gov/tb/tonic/treatment/Itbi.htm;
https://www.cdc.gov/tb/topic/treatment/tbdisease.htm
Primary Activity #5
The Contractor shall offer printed resource and referral materials to clients that direct them to
the nearest community Medicaid and Connect for Health Colorado enrollment location(s),
including online enrollment options.
Sub -Activities #5
1. The Contractor shall discuss current health insurance enrollment status with each client
for the purposes of becoming insured if not currently insured.
a. The Contractor shall guide each client to following websites:
https://www.colorado.gov/pacific/hcpf/how-to-apply and
http://connectforhealthco.com/resources/person-help/, incorporated and made part
of this contract by reference.
b. The Contractor shall ask all TB clients about current health insurance enrollment
status, including Medicaid and offer resource materials no later than the last
business day of each month.
c. The Contractor shall document that all TB clients were asked about current
health insurance enrollment and offered materials no later than the last
business day of each month.
Standards and
Requirements
1. The Contractor shall complete the appropriate treatment as stated in the CDPHE TB
Manual. The CDPHE TB Manual is available on the State of Colorado website
https://www.colorado.gov/pacific/cdphe/colorado-tb-manual and is incorporated and
made part of this Contract by reference.
2. CDPHE shall provide templates and instructions for any additional information requests.
Report forms are subject to revision and the Contractor agrees to use the most recent
version.
3. The Contractor shall increase the percentage of persons that complete LTBI treatment to
meet the state objective of 84% by the last day of the contract term and maintain or
improve on that rate thereafter.
4. The Contractor shall develop reports of suspected or confirmed active TB disease results,
and include the following information:
a. reason for initiating
b. patient name
Page 3 of 6
EXHIBIT F
c. date of birth
d. country of birth
e. date arrived in U.S.
f. demographic information
g. locating information
h. provider information
i. TB risk factors
j. results of diagnostic testing
k. results of mycobacteriology including susceptibility results
1. dates of infectious period
m. treatment information
n. changes in patients' status
o. diagnosis
p. any other information as appropriate.
5. For those persons identified with LTBI or active TB, the Contractor shall report to
CDPHE:
a. patient name
b. date of birth
c. country of birth
d. date arrived in the U.S.
e. demographic information
f. locating information
g. provider information
h. TB risk factors
i. results of diagnostic testing
j. treatment information
k. any other information deemed appropriate by the Contractor.
6. The Contractor shall complete tests including the following:
a. smears for acid -fast bacilli, (using concentrated fluorescent method)
b. isolation of mycobacteria (using rapid methods)
c. identification of Mycobacterium tuberculosis complex (MTB) (using rapid
methods)
d. susceptibility testing (isoniazid, rifampin, ethambutol, and pyrazinamide) on
isolates of MTB.
7. The CDPHE TB Program will notify the Contractor of all newly arrived Class B TB
immigrants/refugees via a CDC 75.17 form which is incorporated herein by this
reference, or Follow-up worksheet which is incorporated herein by this reference, made a
part of this Contract, and available on the following website:
https://www.colorado.gov/pacific/cdphe/tb-btb-arrivals
8. The Contractor shall record 95% of all HIV testing result rates among suspect and
confirmed cases of active TB disease, and enter that information into the CDPHE TBdb.
a. The Contractor shall record 95% of all HIV testing result rates among suspect and
confirmed cases of active TB disease into the CDPHE TBdb no later than the day
before TB treatment begins, and no later than the end date of this Contract.
9. The Contractor shall record 80% of all HIV antibody testing result rates for LBTI patients
into the CDPHE TBdb.
a. The Contractor shall record 80% of all HIV antibody testing result rates for LBTI
patients into the CDPHE TBdb no later than the end date of this Contract.
10. The Contractor shall provide culturally appropriate patient education and information
pertaining to TB treatment and the follow-up plan.
11. The Contractor shall provide services in patient's preferred language using medical
interpretation resource
12. The Contractor shall report to CDPHE via (CDPHE TBdb) or via Tuberculosis
Surveillance and Case Management Report (TB 18) when a TB patient completes
treatment, moves, or transfers out of the Contractor's service area.
a. The Contractor shall complete 100% of all TB -18 and RVCT CDPHE TBdb
fields no later than the last business day of each month, and by the end date of this
Page 4 of 6
EXHIBIT F
contract.
13. The Contractor shall discuss current health insurance enrollment and offered materials
with the client for the purposes of becoming insured if not currently insured.
a. The Contractor shall ask all TB clients about current health insurance enrollment
including Medicaid, and offer resource materials no later than the last business
day of each month.
14. The Contractor shall provide or arrange for treatment and ensure completion of therapy.
15. The Contractor shall provide a final report via email or CDPHE TBdb to the TB
Program's Data Coordinator when a contact investigation is completed.
16. The Contractor shall provide all other necessary laboratory testing and medical
evaluation services to identify TB.
17. The Contractor shall report all known HIV antibody test results to CDPHE.
18. The Contractor shall report information via web -based TB case/contact management
system (CDPHE TBdb) or via "Tuberculosis Surveillance and Case Management
Report" (TB 18), which is incorporated herein by this reference, made a part of this
Contract and is available at the following link: TB -18.
19. For confirmed cases of TB, the Contractor shall include all data elements identified in
the "Report of Verified Case of Tuberculosis (RVCT)", which is incorporated herein by
this reference, made a part of this Contract and is available at the following link:
RVCT and is incorporated and made
part of this contract by reference.
20. The Contractor shall use the CDPHE Laboratory for testing.
21. The CDPHE Laboratory will, at no charge to the Contractor, supply specimen containers
and perform the above testing for the Contractor.
22. The Contractor shall order TB medications through the CDPHE TB Program.
23. The Contractor shall provide CDPHE with the medical insurance information for those
patients who have medical insurance.
24. The Contractor shall provide consultation services, as needed, to providers in its
service area regarding TB reporting, screening, treatment, and follow-up.
25. The Contractor shall comply with TB specimen shipping guidelines. See TB Sputum
Collection Kit and Shipping Instructions
https://drive.google.com/file/d/0B0tmPO67k3NVRXRPLVIVY1ZScEE/view which is
incorporated and made part of this Contract by reference.
26. The Contractor shall provide printed resource, referral and Medicaid and Connect for
Health Colorado enrollment materials for clients with Limited English Proficiency
(LEP).
a. Contractors that routinely offer enrollment services on -site are exempt from this
requirement because the services provided go beyond this minimum requirement.
27. The Contractor shall use LEP, Over -the -Phone Interpretation (OPI) to communicate
with clients.
a. The Contractor shall provide a monthly reimbursement DOT/Diagnostic
invoice according to the following criteria:
i. The monthly DOT/Diagnostic invoice must be provided
with supporting documentation confirming use is TB -related.
ii. The Contractor shall request monthly DOT/Diagnostic reimbursement no
later than the last business day of each month.
28. The Contractor shall complete the Semi -Annual Progress Report per the following
criteria:
a. The Semi -Annual Progress Reports must cover July -December and January -
June.
b. The Contractor shall complete the Semi -Annual Progress Report using the
following website:
https://drive.google.com/file/d/0B0tmPO67k3NVbk8xemFPN3 Fp WU0/view
which is incorporated and made part of this Contract by reference.
29. The Contractor shall use information on enrollment resources, referral locations, LEP and
outreach and promotional materials is available at
Page 5 of 6
EXHIBIT F
https://coloradopeak.secure.force.com/CPCLA which is incorporated
and made a part of
insurance, CDPHE
department for
and Connect
their agencies. At a
and referral materials
Health Colorado
materials must be
locate the nearest
available:
and made
websites and
updated periodically
website
to attend the latest
and allow all
Baseline within 3
this Contract by reference.
30. In order to facilitate and improve client access and enrollment in health
is asking all state contractors and sub -recipients who contract with the
direct patient care clinical service programs to provide Colorado Medicaid
for Health Colorado information to clients presenting for services at
minimum, CDPHE Contractors must offer clients printed resource
that direct them to the nearest community Medicaid and Connect for
enrollment location(s), including online enrollment options. These
available for clients with limited English proficiency (LEP). To help
enrollment locations in the community, the following websites are
https://www.colorado.gov/pacific/hcpf/how-to-apply
http://connectforhealthco.com/resources/person-help/, and are incorporated
part of this Contract by reference.
30. The content of electronic documents located on CDPHE and non-CDPHE
information contained on CDPHE and non-CDPHE websites may be
during the Contract term. The Contractor shall monitor documents and
content for updates and comply with all updates.
31. The Contractor shall allow all existing staff designated to TB activities
CDPHE Baseline TB 101 training at least once during the contract period,
new staff designated to TB activities to attend this training TB 101
months of hire, and during the contract period.
Expected Results of the
Activity
1. New TB cases shall be diagnosed, documented and treated.
2. Patients with existing or newly diagnosed TB or LTBI shall be treated, as appropriate.
3. Newly arrived refugees, asylees and other eligible individuals with Class B TB
designation receive treatment.
Measurement of Expected
Results
1. Data contained in the CDPHE TBdb.
2. Data in Semi -Annual progress report.
r _ % / // ....' 1.mm %,
Completion Date
Deliverables
1. The Contractor shall submit the Semi -Annual Progress Report
covering July -December and January -June to the CDPHE Contract
Monitor.
No later than seven
(7) and 13 months
after execution of
this contract
V. Monitoring:
CDPHE's monitoring of the Contract for compliance with performance requirements will be conducted throughout the
Contract period by the CDPHE Contract Monitor. Methods used will include a review of documentation determined by
CDPHE to be reflective of performance to include monthly reports and invoices and other fiscal and programmatic
documentation as applicable. The Contractor's performance will be evaluated at set intervals and communicated to the
contractor. A Final Contractor Performance Evaluation will be conducted at the end of the life of the contract.
VI. Resolution of Non -Compliance:
The Contractor will be notified in writing within 15 calendar days of discovery of a compliance issue. Within 30
calendar days of discovery, the Contractor and the State will collaborate, when appropriate, to determine the action(s)
necessary to rectify the compliance issue and determine when the action(s) must be completed. The action(s) and time
line for completion will be documented in writing and agreed to by both parties. If extenuating circumstances arise that
requires an extension to the time line, the Contractor must email a request to the CDPHE Contract Monitor and receive
approval for a new due date. The State will oversee the completion/implementation of the action(s) to ensure time lines
are met and the issue(s) is resolved. If the Contractor demonstrates inaction or disregard for the agreed upon compliance
resolution plan, the State may exercise its rights under the Terms and Conditions of this Contract.
Page 6 of 6
EXHIBIT G
0
Weld TB Prevention and Control
To Original Contract Routing Number: 19 109285
Contract Amendment #1 Routing Number: 2020* 134
Weld County Health Department
Description
Funding Source
Amount
TB Prevention & Control
State
$53,000
DOT, Diagnostic, and OPI
encumbrances as needed
State
As available
Total
$ 53,000
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