HomeMy WebLinkAbout20193525.tiffRESOLUTION
RE: APPROVE FDP COST REIMBURSEMENT SUBAWARD AGREEMENT AND
AUTHORIZE CHAIR TO SIGN - DENVER HEALTH AND HOSPITAL AUTHORITY
(DHHA)
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 a FDP Cost Reimbursement Subaward
Agreement 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 Denver Health and Hospital Authority (DHHA), commencing July 1, 2019, and ending
June 30, 2020, with further terms and conditions being as stated in said agreement, and
WHEREAS, after review, the Board deems it advisable to approve said agreement, 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 FDP Cost Reimbursement Subaward Agreement 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 Denver Health and Hospital
Authority, be, and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized
to sign said agreement.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 5th day of August, A.D., 2019, nunc pro tunc July 1, 2019.
BOARD OF COUNTY COMMISSIONERS
WD COUNTY, COLC)RADO
ATTEST: dith4) jelm;(1
Weld County Clerk to the Board
BY:
Deputy Clerk to the Board
APP AS
ty A torney
Date of signature: Or/r3/i1
rbara Kirkmeyer, Cihair
yat_PLA_
wee
Mike Freeman, Pro -T
t K. James
Steve Moreno
mac. N LC "TCO
2019-3525
H L0051
epo-74a,e // s.31 1
Memorandum
TO: Barbara Kirkmeyer, Chair
Board of County Commissioners
FROM: Mark E. Wallace, MD, MPH
Executive Director
Department of Public Health & Environment
DATE: July 31, 2019
SUBJECT: FY19-20 HPV Free Colorado Cost
Reimbursement Subaward Agreement with
Denver Health and Hospital Authority
For the Board's approval is a new Cost Reimbursement Subaward Agreement between the Denver
Health and Hospital Authority (DHHA) and the Weld County Board of Commissioners for the benefit
and use of the Weld County Department of Public Health and Environment (WCDPHE).
The Alliance for HPV Free Colorado is a collaborative project funded by the Cancer Cardiovascular
and Chronic Pulmonary Disease Grants Program working to decrease rates of the Human
Papillomavirus (HPV) in a 15 -county region across Colorado. The goal is to implement a
multidisciplinary, socioecological approach that results in a sustainable increase in completion of the
HPV vaccine series for 11 -17 -year -olds.
These funds will be used to promote and champion HPV vaccine education and awareness, implement
a health systems approach to increase adherence to national HPV vaccination guidelines among
practices and providers, implement a targeted communication plan for parents of teens, and measure
HPV vaccination rates.
With the approval of this contract, Weld County will be reimbursed an amount not to exceed
$39,802.00 for activities related to this funding. The term of this contract is from July 1, 2019, through
June 30, 2020.
This Agreement has been reviewed by Assistant County Attorney, Karin McDougal, and it meets with
her approval.
Furthermore, this amendment was approved for placement on the Board's agenda following a work
session on July 2, 2019.
I recommend approval of this Cost Reimbursement Subaward Agreement with Denver Health &
Hospital Authority.
ir/05
2019-3525
1-►L0OS I
DocuSign Envelope ID: 3254D83B-587O-4AF2-BBF3-CECE0DF02B6B
FDP Cost Reimbursement Subaward Agreement
Prime Sponsor (Non-federal):
CDPHE
I
Pass -Through Entity (PTE):
Subrecipient:
Denver Health and Hospital Authority
Weld County Department of Public Health and Environment
PTE PI:
Judith Shlay
Sub PI:
NIA
Prime Sponsor Award #
2019-0127
Subaward No:
Al 8-0055-S008
Project Title:
A35 - CCPD Alliance for HPV-Free Colorado
Subaward Period of Performance (Budget'griod):
Amount Funded This Action (USD): $
39,802.00
06/30/2020
Start:
07/01/2019
End:
Estimat d Proiect Period lit incrementally f ed1:
Incrementally Estimated Total (USD): $
39,802.00
Start: i 07/01/2019
End: 6i /30/2020
Terms and
1. PTE hereby awards a cost reimbursable subaward, as described
budget for this Subaward are as shown in Attachment 5. In
independent entity and not an employee or agent of PTE.
2. Subrecipient shall submit invoices not more often than monthly
incurred. Upon the receipt of proper invoices, the PTE agrees
and 2 CFR 200.305. All invoices shall be submitted using
current and cumulative costs (including cost sharing), Subaward
(a). Invoices that do not reference PTE Subaward number
Conditions
above, to Subrecipient. The Statement
its performance of Subaward work,
and not less frequently than quarterly
to process payments in accordance
Subrecipient's standard invoice, but at
number, and certification, as required
shall be returned to Subrecipient. Invoices
of Work and
Subrecipient shall be an
for allowable costs
with this Subaward
a minimum shall include
in 2 CFR 200.415
and questions
concerning invoice receipt or payments shall be directed to
the party's' Administrative (Contact,
shown in
Attachment 3A.
3. A final statement of cumulative costs incurred, including cost
sharing, mark " INAL" must be
submitted to PTE's
'Administrative 'Contact, as shown in Attachment
3A, not later than 35
ays after the
Budget Period end date.
The final statement of costs shall constitute Subrecipient's
4. All payments shall be considered provisional and are subject
such adjustment is necessary as a result of an adverse audit
5. Matters concerning the technical performance of this Subaward
Investigator as shown in Attachments 3A and 3B. Technical
6. Matters concerning the request or negotiation of any changes
final financial report.
to adjustment within the total estimated
finding against the Subrecipient.
shall be directed to the appropriate
reports are required as shown in Attachment
in the terms, conditions, or amounts
cost in the event
party's Principal
4.
cited in this
Subaward, and any changes requiring prior approval, shall
be directed to each party's
Authorized
Official (Contact, as
shown in Attachments 3A and 3B. Any such change made
party's Authorized Official, as shown in Attachments 3A and
to this Subaward requires the written
3B.
approval of each
7. The PTE may issue non -substantive changes to the Period
of Performance and budget
Unilaterally
Unilateral modification shall be considered valid 14 days after
receipt unless otherwise indicated
by Subrecipient when
sent to Subrecipient'st Principal Investigator
Contact, as shown
in Attachment 36.
8. Each party shall be responsible for its negligent acts or omissions
officers, or directors, to the extent allowed by law.
and the negligent acts or omissions
of its employees,
9. Either party may terminate this Subaward with 30 days written
notice to the appropriate party's
Authorized Official
Contact, as shown in Attachments 3A and 3B. PTE shall pay
Uniform Guidance, 2 CFR 200, or 45 CFR Part 75 Appendix
10. By signing this Subaward, including the attachments hereto
Subrecipient certifies that it will perform the Statement of Work
Subaward and the applicable terms of the Prime Agreement.
comply with all applicable laws, regulations and requirements.
Subrecipient for termination costs
IX, as applicable.
which are hereby incorporated
in accordance with the terms and
The parties further agree that they
as allowable under
by reference,
conditions of this
intend this Subaward to
d Offici I of Pass -through Entity:
RIMAJA,
By an Authorized Official f Subrecipient:
,
/ly/1Uly
,q� �/q
(,t
08/05/2019
wACO 5z6o 12ad84_.
Name:
Amanda Breeden, AOR Date
Name:
Barbara Kirkm yer
Date
Title:
Director, SPARO
Title:
Chair, Weld County Board of County Commissioners1
FDP OCT 2018
DocuSign Envelope ID: 3254D83B-587D-4AF2-BBF3-CECE0DF02B6B
Attachment 1
Certifications and Assurances
i
Subaward Number:
A18 -0055-S008
Certification Regarding Lobbying (2 CFR 200.450)
By signing this Subaward, the Subrecipient Authorized Official certifies, to the best of his/her knowledge and belief, that
no Federal appropriated funds have been paid or will be paid, by or on behalf of the Subrecipient, to any person for
influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer
or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any
Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any
cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal
contract, grant, loan, or cooperative agreement in accordance with 2 CFR 200.450.
If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or
intending to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress,
or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement,
the Subrecipient shall complete and submit Standard Form -LLL, "Disclosure Form to Report Lobbying," to the PTE.
This certification is a material representation of fact upon which reliance was placed when this transaction was made
or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by 31
U.S.C. 1352. Any person who fails to file the required certification shall be subject to a civil penalty of not less than
$10,000 and not more than $100,000 for each such failure.
Debarment, Suspension, and Other Responsibility Matters (2 CFR 200.213 and 2 CFR 180)
By signing this Subaward, the Subrecipient Authorized Official certifies, to the best of his/her knowledge and belief that
neither the Subrecipient nor its principals are presently debarred, suspended, proposed for debarment, declared
ineligible or voluntarily excluded from participation in this transaction by any federal department or agency, in
accordance with 2 CFR 200.213 and 2 CFR 180.
Audit and Access to Records
Per 2 CFR 200.501- 200.521, Subrecipient certifies that it will provide notice of any adverse findings which impact this
Subaward and will provide access to records as required by parts 2 CFR 200.336, 200.337, and 200.201 as applicable.
If Subrecipient is not subject to the Single Audit Act, then Subrecipient will provide notice of the completion of any
required audits and provide access to such audits upon request.
Program for Enhancement of Contractor Employee Protections (41 U.S.C 4712)
Subrecipient is hereby notified that they are required to: inform their employees working on any federal award that they
are subject to the whistleblower rights and remedies of the pilot program; inform their employees in writing of employee
whistleblower protections under 41 U.S.C §4712 in the predominant native language of the workforce; and include such
requirements in any agreement made with a subcontractor or subgrantee.
The Subrecipient shall require that the language of the certifications above in this Attachment 1 be included in the award
documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and
cooperative agreements) and that all subrecipients shall certify and disclose accordingly.
Use of Name
Neither party shall use the other party's name, trademarks, or other logos in any publicity, advertising, or news release
without the prior written approval of an authorized representative of that party. The parties agree that each party may use
factual information regarding the existence and purpose of the relationship that is the subject of this Subaward for
legitimate business purposes, to satisfy any reporting and funding obligations, or as required by applicable law or
regulation without written permission from the other party. In any such statement, the relationship of the parties shall be
accurately and appropriately described.
Attachment 2
Prime Award Terms and Conditions
Required Data Elements
The data elements required by Uniform
Guidance are incorporatedIas entered.
This Subaward Is:
Research & Development
Service
Subaward Number
A18 -0055-S008
Federal Award Issue Date FAIN
CFDA No.
I N/A
IN/A
CFDA Title
N/A
Key Personnel per Prime Agreement
General Terms and Conditions
By signing this Subaward, Subrecipient agrees to the following:
1. To abide by the conditions on activities and restrictions on expenditure of sponsored funds in appropriations acts that are
applicable to this Subaward to the extent those restrictions are pertinent. This includes any recent legislation noted on the
roonsors
website:
2. 2 CFR 200
3. The Sponsor's grants policy guidance, including addenda in effect as of the beginning date of the period of performance or as
amended found at:
4. Research Terms and Conditions, including any Sponsor's specific requirements found at:
N/A
except for the following :
a. No -cost extensions require the written approval of the PTE. Any requests for a no -cost extension shall be directed to the
Financial Contact shown in Attachment 3A, not less than 30 days prior to the desired effective date of the requested
change.
b. Any payment mechanisms and financial reporting requirements described in the applicable Sponsor Terms and Conditions and are
replaced with Terms and Conditions (1) through (4) of this Subaward; and
c. Any prior approvals are to be sought from the PTE and not the Sponsor.
d. Title to equipment as defined in 2 CFR 200.33 that is purchased or fabricated with research funds or Subrecipient cost sharing funds,
as direct costs of the project or program, shall vest in the Subrecipient subject to the conditions specified in 2 CFR 200.313.
e. Prior approval must be sought for a change in Subrecipient PI or change in Key Personnel (defined as listed in the Prime Award).
5. Treatment of program income:
Additive
This section intentionally left blank
Special Terms and Conditions:
Copyrights:
Subrecipient grants
to PTE an irrevocable, royalty -free, non -transferable, non-exclusive right and license to use, reproduce,
make derivative works, display, and perform publicly any copyrights or copyrighted material (including any computer software and its
documentation and/or databases) first developed and delivered under this Subaward solely for the purpose of and only to the extent
required to meet PTE's obligations to the Sponsor under its Prime Award.
Subrecipient grants to PTE the right to use any written progress reports and deliverables created under this Subaward solely for the
purpose of and only to the extent required to meet PTE's obligations to the Sponsor under its Prime Award.
Data Rights:
Subrecipient grants to PTE the right to use data created in the performance of this Subaward solely for the purpose of and only to
the extent required to meet PTE's obligations to the Sponsor under its Prime Award.
Data Sharing and Access (Check if applicable):
Subrecipient agrees to comply with the Sponsor's data sharing and access requirements as reflected in the Prime Award (or in
the special terms below) and the Data Management/Sharing Plan submitted to the Sponsor and [provided upon request. 1
Promoting Objectivity in Research (COI):
Subrecipient must designate herein which entity's Financial Conflicts of Interest policy (COI) will apply:
Subrecipient
If applying its own COI policy, by execution of this Subaward, Subrecipient certifies that its policy complies with the requirements of the
relevant Federal Awarding Agency as identified herein:
42 CFR Part 50 Subpart F
Subrecipient shall report any financial conflict of interest to PTE's Administrative Representative or COI contact, as designated on
Attachment 3A. Any financial conflicts of interest identified shall, when applicable, subsequently be reported to Federal Awarding
Agency. Such report shall be made before expenditure of funds authorized in this Subaward and within 45 days of any subsequently
identified COI.
Work Involving Human or Vertebrate Animals (Select Applicable Options)
nNo Human or Vertebrate Animals
This section left intentionally blank.
Human Subjects Data (Select One)
Not Applicable
This section left intentionally blank
Additional Terms
In connection with the performance of work under this contract, SUBRECIPIENT may not refuse to hire, discharge, promote or
demote, or discriminate in matters of compensation against any person otherwise qualified, solely because of race, color, religion,
national origin, gender, age, military status, sexual orientation, gender identity or gender expression, marital status, or physical or
mental disability. SUBRECIPIENT shall insert the foregoing provision in all subcontracts.
i _
Attachment 3A
Pass -Through Entity (PTE) Contacts
i
Subaward Number:
A18 -0055-S008
PTE Information
Entity Name:
Legal Address:
Website:
777 Bannock Street
Denver, CO 80204-4057
www.denverhealth.org
PTE Contacts
Central Email:
Principal Investigator Name:
Email:
sparo@dhha.org
judith.shlay@dhha.org
Administrative Contact Name:
Email:
Telephone Number:
303-602-3714
Nicole Steffens
Nicole.Steffens@dhha.org
COI Contact email (if different to above):
Financial Contact Name:
Email:
Telephone Number:
'303-602-7262
sparo@dhha.org
Nikki Pham
Nikki.Pham@dhha.org
Email invoices? Yes
Authorized Official Name:
Email:
No Invoice email (if different):
Telephone Number:
303-602-3693
Amanda Breeden, MA, CRA
sparo@dhha.org
Telephone Number:
303.602.7046
PI Address:
777 Bannock Street, MC 2800
Denver, CO 80204-4057
Administrative Address:
777 Bannock Street, MC 1952
Denver, CO 80204-4057
Invoice Address:
777 Bannock Street, MC 2800
Denver, CO 80204-4057
i _
Attachment 3B
Subrecipient Contacts
i
Subrecipient Information for FFATA reporting
Entity's DUNS Name:
EIN No.:
DUNS:
Parent DUNS:
Place of Performance Address
Subaward Number:
Al 8-0055-S008
Weld County Government; Weld County Department of Public Health & Environment
84-6000813
075757955
Institution Type:
Other
Currently registered in SAM.gov:
Yes No
Exempt from reporting executive compensation: Yes
This section for U.S. Entities:
Congressional District:
Zip Code Look -up
Zip Code+4:
No (if no, complete 3Bpg2)
i
1555 North 17th Avenue, Greeley, Colorado 80631
Subrecipient Contacts
Central Email:
Website:
Principal Investigator Name:
www.weldhealth.org
Email:
Administrative Contact Name:
Email:
Telephone Number:
Tanya Geiser
tgeiser@co.weld.co.us
Financial Contact Name:
Email:
Telephone Number:
970-400-2122
Tanya Geiser
tgeiser@co.weld.co.us
Invoice/Payment Email:
Authorized Official Name:
Email:
Legal Address:
Telephone Number:
970-400-2122
wparis@co.weld.co.us
Chair, Weld County Board of County Commissioners
tgeiser@co.weld.co.us
Telephone Number:
970-400-2122
1555 North 17th Avenue, Greeley, CO 80631
Administrative Address:
1555 North 17th Avenue, Greeley, CO 80631
Payment Address:
1555 North 17th Avenue, Greeley, CO 80631
i _
Attachment 3B-2
Highest Compensated Officers
i
Subaward Number:
A18 -0055-S008
Subrecipient:
Institution Name:
PI Name:
Weld County Department of Public Health and Environment
Highest Compensated Officers
The names and total compensation of the five most highly compensated officers of the entity(ies) must be listed if
the entity in the preceding fiscal year received 80 percent or more of its annual gross revenues in
Federal awards; and $25,000,000 or more in annual gross revenues from Federal awards; and the public does
not have access to this information about the compensation of the senior executives of the entity through
periodic reports filed under section 13(a) or 15(d) of the Securities Exchange Act of 1934 (15 U.S.C. §§
78m(a), 78o(d)) or section 6104 of the Internal Revenue Code of 1986. See FFATA § 2(b)(1) Internal Revenue
Code of 1986.
Officer 1 Name:
Officer 1 Compensation:
Officer 2 Name:
Officer 2 Compensation:
Officer 3 Name:
Officer 3 Compensation:
Officer 4 Name:
Officer 4 Compensation:
Officer 5 Name:
Officer 5 Compensation:
Attachment 4
Reporting and Prior Approval Terms
Subaward Number:
A18 -0055-S008
Subrecipient agrees to submit the following reports (PTE contacts are identified in Attachment 3A):
Technical Reports:
Monthly technical/progress reports will be submitted to the PTE's
of the end of the month.
Principal Investigator
within [ 15 days of
Quarterly technical/progress reports will be submitted within 30 days after the end of each project quarter to
the PTE's Principal Investigator 1
Annual technical / progress reports will be submitted within! 30 days prior to the end of each budget period
to the PTE's ,Principal Investigator . Such report shall also include a detailed budget for the next Budget Period,
updated other support for key personnel, certification of appropriate education in the conduct of human subject
research of any new key personnel, and annual IRB or IACUC approval, if applicable.
A Final technical/progress report will be submitted to the PTE's
end of the Project Period or after termination of this award, whichever comes first.
Principal Investigator
Technical/progress reports on the project as may be required by PTE's
to satisfy its reporting obligations to the Sponsor.
within
30
Principal Investigator
days of the
in order for the PTE
Prior Approvals:
Carryover:
Carryover is restricted for this subaward by the:
Submit carryover requests to the Financial Contact
Pass -Through Entity
Other Reports:
El In accordance with 37 CFR 401.14, Subrecipient agrees to notify PTE's
t I days after Subrecipient's inventor discloses invention(s) in writing to Subrecipient's personnel responsible
for patent matters. The SubreciojentWit) suO nit fnpl invention report using Sponsor
specific forms to the PTE's Authorized Official within 60 days of the end of the Project Period to be
included as part of the PTE's final invention report to the Sponsor.
A negative report is required:
Authorized Official
30
No
Property Inventory Report (only when required by Sponsor), specific requirements below.
Other Special Reporting Requirements:
Attachment 5
Statement of Work, Cost Sharing, Indirects & Budget
Statement of Work
Below Attached, pages
Subaward Number:
A18 -0055-S008
If award is FFATA eligible and SOW exceeds 4000 characters, include a Subrecipient Federal Award Project Description
Budget Information
Indirect Information Indirect Cost Rate (IDC) Applied
Rate Type:
Total Direct Costs
120.98
Cost Sharing
No
If Yes, include Amount: $
Budget Details
Below
Attached,
pages
Budget Totals
Direct Costs $
Indirect Costs $
Total Costs $
32,900.00
6,902.00
39, 802.00
All amounts are in United States Dollars
Subaward Number:
A18 -0055-S008
Attachment 6
Prime Award and any additional documents
The following pages include the Prime Award and if applicable any additional documentation
referenced throughout this Subaward.
Not incorporating the Prime Award or any additional documentation to this Subaward.
Attachment 5
WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
SCOPE OF WORK
This scope of work applies to the Cancer, Cardiovascular, and Chronic Pulmonary Disease Program (CCPD) with grant
monies received from the Colorado Department of Public Health and Environment.
Amount: $39,802
Period of Performance: July 01, 2019 — June 30, 2020
Definitions:
1. ACCORDS: Adult and Child Consortium for Health Outcomes Research and Delivery Science
2. ACIP: The Advisory Committee on Immunization Practices
3. Advisory Council: The Alliance Advisory Council is a group of subject matter experts who contribute to
identifying gaps, new needs, and growth for our project. The Advisory Council's goal is to strengthen interagency
connections by aligning stakeholder goals and strategies that address challenges to increased HPV vaccination
rates.
4. AFIX: Assessment, Feedback, Incentives, and eXchange Program from the Centers for Disease Control and
Prevention (CDC) is an immunization quality improvement (QI) process designed to increase immunization
coverage rates, decrease missed opportunities to vaccinate, and improve standards of immunization practices at the
provider clinic level.
5. Alliance: The Alliance for HPV Free Colorado; this collaborative Alliance is comprised of grant subcontractors,
state and local immunization programs, public and private health providers, academic institutions, medical
societies, professional organizations addressing immunizations and cancer prevention, youth -serving
organizations, and immunization advocacy groups. The Alliance encompasses all committees and groups on our
project.
6. Alliance Communications Committee: The Communications Committee will develop and implement a regional
public information campaign and provide quarterly reports to the Alliance.
7. Alliance Dental Workgroup: The Dental Workgroup will oversee development of the framework and materials to
help dentists improve their support of the HPV vaccine.
8. Alliance Health Systems Committee: The Health Systems Committee will oversee, create and implement a plan to
help health systems utilize quality improvement approaches to engage providers and strengthen their
recommendation for HPV vaccination.
9. Alliance Education Workgroup: The Education Workgroup will oversee development of provider education series,
training of local public health departments, and implementation of practice intervention
10. Alliance Rural/Frontier Adaptation Workgroup: The Rural/Frontier Adaptation Workgroup will oversee adaptation
of communications and health systems materials for rural and frontier Colorado.
11. Alliance Steering Committee: The Steering Committee exists to oversee, manage and guide the overall grant,
including the work of the Advisory Council and all subcommittees.
12. BCPH: Boulder County Public Health
13. BPHE: Broomfield Public Health and Environment
14. CCC HPV Task Force: Colorado Cancer Coalition HPV Vaccination Task Force
15. CCIC: Colorado Children's Immunization Coalition
16. CCPD: Cancer, Cardiovascular Disease, and Pulmonary Disease Grants Program
17. CDC: Centers for Disease Control and Prevention
18. CDPHE: Colorado Department of Public Health and Environment
19. CHI: Colorado Health Institute
20. CIIS: Colorado Immunization Information System
21. DHHA: Denver Health and Hospital Authority
22. DPH: Denver Public Health
Page 1 of 6
Attachment 5
23. Fifteen county jurisdiction: Adams, Arapahoe, Boulder, Broomfield, Denver, Douglas, Jefferson, Larimer, Logan,
Morgan, Phillips, Sedgwick, Washington, Weld and Yuma counties
24. HPV: Human Papillomavirus
25. IBIS: Immunization Business Intelligence System; a sustainable infrastructure to analyze and utilize data on HPV
vaccination rates
26. JCPH: Jefferson County Public Health
27. LCDHE: Larimer County Department of Health and Environment
28. LPHA: Local Public Health Agency
29. NCHD: Northeast Colorado Health Department
30. Outreach Roadmap: Document outlining plan for reaching out to and gaining buy -in from health systems partners
that may be interested in working with the Alliance to improve vaccination rates.
31. QI: Quality Improvement
32. RCCOs/RAEs: Regional Care Collaborative Organizations/Regional Accountable Entities
33. SMART: Specific, Measurable, Achievable, Realistic, and Timely
34. TCHD: Tri-County Health Department
35. WCDPHE: Weld County Department of Public Health and Environment
Quarter timelines:
Quarter 1: July 1 -September 30
Quarter 2: October 1 -December 31
Quarter 3: January 1 -March 31
Quarter 4: April 1- June 30
Project Title: Alliance for HPV Free Colorado
Principal Investigator: Judith Shlay
Program Manager: Nicole Steffens
As a sub -contractor of DHHA, WCDPHE will perform the following scope of work related to the implementation and
ongoing management of the CCPD grant "Alliance for HPV Free Colorado."
Scope of work assignments are delineated by the approved HPV Alliance work plan for the following objectives and
activities of the project. Deliverables are the responsibility of the staff appointed by WCDPHE.
Goal: No later than the expiration date of this contract, the Alliance for HPV Free Colorado aims to implement a
multidisciplinary approach that results in a sustainable increase in completion of the HPV vaccine series for 11-17 year -olds
in a fifteen county region.
Our four objectives are to:
1. Utilize community and partner stakeholders, including an HPV Advisory Council, to promote and
champion HPV vaccine education and awareness,
2. Plan and implement a health systems approach to increase adherence to national HPV vaccination
guidelines among practices and providers,
3. Adapt and implement a targeted communications plan to increase demand for and knowledge about the
HPV vaccine among parents/guardians of adolescents aged 11-17 years, and
4. Utilize sustainable analytic infrastructure to measure HPV vaccination rates.
Work Plan:
Page 2 of 6
Attachment 5
Primary Activity #1
The Subcontractor shall participate in the Alliance Steering Committee and complete
applicable administrative activities.
Sub -Activities #1
1. The Subcontractor shall participate in a minimum of (10) regularly scheduled Steering
Committee meetings and complete resulting meeting action items as assigned.
2. The Subcontractor shall participate in project strategic planning sessions.
3. The Subcontractor shall participate in regular Alliance subcommittee engagement and
satisfaction surveys.
4. The Subcontractor shall provide data for project evaluation reports as requested.
5. The Subcontractor shall support the Alliance in updating project sustainability plan.
Primary Activity #2
The Subcontractor shall participate in the Alliance Advisory Council.
Sub -Activities #2
1. The Subcontractor shall attend regularly scheduled quarterly HPV Advisory Council
meetings, including subcommittee members as requested.
2. The Subcontractor shall plan, prepare and facilitate agenda items if requested.
3. The Subcontractor shall complete the Advisory Council member engagement survey.
Primary Activity #3
The Subcontractor shall assist in planning and implementing a health systems approach to
increase adherence to national HPV vaccination guidelines among practices and providers.
Sub -Activities #3
1. The Subcontractor shall participate in regularly scheduled Health System Committee
meetings.
2. The Subcontractor shall help identify training needs for individuals who will be
working with health systems to inform a training guide for effectively guiding systems
on HPV vaccination best practices.
3. The Subcontractor shall train individuals who will be working with health systems on
how to assess systems' needs and to utilize the implementation plan to address
identified needs.
4. The Subcontractor shall identify and meet with a minimum of one (1) health system
using the outreach roadmap.
5. The Subcontractor shall guide and support interested and ready health systems in
increasing their HPV vaccination rates by using the implementation plan.
6. The Subcontractor shall help update the outreach roadmap based on feedback from
health systems and committee members.
7. The Subcontractor shall help update the implementation plan based on feedback from
health systems and committee members.
8. The Subcontractor shall help finalize and execute the health systems evaluation plan.
9. The Subcontractor shall participate in regularly scheduled Education Workgroup
meetings.
10. The Subcontractor shall support adaptations to educational materials and keep up-to-
date on most recent HPV-related research and information.
11. The Subcontractor shall help plan and host a minimum of two (2) education events.
12. The Subcontractor shall collect and input relevant survey data after trainings are
complete.
13. The Subcontractor shall help lead education train -the -trainer training sessions with
Workgroup members.
14. The Subcontractor shall support practices interested in participating in the practice
intervention, as needed/requested, while using the Alliance/AFIX integration plan.
15. The Subcontractor shall collaborate with Health Systems Committee to plan and train
individuals and systems in implementing health systems interventions related to
educational or practice intervention activities.
Page 3 of 6
Attachment 5
Primary Activity #4
The Subcontractor shall assist in implementing a targeted communications plan to increase
demand for and knowledge about the HPV vaccine among parents/guardians of
adolescents aged 11-17 years.
Sub -Activities #4
1. The Subcontractor shall participate in regularly scheduled Communications Committee
meetings.
2. The Subcontractor shall review results of Year 1 paid, earned, and owned media
campaigns metrics and offer recommendations for improvements.
3. The Subcontractor shall assist in planning and implementing an evaluation of paid
media campaign.
4. The Subcontractor shall review the results of the evaluation and offer
recommendations for improvements.
5. The Subcontractor shall assist in research efforts, including analyzing focus groups
data, for adapting communications campaign for rural/frontier and/or Spanish-speaking
audiences.
6. The Subcontractor shall support adaptation and provide feedback on campaign
materials, including for Spanish-speaking and rural/frontier audiences.
7. The Subcontractor shall provide guidance based on knowledge of local markets where
strategic input on campaign creative or media placements is needed.
8. The Subcontractor shall place campaign content on their social media platforms and
report on content impact.
9. The Subcontractor shall coordinate, track, and support earned media requests.
10. The Subcontractor shall participate in reviews of requests to share the campaign with
other organizations on a case -by -case basis.
11. The Subcontractor participate in campaign dissemination efforts, such as presentations
phone calls, or articles.
12. The Subcontractor shall be prepared to and will take on specific duties of the
Committee Chair, as agreed upon by the Committee, should the Chair fall sick, go on
vacation or otherwise be unable to execute their duties during a specific period of time.
13. The Subcontractor shall support the Health Systems Committee, Dental Workgroup,
and Education Workgroup in creating and executing relevant communications
materials.
14. The Subcontractor shall assist in continuing to recruit HPV vaccine parent
spokespeople for communications campaign.
15. The Subcontractor shall assist in training HPV vaccine parent spokespeople for
communications campaign.
16. The Subcontractor shall integrate HPV parent vaccine spokespeople/advocates into
local media efforts.
Primary Activity #5
The Subcontractor shall assist in the work of utilizing sustainable analytic infrastructure to
measure HPV vaccination rates.
Sub -Activities #5
1. The Subcontractor shall assist with reviewing and interpreting data reports for
subcommittees' use, including evaluation, population -level and practice -level reports.
2. The Subcontractor shall provide feedback on an IBIS sustainability plan, assessing
future of IBIS and HPV data needs.
3. The Subcontractor shall provide feedback on exploring effectiveness of using CIIS and
IBIS to track health system level data.
��
, Mf�. ffi rfL. Cf� %✓ � %�l lSf�%/jO //%/l�,% �i�Ff� %�..11 ,,,, f ff l f%ff ��f%��/ Meat -R, , i �!`
�r����✓,� ��,t�.��i,%i �r1�,. �, ��, ;�%,/rfr��<f�,/���, �� �✓: ,�t��,r,�,��1,�� �,�%f�llf�f,%.,, ����f �1;.�� „1,��%r.�,:�
Completion Date
Deliverables
1. The Subcontractor shall submit an electronic Progress Report for
relevant subcommittees to the Program Manager.
No later than 5
days before end
of Ql, Q2, Q3,
and Q4.
Page 4 of 6
Attachment 5
2. The Subcontractor shall submit responses to all participant
engagement and satisfaction surveys following all relevant
Alliance committees and workgroups.
No later than 5
days before end
of Q2 and Q4.
3. The Subcontractor shall submit the names and locations of the
health systems invited and committed to working with Alliance.
No later than 5
days before end
ofQl, Q2, Q3,
and Q4.
4. The Subcontractor shall submit feedback on training guide for
effectively guiding systems on HPV vaccination best practices.
No later than 5
days before end
of Q2.
5. The Subcontractor shall submit feedback on final health systems
evaluation plan.
No later than 5
days before end
of Q2.
6. The Subcontractor shall submit feedback on updated outreach
roadmap for engaging healthcare systems in promoting HPV
vaccination.
No later than 5
days before end
of Q4.
7. The Subcontractor shall submit feedback on updated
implementation plan for guiding healthcare systems through HPV
vaccination best practices.
No later than 5
days before end
of Q4.
8. The Subcontractor shall submit list of hosted provider education
events with number of attendees and training materials used.
No later than 5
days before end
of Q1, Q2, Q3,
and Q4.
9. The Subcontractor shall submit a report of monthly metrics, as
agreed upon by the Communications Committee, regarding
placements and reach of all campaign materials disseminated by
WCDPHE.
No later than 5
days before end
of Q1, Q2, Q3,
and Q4.
10. The Subcontractor shall submit feedback on report of paid,
earned, and owned media from Year 1.
No later than 5
days before end
of Ql.
11. The Subcontractor shall submit feedback on paid media
campaign evaluation plan.
No later than 5
days before end
ofQl.
12. The Subcontractor shall submit feedback on paid media
campaign evaluation results and recommendations for future
changes.
No later than 5
days before end
of Q2.
13. The Subcontractor shall submit feedback on Spanish -language
and rural/frontier adapted materials.
No later than 5
days before end
of Q2.
14. The Subcontractor shall submit feedback on IBIS sustainability
plan.
No later than 5
days before end
of Q4.
Method of Accountability: Subcontractor will attend meetings and submit quarterly progress reports when requested.
Budget:
Personnel
Position
Salary
Fringe
% Effort
# months
Cost
Health Educator/Navigator
$75,205.00
$29,277.31
10%
12
$10,448.23
Page 5 of 6
Attachment 5
Immunization RN Educator
$ 61,496.00
$23,940.39
8%
12
$6,834.91
Communications Specialist/PIO
$75,205.00
$29,277.31
5%
12
$5,224.12
Contract Administrator/Supervisor
$132,621.00
$51,629.36
5%
12
$9,212.52
Subtotal Salaries
$344,527.00
$134,124.36
$31,719.78
Other Expenses
Cost per #
#
Mileage
$ 0.56
1000
$560.00
Office Supplies
$ 10.00
12
$120.00
Health systems materials
$ 200.00
1
$200.00
Food/snacks for provider visits
$ 50.00
6
$300.00
Subtotal Other
$1,180.00
Total Direct Cost (TDC)
$ 32,900
Indirect @ 20.98%
$6,902
Total
$39,802
AU or Activity to be charged: AU 43028219
Collaborative Agreement
Because the Alliance for HPV Free Colorado is a collaborative effort among multiple organizations, it is imperative that
each subcontracting organization actively communicate with DPH staff and other subcontracted organizations regarding the
progress of deliverable and activity completion. As part of communicating the progress of deliverable completion, each
subcontracting organization will participate in efforts to publish best practices and outcomes of our strategies.
Payment Terms
Invoices
Electronic invoices should be submitted within 30 days of each month to the Program Manager, Nicole Steffens,
Nicole. steffens(a dhha. org.
SUB -CONTRACTOR INFORMATION
Legal Name: Weld County Department of Public Health and Environment
Address: 1555 North 17th Avenue City, State, Zip: Greeley, CO 80631
Point of Contact (POC):
Tanya Geiser, Director POC Email: tgeiser@co.weld.co.us
Administrative Services
POC Address if different from above:
Telephone #: 970-400-2122 Fax #: 970-304-6420
Tax ID # 84-6000813
Or Social
Security #:
Page 6 of 6
Esther Gesick
From:
Sent:
To:
Subject:
Attachments:
Importance:
Tanya Geiser
Tuesday, August 13, 2019 8:29 AM
Esther Gesick
FW: OnBase Contract 3065 with Denver Health and Hospital Authority
A18-0055-S008_Weld County Subcontract FDP_Cost Reimb.pdf; FY19-20 DHHA HPV
Free CO -signed by WC BOCC.pdf
High
Hi, Esther, the only change they are requesting is on page 1, from 45 days to 35 days under 3. Looks like they are okay
with our changes in 7. & 9., from "Principal Investigator" (program staff) to "Administrative" Contact and "Authorized
Official" Contact to "Administrative" Contract (me, so Barb Kirkmeyer doesn't have to deal with the contract in the event
of a termination, we can facilitate that and then run it through the Board).
I will also give you a call.
Tanya
Ext 2122
From: Tanya Geiser
Sent: Monday, August 12, 2019 5:29 PM
To: Esther Gesick <egesick@weldgov.com>
Subject: OnBase Contract 3065 with Denver Health and Hospital Authority
Importance: High
Hi, Esther,
An e -version of this contract went through a lot of hands and it appears that our invoicing period was accidentally
changed from 35 days to 45 days. This is a totally immaterial change. Do you believe this is something that can be
swapped -out?
Tanya
Ext 2122
From: Wilde, Tamara Camara.Wilde@dhhaor >
Sent: Monday, August 12, 2019 4:20 PM
To: Tanya Geiser <tgeiser@weldgov.com>
Cc: Gaucin, Ruby <Ruby.Gaucin@dhha.org>; Steffens, Nicole <Nicole.Steffens@dhha.org>; SPARO
<SPARO Contracts@dhha.org>
Subject: RE: DH Contract
Importance: High
Contracts
Caution: This email originated from outside of Weld County Government. Do not click links or open attachments unless you recognize the
sender and know the content is safe.
Hi Tanya,
Unfortunately, I need to resend the contract. We need correct terms designated. I have attached the contract
with the 35 day invoicing terms.
1
Thanks for your understanding.
r a
Tamara Wilde Out of Office 8/29-8/30 and Jury Duty 9/17
Grants Analyst, Sponsored Programs and Research Office (SPARO)
Office of Research
777 Bannock Street, MC 1952
Denver, CO 80204
Office: 303-602-7063
Tamara.Wilde@dhha.org
gip DENVER HEALTH
at 0
_' :it'
Please take a moment to ft out our brief two minute customer service survey:
https://denverhealth.azl.qualtrics.com/jfe/form/SV egrx19kR3ZLpGdL
From: Wilde, Tamara
Sent: Monday, August 12, 2019 3:28 PM
To: Tanya Geiser'
Cc: Gaucin, Ruby; Steffens, Nicole; SPARO_Contracts
Subject: RE: DH Contract
Tanya, I am checking on this. I'll be in touch as soon as I have an answer. Tamara
From: Tanya Geiser [mailto:tgeiser@weldgov.com]
Sent: Monday, August 12, 2019 3:19 PM
To: Wilde, Tamara
Cc: Gaucin, Ruby; Steffens, Nicole; SPARO_Contracts
Subject: [EXTERNAL] RE: DH Contract
I apologize for this; I don't know why that changed. It will be another 4-6 weeks to get another contract resigned. It is
absolutely critical?
Tanya
From: Wilde, Tamara <Tamara.Wilde@dhha.or.g>
Sent: Monday, August 12, 2019 2:57 PM
To: Tanya Geiser <tgeiser@weldgov.com>
Cc: Gaucin, Ruby <Ruby.Gaucin@dhha.org>; Steffens, Nicole <Nicole.Steffens@dhha.org>; SPARO_Contracts
<SPARO Contracts@dhha.org>
Subject: FW: DH Contract
Importance: High
Caution: This email originated from outside of Weld County Government. Do not click links or open attachments unless you recognize the
sender and know the content is safe.
Hi Tanya,
2
We did indeed receive the contract, however we noticed that the returned contract invoicing days changed
from 35 days to 45 days. Was that intentional? I ask because we need 45 days here at Denver Health for our
financials, therefore we can provide only 35 days for your invoicing. We will need to turn the contract around
for you to resign with the 35 days invoicing.
I'd be happy to resend the contract today. Please advise.
Thanks so much!
-Tavvtaira,
Tamara Wilde Out of Office 8/29-8/30 and Jury Duty 9/17
Grants Analyst, Sponsored Programs and Research Office (SPARO)
Office of Research
777 Bannock Street, MC 1952
Denver, CO 80204
Office: 303-602-7063
Tarriara.Wilde@dhha.org
DENVER rtTI
.,
Oa fat X
Please take a moment to fill out our brief two minute customer service survey:
https://denverhealth.az1 .qualtrics.com/jfe/form/SV egrxl 9kR3ZLpGdL
3
Hello