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HomeMy WebLinkAbout20183848.tiffRESOLUTION RE: APPROVE TASK ORDER CONTRACT AMENDMENT #3 FOR WISEWOMAN PROGRAM UNDER THE WOMEN'S WELLNESS CONNECTION PROGRAM AND AUTHORIZE CHAIR TO SIGN WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, the Board has been presented with a Task Order Contract Amendment #3 for the WISEWOMAN (Well -Integrated Screening and Evaluation for WOMan Across the Nation) Program under the Women's Wellness Connection Program between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Weld County Department of Public Health and Environment, and the Colorado Department of Public Health and Environment, commencing upon execution of signature, and ending May 31, 2019, with further terms and conditions being as stated in said amendment, and WHEREAS, after review, the Board deems it advisable to approve said amendment, a copy of which is attached hereto and incorporated herein by reference. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the Task Order Contract Amendment #3 for the WISEWOMAN II - Integrated Screening and Evaluation for WOMan Across the Nation) Program under the Women's Wellness Connection Program between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Weld County Department of Public Health and Environment, and the Colorado Department of Public Health and Environment, be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said amendment. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 3rd day of December, A.D., 2018. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST: xi,„);„k. Weld County Clerk to the Board orney Date of signature: /19 Ste Moreno, Chair, CC: I-ILC TCs) 113119 2018-3848 H L0050 Lt- 164-9 D Memorandum TO: Steve Moreno, Chair Board of County Commissioners FROM: Mark E. Wallace, MD, MPH Executive Director Department of Public Health & Environment DATE: November 21, 2018 SUBJECT: CDPHE FY18-19 WISEWOMAN Renewal Contract For the Board's approval is Task Order Amendment #3 between the Colorado Department of Public Health and Environment (CDPHE) and the Board of County Commissioners for the use and benefit of the Weld County Department of Public Health and Environment (WCDPHE) for our Women's Wellness Connection, WISEWOMAN program. The purpose and mission of the Well -Integrated Screening and Evaluation for WOMen Across the Nation (WISEWOMAN) program is to provide cardiovascular screenings. risk reduction counseling, referrals, lifestyle programs and other healthy behavior support options to improve control of hypertension and other cardiovascular disease risk factors to women residing in Colorado who are not insured or underinsured, enrolled in the Women's Wellness Connection program and meet the age, income, and lawful presence requirements. The purpose of this task order amendment is to reflect changes that were required to extend the term by three months and modify the budget to include additional funding for this extension. The period of performance of the current term will be extended by three (3) months, changing the current ending date from February 29, 2019, to May 31, 2019. The maximum amount payable by the State for the work to be performed by the Contractor during this extended term is $12,751.00. This contract amendment has been reviewed by Assistant County Attorney, Bob Choate, and it meets with his approval. Furthermore, this amendment was approved for placement on the Board's agenda via pass -around dated November 19, 2018. I recommend approval of this WISEWOMAN Task Order Contract amendment with CDPHE. 2018-3848 t -1 t O O/3 DEPARTMENT OR AGENCY NAME COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT FHLA - WIWO DEPARTMENT OR AGENCY NUMBER FAAA TASK ORDER AMENDMENT ROUTING NUMBER 19 FHLA 113511 To Original Task Order Routing Number 15 FHLA 77061 TASK ORDER AMENDMENT #3 This Task Order Amendment is made this 9th day of November, 2018, by and between the State of Colorado, acting by and through the DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT, whose address or principal place of business is 4300 Cherry Creek Drive South, Denver, Colorado 80246, hereinafter referred to as the "State"; and, BOARD OF COUNTY COMMISSIONERS OF WELD COUNTY, (a political subdivision of the state of Colorado) whose address or principal place of business is 1150 "O" Street, Greeley, CO 80631, for the use and benefit of the Weld County Department of Public Health and Environment, whose address or principal place of business is 1555 North I7`!' Avenue, Greeley, Colorado 80631, hereinafter referred to as the "Contractor". FACTUAL RECITALS The parties entered into a Master Contract dated January 17, 2012, with contract routing number 13 FAA 00051. Pursuant to the terms and conditions of the Master Contract the parties entered into a Task Order Contract dated February 12, 2015, with encumbrance number CT FAAA FHLA 201800003211, and task order contract routing number 15 FHLA 77061, hereafter referred to as the "Original Task Order Contract", whereby the Contractor was to provide to the State the following: Provide cardiovascular screenings, risk reduction counseling, referrals, lifestyle programs and other healthy behavior support options to improve control of hypertension and other cardiovascular disease risk factors to women residing in Colorado who are uninsured or underinsured and are enrolled in the Women's Wellness Connection program who meet the share age, income and lawful presence requirements Changes were required to extend the term by three months and modify the budget to include additional funding. The State promises to pay the Contractor the sum of Twelve Thousand Seven Hundred Fifty One Dollars, ($12,751.00) for the extended term of three (3) months, ending on May 31, 2019, in exchange for the promise of the Contractor to perform the specifications to the work described herein. NOW THEREFORE, in consideration of their mutual promises to each other, stated below. the parties hereto agree as follows: 1. Consideration for this Contract Amendment to the Original Task Order Contract consists of the payments and services that shall be made pursuant to this Contract Amendment, and promises and agreements herein set forth. It is expressly agreed to by the parties that this Contract Amendment is supplemental to the Original Task Order Contract, contract routing number 15 FHLA 77061, as amended by Grant Funding Change Letter I, routing number 16 FHLA 80204, Grant Funding Change Letter 2, routing number 16 FHLA 81.529. Contract Amendment 1 routing number 16 FHLA 87648, Grant Funding Change Letter 3 routing number 17 FHLA 89789, Option Letter I routing number 17 FHLA 97673, Option Letter 2 routing number 17 FHLA 103273, Contract Amendment 2 routing number 18 FHLA 100917, Option Letter 3 routing number 18 FHLA 107942, Option Letter 4 routing number 18 FHLA 110727, and Grant Funding Change Letter 4 routing number Page I of 4 19 FI ILA 113511 AMD 3 ver 14.11.18 19 FHLA 113243. collectively referred to herein as the Original Task Order Contract, which is by this reference incorporated herein. All terms, conditions. and provisions thereof, unless specifically modified herein, are to apply to this Contract Amendment as though they were expressly rewritten, incorporated, and included herein. 3. It is expressly agreed to by the parties that the Original Task Order Contract is and shall be modified, altered, and changed in the following respects only: A. The period of performance of the current term is hereby extended by three (3) months, changing the current ending date from February 29, 2019 to May 31, 2019. The revised period of performance is March 1, 2015 through and including May 31, 2019. B. This Contract Amendment is issued pursuant to paragraph 5 of the Original Task Order Contract. This Contract Amendment is for the extended term of September 30, 2018, through and including May 31, 2019. The maximum amount payable by the State for the work to be performed by the Contractor during this extended term is Twelve Thousand Seven Hundred Fifty One Dollars, ($12,751.00) for an amended total contract financial obligation of the State of One Hundred Nine Thousand Fifty Six Dollars, ($109,056.00). 1. For this renewal term the maximum amount payable attributable to United States Government funding source (see Catalog of Federal Domestic Assistance (CFDA) number 93.094) is Twelve Thousand Seven Hundred Fifty One Dollars, ($12,751.00), and the amended total contract financial obligation attributable to United States Government funding source (see Catalog of Federal Domestic Assistance (CFDA) number 93.094) is One Hundred Nine Thousand Fifty Six Dollars, ($109,056.00) . The modified specifications to the original Statement of Work and Budget are incorporated herein by this reference and identified as "Exhibit I and Exhibit J- 4. The Effective Date of this Contract Amendment is November 26, 2018, or upon approval of the State Controller, or an authorized delegate thereof, whichever is later. 5. Except for the General Provisions and Special Provisions of the Original Task Order Contract, in the event of any conflict, inconsistency, variance, or contradiction between the terms and provisions of this Contract Amendment and any of the terms and provisions of the Original Task Order Contract, the terms and provisions of this Contract Amendment shall in all respects supersede. govern, and control. The Special Provisions shall always control over other provisions of the Original Task Order Contract or any subsequent amendments thereto. The representations in the Special Provisions to the Original Task Order Contract concerning the absence of personal interest of state of Colorado employees are presently reaffirmed. 6. FINANCIAL OBLIGATIONS OF THE STATE PAYABLE. AFTER THE CURRENT FISCAL YEAR ARE CONTINGENT UPON FUNDS FOR THAT PURPOSE BEING APPROPRIATED, BUDGETED, AND OTHERWISE MADE AVAILABLE. Page 2 of 4 19 HIT A 11 351 1 AMD 3 ver 14.1 1.18 SIGNATURE PAGE Contract Routing Number I9 Fl Ii. \ 113511 THE PARTIES HERETO HAVE EXECUTED THIS TASK ORDER AMENDMENT I ach person signing this I ask Order Amendment represents and %%arrtalls that he or she is dolt authorized to execute this I ask Order Amendment and to hind the party authorizing his or her signature. CONTRACTOR Board of County Commissioners of Weld County for the use and benefit of the Weld County Department of Public Health and Environment (a political subdivision of the state of Colorado) Steve Moreno By: Print Name of Authorized Individual Chair, Board of Weld County Commissioners riot Title of Authorized Individual ,....i I isa McGovern Purchasing and Contracting Section Director. CDPI II. Signature of Authorized Individual DEC 03 2018 Date PROGRAM APPROVAI. Colorado Department of Public Health and Environment Signature of Authorized C'DPHE Program Approver (2( LO ( lC( Date By: STATE OF COLORADO John W. Hickenlooper. Governor Colorado Department of Public Health and Environment Executive Director Signature — Senior Assi ft Attorney General Date LEGAL REVIEW Cynthia H. Coffin turney General ito tt Date In accordance with §24-30-202 C.R.S . this I ask Order Amendment is not valid until signed and dated below by the State Controller or an authorized delegate. STATE CONTROL, Robert Jars, CPA, By: Effective Date: l)till.\IIiii' \bbl); Page 3014 Q018-38'48- (Q) EXHIBIT I STATEMENT OF WORK Contract Amendment #3, Routing Number 19 FHLA 1 1351 1 To Original Contract Routing Number 15 FHLA 77061 These provisions arc to be read and interpreted in conjunction with the provisions of the contract specified above. I. Entity Name: Weld Department of Public Health and Environment Term: PROJECT PERIOD: July 1, 2017 through May 31, 2019 PERIOD FOR COMPLETING ACTIVITIES: July I, 2017 through March 31, 2019 11. Project Description: This project serves to provide Women's Wellness Connection (WWC) participants with access to additional preventive health services through the Well -Integrated Screening and Evaluation for WOMen Across the Nation (WISEWOMAN) program. These medical services include cardiovascular health screening; health risk assessments; risk reduction counseling; referrals for women with abnormal screening values to health care providers for medical evaluation and management of condition(s); follow-up for uncontrolled hypertension; linking participants to free or low-cost medication resources; and referrals to health coaching, approved lifestyle programs and other healthy behavior support options. Program Purpose and Mission: The purpose and mission of the WISEWOMAN program is to provide cardiovascular screenings, risk reduction counseling, referrals, health coaching, lifestyle programs and other healthy behavior support options to improve control of hypertension and other cardiovascular disease risk factors. Beneficiaries: Direct beneficiaries are women residing in Colorado who are uninsured or underinsured; who meet the age, income and lawful presence requirements of both WWC and WISEWOMAN programs. Target populations include women of diverse ethnic backgrounds, women living in geographically isolated and medically underserved areas and women who have a high burden of cardiovascular disease. III. Definitions: I. Case Management- Case management services are provided to WISEWOMAN clients who have initial abnormal or "alert" screening values for blood pressure or glucose or who have uncontrolled hypertension. All women with alert values must receive these services to ensure access to the indicated medical care. 2. CDC: Centers for Disease Control and Prevention 3. DPP: Diabetes Prevention Program 4. eCaST: Colorado Department of Public Health and Environment's (CDPHE) Electronic Cancer Surveillance Tracking data system 5. WISEWOMAN: Well -Integrated Screening and Evaluation for WOMen Across the Nation 6. WISEWOMAN Program: Ran by the Colorado Department of Public Health and Environment, Prevention Services Division, WWC. 7. WWC: Women's Wellness Connection. The local name in Colorado for the National Breast and Cervical Cancer Early Detection Program IV. Work Plan: Goal #1: Reduce the rate of cardiovascular disease risk in program eligible women in Colorado Objective #1: No later than the expiration date of the Contract, women that meet WISEWOMAN eligibility criteria are provided with cardiovascular screening services. Primary Activity #1 The Contractor shall perform cardiovascular screening services onsite at the Contractor's place of business. Sub -Activities #1abnormal I. The Contractor shall provide medical evaluation and treatment to WISEWOMAN clients with alert lab values. 2. The Contractor shall provide case management to WISEWOMAN clients with screening values. 3. The Contractor shall provide referrals to medical care for WISEWOMAN clients with abnormal screening values. version. (ontr.,ct Statement of Work —Exhibit B December 21115 Page I of S. 19 FIIIA 113511 1'.xii 1 EXHIBIT Primary Activity #2 The Contractor shall provide face -to face risk reduction counseling onsite, at the Contractor's place of business, at the time of their screening visit. Objective #2: No later than the expiration date of the Contract, women that meet WISEWOMAN eligibility criteria are offered healthy behavior support options. Primary Activity #1 The Contractor shall offer WISEWOMAN clients to the Diabetes Prevention Program (DPP), Cooking Matters or to another comparable CDPHE approved lifestyle program, either onsite or at another site. Primary Activity #2 The Contractor shall offer WISEWOMAN clients paid -for referrals to health coaching services either onsite or to a CDPHE approved entity that provides health coaching. Primary Activity #3 The Contractor shall offer WISEWOMAN clients other referrals to other healthy behavior support options such as other community based resources that support the woman's health goals Objective #3: No later than 30 days after the end of the performance period of this contract, WISEWOMAN data is entered into the eCaST data system. Primary Activity #1 The Contractor shall record WISEWOMAN qualifying procedures into the eCaST data system on a monthly basis. Objective #4: No later than the expiration date of the Contract, participate in the Baseline Screening Assessment and Clinic Quality Improvement project. Primary Activity #1 The Contractor shall participate in the Baseline Screening Assessment and Clinic Quality Improvement project by CDPHE related to breast, cervical, colorectal cancer and cardiovascular screening rates. Sub -Activities #1 The Contractor shall participate in collection of baseline cardiovascular and cancer screening data from Contractor's electronic health record. I. The content of electronic documents located on CDPHE and non-CDPHE websites and information contained on CDPHE and non-CDPHE websites may be updated periodically during the Contract term. The Contractor shall monitor documents and website content for updates and comply with all updates. 2. The Contractor shall comply with the WISEIf"Otl,l,V Program Eligibility Criteria in the WISEWOMAN Colorado Program Manual, found in the WISEWOMAN Provider Resources page on the WISEWOMAN website. This document is incorporated and made part of the Contract by reference and is available on the following website: https://www.colorado.gov/pacific/sites/default/files/WISEWOMAN Manual.pdf 3. The Contractor shall comply with the lawful presence requirements for WWC. a. Comply with Lawful Presence Requirements according to Colorado Department of Revenue guidelines. This information is incorporated and made part of this Contract by reference as is available at the following Department of Revenue website: https://www.colorado.gov,'pacific/dmv/identification-requirement-charts b. Annually obtain a signed Lawful Presence .1/jIdavit. The Contractor shall keep a copy in the patient's medical record before services are rendered. This form is incorporated and made part of this Contract by reference and is available at the WWC website on the Women's Wellness Connection Provider Resources page: https://www.colorado.gov/pacific/cdphe/wwc-provider-resources; and c. Attest by checking the I erified Legal Presence box in the electronic record in eCaST. 4. The Contractor shall complete the JIM(' ff'1SE61'O:11,1,V Combined Consent, Patient Information and Risk Reduction Counseling and Referral forms. These forms are incorporated and made part of this Statement of Work by reference and are available in the WISEWOMAN Provider Resources page on the WISEWOMAN website. 5. The Contractor shall perform cardiovascular screening services in accordance with the et aiun_ Cuntrao Statement of Work —L: 'tuba H Decanher 201 19 1:111A 113511 I :xh I Page 2ot5 EXHIBIT I Standards and Requirements YI'/SEYt'OL1.-1VService Deliver] Plow Diagram and clinical and program guidelines in the WISEWOMAN Colorado Program Manual. 6. The Contractor shall use as a guideline the published alert values, disease values, flow chart, clinical guidelines and risk reduction counseling as described in the WISEWOMAN Colorado Program Manual. 7. The Contractor shall provide face-to-face risk reduction counseling in accordance with the 7SL'WOa1.IN Service Delivery Flow Diagram and the WISEWOMAN Colorado Program Manual. 8. The Contractor shall provide all women, with alert lab value.s. medical evaluation and treatment immediately or within seven (7) days of the alert measurement, in accordance with national standards of care and the judgment of the Contractor's Medical Director. 9. The Contractor shall provide all women, with alert level blood pressure or laboratory alert values, referrals for medical evaluation and management of condition(s) if not currently being treated. 10. The Contractor shall provide all women, with uncontrolled hypertension, case management and other appropriate follow-up. II. The Contractor shall follow the guidelines and comply with the requirements for case management of WISEWOMAN clients stated in the WISEWOMAN Colorado Program Manual. a. Clinical aspects of case management shall be overseen by a Registered Nurse, Physician Assistant or Physician licensed and in good standing to provide healthcare in the state of Colorado. b. Case management shall begin from the first abnormal result through referral to additional medical follow-up or evaluation. 12. The Contractor shall have a Medical Director to develop and implement medical protocols to cover situations not addressed by WISE WOMAN national guidelines. 13. The Contractor shall refer all women to free or low-cost medication resources, if needed. 14. The Contractor shall have an established referral process for abnormal findings. 15. The Contractor shall provide services referenced on the Current Procedural Technology (CPT) Code List directly or through a subcontractor agreement and is available in the WISEWOMAN Provider Resources page on the WISEWOMAN website. 16. If the Contractor is a CDC recognized Diabetes Prevention Program (DPP) site, or pending recognition, then DPP services may be provided by the Contractor. 17. For services that may not be provided onsite, including the DPP services, the Contractor shall maintain a network of subcontractors. Contractor shall forward a copy of the fully executed Memorandum of Understanding or other binding contractual agreement to the WISEWOMAN Program within 15 calendar days of execution. a. Subcontracts shall be secured with local providers to the extent possible. b. Services performed by subcontractors shall be agreed upon in writing through the use of a binding contract which includes the period of service. c. This agreement shall cover referral of eligible clients for services in accordance with WISEWOMAN guidelines in the WISEWOMAN Colorado Program Manual: utilize approved reimbursement rates; obtain written monthly feedback on client participation: access and barriers to participation: and date and length of DPP classes/sessions. version. Contract Statement of Work — ahibn B December 2111 TS Page 3 of 5 19 FULA 1 1351 1 [xh I EXHIBIT I Standards and Requirements 18. The Contractor shall comply with requirements stated in the most current national clinical, diet and lifestyle guidelines as outlined in the WISEWOMAN Colorado Program Manual. 19. At least one (I) representative from the Contractor and/or its network provider sites shall attend all required meetings, conference calls or trainings hosted by the WISEWOMAN Program. This attendance can be achieved by participating at the time of the event or by reviewing a recorded version at a later time. 20. It is expected that if a Contractor enrolls a client in WISEWOMAN and provides initial cardiovascular screening services, the same Contractor shall be responsible for entering all data in eCaST and assuring that clinically appropriate follow-up care is completed through case management services and healthy behavior support options. 21. When corresponding with the WISEWOMAN Program, Contractor shall use all privacy and security measures to protect the client's personal health information. Accepted forms of communication include: a. Unencrypted email conversations using the eCaST identification number; b. Mail or fax clearly marked "Confidential" and using the eCaST identification number; c. HIPAA compliant files transmitted via secure File Transfer Protocol (FTP) sites; and d. Secure encrypted email. 22. The Contractor shall enter the most recent WISEWOMAN client data into the eCaST system by the 15th of each month in preparation for the monthly billing run. 23. The Contractor's new data entry staff shall participate in WISEWOMAN eCaST training within 30 calendar days of hire, unless otherwise approved by the WISEWOMAN Program. 24. The Contractor shall identify and support key personnel assigned these roles: a WISEWOMAN Coordinator. Clinical Liaison, eCaST Coordinator. eCaST data entry staff, Agency Director, Contract Administrator, Signature Authority. Fiscal Payment Coordinator, Fiscal Manager, Health Coach, and Case Manager(s). 25. The Contractor shall comply with the requirements stated in the Contacts Descriptions document, which is available in the WISEWOMAN Provider Resources page of the WISEWOMAN website. 26. The Contractor shall report all staff changes during the contract period to WISEWOMAN Program within 15 calendar days. The Contractor shall use the .Igency and Site Contacts born, or another WISEWOMMAN-provided form. 27. The Contractor shall report all subcontractor changes during the contract period to the WISEWOMAN Program within 15 calendar days of occurrence, via email to WISEWOMAN Program Coordinator. Expected Results of Activity(s) Clients' complete cardiovascular screenings, risk reduction counseling and referrals, and received needed treatment. Measurement of Expected Results WISEWOMAN Program will analyze data from eCaST to include the number of women receiving cardiovascular screenings, risk reduction counseling, and referrals for lifestyle programs . ii �. - y iii W.� hi/J'1'g',/// �'l� >�. /-7,'.-7'7://r//-1/4//74-1' rW�i i f,�, �� „��i ,j1 ��;alfi'5 Completion Date FioLiiv,r✓.✓rs✓.:J✓ioe �a-IJr. r„i iiiJfi,.i r„r<l „iih. ✓i.l; iJ-, ��l,r �-if7� 1��; yersiun Contract Staicmcnt of Wnrk — F.ehihit B Decernher 21)1 ft Page 4 of 19FIII.A1135111'xhI EXHIBIT Deliverables 1. The Contractor shall identify (an) eCaST user(s) responsible for No later than WISEWOMAN data entry in eCaST and submit a list of eCaST user(s) via email to WISEWOMAN Program Coordinator. 7/15/2017 2. The Contractor shall submit key personnel contact information to No later than 15 WISEWOMAN Program within I5 calendar days of the start of calendar days of the fully executed contract or start of term date, whichever is later. via email to WISEWOMAN Program Coordinator. change V. Monitoring: CDPHE's monitoring of this contract for compliance with performance requirements will be conducted throughout the contract period by the WISEWOMAN Program Coordinator. Methods used will include a review of documentation determined by CDPHE to be reflective of performance to include monthly check -in calls, All Agencies Calls, eCaST data, site visits, and other fiscal and programmatic documentation as applicable. The Contractor's performance will be evaluated at set intervals and communicated to the contractor. A Final Contractor Performance Evaluation will be conducted at the end of the life of the contract. VI. Resolution of Non -Compliance: The Contractor will be notified in writing within 15 calendar days of discovery of a compliance issue. Within 30 calendar days of discovery, the Contractor and the State will collaborate, when appropriate, to determine the action(s) necessary to rectify the compliance issue and determine when the action(s) must be completed. The action(s) and time line for completion will be documented in writing and agreed to by both parties. If extenuating circumstances arise that requires an extension to the time line, the Contractor must email a request to the WISEWOMAN Section Manager and receive approval for a new due date. The State will oversee the completion/implementation of the action(s) to ensure time lines are met and the issue(s) is resolved. If the Contractor demonstrates inaction or disregard for the agreed upon compliance resolution plan, the State may exercise its rights under the provisions of this contract. cerion. Contract Statcment of Work— F_xhlbn B [)ecemher 2015 19 FIIIA 113511 I:xh I Page 5ot5 Exhibit 1 CDPHE ;COLORADO Department of Public Health & Environment PREVENTION SERVICES DIVISION - LESS THAN 12 MONTH BUDGET WITH JUSTIFICATION FORM Contract Routing # 19 FHLA 113511 Contractor Name Weld County Department of Public Health and Environment Program Contact Name, Title, Phone and Email Cynthia Horn (970) 304-6420 x2433, chorn@co.weld.co.us Budget Period 11/1/2018 or execution - 3/31/2019 Fiscal Contact Name, Title, Phone and Email Tanya Geiser, Director, Admin Service 970-400-2122, tgeiser@co.weld.co.us Project Name WISEWOMAN Contract (CT or PO) Number CT-2018*3211 Expenditure Categories Personal Services Salaried Employees Position Title Description of Work Gross or Annual Salary Fringe Percent of Time on Project Number of Months Total Amount Requested from CDPHE $0.00 Personal Services Hourly Employees Position Title Description of Work Hourly Wage Hourly Fringe Total # of Hours on Project Total Amount Requested from CDPHE $0.00 Total Personal Services (including fringe benefits) $0.00 Supplies & Operating Expenses Item Description of Item Rate Quantity Total Amount Requested from CDPHE Service Delivery Billed in eCaST $ 10,443.00 1.0 $10,443.00 Operating Supplies Allowable purchase of supplies/operating listed on the WISEWOMAN allowable purchase document on the WISEWOMAN website: https://www.colorado.gov/cdphe/wisewoman-provider-resources $ 1,875.00 1.00 $1,875.00 $0.00 Total Supplies & Operating $12,318.00 Travel Item Description of Item Rate Quantity Total Amount Requested from CDPHE Travel Costs Allowable purchase of travel costs listed on the WISEWOMAN allowable purchase document on the WISEWOMAN website: https://www.colorado.gov/cdphe/wisewoman-provider-resources S 50.00 1.0 $50.00 $0.00 Total Travel $50.00 Contractual Subcontractor Name Description of Item Rate Quantity Total Amount Requested from CDPHE $0.00 Total Contractual $0.00 SUB -TOTAL OF DIRECT COSTS $12,368.00 Indirect Item Description of Item Total Amount Requested from CDPHE CDPHE-Negotiated Indirect Cost Rate CY2018 CDPHE Negotiated Rate - 19.88% $383.00 Total Indirect $383.00 Page 1 of 1 Friendly Fork, Weld County Senior Nutrition Program Adequate nutrition is essential to staying active and maintaining a healthy lifestyle as we age. To enhance the dietary intake of Weld County seniors, the Friendly Fork provides tasty and nutritious lunches in a variety of warm and friendly group settings throughout the County. Currently, we offer 37 meals which are spread out among 23 sites 5 days a week. All of the meals meet 1/3 of the daily recommended dietary allowance and include flavorful items such as lasagna, chicken and dumplings, hamburgers, various fruits and vegetables as well as an assortment of dinner rolls, muffins, cookies and fruit crisps. The Friendly Fork additionally provides meal participants with the opportunity to socialize and interact with others while enjoying a well-balanced meal. This allows many seniors to avoid isolation, maintain their independence, and form new friendships. Social and educational opportunities are also available before and after meals. Guest speakers, musicians and impersonators are quite popular among several sites. Educational classes cover a range of topics including nutrition, health, fraud and tax assistance. Lorrie, the Registered Dietitian is also available for nutrition counseling on a variety of nutrition topics to registered participants of the Friendly Fork at no cost to the participant. It is the true dedication, commitment and enthusiasm of our volunteers that keeps the Friendly Fork going strong. Each of our annually trained volunteers willingly donate their time and effort in helping to welcome others, serve meals, assist with paperwork, clean up and encourage social interaction among the tables of meal participants. All in all, it is our mission to continue providing nutritional, social and educational services to the seniors of Weld County while additionally connecting them to supportive services that promote independence and self sufficiency. A complete listing of the 23 Weld County Friendly Fork meals sites and the days of service can be found on www.weldaaa.org under Senior Nutrition. For additional information, please contact Meredith Skoglund at 970-400-6132 or mskoglund@weldgov.com. Powerful Tools for Caregivers Workshop: If you are caring for a loved one at home, this workshop will help you learn to reduce stress, guilt and anger; relaxation techniques; set goals and problem -solve (family caregivers only). Workshop meets once a week for six weeks. FREE but registration is required by calling 970-400-6130. Tuesdays 1/15/19 to 2/19/19: Greeley Medical Clinic: 9:00 — 10:30 am Hello