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HomeMy WebLinkAbout20193579.tiffRESOLUTION RE: APPROVE CONTRACT AMENDMENT #3 FOR PROMOTING SAFE AND STABLE FAMILIES (PSSF) GRANT 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 Contract Amendment #3 to the Promoting Safe and Stable Families (PSSF) Grant between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Human Services, and the Colorado Department of Human Services, Office of Early Childhood, commencing October 1, 2019, and ending September 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 Contract Amendment #3 to the Promoting Safe and Stable Families (PSSF) Grant between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Human Services, and the Colorado Department of Human Services, Office of Early Childhood, be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said amendment. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 7th day of August, A.D., 2019. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLO DO ATTEST: d,,,,,fwv Weld County Clerk to the Board BY: Deputy Clerk to the Board APP' ! . D AS 1_0'I- R11 Date of signature: ocMq7161 arbara Kirkmeyer, air EXCUSED Mike Freeman, Pro-Tem K. James ounty orney Steve Moreno cc:HSD,AcT(8c/cD) t I /a3 /2O 2019-3579 HR0090 C,ro" I D*4' 8b5Q PRIVILEGED AND CONFIDENTIAL MEMORANDUM DATE: July 30, 2019 TO: Board of County Commissioners — Pass -Around FR: Judy A. Griego, Director, Human Services RE: Intergovernmental Contract Amendment #3 for the Promoting Safe and Stable Families (PSSF) Grant Please review and indicate if you would like a work session prior to placing this item on the Board's agenda. Request Board Approval of the Department's Intergovernmental Contract Amendment #3 for the Promoting Safe and Stable Families (PSSF) Grant. The Department is requesting approval of the State of Colorado Human Services' Intergovernmental Contract Amendment #3 for the PSSF grant award. The Department was originally awarded $120,000.00 annually, with the initial six-month contract, April 1, 2017 — September 30, 2017 (Tyler ID 2017-2019), pro -rated for the amount of $60,000.00. This contract was renewed for two additional full year terms, October 1, 2017 - September 30, 2018 (Tyler ID 2017-3163), and October 1, 2018 - September 30, 2019 (Tyler ID 2018-4163), for the full annual award amount of $120,000.00. The State has renewed the grant for a third full year term, October 1, 2019 - September 30, 2020, for the full amount of $120,000.00. The PSSF program enables states to operate coordinated programs of community -based family support services, family preservation services, time -limited family reunification services, and adoption promotion and support services to accomplish goals. We will continue to collaborate with Catholic Charities in this effort. This amendment is due to the State by Friday, August 9, 2019. I do not recommend a Work Session. I recommend approval of this Amendment and authorize the Chair to sign. Sean P. Conway Mike Freeman, Pro-Tem Scott James Barbara Kirkmeyer, Chair Steve Moreno 1 Approve Schedule Recommendation Work Session Other/Comments: 2019-3579 Pass -Around Memorandum; July 30, 2019 - ID 3059 Page 1 INTERGOVERNMENTAL CONTRACT AMENDMENT #3 SIGNATURE AND COVER PA State Agency Colorado Department of Human Services Office of Early Childhood 1575 Sherman Street, 1" Floor Denver, CO 80203 Original Contract Number 17 IHIA 98658 Contractor Weld County Department of Human Services PO BOX A Greeley, CO 80632 Amendment Contract Number 20 IHIA 139710 Current Contract Maximum Amount Initial Term Federal Fiscal Year 2017 $60,000 Extension Terms Federal Fiscal Year 2018 $120,000 Federal Fiscal Year 2019 $120,000 Federal Fiscal Year 2020 $120,000 Total for All Federal Fiscal Years $420,000 Contract Performance Beginning Date July 19, 2017 Current Contract Expiration Date September 30, 2020 THE PARTIES HERETO HAVE EXECUTED THIS AMENDMENT Each person signing this Amendment represents and warrants that he or she is duly authorized to execute this Amendment and to bind the Party authorizing his or her signature. CONTRACTOR Weld County Department of Human Services AUG 072019 y: Barbara Kirkmey Date: 'eld County C. missioner By: M 02/09 STATE OF COLORADO Jared Polis, Governor Michelle Barnes utive Director e Snyder, Director, Office of Early Childhood Date: 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 Andrea Eurich /Janet Miks Amendment Effective Date: q Amendment Contract Number 20 1HIA 139710 Page I of 3 Rev 1/14119 C710/9,079(_3) 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 on the Signature and Cover Page for this Amendment. The State shall not be bound by any provision of this Amendment before that Amendment Effective Date, and shall have no obligation to pay Contractor for any Work performed or expense incurred under this Amendment either before or after of the Amendment term shown in §3.B of this Amendment. B. Amendment Term The Parties' respective performances under this Amendment and the changes to the Contract contained herein shall commence on the Amendment Effective Date shown on the Signature and Cover Page for this Amendment or October 1, 2019, whichever is later and shall terminate on the termination of the Contract. 4. PURPOSE To provide resources for the implementation of the Promoting Safe and Stable Families (PSSF) program; which is a part of the Social Security Act Title IVB Subpart 2 federal programming. The purpose of the grant is to help prevent the unnecessary separation of children from their families, improve the quality of care and services to children and their families, and ensure permanency for children by reuniting them with their parents, by adoption or by another permanent living arrangement. Services provided will address: family support, family preservation, time -limited family reunification and adoption promotion and support. This Amendment extends the contract expiration date, increases funding for services in Federal Fiscal Year (FFY) 2020, Amends Exhibits A, B, D, and E. 5. MODIFICATIONS The Contract and all prior amendments thereto (Original CMS # 17 IHIA 98658; Amendment #1 CMS 18 IHIA 104226; Option Letter #1 CMS 19 IHIA 113057; Amendment #2 CMS 19 IHIA 113085) are modified as follows: A. Extend the Contract Expiration Date from September 30, 2019 to September 30, 2020 The Contract Initial Contract Expiration Date on the Contract's Signature and Cover Page is hereby deleted and replaced with the Current Contract Expiration Date shown on the Signature and Cover Page for this Amendment. Amendment Contract Number: 20 IHIA 139710 Page 2 of 3 Rev. 114.19 B. Increase the Contract Maximum amount for FFY20 by $120,000 and increase the Total for All Federal Fiscal Years from $300,000 to $420,000. The Contract Maximum Amount table on the Contract's Signature and Cover Page is hereby deleted and replaced with the Current Contract Maximum Amount table shown on the Signature and Cover Page for this Amendment. C. Exhibit A — Statement of Work Exhibit A — Amendment #3, which is attached and incorporated into this Amendment, shall be added to Exhibit A of the Original Contract. D. Exhibit B — Budget Exhibit B — Amendment #3, which is attached and incorporated into this Amendment, shall be added to Exhibit B of the Original Contract. E. Exhibit D — Supplemental Provisions for Federal Awards Exhibit D — Amendment #3, which is attached and incorporated into this Amendment, shall be added to Exhibit D of the Original Contract. F. Exhibit E — Additional Provisions Exhibit E — Amendment #3, which is attached and incorporated into this Amendment, shall replace Exhibit E — Amendment #2. 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: 20 IHIA 139710 Page 3 of 3 Rev. 1/14/19 EXHIBIT A — Amendment #3 STATEMENT OF WORK (SOW) PROMOTING SAFE AND STABLE FAMILIES CASE MANAGEMENT WELD COUNTY DEPARTMENT OF HUMAN SERVICES 822 7TH STREET, SUITE 150 GREELEY, CO 80632 OCTOBER 1, 2019 - SEPTEMBER 30, 2020 Page 1 of 14 EXHIBIT A — Amendment #3 INTRODUCTION/BACKGROUND The Promoting Safe and Stable Families (PSSF) program operates within the Child Maltreatment Prevention Unit of the Division of Community and Family Support and is housed in the Office of Early Childhood (OEC). OEC operates under this mission: "We believe all children are valued, healthy and thriving when investment occurs in their early years and they receive access to opportunities where they can learn and grow. We insist on the highest quality early childhood experiences with a firm commitment to family and community." The purpose of this program is to enable States to develop and establish, or expand, and to operate coordinated programs of community -based family support services, family preservation services, time -limited family reunification services, and adoption promotion and support services to accomplish the following objectives: • To prevent child victimization among families at risk through the provision of supportive family services. • To assure children's safety within the home and preserve intact families in which children have been maltreated, when the family's problems can be addressed effectively. • To address the problems of families whose children have been placed in foster care so that reunification may occur in a safe and stable manner in accordance with the • Adoption and Safe Families Act of 1997. • To support adoptive families by providing support services as necessary so that they can make a lifetime commitment to their children. The Child and Family Services Improvement and Innovation Act P.L. 112-34 amended the Part B Title IV to include mentoring programs. Federal guidance [CFDA 93.556] sets a minimum of 20 percent of program PSSF funds be spent on Family Support, 20 percent on Family Preservation, 20 percent on Time -Limited Family Reunification, and 20 percent on Adoption Promotion & Support unless a waiver is granted by the Federal Administration for Children and Families (ACF). SCOPE OF WORK The Weld County Department of Human Services and Catholic Charities share the same goals of maintaining the unity of families, advocating for services for families while keeping children safe, and fostering stability in children's living arrangements. Through a blend of both preventive services and crisis intervention management, all services are intended to stabilize families to ensure the well-being of their children by preventing future abuse/neglect and building safe, healthy and nurturing environment for children. Through case management utilizing the PSSF Intensive Case Management model (PSSF ICM), families and fathers will demonstrate increased life skills and confidence so that they can better address stressors, self -advocate, become self-sufficient, and increase their knowledge of how to access benefits and resources. Families will be provided resources and training to further develop their skills. Page 2 of 14 EXHIBIT A — Amendment #3 PERIOD OF PERFORMANCE October 1, 2019 — September 30, 2020 Families will work with a case manager for up to six months. There will a short assessment period in which a service plan and goals will be developed for families utilizing the PSSF ICM model. Families will be provided community and human services resources and be offered family team meetings to further assist in the development of a service plan. They will complete a pre -assessment within the first two weeks of contact and will complete a post -assessment to evaluate their successes with the CFSA tool. WORK PLAN Work Plan OUTCOMES, BENCHMARKS, AND MILESTONES Outcome statement: Clients will demonstrate increased life skills and confidence, so they can better address stressors, self advocate, become self- sufficient, and increase their knowledge of how to access benefits and resources, The Weld County Department of Human Services in partnership with Catholic Charities shall provide 25 families with intensive case management series utilizing the PSSF Intensive Case Management model. Families will complete a pre- and post -assessment. Weld County Department of Human Services will see a reduced number of families entering the Child Welfare system, as they work with Community Case Managers. This partnership will allow collaboration in providing community based supportive services to families who are in crisis or at risk of involvement in the child welfare system. Through the PSSF Intensive Case Management model, these families will gain skills and knowledge to improve their overall family and housing stability. Key Activity A: Family Assessment/Consultation — Case Management using PSSF Intensive Case Management Model Tasks Time Period Deliverable Measurement Person(s) Responsible Budget Category Completion of assessment utilizing tools such as the CFSA (Colorado Family Support Assessment) Intake To be completed within the 2nd face to face contact, typically takes 1 — 3 weeks. Community Case Manager will evaluate outcomes of CFSA to have as a focal point for services, which include Engagement, goal setting and action steps for families. CFSA —Pre- and post-test will show improvements in the focused family plan with at a minimum of families showing an improvement in two of the 11 areas of focus. Community Case Manager, Weld County Department of Human Services Catholic Charities Case Manager Family Support for Family Stability Salaried Employees Page 3 of 14 EXHIBIT A — Amendment #3 Work Plan Tasks Time Period Deliverable Measurement - Person(s) Responsible Budget Category Family Engagement Meeting Completed during intake process — 15t or 2nd face -to- face contact and continued at a minimum 30-60 days. Initial Plan Development is created with family Review scheduled time frames set for goals monthly Community Case Manager, Weld County Department of Human Services Catholic Charities Case Manager Family Support for Family Stability Salaried Employees Schedule Family Team Meeting Within 2 - 3 weeks of intake Goal setting plan is established with family and case manager. Family will share progress of their goal setting plan at follow up family team meeting. Community Case Manager, Weld County Department of Human Services Family Support for Family Stability Salaried Employees Transition stage Completed prior to closer of case typically 3-6 months. Community Case Manager will work with the family to initiate their transition plan. Workers will complete the transition stage with the families served. 45% of families will complete all aspects of their agreed upon goals set through Intensive Case Management Community Case Manager, Weld County Department of Human Services Catholic Charities Case Manager Family Support for Family Stability Salaried Employees Page 4 of 14 EXHIBIT A — Amendment #3 Work Plan Key Activity B : Reporting and performance monitoring Tasks Time Period Deliverable Measurement Person(s) Responsible Budget Category PSSF sites will comply with CDHS data collection methodology system. Data reports will show tasks/activities completed to align with designated outcomes and measures of services provided. 10/1/19-9/30/20 Data on all PSSF services/activities is entered into OEC data -system. • Completion of PSSF intake form in Salesforce or by entering other intake tool completion date in designated fields. • PSSF program staff will set goals with families engaged in PSSF services, goals are identified on goal setting sheet or designated goal fields, including status of goals. (required for intensive case management) • CFSA 2.0 assessments completed for families participating in intensive case management services; or family preservation/support category families without an open child welfare involvement or receiving more than 6 total hours of PSSF services required. PSSF sites are strongly encouraged to complete the CFSA 2.0 or at a minimum the Protective Factors Survey with families even if they do not meet criteria above. (exceptions include respite services, and social connections, events/support group participation) • PSSF services — each family with an open PSSF case should be receiving at least one service. Service should include activities related to the service, individual participating in the service, and service category identified. • An assessment for each service should be documented with pre/post-dates and name of assessment in designated fields. • Flex funds — can be provided to families that have an open PSSF service. Flex funds are only provided to support the family goals. Required data will be entered into OEC data- system within 7 working days of completing a task or activity (i.e. intake, goal setting, PSSF services, case management notes, referral for services, flex funding, instrumentation tools including CFSA 2.0 or assessment tools are identified and dates of pre/post and included). Weld County Department of Human Services Family Support for Family Stability Salaried Employees Page 5 of 14 EXHIBIT A — Amendment #3 Work Plan Tasks Time Period Deliverable Measurement Person(s) Responsible Budget Category Expenditure reports/sub-contractor budgets Monthly or when requested. Oct. 1, 2019- Sept. 30, 2020 Expenditure reports submitted on a monthly basis to CDHS If using a sub -contractor, expenditure reports should be kept on file for back up documentation and should be provided upon request. Sub -contractors must submit a budget to the State PSSF Program Manager for all PSSF funds received. Contractor shall submit all expenditure reports by the 20th day of each month. Final billing must be submitted by the October 3rd. Sub -Contractor budget will be sent prior to October 1, 2019 to State PSSF Program Manager. Budget will be kept on record with existing contract amendment. Weld County Department of Human Services PSSF Programs will run reports and monitor outcomes using OEC data -system Quarterly or when requested Oct. 1, 2019- Sept. 30, 202 Reports will be reviewed in the CDHS data- system to ensure performance targets are being met. Reports will be submitted to CDHS on quarterly basis or as needed by the program. Report templates will be created by State Program Administrator, and accessible by Supervisor in each site. Key Activity C: Program Evaluation Tasks Time Period Deliverable Measurement Person(s) Responsible Budget Category PSSF program staff will complete program trainings as recommended or required by CDHS. PSSF site will send at least one person per site to the biennial Strengthening Families Conference and the biennial PSSF program grantee meeting. Oct. 1, 2019 to Sept. 30`h, 2020 PSSF program staff will complete trainings necessary/pertinent for program delivery. Participation in conference and grantee meeting. Staff attendance or documented information regarding completion for recommended or pertinent trainings, which may include but is not limited to Motivational Interviewing, CFSA 2.0, Strengthening Families, Financial Health, mandated reporter, CDHS data system training for users, and other required certification trainings related to services being provided by the PSSF site to meet model fidelity. (ie if providing Nurturing Parenting, you must have a certified trainer) PSSF Program staff Weld County Department of Human Services and/or Catholic Charities Family Support for Family Stability - Travel Page 6 of 14 EXHIBIT A — Amendment #3 CONFIDENTIALITY PSSF Provider Agencies and its employees will not access the OEC data system for any purpose other than in the performance of providing PSSF services as outlined by this contract or sub contract. The PSSF Provider Agency and its employees agree to only access those areas of the OEC data system necessary to perform contracted functions, to access only information of those children and families referred for services, and to keep confidential all information gained during performance of PSSF services. SCHEDULE/MILESTONES Through the work of case management, we will provide supportive services and training to 25 families on the Guadalupe Campus and at a minimum and reach out to 40 community families. With home and community -based services, the development of service plans and system navigation that could include family team engagement meetings, case planning and community outreach, the goal is to preserve family unity and reduce involvement of the child welfare system. Services would be available to stabilize families and reduce crisis and the deterioration of the family system. Our outcome is to reduce the number of families that will enter or re-enter the child welfare system. Families may continue to outreach to services available through Human Services (e.g., the Family Resource Division), without having an open child welfare case. Overall less than 3% of all Case Management cases will enter or re-enter the child welfare system by the end of year one. ACCEPTANCE CRITERIA The referral process may be initiated through a Catholic Charities or child welfare referral. The Community Case Manager and Catholic Charities Case Manager will review and track all referrals. They will work together with Department of Human Services Family Resource Supervisor and Family Resource Division Head to review and collect data for program evaluation and development. The acceptance of all deliverables will reside with the Office of Early Childhood, Promoting Safe and Stable Families Program Manager. The designated program manager will monitor all deliverables in order to ensure the completeness of each stage of the project and that the scope of work has been met. The OEC program manager will either sign off on the approval, or reply to the vendor, in writing, advising what tasks must still be accomplished. Page 7 of 14 EXHIBIT A — Amendment #3 STATEMENT OF WORK (SOW) PROMOTING SAFE AND STABLE FAMILIES KINSHIP/ADOPTION/POST PERMANENCY SUPPORT AND EDUCATION WELD COUNTY DEPARTMENT OF HUMAN SERVICES PO BOX A GREELEY, CO 80632 SUBCONTRACTOR: CATHOLIC CHARITIES AND COMMUNITY SERVICES OF THE ARCHDIOCESE OF DENVER, WELD COUNTY REGION 1442 NORTH 11TH AVENUE GREELEY, COLORADO 80631 OCTOBER 1, 2019 - SEPTEMBER 30, 2020 Page 8 of 14 EXHIBIT A — Amendment #3 INTRODUCTION/BACKGROUND The Promoting Safe and Stable Families (PSSF) program operates within the Child Maltreatment Prevention Unit of the Division of Community and Family Support and is housed in the Office of Early Childhood (OEC). OEC operates under this mission: "We believe all children are valued, healthy and thriving when investment occurs in their early years and they receive access to opportunities where they can learn and grow. We insist on the highest quality early childhood experiences with a firm commitment to family and community." The purpose of this program is to enable States to develop and establish, or expand, and to operate coordinated programs of community -based family support services, family preservation services, time -limited family reunification services, and adoption promotion and support services to accomplish the following objectives: • To prevent child victimization among families at risk through the provision of supportive family services. • To assure children's safety within the home and preserve intact families in which children have been maltreated, when the family's problems can be addressed effectively. • To address the problems of families whose children have been placed in foster care so that reunification may occur in a safe and stable manner in accordance with the • Adoption and Safe Families Act of 1997. • To support adoptive families by providing support services as necessary so that they can make a lifetime commitment to their children. The Child and Family Services Improvement and Innovation Act P.L. 112-34 amended the Part B Title IV to include mentoring programs. Federal guidance [CFDA 93.556] sets a minimum of 20 percent of program PSSF funds be spent on Family Support, 20 percent on Family Preservation, 20 percent on Time -Limited Family Reunification, and 20 percent on Adoption Promotion & Support unless a waiver is granted by the Federal Administration for Children and Families (ACF). SCOPE OF WORK The project will continue and enhance a long-term collaboration of support and services provided by Catholic Charities and Weld County DHS to relative, post permanency kinship, foster and adoptive parents and their children through Parent Caf� Support Groups and training. Parent Cafes will meet will meet at least twice a month, providing both parent and children's groups. Parent Groups: Through individual deep self -reflection and peer to peer learning, participants explore their strengths, learn about the Protective Factors, and create strategies from their own wisdom and experiences. The goals are to strengthen families, protect children from abuse and neglect, and preserve permanency for families by enhancing caregivers' ability to meet the emotional, developmental and educational needs of their children. Parent Cafes are skill -based and informational but will also help parents reduce social isolation and develop new support systems and social connections. Children's Groups: The goal is to offer a safe and supportive environment where children have the opportunity to learn new ways to cope with conflicts and stress in their lives including the challenges that may arise from being separated from birth parents and may raise in the care of foster, Page 9 of 14 EXHIBIT A — Amendment #3 kinship or adoptive homes. Fun activities, educational games and play will also enhance children's experience of participating in the group. The children's group will take place while the support group for parents is in session. The Parent Cafe Support Groups will be facilitated by staff from Catholic Charities and/or Weld County DHS. When appropriate, community experts will be brought in to present to the group. Parent needs, involvement and determination will help set the schedule for topics covered in the parent education trainings. The trainings will be drawn from components of evidenced -based parent education and training models. The goal will be to equip caregivers with tools to manage children's behavior, understand child development and improve the parent/child relationship. Parents will be offered $5 incentive gift cards for their first Parent Caf� Support group attendance, $10 for their third and $15 for their sixth. In addition, $25 incentive gift cards will be awarded as door prizes at most groups. PERIOD OF PERFORMANCE October 1, 2019 — September 30, 2020. Page 10 of 14 EXHIBIT A — Amendment #3 WORK PLAN Work Plan OUTCOMES, BENCHMARKS, AND MILESTONES Outcome statement: The Kinship - Parent Caf� Support Groups will strive to enrich parenting skills, encourage relationship building and connection with other providers and strengthen the parent/child relationships with the goal of establishing permanency and avoiding further out -of -home placement. Pre- and post-test will measure the changes in each parent's expectations and the program will use tools and techniques to help child behavior regulation and enhance the parent/child relationship. A pre-test and assessment will be conducted at the beginning of the new working group and then repeated to determine progress toward goals for the group. Key Activity A: Kinship/Adoption/Post Permanency Parent Education and Support Group Tasks Time Period Deliverable Measurement Person(s) Responsible Budget Category Plan and conduct Bimonthly foster care, kinship and adoptive Support Groups for families. Twenty to Twenty-four groups will be held —one to two per month during the months of October 2019- September 2020. Catholic Charites and DHS will plan the focus of each group utilizing internal trainers and when the budget allows contracted trainers with expertise in the fields of trauma, loss, child development, parenting skills etc. Up to 50 families will be served through these groups during the grant cycle period. 50% will have demonstrated new parenting skills, self -reported better communication and connectedness with other kinship families. Families will have at a minimum of two identified community resources that can further assist them with parenting and support. Catholic Charities Regional Director, Director of Case Management and Case Manager Weld County DHS Team Family Preservation for Family Stability/ Adoption Support services/Fam ily Support for Family Stability Provide bi monthly children's group during parent support group. Groups will be held one or two times per month. October 2019- September 2020. Support groups for children in a safe and supportive environment where they can learn new ways to cope with conflicts and stress in their lives including the challenges that may arise from being separated from birth parents Up to 50 children will participate in the children's group within the grant cycle. Catholic Charities staff and Weld County DHS team. Family Support for Family Stability/Ad option Support services Page 11 of 14 EXHIBIT A — Amendment #3 Work Plan Key Activity B : Reporting and performance monitoring Tasks Time Period Deliverable Measurement Person(s) Responsible Budget Category PSSF sites will comply with CDHS data collection methodology system. Data reports will show tasks/activities completed to align with designated outcomes and measures of services provided. 10/1/19-9/30/20 Data on all PSSF services/activities is entered into OEC data -system. • Completion of PSSF intake form in Salesforce or by entering other intake tool completion date in designated fields. • PSSF program staff will set goals with families engaged in PSSF services, goals are identified on goal setting sheet or designated goal fields, including status of goals. (required for intensive case management) • CFSA 2.0 assessments completed for families participating in intensive case management services; or family preservation/support category families without an open Child Welfare involvement or receiving more than 6 total hours of PSSF services required. PSSF sites are strongly encouraged to complete the CFSA 2. 0 or at a minimum the Protective Factors Survey with families even if they do not meet criteria above. (exceptions include respite services, and social connections, events/support group participation) • PSSF services — each family with an open PSSF case should be receiving at least one service. Service should include activities related to the service, individual participating in the service, and service category identified. • An assessment for each service should be documented with pre/post-dates and name of assessment in designated fields. • Flex funds — can be provided to families that have an open PSSF service. Flex funds are only provided to support the family goals. Required data will be entered into OEC data -system within 5 working days of completing a task or activity (i.e. intake, goal setting, PSSF services, case management notes, referral for services, flex funding, instrumentation tools including CFSA 2.0 or assessment tools are identified and dates of pre/post and included). Weld County Department of Human Services and Catholic Charities Adoption Promotion and Support/Fam ily Preservation for Family Stability Page 12 of 14 EXHIBIT A — Amendment #3 Work Plan Key Activity B : Reporting and performance monitoring Tasks Time Period Deliverable Measurement Person(s) Responsible Budget Category Expenditure reports/sub- contractor budgets Monthly or when requested. Oct. 1, 2019- Sept. 30, 2020 Expenditure reports submitted on a monthly basis to CDHS If using a sub -contractor, expenditure reports should be kept on file for back up documentation and should be provided upon request. Sub -contractors must submit a budget to the State PSSF Program Manager for all PSSF funds received. Contractor shall submit all expenditure reports by the 20th day of each month. Final billing must be submitted by the October 3rd. Sub -Contractor budget will be sent prior to October 1, 2019 to State PSSF Program Manager. Budget will be kept on record with existing contract amendment. Weld County Department of Human Services and Catholic Charities PSSF Programs will run reports and monitor outcomes using OEC data -system Quarterly or when requested Oct. 1, 2019- Sept. 30, 202 Reports will be reviewed in the CDHS data -system to ensure performance targets are being met. Reports will be submitted to CDHS on quarterly basis or as needed by the program. Report templates will be created by State Program Administrator, and accessible by Supervisor in each site. Key Activity C: Program Evaluation Tasks Time Period Deliverable Measurement Person(s) Responsible Budget Category PSSF program staff will complete program trainings as recommended or required by CDHS. PSSF site will send at least one person per site to the biennial Strengthening Families Conference and the biennial PSSF program grantee meeting. Oct. 1, 2019 to Sept. 30th, 2020 PSSF program staff will complete trainings necessary/pertinent for program delivery. Participation in conference and grantee meeting. Staff attendance or documented information regarding completion for recommended or pertinent trainings, which may include but is not limited to Motivational Interviewing, CFSA 2.0, Strengthening Families, Financial Health, mandated reporter, CDHS data system training for users, and other required certification trainings related to services being provided by the PSSF site to meet model fidelity. (ie if providing Nurturing Parenting, you must have a certified trainer) PSSF Program staff Page 13 of 14 EXHIBIT A — Amendment #3 CONFIDENTIALITY PSSF Provider Agencies and its employees will not access the OEC data system for any purpose other than in the performance of providing PSSF services as outlined by this contract or sub contract. The PSSF Provider Agency and its employees agree to only access those areas of the OEC data system necessary to perform contracted functions, to access only information of those children and families referred for services, and to keep confidential all information gained during performance of PSSF services. SCHEDULE/MILESTONES Forty percent of the families will continue participation in the Parent Caf� Support Groups for six months. Parents will report they have learned and are utilizing three new tools to regulate self and child behaviors or encourage good behavior and three tools in strengthening the parent/child relationship. ACCEPTANCE CRITERIA The acceptance of all deliverables will reside with the Office of Early Childhood, Promoting Safe and Stable Families Program Manager. The designated program manager will monitor all deliverables in order to ensure the completeness of each stage of the project and that the scope of work has been met. The OEC program manager will either sign off on the approval, or reply to the vendor, in writing, advising what tasks must still be accomplished. Page 14 of 14 Exhibit B - Amendment #3 VI COLORADO Office of Early Childhood Contractor Name Weld County Department of Human Services Budget Period October 1, 2019 - September 30, 2020 Project Name Promoting Safe and Stable Families Colorado Department of Human Services Office of Early Childhood BUDGET WITH JUSTIFICATION FORM Program Contact Name and Title Phone Email Julie Witkowski, Family Resource Division Head (970)400-6777 witkowia@weldgov.com Fiscal Contact Name and Title Phone Email Lennie Bottorff, Fiscal Manager (970)400-6537 bottorll@weldgov.com Counties/Areas Served: Weld County Expenditure Categories Personnel Services - Salaried Employees I -FY LUl9-ZULU Position Title/ Employee Name Description of Work and What Is Included In Fringe Benefits Gross or Annual Salary Fringe Number of Months on Project Cost Based on Percent of Time on Administration Cost Based on Percent of Time on Time -limited Reunification (TLR) Cost Based on Percent of Time on Adoption Promotion and Support (APS) Lost Based on Percent of Time on Family Preservation for Family Stability Cost Based on Percent of Time on Family Support for Family Stability Total Percent of Time on Project Total Amount Requested from CDHS Community Case Manager Provides outreach, case management and Parent Cafe support group coordination/facilitation for at risk families who have been referred by child welfare, community referral or self -referred. Provides informaton on available community resources and other Weld County family resource programs to help families in need. Goal is to preserve families and prevent entry into the child welfare system. Fringe includes medical, dental & retirement. $54,208 $17,345 12 $ $ - $ $ $ 34,901 48.777% $ 34,901 Total Personnel Services (including fringe benefits) $ - $ $ _ $ = $ 34,901 $ 34,901 Contractors/Consultants (payments to third parties or entities) FFY 2019-2020 Name Description of Item Administration Time -Limited Reunification (LTR) Adoption Promotion and Support (APS) Family Preservation for Family Stability Family Support for Family Stability Total Amount Requested from CDHS Catholic Charities Catholic Charities will provide Case Management, outreach and Parent Cafe Support Groups to families at risk of entering the Child Welfare system. Case Management will include assistance to stabalize families in order for them to become self-suffient. There will be direct oversight and supervision of staff who are facilitating support groups for kinship and adoptive families not involved in the child welfare system. Parent Cafe Support Group discussions will focus on increasing families' knowledge base of childhood trauma, emotional development and educational needs of children. Department of Human Services staff will facilitate Parent Cafe Support Groups for kinship, foster and adoptive families already involved in the child welfare system. Training and support will be focused on educating families on maneuvering OHS and community systems, understaning of trauma, reunification and development of parenting skills to avoid placement disruptions. $ - $ $ 34,857 $ 35,143 $ $ 70,000 Total Contractors/Consultants $ $ - $ 34,857 $ 35,143 $ - $ 70,000 Page 1of2 Exhibit B - Amendment 63 Travel FFY 2019-2020 Item Description of Item Administration Time -Limited Reunification (LTR) Adoption Promotion and Support (APS) Family Preservation for Family Stability Family Support for Family Stability Total Amount Requested from CDHS Grantee Meetings and Strengthening Colorado Families and Communities Conference Required training for DHS and Catholic Charities - to include registration fee, mileage, lodging, and meals Hotel rates cannot exceed any rate established for conference attendance. Mileage shall not to exceed the Federal mileage rate of $0.545 cents per mile. Per Diem shall not to exceed Federal GSA per diem rates for the area of travel. (https://www.gsa.gov/travel-resources)' Usage of airfare or Out of State Travel requires pre -approval from CDHS. $ - $ - $ - $ - $ 1,200 $ 1,200 Total Travel $ - $ - $ $ = $ 1,200 $ 1,200 Supplies & Operating Expenses FFY 2019-2020 Item Description of Item Administration Time -Limited Reunification (LTR) Adoption Promotion and Support (APS) Family Preservation for Family Stability Family Support for Family Stability Total Amount Requested from CDHS Licenses for OES database Community Case Manger, Adoption Support and Resource Coordinator, Catholic Charities and Kinship Coordinator $ - $ - $ 130 $ 130 $ 260 $ 520 Support Groups Parent Caf� Presenters, training materials, location fee, child care, children's group supplies $ - $ $ - $ $ 10,879 $ 10,879 Support Groups Incentives for families attending support group $ $ $ - $ $ 2,500 $ 2,500 Total Supplies & Operating Expenses $ . ' $ - $ ` 130 $ 130 $ 13,639 $ 13,899 MODIFIED TOTAL DIRECT COSTS (MTDC) Uniform Guidance § 200.68 - MTDC means all direct salaries and wages, applicable fringe benefits, materials and supplies, services, travel, and up to the first $25,000 of each subaward. MTDC excludes equipment, capital expenditures, charges for patient care, rental costs, tuition remission, scholarships and fellowships, participant support costs and the portion of each subaward in excess of $75 000 $ - $ - $ 34,987 $ 35,273 $ 49,740 $ 120,000 Indirect Costs (not to exceed 10% unless Negotiated Federal Indirect Cost rate or Negotiated State Indirect Cost rate is attached] FFY 2019-2020 Item Description of Item Administration Time -Limited Reunification (LTR) Adoption Promotion and Support (APS) Family Preservation for Family Stability Family Support for Family Stability Total Amount Requested from CDHS No costs shall be reimbursed by CDHS for this category. $ - $ $ - $ - $ - $ Total Indirect $ $ - $ - $ - $ - $ - TOTAL ADMINISTRATION $ TOTAL TIME -LIMITED REUNIFICATION (LTR) $ TOTAL ADOPTION PROMOTION AND SUPPORT (APS) $ 34,987 TOTAL FAMILY PRESERVATION FOR FAMILY STABILITY $ 35,273 TOTAL FAMILY SUPPORT FOR FAMILY STABILITY $ 49,740 A��AAA4U�IT` REQ4�it $:: PERCENTAGE OF BUDGET BY PROJECT FFY 2019-2020 Administration Time -Limited Reunification (LTR) Adoption Promotion and Support (APS) Family Preservation for Family Stability Family Support for Family Stability Total Percentage PERCENTAGE OF BUDGET BY PROJECT 0% 0% 29% 29% 41% 100% Match Projection / Required ercentage of total budget including matcl 30% $ - $ - $ 14,994 $ 15,117 $ 21,317 $ 51,428 TOTAL BUDGET (INCLUDING MATCH) $ - $ - S 49,981 $ 50,390 $ 71,057 $ 171,428 Figures are rounded using basic accounting standards. (0.00-0.49 =-0; 0.50-0.99 = 1.0) Page 2 of 2 EXHIBIT D - Amendment #3 - Supplemental Provisions for Federal Awards For the purposes of this Exhibit only, Contractor is also identified as "Subrecipient." This Contract has been funded, in whole or in part, with an award of Federal funds. In the event of a conflict between the provisions of these Supplemental Provisions for Federal Awards, the Special Provisions, the Contract or any attachments or exhibits incorporated into and made a part of the Contract, the Supplemental Provisions for Federal Awards shall control. In the event of a conflict between the Supplemental Provisions for Federal Awards and the FFATA Supplemental Provisions (if any), the FFATA Supplemental Provisions shall control. 1) Federal Award Identification i. Subrecipient: Weld County Department of Human Services; ii. Subrecipient DUNS number: 809153096; iii. The Federal Award Identification Number (FAIN) is G-1901COFPSS; iv. The Federal award date is 04/15/2019; v. The subaward period of performance start date is 10/01/2018 and end date is 09/30/2020; vi. Federal Funds: Contract or Fiscal Year Amount of Federal funds obligated by this Contract Total amount of Federal funds obligated to the Subrecipient Total amount of the Federal Award committed to Subrecipient by CDHS FFY20 $120,000 $120,000 $120,000 vii. Federal award project description: Promoting Safe and Stable Families Program; viii. The name of the Federal awarding agency is US Department of Health and Human Services; the name of the pass -through entity is the State of Colorado, Department of Human Services (CDHS); and the contact information for the awarding official is Mary Alice Cohen, Director, Division for Community and Family Support, 1575 Sherman Street, 1st Floor, Denver, CO 80203; maryalice.cohen@state.co.us; 303-866- 5023; ix. The Catalog of Federal Domestic Assistance (CFDA) number is 93.556, name is Promoting Safe and Stable x. Families, and dollar amount is $3,408,004; xi. This award is not for research & development; xii. The indirect cost rate for the Federal award (including if the de minimis rate is charged per 2 CFR §200.414 Indirect (F&A) costs) is pre -determined based upon the State of Colorado and CDHS cost allocation plan. 2) All requirements imposed by CDHS on Subrecipient so that the Federal award is used in accordance with Federal statutes, regulations, and the terms and conditions of the Federal award, are stated in the General Provisions, Exhibit A - Statement of Work, and Exhibit E - Additional Provisions. 3) Any additional requirements that CDHS imposes on Subrecipient in order for CDHS to meet its own responsibility to the Federal awarding agency, including identification of any required financial and performance reports, are stated in the General Provisions, Exhibit A - Statement of Work, and Exhibit E - Additional Provisions. 4) Subrecipient's approved indirect cost rate is a CDHS negotiated rate of 0 %. 5) Subrecipient must permit CDHS and auditors to have access to Subrecipient's records and financial statements as necessary for CDHS to meet the requirements of 2 CFR §200.331 Requirements for pass -through entities, §§ 200.300 Statutory and 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 Exhibit and the General Provisions, Exhibit A - Statement of Work, and Exhibit E - Additional Provisions. 7) Performance and Final Status. Subrecipient shall submit all financial, performance, and other reports to CDHS no later than 30 calendar days after the period of performance end date or sooner termination of this Contract containing an evaluation and review of Subrecipient's performance and the final status of Subrecipient's obligations hereunder. 8) Matching Funds Supplemental Provisions for Federal Awards Page 1 of 5 Issued 3/16/2016 Revised 11/18/2016 If a box below is checked, the accompanying provision applies. i. ❑ Subrecipient is not required to provide matching funds. ii. IZ Subrecipient shall provide matching funds as stated in Exhibit B - Budget. Subrecipient shall have raised the full amount of matching funds prior to the Effective Date and shall report to CDHS regarding the status of such funds upon request. Subrecipient's obligation to pay all or any part of any matching funds, whether direct or contingent, only extends to funds duly and lawfully appropriated for the purposes of this Contract by the authorized representatives of the Subrecipient and paid into the Subrecipient's treasury or bank account. Subrecipient represents to CDHS that the amount designated as matching funds has been legally appropriated for the purposes of this Contract by its authorized representatives and paid into its treasury or bank account. Subrecipient does not by this Contract irrevocably pledge present cash reserves for payments in future fiscal years, and this Contract is not intended to create a multiple -fiscal year debt of the Subrecipient. Subrecipient shall not pay or be liable for any claimed interest, late charges, fees, taxes or penalties of any nature, except as required by Subrecipient's laws or policies. 9) Record Retention Period. The record retention period previously stated in this Contract is replaced with the record retention period prescribed in 2 CFR §200.333. 10) Single Audit Requirements. If Subrecipient expends $750,000 or more in Federal Awards during Subrecipient's fiscal year, Subrecipient shall procure or arrange for a single or program -specific audit conducted for that year in accordance with the provisions of Subpart F -Audit Requirements of the Uniform Guidance, issued pursuant to the Single Audit Act Amendments of 1996, (31 U.S.C. 7501-7507). 2 CFR §200.501. i. Election. Subrecipient shall have a single audit conducted in accordance with Uniform Guidance §200.514 (Scope of audit), except when it elects to have a program -specific audit conducted in accordance with §200.507 (Program -specific audits). Subrecipient may elect to have a program -specific audit if Subrecipient expends Federal Awards under only one Federal program (excluding research and development) and the Federal program's statutes, regulations, or the terms and conditions of the Federal award do not require a financial statement audit of CDHS. A program -specific audit may not be elected for research and development unless all of the Federal Awards expended were received from CDHS and CDHS approves in advance a program -specific audit. ii. Exemption. If Subrecipient expends less than $750,000 in Federal Awards during its fiscal year, Subrecipient shall be exempt from Federal audit requirements for that year, except as noted in 2 CFR §200.503 (Relation to other audit requirements), but records shall be available for review or audit by appropriate officials of the Federal agency, the State, and the Government Accountability Office. iii. Subrecipient Compliance Responsibility. Subrecipient shall procure or otherwise arrange for the audit required by Part F of the Uniform Guidance and ensure it is properly performed and submitted when due in accordance with the Uniform Guidance. Subrecipient shall prepare appropriate financial statements, including the schedule of expenditures of Federal awards in accordance with Uniform Guidance §200.510 (Financial statements) and provide the auditor with access to personnel, accounts, books, records, supporting documentation, and other information as needed for the auditor to perform the audit required by 2 CFR Part F -Audit Requirements. 11) Contract Provisions. Subrecipient shall comply with and shall include all of the following applicable provisions in all subcontracts entered into by it pursuant to this Contract: i. Equal Employment Opportunity. Except as otherwise provided under 41 CFR Part 60, all contracts that meet the definition of "federally assisted construction contract" in 41 CFR Part 60-1.3 shall include the equal opportunity clause provided under 41 CFR 60-1.4(b), in accordance with Executive Order 11246, "Equal Employment Opportunity" (30 FR 12319, 12935, 3 CFR Part, 1964-1965 Comp., p. 339), as amended by Executive Order 11375, "Amending Executive Order 11246 Relating to Equal Employment Opportunity," Supplemental Provisions for Federal Awards Page 2 of 5 Issued 3/16/2016 Revised 11/18/2016 and implementing regulations at 41 CFR part 60, "Office of Federal Contract Compliance Programs, Equal Employment Opportunity, Department of Labor." "During the performance of this contract, the contractor agrees as follows: a) The contractor will not discriminate against any employee or applicant for employment because of race, color, religion, sex, or national origin. The contractor will take affirmative action to ensure that applicants are employed, and that employees are treated during employment, without regard to their race, color, religion, sex, or national origin. Such action shall include, but not be limited to the following: Employment, upgrading, demotion, or transfer, recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship. The contractor agrees to post in conspicuous places, available to employees and applicants for employment, notices to be provided by the contracting officer setting forth the provisions of this nondiscrimination clause. b) The contractor will, in all solicitations or advertisements for employees placed by or on behalf of the contractor, state that all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, or national origin. c) The contractor will send to each labor union or representative of workers with which he has a collective bargaining agreement or other contract or understanding, a notice to be provided by the agency contracting officer, advising the labor union or workers' representative of the contractor's commitments under section 202 of Executive Order 11246 of September 24, 1965, and shall post copies of the notice in conspicuous places available to employees and applicants for employment. d) The contractor will comply with all provisions of Executive Order 11246 of September 24, 1965, and of the rules, regulations, and relevant orders of the Secretary of Labor. e) The contractor will furnish all information and reports required by Executive Order 11246 of September 24, 1965, and by the rules, regulations, and orders of the Secretary of Labor, or pursuant thereto, and will permit access to his books, records, and accounts by the contracting agency and the Secretary of Labor for purposes of investigation to ascertain compliance with such rules, regulations, and orders. f) In the event of the contractor's non-compliance with the nondiscrimination clauses of this contract or with any of such rules, regulations, or orders, this contract may be canceled, terminated or suspended in whole or in part and the contractor may be declared ineligible for further Government contracts in accordance with procedures authorized in Executive Order 11246 of September 24, 1965, and such other sanctions may be imposed and remedies invoked as provided in Executive Order 11246 of September 24, 1965, or by rule, regulation, or order of the Secretary of Labor, or as otherwise provided by law. g) The contractor will include the provisions of paragraphs (1) through (7) in every subcontract or purchase order unless exempted by rules, regulations, or orders of the Secretary of Labor issued pursuant to section 204 of Executive Order 11246 of September 24, 1965, so that such provisions will be binding upon each subcontractor or vendor. The contractor will take such action with respect to any subcontract or purchase order as may be directed by the Secretary of Labor as a means of enforcing such provisions including sanctions for noncompliance: Provided, however, that in the event the contractor becomes involved in, or is threatened with, litigation with a subcontractor or vendor as a result of such direction, the contractor may request the United States to enter into such litigation to protect the interests of the United States." ii. 4.2 Davis -Bacon Act. Davis -Bacon Act, as amended (40 U.S.C. 3141-3148). When required by Federal program legislation, all prime construction contracts in excess of $2,000 awarded by non -Federal entities must include a provision for compliance with the Davis -Bacon Act (40 U.S.C. 3141-3144, and 3146-3148) as Supplemental Provisions for Federal Awards Page 3 of 5 Issued 3/16/2016 Revised 11/18/2016 supplemented by Department of Labor regulations (29 CFR Part 5, "Labor Standards Provisions Applicable to Contracts Covering Federally Financed and Assisted Construction"). In accordance with the statute, contractors must be required to pay wages to laborers and mechanics at a rate not less than the prevailing wages specified in a wage determination made by the Secretary of Labor. In addition, contractors must be required to pay wages not less than once a week. The non -Federal entity must place a copy of the current prevailing wage determination issued by the Department of Labor in each solicitation. The decision to award a contract or subcontract must be conditioned upon the acceptance of the wage determination. The non - Federal entity must report all suspected or reported violations to the Federal awarding agency. The contracts must also include a provision for compliance with the Copeland "Anti -Kickback" Act (40 U.S.C. 3145), as supplemented by Department of Labor regulations (29 CFR Part 3, "Contractors and Subcontractors on Public Building or Public Work Financed in Whole or in Part by Loans or Grants from the United States"). The Act provides that each contractor or Subrecipient must be prohibited from inducing, by any means, any person employed in the construction, completion, or repair of public work, to give up any part of the compensation to which he or she is otherwise entitled. The non -Federal entity must report all suspected or reported violations to the Federal awarding agency. iii. Rights to Inventions Made Under a Contract or Agreement. If the Federal Award meets the definition of "funding agreement" under 37 CFR §401.2 (a) and Subrecipient wishes to enter into a contract with a small business firm or nonprofit organization regarding the substitution of parties, assignment or performance of experimental, developmental, or research work under that "funding agreement," Subrecipient must comply with the requirements of 37 CFR Part 401, "Rights to Inventions Made by Nonprofit Organizations and Small Business Firms Under Government Grants, Contracts and Cooperative Agreements," and any implementing regulations issued by the awarding agency. iv. Clean Air Act (42 U.S.C. 7401-7671q.) and the Federal Water Pollution Control Act (33 U.S.C. 1251-1387), as amended. Contracts and subgrants of amounts in excess of $150,000 must contain a provision that requires the non -Federal award to agree to comply with all applicable standards, orders or regulations issued pursuant to the Clean Air Act (42 U.S.C. 7401-7671q) and the Federal Water Pollution Control Act as amended (33 U.S.C. 1251-1387). Violations must be reported to the Federal awarding agency and the Regional Office of the Environmental Protection Agency (EPA). v. Debarment and Suspension (Executive Orders 12549 and 12689). A contract award (see 2 CFR 180.220) must not be made to parties listed on the government wide exclusions in the System for Award Management (SAM), in accordance with the OMB guidelines at 2 CFR 180 that implement Executive Orders 12549 (3 CFR part 1986 Comp., p. 189) and 12689 (3 CFR part 1989 Comp., p. 235), "Debarment and Suspension." SAM Exclusions contains the names of parties debarred, suspended, or otherwise excluded by agencies, as well as parties declared ineligible under statutory or regulatory authority other than Executive Order 12549. vi. Byrd Anti -Lobbying Amendment (31 U.S.C. 1352). Contractors that apply or bid for an award exceeding $100,000 must file the required certification. Each tier certifies to the tier above that it will not and has not used Federal appropriated funds to pay any person or organization for influencing or attempting to influence an officer or employee of any agency, a member of Congress, officer or employee of Congress, or an employee of a member of Congress in connection with obtaining any Federal contract, grant or any other award covered by 31 U.S.C.1352. Each tier must also disclose any lobbying with non -Federal funds that takes place in connection with obtaining any Federal award. Such disclosures are forwarded from tier to tier up to the non -Federal award. 12) Compliance. Subrecipient shall comply with all applicable provisions of The Office of Management and Budget Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance), including but not limited to these Supplemental Provisions for Federal Awards. Any revisions to such provisions automatically shall become a part of these Supplemental Provisions, without the necessity of either party Supplemental Provisions for Federal Awards Page 4 of 5 Issued 3/16/2016 Revised 11/18/2016 executing any further instrument. CDHS may provide written notification to Subrecipient of such revisions, but such notice shall not be a condition precedent to the effectiveness of such revisions. 13) Procurement Procedures. Subrecipient shall use its own documented procurement procedures which reflect applicable State, local, and Tribal laws and regulations, provided that the procurements conform to applicable Federal law and the standards identified in the Uniform Guidance, including without limitation, §§200.318 through 200.326 thereof. 14) Certifications. Unless prohibited by Federal statutes or regulations, CDHS may require Subrecipient to submit certifications and representations required by Federal statutes or regulations on an annual basis (2 CFR §200.208). Submission may be required more frequently if Subrecipient fails to meet a requirement of the Federal award. Subrecipient shall certify in writing to CDHS at the end of the Contract that the project or activity was completed or the level of effort was expended. 2 CFR §200.201(b)(3). If the required level of activity or effort was not carried out, the amount of the Contract must be adjusted. 15) Event of Default. Failure to comply with the Uniform Guidance or these Supplemental Provisions for Federal Awards shall constitute an event of default under the Contract pursuant to 2 CFR §200.339 and CDHS may terminate the Contract in accordance with the termination provisions in the Contract. 16) Close Out. Subrecipient shall close out this Contract within 90 days after the End Date. Contract close out entails submission to CDHS by Subrecipient of all documentation defined as a deliverable in this Contract, and Subrecipient's final reimbursement request. CDHS shall withhold 5% of the allowable costs until all final project documentation has been submitted and accepted by State as substantially complete. If the project has not been closed by the Federal awarding agency within 1 year and 90 days after the End Date due to Subrecipient's failure to submit required documentation that CDHS has requested from Subrecipient, then Subrecipient may be prohibited from applying for new Federal awards through the State until such documentation has been submitted and accepted. 17) Erroneous Payments. The closeout of a Federal award does not affect the right of the Federal awarding agency or CDHS to disallow costs and recover funds on the basis of a later audit or other review. Any cost disallowance recovery is to be made within the record retention period. EXHIBIT END Supplemental Provisions for Federal Awards Page 5 of 5 Issued 3/16/2016 Revised 11/18/2016 Exhibit E — Amendment #3 ADDITIONAL PROVISIONS 1. SERVICE PROVISIONS The Contractor shall provide the services according to the plans submitted in the "Statement of Work", attached and incorporated herein by this reference as EXHIBIT A. In all cases, the descriptions, plans, timetables, tasks, duties, and responsibilities of the Contractor as described in the Statement of Work, shall be adhered to in the performance of the requirements of this contract. In the event of a conflict, the terms and conditions of this contract shall control over the Statement of Work.. Any significant changes to the Statement of Work (SOW) require an amendment to the contract. 2. GOALS AND OBJECTIVES The Contractor shall be responsible for the achievement of any goals and objectives as specified within the Statement of Work (EXHIBIT A) of this contract unless written notice of any modifications are furnished by the State to the Contractor allowing adequate time for compliance during the term of this contract. 3. COPY OF SUBCONTRACT The Contractor shall provide to the State a copy of any executed subcontract between the Contractor and any provider of services to fulfill any requirements of this contract. Subcontracts shall be emailed to the Contract Representative upon execution. 4. PAYMENT In consideration of the provision of services and reporting and subject to all payment and price provisions and further subject to verification by the State of full and satisfactory compliance with the terms of this contract, the State shall pay to the Contractor an amount not to exceed the amount specified in the Budget (EXHIBIT B), of this contract. A. The Contractor shall submit requests for payment to CDHS OEC Invoicing@state.co.us no less than monthly on forms prescribed and provided by the State. B. Payment shall be made on a cost reimbursement basis for services rendered. Advances will not be approved except in documented situations of cash flow emergency, for a specified term, with the prior written approval of the State, and in accordance with State fiscal rules and procedures. C. Timely Invoicing - Invoices shall be submitted no later than 45 days following the last day of the month. End of State Fiscal Year invoices are on a compressed timeframe. Invoices for all services provided prior to June 30th shall be invoiced by July 5th. Contractors who are unable to provide the invoice by July 5th shall notify the state of the amount to be booked as accounts payable by July 13th by sending an email to CDHS OEC Invoicing@state.co.us. Final invoices for services prior to June 30th shall be submitted by September 14th. Invoices received after September 14th may not be paid. Final invoices for services provided July through September shall be submitted no later than 45 days following the last day of the month. D. The Contractor shall maintain source documentation to support all payment requested pursuant to this contract. All source documentation shall be provided to the State by the Contractor upon request. E. It is understood that the State reserves the right to offset funds pursuant to this contract based on the discovery of overpayment or improper use of funds by the Contractor. Overpayment or improper use of funds is interpreted to apply to specific terms of prior year contracts, and includes without limitation requirements of the Generally Accepted Accounting Principles (GAAP) issued by the American Institute of Certified Public Accountants, and applicable sections of the Colorado Revised Statutes. Page 1 of 3 Revision Date April 12, 2019 Exhibit E — Amendment #3 5. PARTICIPATION The Contractor representative(s) is required to participate in any Office of Early Childhood sponsored meetings related to this contract. 6. SUPPLANTING Payments made to the Contractor under this contract will supplement and not supplant other state, local or federal expenditures for services associated with this contract. 7. BUDGET CHANGES Contractor may request in writing adjustments to the direct costs in the current year budget (EXHIBIT B) not to exceed 10% of the total budget. Requests shall be made in the form of a written budget revision request to the appropriate program staff. Written approval for the budget revision shall be required prior to any changes to the budget related to the budget revision request. The total dollar amount of the contract budget cannot be changed as a result of the budget revision request. Budget adjustment requests over 10% and/or changes to the total dollar amount of the budget require a formal amendment. No adjustments to the Indirect Costs portion of the budget are allowable without a formal amendment. Contractor may request in writing up to a 5% increase or decrease to the "Gross or Annual Salary" of an individual employee if a position currently listed in the contract becomes vacant and the new incoming employee will be hired at a higher or lower salary. No increase or decrease within the salary range is authorized without prior written approval from CDHS. Adding additional staff requires an amendment to the contract. Vacancy savings cannot be used to change salary amounts for existing personnel without an amendment. Any change to personnel requires prior written approval from CDHS staff. This process will never change the Contract Maximum Amount. Contractor must use available unused funds from either vacancy savings or another category within the contract. The revision request may not at any time compromise the integrity of the funded program as determined by CDHS program staff. 8. TRAVEL A. Mileage shall not exceed the Federal mileage rate per https://www.gsa.gov/travel-resources. B. Per Diem shall not exceed Federal GSA per diem rates for the area of travel per https://www.gsa.gov/travel-resources C. Hotel rates cannot exceed any rate established for conference attendance. D. Usage of airfare or Out of State Travel requires pre -approval from CDHS. 9. DATA COLLECTION The Contractor will participate in reporting designated outcome measures. The required data will be entered into an approved CDHS database no later than five (5) working days after completion of task/service or activity supported by PSSF funds. 10. REPORTING REQUIREMENTS The Contractor is required to submit quarterly programmatic reports and year end progress reports. Reports must be submitted to CHDS four times per year on the federal fiscal year calendar. The first report is due on the last business day of July. The second report is due on the last business day of October. The third report is due on the last business day of January and the final report is due on the last business day of April each year. 11. SUBRECIPIENT Contractors determined to be a Sub -recipient of federal funds shall complete the sub -recipient performance report and assessment survey at: http://eepurl.com/ccRiDP upon contract execution. Failure to complete the performance report and assessment survey shall delay payment to the Contractor. Page 2 of 3 Revision Date April 12, 2019 Exhibit E — Amendment #3 12. CRITICAL INCIDENT REPORTING Within 48 hours of the occurrence of a critical incident involving any child or family and/or an on duty agency staff member of any family support program staff funded through the Office of Early Childhood (OEC), the agency must report in writing the details of the critical incident to the OEC Program Manager for the involved family support program. Critical incidents may include, but are not limited to, awareness of an egregious incident of abuse and/or neglect, near fatality, or fatality of any child currently enrolled in a family support program; involuntary termination of a program staff's employment; criminal allegations involving program staff and related to his/her employment; negative media attention about the family support program; any major injury or threat to the security of an agency staff member while on duty and visiting an enrolled child or family. 13. MANDATED REPORTING All program staff are required by law to report suspected child abuse and neglect. Mandatory reporters must report suspected child abuse and neglect to the local county child welfare agency, the local law enforcement agency, or by calling the child abuse reporting hotline system at 1-844-CO-4KIDS (1-844-264-5437). All program staff are required to take the online mandatory reporter training on the CDHS Child Welfare Training System: https://www.coloradocwts.com/mandated-reporter-training. Page 3 of 3 Revision Date April 12, 2019 Hello