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HomeMy WebLinkAbout20194944.tiffMEMORANDUM TO: Department of Public Health & Environment DATE: December 7, 2022 FROM: Clerk to the Board's Office SUBJECT: Tyler Document #2019-4944 Final signatures were not obtained by the parties required to fully execute Tyler Document #2019- 4944, approved by the Weld County Board of Commissioners on December 9, 2019. Due to the prolonged delay in obtaining final signatures, the Clerk to the Board's Office has deemed it prudent to close this item out. This memorandum will be added to the Commissioners' files to demonstrate this document was not fully executed. 2019-4944 H L0051 RESOLUTION RE: APPROVE TASK ORDER CONTRACT AMENDMENT #1 FOR PUBLIC HEALTH EMERGENCY PREPAREDNESS AND RESPONSE 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 Public Health Emergency Preparedness and Response between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Public Health and Environment, and the Colorado Department of Public Health and Environment, commencing July 1, 2019, and ending June 30, 2020, with further terms and conditions being as stated in said contract amendment, and WHEREAS, after review, the Board deems it advisable to approve said contract amendment, a copy of which is attached hereto and incorporated herein by reference. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the Task Order Contract Amendment #1 for Public Health Emergency Preparedness and Response between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Public Health and Environment, and the Colorado Department of Public Health and Environment, be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said contract amendment. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 9th day of December, A.D., 2019, nunc pro tunc July 1, 2019. ATTEST: daittn) W...re f4AA Weld County Clerk to the Board BY: Deputy Clerk to the Board APP'e•-DASTO ounty Attorney Date of signature: 12/Ifs/i BOARD OF COUNTY COMMISSIONERS WED COUNTY, COL ADO b/LPILL rbara Kirkmeyer, hair EXCUSED Mike Freeman, Pro-Tem 2019-4944 HL0051 12./6/22 0011-fract -TD Tr3a8Co (D/09 Memorandum TO: Barbara Kirkmeyer, Chair Board of County Commissioners FROM: Mark E. Wallace, MD, MPH Executive Director Department of Public Health & Environment DATE: December 3, 2019 SUBJECT: FY19-20 CDPHE Public Health Emergency Preparedness & Response Task Order Contract Amendment #1 For the Board's approval is Task Order Contract Amendment #1 between the Colorado Department of Public Health and Environment (CDPHE) and the Board of County Commissioners of Weld County for the use and benefit of the Weld County Department of Public Health and Environment (WCDPHE) for our Public Health Emergency Preparedness & Response program. Public health related emergency preparedness and response remains a crucial function for WCDPHE and residents of Weld County. This grant enables WCDPHE to plan and train for a variety of population -based disease outbreak emergencies, including pandemics, bioterrorism and emergent diseases. The preparation also supports mass -dispensing of vaccines and antibiotics and emphasizes coordination between emergency management and public health. This contract amendment is to correct a number of spelling errors and to clarify several grant deliverables, without changing their due date or overall content. It removes some deliverable that were redundant or that were no longer necessary due to the usage of online systems that gather data on an ongoing basis. The grant supports two full-time staff, including a regional epidemiologist and a public health emergency planner. The amended contract amount remains at $283,947.00 and the contract period has not changed from July 1, 2019, to June 30, 2020. Assistant County Attorney, Karin McDougal, has reviewed this contract and determined that the terms are acceptable. Furthermore, this amendment was approved for placement on the Board's agenda via pass -around dated December 2, 2019. I recommend approval of this contract amendment #1 with CDPHE for our Emergency Preparedness & Response program. 2019-4944 Hl..00$1 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 CT 2020*283 Contractor Board of County Commissioners of Weld County (a political subdivision of the state of Colorado) 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 CT 2020*283 Amendment 1 Contract Performance Beginning Date : July 1, 2019 Current Contract Expiration Date : June 30, 2020 CONTRACT MAXIMUM AMOUNT TABLE Document Type Contract Number Federal Funding Amount State Funding Amount Other Funding Amount Term (dates) Total Original Contract CT 2020*283 $283,947.00 $0.00 $0.00 07/01/2019- 06/30/2020 $283,947.00 Contract Amendment #1 CT 2020*283 Amendment 1 $283,947.00 $0.00 $0.00 07/01/2019- 06/30/2020 $283,947.00 Current Contract Maximum Cumulative Amount $283,947.00 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 Political Subdivision of the State of Colorado) For the use and benefit of the Weld County Department of Public Health and Envi o ent STATE OF COLORADO Jared S. Polis, Governor Colorado Department Of Public Health and Environment Jill Hunsaker Ryan, MPH Executive Director Barbara Kirkmey r, Chair By: Lisa McGovern, Procurement and Contracts Section Director, CDPHE Date: By: Print Name & Title DEC 0 9 2019 Date: PROGRAM APPROVAL Colorado Department of Public Health and Environment Melanie Simons By: 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 Robert Jaros, CPA, MBA, JD By: Signature of Authorized CDPHE Program Approver Date: David Norris, Controller, CDPHE Amendment Effective Date: Amendment Contract Number: CT 2020*228 Amendment 1 czoig- /7E1/46 Page 1 of 17 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, 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 improve medical and public health care preparedness, response, and recovery capabilities at the federal, state and local level. The Parties now desire to change the Statement of Work for the following reason: to create clarity among certain deliverables and correct language within the documents. 5. MODIFICATIONS The Contract and all prior amendments thereto, if any, are modified as follows: A. The Amendment and all prior amendments thereto, if any, are modified as follows: i. The Contract Maximum Amount is deleted and replaced with the Current Contract Maximum Amount Table shown on the Signature and Cover Page for this Amendment. ii. The Parties now agree to modify Exhibit: B of the agreement. Exhibit B is deleted and replaced in its entirety with Exhibit G. iii. The Parties now agree to modify Exhibit: C of the agreement. Exhibit C is deleted and replaced in its entirety with Exhibit H. 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: CT 2020*228 Amendment I Page 2 of 17 EXHIBIT G STATEMENT OF WORK To Original Contract Routing Number CT 2020*283 with Amendment Routing Number of CT 2020*283 Amendment 1 These provisions are to be read and interpreted in conjunction with the provisions of the contract specified above. Project Description: This project serves to improve medical and public health care preparedness, response, and recovery capabilities at the federal, state and local level. The aligned PHEP cooperative agreement provides technical assistance and resources to support state, local, tribal and territorial public health departments, along with HCCs and health care organizations, to show measurable and sustainable progress toward achieving the preparedness and response capabilities that promote prepared and resilient communities. II. Definitions: 1. AAR-After Action Report 2. AFN-Access and Functional Needs 3. CDPHE-Colorado Department of Public Health and Environment 4. C -MIST -Communication, Maintaining Health, Independence, Services and Support, Transportation 5. CNS-Colorado Notification System 6. COOP -Continuity of Operations Plan 7. CO -SHARE -Colorado State Health and Readiness Exchange 8. CO.TRAIN-Colorado Training Finder Real -Time Affiliate Integrated Network 9. CPG-Capability Planning Guide 10. CVM-Colorado Volunteer Mobilizer 11. DHSEM Divison Division of Homeland Security and Emergency Management 12. DOC-Department Operations Center 13. EOP-Emergency Operations Plan 14. ESAR-VHP- Emergency System for Advance Registration of Volunteer Health Professionals 15. HAN-Health Alert Network 16. HCC-Healthcare Coalition 17. HVA-Hazards Vulnerability Assesment Assessment 18. ICS -Incident Command Structure 19. IMATS- Inventory Management and Tracking System 20. IP-Improvement Plan 21. LPHA-Local Public Health Agency 22. MCM-Medical Countermeasure 23. MYTEP-Multi-Year Training and Exercise Plan 24. NIMS-National Incident Management System 25. OEPR-Office of Emergency Preparedness and Response 26. POD -Point of Dispensing 27. PHEOP-Public Health Emergency Operations Plan 28. RTP-Regional Transfer Point 29. SNS-Strategic National Stockpile 30. TEPW-Training and Exercise Planning Workshop III. Work Plan: Goal #1: Increase capacity for preparedness, response and recovery in Colorado. Objective #1: No later than the expiration date of the Contract, provide public health preparedness; improve response and recovery activities through planning. Primary Activity #1 The Contractor shall update their agency COOP (Continuity of Operations Plan) to meet the minimum federal requirements. Contract Routing Number: CT 2020*283 Amendment 1 Page 3 of 17 EXHIBIT G Primary Activity #2 The Contractor shall complete the `Critical Workforce Group Tiers' spreadsheet. Primary Activity #3 The Contractor shall develop or update their agency Volunteer Management Plan. Primary Activity #4 The Contractor shall coordinate a minimum of two (2) county -level Pandemic Influenza planning meetings with relevant subject matter experts and community partners, including AFN representatives, to orient partners on the local/county pandemic plan. Primary Activity #5 The Contractor shall participate in planning for the Coalition Surge Test (CST) as a core member of the HCC. Primary Activity #6 The Contractor shall incorporate the OEPR Situational Awareness Tool into their PHEOP. Primary Activity #7 The Contractor shall complete the `Access and Functional Needs and Community Partners' report to identify current and desired engagement of community organizations who can provide relationships or support to their public's access and functional needs. Primary Activity #8 The Contractor shall create a plan or integrate into existing plans AFN resources/practices and intentional community engagement into the 2021 Full Scale Exercise in its jurisdiction. Primary Activity #9 The Contractor shall conduct one-to-one interviews or focus groups with at least three (3) stakeholders/community groups OR document action steps identified from community conversations in the last year to integrate jurisdictional access & functional needs in public health emergency plans and practices. Primary Activity #10 The Contractor shall participate in the HCC HVA. Primary Activity #11 The Contractor shall update their local community and responder Mass Prophylaxis/ Vaccination/POD Plans. Primary Activity #12 The Contractor shall assist in the planning/responding to issues impacting high -risk populations such as people experiencing homelessness and/or substance use issues. Primary Activity #13 The Contractor shall participate in the Regional ESF#8 Training and Exercise Planning Workshop attended by at a minimum, hospitals, EMS, emergency management organizations, and public health agencies. Primary Activity #14 The Contractor shall participate in the development of a Regional ESF#8 Multi -Year Training and Exercise Plan that includes at a minimum, hospitals, EMS, emergency management organizations, and public health agencies. Primary Activity #15 The Contractor shall participate in the Regional Pandemic Influenza Tabletop Exercise with Regional Staff and the Readiness and Response Coordinator. Primary Activity #16 The Contractor shall attend the 2019 OEPR Annual Meeting. Objective #2: No later than the expiration date of the Contract, provide public health preparedness; improve response and recovery activities through training. Primary Activity #1 The Contractor shall have a trained primary and back-up CVM administrator. Primary Activity #2 The Contractor shall participate in a web -based training on the OEPR Situational Awareness Tool. Contract Routing Number: CT 2020*283 Amendment 1 Page 4 of 17 EXHIBIT G Primary Activity #3 The Contractor shall participate in a web -based training on completing the `Critical Workforce Group Tiers' worksheet. Primary Activity #4 The Contractor shall participate in a web -based training on `Vaccination Planning for Critical Workforce Groups'. Objective #3: No later than the expiration date of the Contract, provide public health preparedness, and improve response and recovery activities through exercises. Primary Activity #1 The Contractor shall complete the Coalition Surge Test (CST) as a core member of the HCC. Primary Activity #2 The Contractor shall participate in quarterly redundant communications (eg. 800MgHz radio) drills conducted by OEPR. Primary Activity #3 The Contractor shall conduct a minimum of two (2) redundant communications drills with local operational sites (eg. PODs). Primary Activity #4 The Contractor shall conduct a minimum of two (2) HAN Communication Drills. Primary Activity #5 The Contractor shall participate in a minimum of two (2) IMATS SNS Resource Request Drills Primary Activity #6 The Contractor shall create and send out two (2) mission drills utilizing the CVM Objective #4: No later than the expiration date of the Contract, provide public health preparedness, and improve response and recovery activities through additionally identified needs. Primary Activity #1 The Contractor shall complete the 2019-20 CPG Survey with input from all relevant partners in its jurisdiction. Primary Activity #2 The Contractor shall retain maintain access to trained personnel who monitor routine jurisdictional surveillance and epidemiological investigation systems and support surge requirements in response to threats. Primary Activity #3 The Contractor shall attend a minimum of one (1) Regional HCC or HCC Chapter meeting/per quarter. Primary Activity #4 The Contractor shall update agency contact info twice/year in CO -SHARE. Standards and Requirements 1. The Contractor shall utilize the `Public Health Emergency Preparedness and Response Capability -National Standards for State, Local, Tribal and Territorial Public Health, October 2018' as guidance for all planning activities. This document is incorporated and made part of this contract by reference and is available on the following website: https://sites.google.com/a/state.co.us/co-share/ 2. The Contractor shall highlight or indicate areas of the COOP (Continuity of Operations Plan) that have been revised with the minimum federal requirements. These requirements are outlined in the PHEP NOFO COOP Requirements. This document is incorporated and made part of this contract by reference and is available on the following website: https://sites.google.com/a/state.co.us/co-share/ 3. CDPHE shall provide the `Critical Worforce Workforce Group Tiers' worksheet template to contractor no later than 7/1/2019. This document is incorporated and made part of this contract by reference and is available on the following website: Contract Routing Number: CT 2020*283 Amendment 1 Page 5 of 17 EXHIBIT G https://sites.google.com/a/state.co.us/co-share/. 4. The Contractor shall comply with the requirements stated in the "Allocating and Targeting Pandemic Influenza Vaccine during an Influenza Pandemic" and "Roadmap to Implementing Pandemic Influenza Vaccination of Critical Workforce" when completing the `Critical Workforce Group Tiers' worksheet. This document icTheses documents are incorporated and made part of this contract by reference and is are available on the following website: haps://sites.google.com/aistate.co.us/co-share/ 5. CDPHE will provide technical assistance and guidance from CDC on Planning Considerations for Vaccinating Critical Workforce Groups' as it relates to Pandemic Operational Readiness. This will include new guidance from CDC, "Implementing a Pandemic Influenza Vaccination Campaign" and "Roadmap for Allocating and Targeting Critical Workforce Groups for an Influenza Pandemic". These documents will be incorporated upon release from CDC and made part of this contract by reference and is available on the following website: https://sites.google.com/a/state.co.us/co-share/ 6. The Contractor shall facilitate discussions with the Pandemic Planning group regarding non - pharmaceutical interventions, access and functional needs (AFN), vaccination of critical workforce, etc. The Contractor shall have the option of using a facilitation guide developed by CDPHE. This document is incorporated and made part of this contract by reference and is available on the following website: https://sites.google.com/a/state.co.us/co-share/. 7. The Contractor shall adhere to the following guidelines for the Pandemic Influenza planning meetings: create new pandemic planning group or work with existing group; include representation from diverse sectors such as immunization, epidemiology, emergency management, communication experts, schools, health care providers and hospitals, businesses, pharmacies, immunization staff etc. 8. The Volunteer Management Plan must include: how LPHAs will manage walk-up volunteers, volunteer liability, licensure, Workman's Compensation, scope of practice, third party reimbursement issues, and documentation of ESAR-VHP compliant system if not using the Colorado Volunteer Mobilizer (CVM). CDPHE. CDPHE will provide Volunteer Plan guidance, including legal issues and managing spontaneous volunteers. This guidance is incorporated and made part of this contract by reference and is available on the following website https://sites.google.com/a/state.co.us/co-share/. 9. CDPHE will provide access to the Situational Awareness Tool via CO -SHARE by July 1, 2019. This tool will be incorporated and made part of this contract by reference and is available on the following website https://sites.google.com/a/state.co.us/co-share/. 10. The Contractor shall integrate the Situational Awareness Tool into the Concept of Operations section of their Public Health Emergency Operations Plan (PHEOP) or Communications Annex to establish a mechanism to monitor situational awareness during emergent and non - emergent times. 11. CDPHE will provide an `Access & Functional Needs (AFN) and Community Partners report' template for LPHAs by July 1, 2019. This document is incorporated and made part of this contract by reference and is available on the following website: https://sites.google.com/a/state.co.us/co-share/ 12. CDPHE will provide an optional 2021 Full -Scale Exercise Community Engagement plan template for LPHAs to develop activities to integrate more public participation and AFN resources/practices into the 2021 Public Health Full -Scale Exercise Plan by July 1, 2019. This document is incorporated and made part of this contract by reference and is available on the following website https://sites.google.com/a/state.co.us/co-share/ 13. CDPHE will provide a C -MIST driven AFN Conversations Guidance document to support one-to-one interviews and focus groups by July 1, 2019. This document is incorporated and made part of this contract by reference and is available on the following Contract Routing Number: CT 2020*283 Amendment 1 Page 6 of 17 EXHIBIT G website https://sites.google.com/a/state.co.us/co-share/ 14. The Contractor shall provide a HCC Healthcare Vulnerability Assesment Assessment (HVA) tool to include information that supports the public health priority to diagnose and investigate health problems and health hazards in the community, ensuring that endemic disease and novel threats are included in the analysis. CDPHE will provide the HCC HVA tool/template by July 1, 2019. This document is incorporated and made part of this contract by reference and is available on the following website https://sites.google.com/a/state.co.us/co-share/. 15. The Contractor shall support and/or facilitate efficient, coordinated public health activities during the planning for or the duration of a response to issues impacting high -risk population such as people experiencing homelessness and/or substance use issues. 16. The Regional ESF#8 MYTEP must include five years of training and exercises, the integration of the HPP Health Care Coalition Training and Exercise Plan, and the required elements as indicated on the template provided by CDPHE via CO -SHARE. This document is incorporated and made part of this contract by reference and is available on the following website https://sites.google.com/a/state.co.us/co-share/. 17. The Contractor shall support the TEPW with their subject -matter expertise, and logistical support as requested. 18. CDPHE will provide an exercise package for the Regional Pandemic Influenza Tabletop Exercise by July 1, 2019 that each region may use as a base template provided via CO - SHARE. These documents are incorporated and made part of this contract by reference and is available on the following website https://sites.google.com/a/state.co.us/co-share/. 19. The Contractor must participate in the Regional Pandemic Influenza Tabletop Exercise as a "Player" so as to properly represent LPHA decisions and actions during a simulated event. 20. CVM administrators must have completed CVM Administrator training, signed the yearly confidentiality agreement and be recognized by OEPR as a CVM Administrator. 21. CVM Administrator training will be offered quarterly by CDPHE. 22. Contractors who have 10 employees or less may designate a regional staff member as their CVM Administrator backup. If a regional staff member is identified as the the back-up CVM Administrator, the regional staff member must provide written agreement to the CVM Coordinator. 23. CDPHE will validate attendance of the specific Situational Awareness Tool training attendee in CO.TRAIN. 24. CDPHE will conduct the `Critical Workforce Group Tier Spreadsheet' training and validate contractor participation in CO.TRAIN. 25. CDPHE will provide the `Vaccination Planning for Critical Workforce Groups' webinar to include an overview of new CDC guidance on "Implementing a Panflu Vaccination Campaign" and "Roadmap for Allocating and Targeting Critical Workforce Groups for an Influenza Pandemic". 26. The Contractor shall comply with the requirements stated in the Health Care Coalition Surge Test when completing the Coalition Surge Test Exercise. This information is located on the Public Health Emergency government website, https://www.phe.gov/Preparedness/planning/hpp/Pages/coaltion-tool.aspx and is incorporated and made a part of this contract by reference. 27. A minimum of one (1) EPR Coordinator per agency must respond to the quarterly redundant communication drills conducted by OEPR. 28. Redundant Communication Drills can include communication via 800MgHz radios, cell phone, text and/or email. 29. Tactical Communication Drills (radios) will focus on information sharing between the state and local department operations centers (DOC) and communication between the Receive, Store, Stage (RSS) site and Regional Transfer Point (RTP) and Local Transfer Points (LTP). Contract Routing Number: Cl' 2020*283 Amendment 1 Page 7 of 17 EXHIBIT G 30. Participation in redundant communication drills initiatied initiated by CDPHE will be verified by CDPHE (i.e. CNS generated reports, radio drill spreadsheets). 31. Drills conducted by the Contractor to local operational sites should be documented on the `Communications Drill Reporting Spreadsheet' provided by CDPHE. 32. Local operational sites include the following: Department Operations Center (DOC); Open Point of Dispening Dispensing (POD); Closed POD; Regional Transfer Point (RTP); Local Transfer Point (LTP); and Healthcare Coalition (HCC) member agencies. 33. Drills conducted by the contractor can be notification, exercise or real event. 34. Contractor will include cdphe_epr_sit@state.co.us when conducting HAN notifications and drills. 35. CDPHE will initiate and document IMATS SNS Resource Request Drills. 36. The Contractor shall sign-up for the IMATS SNS Resource Request Drill electronically via CO.TRAIN. 37. The Contractor shall use a 213rr or other inventory form to conduct IMATS SNS Resource Requrest Request drills. Resource Request forms are incorporated and made part of this contract by reference and is available on the following website: https://sites.google.com/a/state.co.us/co-share/. 38. CDPHE will verify participation in IMATS SNS Resource Request drills by reviewing resource requests in IMATS. 39. CDPHE will conduct IMATS drills once/quarter. 40. CDPHE will provide a schedule for all OEPR drills by July 1, 2019. This document is incorporated and made part of this contract by reference and is available on the following website https://sites.google.com/a/state.co.us!co-share/ 41. The Contractor shall complete the 2019-20 CPG Survey by using the CO-PHRCA (Colorado Public Health System Response Capacity Assessment). 42. The Contractor shall conduct the 2019-20 CO-PHRCA in a manner as identical as possible to the jurisdiction's CO-PHRCA in the previous grant year, or update the results from the previous grant year's CO-PHRCA. 43. CDPHE will provide results from the 2018-19 CO-PHRCA upon request. 44. The 2019-20 CPG Survey should be completed by soliciting input from the following partners (as applicable) Hospitals, Emergency Medical Services (EMS), Emergency Management, Behavioral Health, Home Health, Long-term Care/Assisted Living, Schools, Law Enforcement, Elected Officials, Non-ProfitNolunteer Organizations, Faith -Based Organizations, LPHA Laboratory Staff 45. CDPHE will provide guidance and tools for completing the 2019-20 CPG Survey, including access to the CO-PHRCA. This document is incorporated and made part of this contract by reference and is available on the following website: https://sites.google.com/a/state.co.us/co-share/. 46. Primary disease case investigation responsibility (i.e., local or state public health agency) and suggested public health response timelines are outlined on the CDPHE Communicable Disease Manual website in the "Disease -case investigation guidance" document found at the link titled "Public Health Reportable Condition Investigation Guidance". This document and website are incorporated and made part of the scope of work by reference and is available on the following website: https://www.colorado. gov/pacific/cdphe/communicabl e -disease -manual . 47. The Contractor will ensure the development and submission to CO -SHARE of AAR/IPs for all Tabletop Exercises within 60 days of event conclusion. 48. Functional exercises, full scale exercises, and real event responses must be submitted within 120 days of event conclusion. All joint HPP and PHEP exercises, including MCM exercises, shall include a surge of patients into the health care system. Contract Routing Number: CT 2020*283 Amendment 1 Page 8 of 17 EXHIBIT G 49. Accommodations for at -risk populations should be incorporated into and any access or functional needs of at -risk populations that may interfere to access or receive medical care before, during, or after a disaster considered. 50. The Contractor shall maintain NIMS compliance and a current all plans and exercises with their ability or emergency should be emergency preparedness OEPR experience must Response 101" online site is incorporated and reponse response plan. 51. 51. EPR Coordinators with less than two (2) years of Colorado complete the "Public Health Emergency Preparedne:, Preparedness and course at: https://www.train.org/colorado/course/1077760/compilation. This made part of this contract by reference. following systems as EMResource, IMATS). Meeting and sign -in met by Regional Staff by OEPR. This and is the Statement of Work following location in This site is incorporated 53. The Contractor shall assure they have members trained in the applicable (eg. CO -SHARE, CO.TRAIN, CNS, CVM, eICS, 54. CDPHE will provide training on OEPR systems upon request. 55. The Contractor shall register on CO.TRAIN for the 2019 OEPR Annual at the registration desk. 56. LPHA representation at 2019 OEPR Annual Meeting cannot be attendance. 57. The Contractor shall register in CO.TRAIN for trainings as requested information is located at the following website https://www.train.org/colorado incorporated and made part of this contract by reference. 58. The Contractor shall assist regional staff to fulfill the requirements of upon request of the regional staff. 59. The Contractor must update agency contact info twice/year at the CoSharehttps://sites.google.com/a/state.co.us/co-share/home/lpha. and made part of this contract by reference. Expected Results of Activity(s) 1. Colorado public health agencies will have increased capacity to respond to public health emergencies and related events to which a public health response is necessitated. Measurement of Expected Results 1. Review of plans and CPG data surveys �t �� fl /l /.� rf, /r' it i//�/i/� / lir i/n it/��,�r y'�;, f,� ii ,� 7l' ,F y `,f ta' Y r Completion Date Deliverables 1. The Contractor shall submit their updated agency COOP electronically via CO -SHARE. No later than 3/31/2020 2. The Contractor shall submit their county -level Critical Workforce Group Tiers worksheet electronically via CO- SHARE. No later than 3/31/2020 3. The Contractor shall submit their Volunteer Management Plan electronically via CO -SHARE. No later than 3/31/2020 4. The Contractor shall submit notes/attendance roster from a minimum of one (1) HCC Coalition Surge Test (CST) planning meeting electronically via CO -SHARE. No later than 3/31/2020 5. The Contractor will submit an updated PHEOP electronically via CO -SHARE. No later than 3/31/2020 Contract Routing Number: C,! 2020*283 Amendment 1 Page 9 of 17 EXHIBIT G 6. The Contractor shall submit an `Access & Functional Needs and Community Partners' report electronically via CO- SHARE. No later than 12/31/2019 7. The Contractor shall submit a `Community Engagement and AFN Integration Plan' for the 2021 FSE electronically via CO- SHARE. No later than 6/15/2020 8. The Contractor shall submit at least one collaboration activity identified with community partners to better integrate Access & Functional Needs into public health emergency plans or practices electronically via CO -SHARE. No later than 6/15/2020 9. The Contractor shall indicate names of staff participating in the Regional HCC HVA electronically via CO -SHARE. No later than 6/15/2020 10. The Contractor shall submit an updated community and responder Mass Prophylaxis/Vaccination/POD plan electronically via CO -SHARE. No later than 3/31/2020 11. The Contractor shall submit any documentation, No Later Than 6/15/2020 planning incident ICS Hep A action plans or org charts regarding any related response or initiative planning electronically via COSHARE. The Contractor shall submit planning documentation, incident action plans and ICS org charts regarding any planning or response initiative impacting high - risk populations such as people experiencing homelessness and/or substance use issues electronically via CO -SHARE. 12. The Contractor shall indicate names of the individuals assisting with the Regional ESF#8 MYTEP Development electronically via CO -SHARE. No later than 12/31/2019 13. The Contractor shall indicate the names of individuals attending the Regional ESF#8 Training and Exercise Planning Workshop electronically via CO -SHARE. No later than 12/31/2019 14. The Contractor shall indicate electronically the names of the individuals participating in the Regional Pandemic Influenza Tabletop Exercise electronically via CO -SHARE. No later than 6/15/2020 15. The Contractor shall indicate electronically the names of individual attending the 2019 OEPR Annual Meeting electronically via CO -SHARE. No later than 12/31/2019 16. The Contractor shall submit minutes, agendas and roster for meetings regarding pandemic influenza planning electronically via CO -SHARE. No later than 6/15/2020 17. The Contractor shall submit copies of CVM administrator training certificates for primary and back up administrators electronically via CO -SHARE. No later than 3/31/2020 18. The Contractor shall document the name the 2019 OEPR No later than 12/31/20 of Annual Meeting CO SHARE. attendee electronically via 19. The Contractor shall indicate names of individuals participating in the Critical Workforce Group Vaccination Planning webinar electronically via CO -SHARE. No later than 3/31/2020 Amendment Contract Number: CT 2020*228 Amendment 1 Page 10 of 17 EXHIBIT G 20. The Contractor shall indicate names of individuals participating in the Critical Workforce Group -Tiers Spreadsheet webinar electronically via CO -SHARE. No later than 9/30!2019 21. The Contractor shall submit documentation of participation of in the HCC Coalition Surge Test (CST) electronically via CO- SHARE. No later than 6/15/2020 22. The Contractor shall submit agency -initiated drill report information in the Communications Drill Report form electronically via CO -SHARE. No later than 6/15/2020 23. The Contract CVM drills No later than 6!15/20 shall submit report of conducted electronically via CO SHARE. 24. The Contractor shall submit their responses to the CPG Survey online through the 2019-20 CO-PHRCA (Colorado Public Health System Response Capacity Assessment). No later than June 15, 2020 9/30/2019 25. The Contractor shall document electronically via CO -SHARE attendance at regional HCC meetings. No later than June 15, 2020 6/30/2020 26. The Contractor shall update contact info in CO -SHARE No later than February 29 June 15, 2020 and 2/29/2020 and 6/15/2020 IV. Monitoring: CDPHE's monitoring of this contract for compliance with performance requirements will be conducted throughout the contract period by the Contract Monitor. Methods used will include a review of documentation determined by CDPHE to be reflective of performance to include progress reports, invoices, site visit results, electronic data 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. V. Resolution of Non -Compliance: The Contractor will be notified in writing within thirty (30) calendar days of discovery of a compliance issue. Within ten (10) calendar days of discovery, the Contractor and the State will collaborate, when appropriate, to determine the action(s) necessary to rectify the compliance issue and determine when the action(s) must be completed. The action(s) and timeline for completion will be documented in writing and agreed to by both parties. If extenuating circumstances arise that requires an extension to the timeline, the Contractor must email a request to the CDPHE Grants Manager and receive approval for a new due date. The State will oversee the completion/implementation of the action(s) to ensure timelines are met and the issue(s) is resolved. If the Contractor demonstrates inaction or disregard for the agreed upon compliance resolution plan, the State may exercise its rights under the provisions of this contract. Contract Routing Number: Cl' 2020*283 Amendment 1 Page 11 of 17 EXHIBIT H NORTHEAST REGIONAL STAFF STATEMENT OF WORK To Original Task Order Routing Number CT 2020*283 with Amendment Routing Number of CT 2020*283 Amendment 1 These provisions are to be read and interpreted in conjunction with the provisions of the contract specified above. Project Description: This project serves to improve medical and public health care preparedness, response, and recovery capabilities at the federal, state and local level. The aligned PHEP cooperative agreement provides technical assistance and resources to support state, local, tribal and territorial public health departments, along with HCCs and health care organizations, to show measurable and sustainable progress toward achieving the preparedness and response capabilities that promote prepared and resilient communities. I. Definitions: 1. AAR-After Action Report 2. AFN-Access and Functional Needs 3. CDPHE-Colorado Department of Public Health and Environment 4. CNS-Colorado Notification System 5. COOP -Continuity of Operations Plan 6. CO-PHRCA-Colorado Public Health System Response Capacity Assessment 7. CO -SHARE -Colorado State Health and Readiness Exchange 8. CO.TRAIN-Colorado Training Finder Real -Time Affiliate Integrated Network 9. CPG-Capability Planning Guide 10. CVM-Colorado Volunteer Mobilizer 11. DHSEM-Division of Homeland Security and Emergency Management 12. EOP-Emergency Operations Plan 13. ESAR-VHP- Emergency System for Advance Registration of Volunteer Health Professionals 14. HAN-Health Alert Network 15. HCC-Healthcare Coalition 16. ICS -Incident Command Structure 17. IMATS- Inventory Management and Tracking System 18. IP-Improvement Plan 19. LPHA-Local Public Health Agency 20. MCM-Medical Countermeasure 21. MYTEP-Multi-Year Training and Exercise Plan 22. NIMS-National Incident Management System 23. POD -Point of Dispensing 24. RTP-Regional Transfer Point 25. SNS-Strategic National Stockpile 26. TEPW-Training and Exercise Planning Workshop II. Work Plan: Goal #1: Increase capacity for preparedness, response and recovery in Colorado. Objective #1: No later than the expiration date of the Contract, provide public health preparedness, and improve response and recovery activities through planning. Primary Activity #1 The Contractor shall facilitate the completion of the `Critical Workforce Group Tiers' worksheet for LPHAs in their region. Amendment Contract Number: CT 2020*228 Amendment 1 Page 12 of 17 EXHIBIT H Primary Activity #2 The Contractor shall facilitate an update of local community and responder Mass ProphylaxisNaccination/POD Plans for LPHAs in their region. Primary Activity #3 The Contractor shall maintain and update facility records in IMATS and IMATS Training modules. Primary Activity #4 The Contractor shall develop three (3) region -specific activities for the FY20-21 Regional Staff Scope of Work. Primary Activity #5 The Contractor shall provide technical support and assistance to LPHAs in completing the 2019- 20 CPG Surveys in their region. Primary Activity #6 The Contractor shall facilitate the Regional ESF#8 Training and Exercise Planning Workshop that includes at a minimum, hospitals, EMS, emergency management organizations, and public health agencies. Primary Activity #7 The Contractor shall create a Regional ESF#8 Multi -Year Training and Exercise Plan using the template provided by CDPHE that includes at a minimum, hospitals, EMS, emergency management organizations, and public health agencies. Primary Activity #8 The Contractor shall facilitate an update of the Risk Communication Plans for LPHAs in the Northeast Region. Objective #2: No later than the expiration date of the Contract, provide public health preparedness, and improve response and recovery activities through training. Primary Activity #1 The Contractor shall attend the 2019 OEPR Annual Meeting. Primary Activity #2 The Contractor shall participate in a Regional Transfer Point (RTP) or Local Transfer Point (LTP) training. Primary Activity #3 The Contractor shall participate in DHSEM's "AFN Getting it Right" Conference. Primary Activity #4 The Contractor shall coordinate a Joint Information Center -Joint Information System Training for ESF 8 partners in the Northeast Region. Primary Activity #5 The Contractor shall complete a Public Health Emergency Law training in the Northeast Region. Objective #3: No later than the expiration date of the Contract, provide public health preparedness, and improve response and recovery activities through exercises. Primary Activity #1 The Contractor shall participate in two (2) of four (4) IMATS drills. Primary Activity #2 The Contractor shall coordinate the Regional Pandemic Influenza Tabletop Exercise with the Readiness and Response Coordinator. Amendment Contract Number: CT 2020*228 Amendment ] Page 13 of 17 EXHIBIT H 1. The Contractor shall utilize the "Public Health Emergency Preparedness and Response Capability -National Standards for State, Local, Tribal and Territorial Public Health, October 2018" as guidance for all planning activities. This document is incorporated and made part of this contract by reference and is available on the following website https://sites.google.com/a/state.co.us/co-share/. The Contractor shall comply with the requirements stated in the "Allocating and Targeting Pandemic Influenza Vaccine during an Influenza Pandemic" when completing the `Critical Workforce Group Tiers' worksheet. This document is incorporated and made part of this contract by reference and is available on the following website https://sites.google.com/a/state.co.us/co-share/. 3. CDPHE will provide a checklist on Vaccinating Critical Workforce Groups for Pandemic Operational Readiness that shall include information from the following 2019 CDC resources "Implementing a Pandemic Influenza Vaccination Campaign" and "Roadmap for Allocating and Targeting Critical Workforce Groups for an Influenza Pandemic". As soon as these resources are provided by CDC, they will be made part of this contract by reference and is available on the following website https://sites.google.com/a/state.co.us/co-share/. Amen rA Snilf[gOfrbRgilifit $ailifalL ieirtted by CDPHE. Standards and Requirements 5. The Contractor shall participate in IMATS drill by receiving resource requests from the LPHAS assigned to them and entering all submitted requests into IMATS, while providing situational awareness to the LPHAs. CDPHE will provide updated IMATs User Guide, CDPHE MCM Ordering, Distribution and IMATS Just -in -Time Training Manual by July 1, 2019. This document is incorporated and made part of this contract by reference and is available on the following website https://sites.google.com/a/state.co.us/co-share/. 6. CDPHE will provide a schedule for all OEPR drills by July 1, 2019. This document is incorporated and made part of this contract by reference and is available on the following website https://sites.google.com/a/state.co.usico-share/. 7. The Contractor shall sign-up for the IMATS drills electronically via CO.TRAIN. 8. CDPHE will verify participation in IMATS drills by reviewing SNS resource requests in IMATS. 9. IMATS facilities are defined as: Closed/Open Point of Dispensing, Regional Transfer Point, Local Transfer Point and Hospital. 10. The Contractor shall send an email notification to the CDPHE IMATS Coordinator when the contractor adds local/regional facilities to IMATS. 11. The Contractor shall recruit MCM distribution partners in the county/region to participate in the Regional Transfer Point (RTP) or Local Transfer Point (LTP) "refresher" training. Training will address county and/or region -level gaps identified through the CPG survey (Capability 9: Medical Material Management and Distribution - Functions 1, 2, 3) and gaps in the Regional PHED Ex AAR/IP. Training will include updated guidance in the CDPHE MCM Ordering, Distribution and Inventory Management Just -in -Time Training Manual. CDPHE will conduct one (1) training for each of the RTP and LTP sites. 12. The Contractor shall use the following data sources to develop region -specific activities for the FY20-21 Regional Staff Scope of Work: 2019-2020 CPG data, MCM ORR data, HVA data, MYTEP, AAR/IPs, HVA data. These documents will be incorporated and made part of this contract by reference and is available on the following Amendment Contract Number: CT 2020*228 Amendment 1 Page 14 of 17 EXHIBIT H website https://sites.google.com/a/state.co.us/co-share/. 13. The 2019-20 CPG Survey process utilizes the CO-PHRCA tool in order to collect information from LPHAs and their partners. The Contractor shall ensure all jurisdictions in their region complete the 2019-20 CPG Survey using the CO-PHRCA (Colorado Public Health System Response Capacity Assessment). 14. The Contractor shall provide technical assistance as requested to LPHAs in their region in conducting the 2019-20 CO-PHRCA in a manner as identical as possible to the jurisdiction's CO-PHRCA in the previous grant year, or update the results from the previous grant year's CO-PHRCA. 15. The Contractor shall comply with 2019-20 CPG Survey, including access to the CO- PHRCA and the 2019-20 CPG Survey Attendee List when completing the CPG Survey. This information is located on the CO -SHARE website: https://sites.google.comJa/state.co.us/co-share/. 16. Regional Staff with less than two (2) years of Colorado OEPR experience must complete the "Public Health Emergency Preparedness 101" online course found on https://www.train.org/colorado/home (Course # #1077760). 17. TEPW attendance must be tracked through a sign in sheet that includes at a minimum date, name, agency, and contact information and should include the HCC's Readiness and Response Coordinator, Clinical Advisor, and HCC Chair. 18. The TEPW must prospectively plan for the next five year's Regional ESF#8 MYTEP development and incorporate the Annual HPP Health Care Coalition Training and Exercise Plan. 19. The Regional ESF#8 MYTEP must include five years of training and exercises, the integration of the HPP Health Care Coalition Training and Exercise Plan, and the required elements as indicated on the template provided by CDPHE via CO -SHARE 20. CDPHE will provide an exercise package for the Regional Pandemic Influenza Tabletop Exercise that each region may use as a base template provided via CO SHARE by July 1, 2019. This document is incorporated and made part of this contract by reference and is available on the following website https://sites.google.com/a/state.co.us/co share/. 21. The Contractor will ensure the development and submission to CO -SHARE of AAR/IPs for all Tabletop Exercises within 60 days of event conclusion. 22. Functional exercises, full scale exercises, and real event responses AAR/IPs must be submitted within 120 days of event conclusion. 23. CDPHE will document regional staff participation at the "Getting it Right" Conference through DHSEM's registration site. 24. Accommodations for at -risk populations or populations disproportionately impacted should be incorporated into all plans and exercises and any access or functional needs of at -risk populations that may interfere with their ability to access or receive medical care before, during, or after a disaster or emergency should be considered. https://www.phe.gov/Preparedness/planning/abc/Pages/atrisk.aspx 25. The Contractor shall register in CO.TRAIN for the 2019 OEPR Annual Meeting and sign -in at the registration desk. 26. The Contractor shall support LPHAs in completing their Emergency Preparedness Scopes of Work as applicable. Amendment Contract Number: CT 2020*228 Amendment I Page 15 of 17 EXHIBIT H 27. The Contractor shall assure they have members trained in the following systems as applicable (eg. CO -SHARE, CO.TRAIN, CNS, CVM, eICS, EMResource, IMATS). 28. CDPHE will provide training on systems upon request. 29. The Contractor shall register in CO.TRAIN for trainings as requested by OEPR. This information is located at the following website: https://www.train.org/colorado and is incorporated and made part of this contract by reference. 30. The Contractor shall work with planning partners to facilitate a regional planning workshop for all ESF 8 partners to review current Risk Communication planning /and training across the Northeast Region. The Contractor will provide consultation, plan templates and assistance to LPHAs for Risk Communication Plan development, review and revision. 31. The Contractor shall coordinate a training for all ESF#8 planning partners in the Northeast Region on Joint Information Center/Joint Information System, to address training needs related to Capability 4: Emergency Public Information and Warning. 32. The Contractor will assist CDPHE, as requested, with the provision of a Public Health Emergency Law training in the Northeast Region to include an overview of LPHA legal authorities, requirements, and restrictions. Training may be provided by CDC. 33. CDPHE will provide an exercise package for the Regional Pandemic Influenza Tabletop Exercise that each region may use as a base template provided via CO -SHARE no later than July 1, 2019. This document is incorporated and made part of this contract by reference and is available on the following website: https://sites.google.com/a/state.co.us/co-share/. Expected Results of Activity(s) 1. Colorado public health agencies will have increased capacity to respond to public health emergencies and related events to which a public health response is necessitated. Measurement of Expected Results 1. Review of plans and CPG data surveys. Completion Date Deliverables 1. The Contractor shall submit a summary of technical assistance provided to LPHAs regarding the `Critical Workforce Group Tiers' Spreadsheet electronically via CO -SHARE No later than 12/31/19 3/31/2020 2. The Contractor shall submit a summary of providing technical assistance to LPHAs on Critical Workforce Vaccination Planning integration into local community and responder Mass ProphylaxisNaccination/POD Plans electronically via co- SHARE. No later than 6/15/2020 3. The Contractor shall submit the roster of individuals participating in the Regional Transfer Point (RIP) training and a list of planning and operational areas to address in future MCM distribution trainings and drills electronically via CO -SHARE. No later than 6/15/2020 Amendment Contract Number: CT 2020*228 Amendment 1 Page 16 of 17 EXHIBIT H 4. The Contractor shall submit to CO -SHARE three (3) activities for the FY20-21 Regional Staff Scope of Work electronically via CO -SHARE No later than 02/29/2020 5. The Contractor shall submit a list of agencies represented in each 2019-20 CPG Survey conducted in their region via the 2019-20 CPG Survey Attendee List. electronically via CO -SHARE No later than 9/30/2019 6. The Contractor shall submit the sign in sheet for the Regional ESF#8 Training and Exercise Planning Workshop electronically via CO -SHARE No later than 12/31/2019 7. The Contractor shall submit their Regional ESF#8 Multi -Year Training and Exercise Plan electronically via CO -SHARE No later than 12/31/2019 8. The Contractor shall submit electronically Pandemic Influenza tabletop exercise After Action Report and Improvement Plan electronically via CO -SHARE. No later than 6/15/2020 9. The Contractor shall indicate electronically via CO -SHARE the names of individual(s) who attended the 2019 OEPR Annual Meeting electronically via CO -SHARE. No later than 12/31/2019 10. The Contractor shall submit electronically the updated local agency Risk Communication Plans electronically via CO- SHARE. No later than 6/15/2020 11. The Contractor shall submit sign -in sheets for JIC-JIS training electronically via CO -SHARE. No later than 6/15/2020 12. The Contractor shall document electronically via CO -SHARE the date and name of individual(s) participating in Public Health Emergency Law training electronically via CO -SHARE. No later than 6/15/2020 III. Monitoring: CDPHE's monitoring of this contract for compliance with performance requirements will be conducted throughout the contract period by the OEPR Grants Manager. Methods used will include a review of documentation determined by CDPHE to be reflective of performance to include progress reports and other fiscal and programmatic documentation as applicable. The Contractor's performance will be evaluated at set intervals and communicated to the contractor. A Final Contractor Performance Evaluation will be conducted at the end of the life of the contract. IV. Resolution of Non -Compliance: The Contractor will be notified in writing within thirty (30) calendar days of discovery of a compliance issue. Within ten (10) 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 OEPR Grants Manager 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 provisions of this contract. Amendment Contract Number: CT 2020*228 Amendment 1 Page 17 of 17 Contract Form Grant YES IGA New Contract Request Entity Information Entity Name* COLORADO DEPT OF PUBLIC HEALTH/ENVIRONMENT Entity ID' @00001926 Contract Name* Contract ID PUBLIC HEALTH EMERGENCY PREPARADENESS & 3286 RESPONSE FY20 TASK ORDER CONTRACT AMENDMENT 1 Contract Status CTB REVIEW Contract Lead* TGEISER ❑ New Entity? Parent Contract ID 2782 Requires Board Approval YES Contract Lead Email Department Project # tgeiser@coweld co us Contract Description TASK ORDER CONTRACT AMEND #1 FOR PUBLIC HEALTH EMERGENCY PREPARADENESS & RESPONSE FY20 CT2020'283 Al Contract Description 2 PREVIOUS TASK ORDER #CT2020'283 PREVIOUS TASK ORDER #19-108864 PREVIOUS TASK ORDER #18-98472 Contract Type* GRANT Amount* 5283,947.00 Renewable'" NO Department HEALTH Department Email ChMHealth@weldgov corn Department Head Email CM-Health- DeptHead@weldgov corn Automatic Renewal NO County Attorney GENERAL COUNTY ATTORNEY EMAIL County Attorney Email CM- COUNTYA I ! ORNEY@WELD GOV.COM Grant Deadline Date If this is a renewal enter previous Contract ID 2782 If this is part of a MSA enter MSA Contract ID Requested BOCC Agenda Date * 12109/2019 Due Date 12/05/2019 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 12/15/2019 Review Date * 04/01/2020 Renewal Date Termination Notice Period Committed Delivery Date Expiration Date 06/30/2020 Contact Information Contact Info Contact Name Purchasing Purchasing Approver Approval Process Department Head TANYA GEISER DH Approved Date 12104/2019 Final Approval BOCC Approved BOCC Signed Date BOCC Agenda Date 1209/2019 Originator TGEISER Contact Type Contact Email Finance Approver BARB CCONNOLLY Contact Phone 1 Contact Phone 2 Purchasing Approved Date Finance Approved Date 12;0612019 Tyler Ref # AG 120919 Legal Counsel KARIN IVICDOLIGAL Legal Counsel Approved Date 12/05/2019 Submit Hello