HomeMy WebLinkAbout20181811.tiffRESOLUTION
RE: APPROVE TASK ORDER AMENDMENT #1 FOR YOUTH SUBSTANCE ABUSE
PREVENTION AND AUTHORIZE CHAIR TO SIGN
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS, the Board has been presented with Task Order Amendment #1 for Youth
Substance Abuse Prevention between the County of Weld, State of Colorado, by and through the
Board of County Commissioners of Weld County, on behalf of the Weld County Department of
Public Health and Environment, and the Colorado Department of Public Health and Environment,
commencing July 1, 2018, and ending June 30, 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 Task Order Amendment #1 for Youth Substance Abuse Prevention
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 11th day of June, A.D., 2018.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
ATTEST: dattAd4) ' ;4,
Weld County Clerk to the Board
BY:
APP
Deputy Clerk
ounty = torney
Date of signature: d? -fa -(8
Mike Freeman
Steve Moreno, Chair
EXCUSED
Barbara Kirkmey Pro-Tem
Sean P. ; onway
di2(Kjia-Pr
e A. Cozad
2018-1811
H L0050
/V4/e7.?
Memorandum
TO: Steve Moreno, Chair
Board of County Commissioners
FROM: Mark E. Wallace, MD, MPH
Executive Director
Department of Public Health & Environment
DATE: June 4, 2018
SUBJECT: Communities that Care (CTC) Continuation
Contract - Youth Substance Abuse Prevention
For the Board's approval is a is a continuation contract between the Colorado Department
of Public Health and Environment (CDPHE) and the Board of County Commissioners of
Weld County for the use and benefit of the Weld County Department of Public Health and
Environment (WCDPHE).
CDPHE provides substance use prevention funding to support local public health agencies
from monies received via marijuana tax revenues. The funding will be used to support staff
and efforts to implement the "Communities that Care" model to address youth substance
abuse prevention, including marijuana, opioids (including heroin or prescription drugs),
and alcohol.
With the approval of the Board, the WCDPHE will enter into a continuation contract with
CDPHE beginning July 1, 2018, and ending June 30, 2021. The year -one renewal term
funding is not to exceed $249,524.
This contract was approved for placement on the Board's agenda via pass -around dated
May 11, 2018.
I recommend approval of this Communities that Care continuation contract with CDPHE.
(0/tt1is
2018-1811
Ht.005:0
DEPARTMENT OR AGENCY NAME
COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
FHLA - VIP/MJ/CtC
DEPARTMENT OR AGENCY NUMBER
FAAA
TASK ORDER AMENDMENT ROUTING NUMBER
19 FHLA 109753
To Original Task Order Routing Number
17 FHLA 89340
TASK ORDER AMENDMENT #1
This Task Order Amendment is made this 27th day of April, 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, Colorado 80631 formerly located at 915 10th Street,
Greeley, Colorado 80632-0758 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 17th 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 April
10, 2016, with encumbrance number CT FAAA FHLA 201800003253 formerly known as CT FAAA FHLA
201700000142, and task order contract routing number 17 FHLA 89340, hereafter referred to as the "Original Task
Order Contract", whereby the Contractor was to provide to the State the following:
Implement the "Communities that Care" model to identify evidence -based or evidence -informed youth
substance abuse prevention strategies and identify sustainable local or regional strategies for ongoing
implementation of youth substance abuse prevention strategies.
Changes were required to extend for an additional three (3) year term and update Additional Provisions.
The State promises to pay the Contractor the sum of Two Hundred Forty Nine Thousand Five Hundred Twenty
Four Dollars, ($249,524.00) for a one (1) year renewal term beginning July 1, 2018 through and including June 30,
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:
l . 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.
2. It is expressly agreed to by the parties that this Contract Amendment is supplemental to the Original Task
Order Contract, contract routing number 17 FHLA 89340, as amended by Grant Funding Change Letter 1,
routing number 18 FHLA 101443 and Grant Funding Change Letter 2, routing number 18 FHLA
108234, 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.
Page 1 of 4
19 FHLA 109753 AMD I .docx ver 28.4.18
020/�— /1"// 6
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. This Contract Amendment is issued pursuant to paragraph 5 of the Original Task Order Contract. This
Contract Amendment is for the renewal term of July 1, 2018, through and including June 30, 2021. The
maximum amount payable by the State for the work to be performed by the Contractor during the Fiscal
Year 2019 term of July 1, 2018 through and including June 30, 2019 is Two Hundred Forty Nine
Thousand Five Hundred Twenty Four Dollars, ($249,524.00) for an amended total contract financial
obligation of the State of Six Hundred Sixty Two Thousand Four Hundred Five Dollars,
($662,405.00).
1. For the fiscal year 2019 renewal term the maximum amount payable attributable to a State of
Colorado funding source is Two Hundred Forty Nine Thousand Five Hundred Twenty Four
Dollars, ($249,524.00), and the amended total contract financial obligation attributable to a State
of Colorado funding source is Six Hundred Sixty Two Thousand Four Hundred Five Dollars,
($662,405.00).
B. Exhibit A, Additional Provisions, are hereby changed in the following respects for this renewal term:
1. Paragraph 6, correct dates from March 31 to February 28.
The modified specifications to the original Statement of Work, Budget and Additional Provisions are
incorporated herein by this reference and identified as "Exhibit G, Exhibit H and Exhibit 1".
The Original Task Order Contract is modified accordingly. All other terms and conditions of the Original Task
Order Contract are reaffirmed.
4. The Effective Date of this Contract Amendment is July 1, 2018, or upon approval of the State Controller, or
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.
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19 FHLA 109753 AM D I .docx ver 28.4.18
SIGNATURE PAGE
Contract Routing Number: 19 FHLA 109753
THE PARTIES HERETO HAVE EXECUTED THIS TASK ORDER AMENDMENT
Each person signing this Task Order Amendment represents and warrants that he or she is duly authorized to execute this Task Order Amendment and to
bind 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
Print Name of Authorized Individual
Chair _ _
rint Title of Authorized Individual
Signature of Authorized Individual
JUN 11 2418
Date
PROGRAM APPROVA
�y
o Department of P e c ; ith, Environment
pprover
Date
tsy:
By:
STATE OF COLORADO
John W. Hickenlooper, Governor
Colorado Department of Public Health and
Environment
Larry Wolk, MD, MSPH, Executive Director and
Chief Medical Officer
cre"mt-trk-
Lisa McGovern
Purchasing and Contracting Section Director, CDPHE
OwS I
Date
LEGAL REVIEW
Cynthia H. Coffman, Attorney General
Signature — Senior As istan Attorney General
Date
In accordance with §24-30-202 C.R.S., this Task Order Amendment is not valid until signed and dated below by the State
Controller or an authorized delegate.
STATE C
Rob
By:
Effective Date:
19 FFILA 109753 AMDI docx
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LLER
BA, JD
02,19/Y- /g7/6)
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19 FHLA 109753 AMDI .docx
EXHIBIT G
STATEMENT OF WORK
Task Order Contract Amendment I Routing Number 19 FHLA 109753
To Original Task Order Contract Routing Number 17 FHLA 89340
These provisions are to be read and interpreted in conjunction with the provisions of the contract specified above.
I. Entity Name: Weld County Department of Public Health and Environment
Term: July 1, 2018 - June 30, 2021
II. Project Description:
This project serves to implement the Communities That Care model, with fidelity, in order to identify evidence -
based or evidence -informed youth substance abuse prevention strategies in communities across Colorado.
Additionally, this funding supports communities to identify sustainable local or regional strategies and funding for
the ongoing implementation of youth substance abuse prevention strategies within each locality.
III. Definitions:
1. Behavioral health: a continuum of services for individuals at risk of, or suffering from, mental, behavioral, or
addictive disorders, and behavioral health, and as a discipline, refers to mental health, psychiatric, marriage
and family counseling, and addictions treatment, and includes services provided by social workers,
counselors, psychiatrists, psychologists, neurologists, and physicians, as well as nurse practitioners and
physician assistants.
2. CDE: Colorado Department of Education
3. CDHS: Colorado Department of Human Services
4. CDPHE: Colorado Department of Public Health and Environment
5. CMP: Collaborative Management Programs funded by CDHS
6. CTC or Communities That Care: an evidence -based community engagement model identified as a
promising program by the Blueprints for Healthy Youth Development evidence -based registry. Communities
that Care includes 5 Phases of implementation:
Phase 1: Get Started
Phase 2: Get Involved
Phase 3: Develop Community Profile
Phase 4: Create a Plan
Phase 5: Implement and Evaluate
5. DCJ: Division of Criminal Justice
6. DfC: Drug Free Communities Grant recipients from the Office of National Drug Control and Policy
7. HKCS: Healthy Kids Colorado Survey
8. LPHA: Local Public Health Agency
9. MCH: Maternal Child Health
10. OBH: Office of Behavioral Health at the Colorado Department of Human Services
11. Primary Prevention: As defined by the Centers for Disease Control's Principles of Prevention Guide,
primary prevention takes place BEFORE substance abuse initially occurs. It involves programs and strategies
designed to reduce the factors that put people at risk for substance abuse or exposure. Or, they encourage the
factors that protect or buffer people from substances.
12. PYD: Positive Youth Development is an approach that guides communities and organizations in the way that
they organize services, opportunities and supports. In practice, this approach incorporates the development of
skills, opportunities and authentic relationships into programs, practices and policies, so that young people
reach their full potential.
13. SB94: Programs funded by CDHS authorized through Senate Bill 94.
14. Socio-ecological model: CDC uses a four -level social -ecological model to better understand violence and the
effect of potential prevention strategies. This model considers the complex interplay between individual,
relationship, community, and societal factors.
15. State -funded prevention programs: Examples of state -funded prevention programs include the Tony
Grampsas Youth Services projects, sexual violence prevention programs, communities funded by the Office
of Suicide Prevention, LPHA Maternal Child Health, CDE grantees, collaborative management programs,
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EXHIBIT G
community substance abuse treatment programs funded by OBH, Senate Bill 94 programs, Regional
Accountable Entities funded by Health Care Policy and Financing, and other Division of Criminal Justice
programs.
16. Substance abuse: substance abuse among youth includes underage use of marijuana and alcohol and the
misuse of prescription drugs/opioids. Additional substances may be included in the definition of substance
abuse by a community if they have documented data of misuse or abuse among youth in their community,
excluding tobacco.
17. TGYS: Tony Grampsas Youth Services grants for primary prevention programs in communities.
18. UCB: University of Colorado at Boulder
19. UCD: University of Colorado at Denver
IV. Work Plan:
Goal #1: Prevent substance abuse among youth within the community by addressing common risk factors and
improving protective factors outlined in the CTC model across the socioecological model within Colorado.
Objective #1: No later than June 30, 2021, maintain a fully -functioning key leader board and community
board that implement the Communities That Care (CTC) model to identify youth substance abuse prevention
evidence -based strategies that address identified risk or protective factors within the community.
Primary Activity
#1
The Contractor shall recruit, mobilize and build capacity among a group of stakeholders
through steps of the Communities That Care model, using data and priorities identified by
each individual community.
Sub -Activities #1
1. The Contractor shall provide a full time Communities That Care facilitator.
2. The Contractor shall recruit key leaders and potential community board members
to participate in the CTC project, using guidance outlined in the CTC model.
3. The Contractor shall recruit leaders of state -funded prevention and treatment
projects to participate in the CTC project, as available within the communities.
4. The Contractor shall use group facilitation skills and tools provided by CTC to
help guide the stakeholders engaged in the CTC process through the CTC
process.
5. The Contractor shall revisit any milestones and benchmarks from Phases 1 and 2
needed to facilitate coalition progress in achieving milestones from Phases 3-5.
6. The Contractor shall hold regular meetings of the stakeholders engaged in the
CTC process, a minimum of one (1) meeting of the stakeholders or a workgroup
per month; or a meeting pattern agreed upon by the CTC stakeholders.
7. The Contractor shall complete the CTC Milestones & Benchmarks evaluation
tool with the support of the stakeholders engaged in the CTC process.
8. The Contractor shall ensure preparation and follow-up for meetings of
community stakeholders is completed.
9. The Contractor shall facilitate delegation of community prevention CTC project
tasks, including but not limited to collecting, organizing, and analyzing data;
community outreach and public relations; and CTC project meetings.
10. The Contractor shall train stakeholders engaged in the CTC stakeholder project to
expand community outreach.
11. The Contractor shall ensure that language interpretation is provided at CTC
project meetings, as needed.
Objective #2: No later than September 30, 2018 and September 30, 2020, incorporate newly released local risk
and protective factor data into their local assessment and gap analysis of youth substance abuse prevention
concerns and existing priorities within the community as appropriate.
Primary Activity
#1
The Contractor shall use local HKCS data if available and regional public data to identify
gaps in prevention for youth substance use or abuse.
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EXHIBIT G
Sub -Activities #1
1. The Contractor shall report on data about substance abuse and mental health risk and
protective factors in the community using a list provided by CDPHE of recommended
indicators.
2. The Contractor shall coordinate data review with local public health staff creating the
existing local community health assessment required in the Public Health Act of 2008,
regarding youth substance abuse and mental health with stakeholders engaged in the
CTC process.
3. The Contractor shall prepare for and lead the CTC workshops and other activities
outlined in the relevant phases of the Milestones and Benchmarks with appropriate
timing for effective community progress,
4. The Contractor shall complete additional assessments/data analysis to develop a clear
picture of gaps and resources in youth substance abuse prevention within the
community, specifically related to shared risk and protective factors that prevent
substance use when appropriate.
5. The Contractor shall identify existing prevention programs that can be leveraged to
address the strategies selected at each of the socio-ecological model levels, including
but not limited to other funded prevention programs from CDE, MCH, TGYS, CMPs,
SB94, DfCs, OBH or DCJ.
6. The Contractor shall request data from relevant community stakeholders to further
analyze gaps in local youth substance abuse prevention.
7. The Contractor shall review local or regional data released after the completion of the
existing community health assessment to further monitor priority risk or protective
factors related to youth substance use, abuse, and prevention.
8. The Contractor shall engage community members to assess risk and protective factors
driving prioritized problems based on selected prevention priorities.
9. The Contractor shall analyze and summarize these assessment results in an updated
CTC-related community health assessment report using a CDPHE-approved template
for the substance abuse -related risk, protective and outcome data.
10. The Contractor shall complete the relevant activities and sections of the CTC
Milestones & Benchmarks evaluation tool for Phases 2-5, with the support of the
workgroups, boards, and other stakeholders engaged in the CTC project and with
guidance from the CTC Coach.
11. The Contractor shall re -administer relevant Milestones and Benchmarks, including
relevant workshops for the boards, at a minimum of once every three (3) years.
Objective #3: No later than June 30, 2019, develop a community action plan to implement primary prevention
strategies to reduce risk and promote protective factors addressing gaps in youth substance abuse prevention
identified in the assessment using the CTC model.
Primary Activity
#1
The Contractor shall develop a community action plan to address gaps in youth substance
a buse prevention identified in the assessment, to be implemented in years three through
five of this Contract, using evidence -based or evidence -informed strategies from a list
approved by CDPHE.
Sub -Activities #1
1. The Contractor shall build capacity among stakeholders engaged in the CTC
project to address alcohol, prescription drug, and marijuana use/abuse among
youth by providing a minimum of two (2) trainings (one in each CTC
community) designed for project members: substances and impacts of their use
on young people and positive youth development principles and practices.
Community coalitions may also assist in this activity.
2. The Contractor shall use the results of the community resource assessment (in
consultation with stakeholders engaged in the CTC project) to refine the
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EXHIBIT G
geographic areas/communities appropriate for intervention within the
community action plan.
3. The Contractor shall prepare for and lead the CTC workgroups, community
board, and key leader board through the workshops and milestones for Phases 4-
5 with appropriate timing for effective community progress, with coaching from
CDPHE.
4. The Contractor shall develop a process for setting prevention priorities based on
updated assessment data from that community when appropriate.
5. The Contractor shall identify and plan to implement (in consultation with
stakeholders engaged in the Communities that Care project) a minimum of two
(2) prevention strategies; one from the societal and one from the community
level of the socioecological model to implement to improve social norms, life
skills and resilience, and community connectedness. These strategies may not be
implemented during this funding cycle due to current initiatives or timelines
within the community, but it is required to identify and plan to include
community and societal level strategies. Strategies shall be selected from a menu
of prevention strategies to be provided by CDPHE.
6. The Contractor shall include in the action plan activities that promote positive
youth development (PYD) and/or social development strategy policies,
principles, and/or practices in their community(ies).
7. The Contractor shall identify (in consultation with stakeholders engaged in the
CTC project) action steps to improve implementation of evidence -based
prevention strategies from the menu of prevention strategies at the individual
and relationship levels of the socioecological model, also known as Blueprints
for Healthy Youth Development when appropriate.
8. The Contractor shall use approved tools to conduct outcome -focused planning to
illustrate and connect the problems the CTC Coalitions and other stakeholders
will address, evidence -based strategies to address those problems, and
anticipated outcomes.
9. The Contractor shall work with CTC project members, members of the larger
community and CDPHE to develop a comprehensive community action plan,
using evidence -based or evidence -informed strategies from the menu of
prevention strategies to be provided by CDPHE.
10. The Contractor shall develop budgets for implementation of prevention
strategies identified by the stakeholders engaged in the CTC project.
11. The Contractor shall identify process and outcome evaluation measures for each
action step and strategy implemented within the community action plan in
partnership with UCB.
12. The Contractor shall complete the relevant activities and sections of the CTC
Milestones & Benchmarks evaluation tool for Phases 4-5, with the support of the
workgroups, boards, and other stakeholders engaged in the CTC project and with
guidance from the CTC Coach.
Objective #4: No later than June 30, 2021, implement relevant action steps within the approved community
action plan to implement substance abuse prevention strategies within the community.
Primary Activity
#1
The Contractor shall document the implementation of specific action steps and related
evaluation measures from the community action plan, including successes and challenges
the stakeholders engaged in the CTC project encountered while implementing substance
abuse prevention strategies within the community.
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EXHIBIT G
Sub -Activities #1
I. The Contractor shall be aware of any substance abuse prevention strategies within the
community to avoid potential duplication and will incorporate identified strategy(ies)
into the CTC action plan when appropriate.
2. The Contractor shall document successes or challenges encountered by community
coalition members while implementing prevention strategies.
3. The Contractor shall track progress toward implementation of the steps outlined in the
community action plan.
4. The Contractor shall discuss edits and updates to prevention activities in the
community action plan with the CDPHE contract monitor.
5. The Contractor shall complete the relevant sections of the CTC Milestones &
Benchmarks evaluation tool for Phases 4 and 5, with the support of the coalition.
6. The Contractor shall utilize training and technical assistance from UCB to complete
the evaluation portions of the community action plan and to support the collection and
dissemination of relevant data.
Standards and
Requirements
1. 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 participate in all required technical assistance meetings
conducted by the CDPHE CTC team.
3. The Contractor shall collaborate with state- and/or federally -funded youth drug
prevention programs that exist within their community.
4. The Contractor shall facilitate and document the implementation of the five phases of
the Communities That Care model with fidelity, providing justification for necessary
adaptations. The five phases are described on the CTC website:
http://www.communitiesthatcare.net/how-ctc-works/, incorporated and made part of
this Contract by reference.
5. The Contractor shall ensure that the CTC Facilitator will demonstrate the skills
identified in the CTC Facilitator job description provided by the University of
Washington.
6. The Contractor shall send a second staff person to be cross -trained as a CTC
Facilitator to support effective implementation and coalition management, when
needed.
7. The Contractor shall adhere to all eCTC license agreement requirements.
8. The Contractor shall ensure all community facilitators using the eCTC system must
successfully complete the Facilitator Training and content mastery assignment in
advance of launching eCTC in their communities.
a. To ensure high quality implementation of eCTC, this license assumes that
community facilitators have successfully completed a Facilitator Training
and content mastery assignment, and their communities are working with a
certified CTC coach.
9. The Contractor will include CTC Facilitator staff on the monthly call for needed TA
and coaching on upcoming CTC milestones and benchmarks.
10. The Contractor shall provide a list of schools in their community to the UCD HKCS
team to encourage focused recruitment of those schools in the HKCS.
I I . The Contractor shall act as a liaison linking UCD HKCS staff to schools for
recruitment for survey administration.
12. The Contractor shall request technical assistance, if applicable from UCB to interpret
the results in the scaled risk and protective factor reports that use HKCS data.
13. The Contractor shall enter into a report sharing agreement with local schools to
receive HKCS scaled risk and protective factor reports once every two years, if the
school district or school districts agree.
14. The Contractor shall assist in all data collection efforts from UCB, as requested.
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EXHIBIT G
15. CDPHE will provide a menu of approved primary prevention strategies across the
socioecological model for implementation by communities. These strategies will be
based on the best available research and evidence for the prevention of substance
abuse.
16. The Contractor shall select strategies for implementation in the community prevention
action plan from the menu of primary prevention strategies to be provided by CDPHE.
The Contractor shall employ a minimum of two (2) strategies; one at the community
level and one at the societal level of the socioecological model.
17. The Contractor shall submit a submission proposal for any innovative strategies not
currently on the menu of primary prevention strategies utilizing the approved CDPHE
proposal template. The Contractor shall send the proposal via email to their assigned
CTC Coach for review by the entire CTC team to ensure the innovative strategy is
evidence -informed.
18. The Contractor shall use the CDPHE-approved template for the community action
plan.
19. CDPHE will review any innovative strategy proposal submission within ten (10)
business days of receipt and provide feedback and questions for further clarification.
20. CDPHE will review and provide feedback on community action plan within 15
business days.
21. The Contractor shall receive CDPHE approval for the community and societal
strategies of the community action plan prior to strategy implementation.
22. The Contractor shall review the community action plan with the Key Leader Board to
highlight leveraged efforts and funding for selected strategies and to receive the KLBs
advice and suggested changes prior to developing the community implementation and
evaluation plan.
23. The Contractor shall invite UCB staff, the CTC Coach, and a relevant subject matter
expert to participate at least electronically in the implementation and evaluation
planning meetings.
24. CDPHE will review and provide feedback on the draft community implementation
and evaluation plan within 15 business days.
25. The Contractor shall receive CDPHE approval for the community implementation and
evaluation plan prior to implementing activities and strategies.
26. The Contractor shall submit any major edits impacting the selected community and
societal level strategies of the community action plan to CDPHE for approval.
27. The Contractor shall comply with the National Standards for Culturally and
Linguistically Appropriate Services in Health Care (CLAS Standards) website
http://www.integration.samhsa.gov/EnhancedCLASStandardsBlueprint.pdf as they
relate to health communications and is incorporated and made part of this Contract by
reference.
28. The Contractor shall utilize current substance abuse social marketing campaign
materials provided by CDPHE when appropriate.
29. The Contractor shall not use CTC funds to purchase ad space for existing statewide
social marketing campaigns.
30. The Contractor shall use only marijuana research or statements on the health effects
outlined by the Retail Marijuana Public Health Advisory Committee. These approved
health statements and factsheets are incorporated and made part of this Contract by
reference and are available on the following website www.colorado.gov/marijuana.
31. The Contractor shall attend identified in -person trainings, including grantee
orientation, the Communities That Care model, effective facilitation strategies,
positive youth development, accessing data resources, prevention -science, and others
as identified.
32. The Contractor shall utilize the positive youth development rubrics (adult and youth
version) to build capacity and evaluate effective youth involvement aligned with HB
13-1239 - Colorado Statewide Youth Development Plan and CO9to25's identified
strategic efforts to achieve positive outcomes for all youth.
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EXHIBIT G
33. The Contractor shall use the CDPHE-approved progress, annual and
template, to be provided by CDPHE, which includes the following requirements:
a. Updates to the Milestones and Benchmarks process tracking
b. Updates on work to implement PYD within the community
community board.
c. Number and description of community partners engaged in the
workgroups,
d. Evaluations of workshops, workgroups and coalition meetings,
e. Updates, progress, and outcome reporting on any prevention
and related evaluation activities within the community prevention
plan,
f. Opportunities and next steps for the program, and
g. document a minimum of one (1) documented success story from
34. The Contractor shall provide to CDPHE upon request written procedures
gift card purchase and handling. At a minimum, the procedures must
following:
a. How the gift card inventory is tracked and maintained
b. Gift card storage and safeguards against theft
c. The primary person responsible for securing and distribution
d. A gift card distribution log that records each gift card number,
and the printed name and signature of each gift card recipient.
35. The Contractor shall provide CDPHE with an updated staff roster of
within two (2) weeks of any staffing change.
36. CDPHE will provide Healthy Kids Colorado Survey data at the regional
levels, where available.
www.chd.dphe.state.co.us/topics.aspx?q=Adolescent Health Data. This
final report
document,
and/or
coalition and
action plan steps
action
the project
related to
include the
gift cards,
dollar amount,
CTC Facilitators
and county
information
agreement,
is incorporated and made part of this Contract by reference.
37. The formal agreement among CTC stakeholders can include a letter of
MOU or other mutually acceptable instrument.
Expected Results
of Activity(s)
Reduce youth substance use and abuse through the implementation of the Communities
That Care model and identified evidence -informed primary prevention strategies in
communities across Colorado.
Measurement of
Expected Results
Final progress and outcome evaluation results, including:
a. documented CTC Milestones & Benchmarks
b. community action plan identifying how the community will address the
priority risk and protective factors related to youth substance use.
c. implementation of community action plan, including evaluation activities
Completion
Date
Deliverables
1. The Contractor shall receive monthly coaching, share updates, and
request support, when necessary, prior to implementation of
milestones via phone to the CTC Coach at CDPHE on the progress
of the activities and deliverables in the statement of work.
No later than
the first day of
each month
2. The Contractor shall submit a CDPHE approved quarterly progress
reports (including Milestones and Benchmarks) via email to the
CTC Coordinator.
No later than
September 30,
December 31,
19 FHLA 109753 Exh G.docx
Page 7 of 8
EXHIBIT G
and March 31
of each year.
3. The Contractor shall submit a draft community action plan via
email to the CTC Coordinator for implementation from 2018 to
2021 that addresses the identified gaps found in the community
health assessment.
No later than
June 30, 2019
4. The Contractor shall submit an annual report via email to the CTC
Coordinator that provides an overview of all activities implemented
in each fiscal year.
No later than
June 30, 2019
and June 30,
2020
5. The Contractor shall submit a final community action plan via
email to the CTC Coordinator for implementation from 2018 to
2021 that addresses the identified gaps found in the community
health assessment.
No later than
August 30,
2019
6. The Contractor shall submit a draft community implementation and
evaluation plan via email to the CTC Coordinator for
implementation from 2019 to 2021 that addresses the identified
gaps found in the community health assessment.
No later than
October 31,
2019
7. The Contractor shall submit a final community implementation and
evaluation plan via email to the CTC Coordinator for
implementation from 2019 to 2021 that addresses the identified
gaps found in the community health assessment.
No later than
January 31,
2020
8. The Contractor shall submit a final report via email to the CTC
Coordinator that provides an overview of all activities implemented
in the five years of funding.
No later than
June 30, 2021
V. Monitoring:
CDPHE's monitoring of this contract for compliance with performance requirements will be conducted throughout
the contract period by the CTC Coordinator. Methods used will include a review of documentation determined by
CDPHE to be reflective of performance to include progress reports and other fiscal and programmatic
documentation as applicable. The Contractor's performance will be evaluated at set intervals and communicated
to the contractor. A Final Contractor Performance Evaluation will be conducted at the end of the life of the
contract.
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 timeline for completion will be documented in writing and agreed to by both parties. If extenuating
circumstances arise that requires an extension to the timeline, the Contractor must email a request to the CTC
Coordinator and receive approval for a new due date. The State will oversee the completion/implementation of the
action(s) to ensure timelines are met and the issue(s) is resolved. If the Contractor demonstrates inaction or
disregard for the agreed upon compliance resolution plan, the State may exercise its rights under the provisions of
this contract.
19 FHLA 109753 Exh G.docx
Page 8 of 8
Exhibit H
COLORADO
Department of Public
Health & Environment
PREVENTION SERVICES DIVISION- 12 MONTH BUDGET WITH JUSTIFICATION FORM
Contract Routing Number: 19 FHLA 109753
Contractor Name
Weld County Department of Public Health and
Environment
Program Contact Name, Title,
Phone and Email
Rachel Freeman, CTC Supervisor,
970.400.2385, rfreeman@weldgov.com
Budget Period
July 1, 2018 - June 30, 2019
Fiscal Contact Name, Title,
Phone and Email
Tanya Geiser, Director of Administrative
Services, (970) 400-2122;
tgeiser@weldgov.com
Project Name
Communities that Care
Contract (CT or PO)
Number
CT FAAA FHLA 201800003253
formerly known as CT FAAA FHLA
201700000142
Expenditure
Categories
Personal
Salaried
Employees
Services
Position Title
Description of Work
Gross or Annual
Salary
Fringe
Percent of
Time on
Project
Total Amount
Requested from
CDPHE
Health Ed Specialist II
help guide the
and
$ 61,307.83
$ 23,867.14
100.0%
$ 85,174.97
CTC Community Facilitator to
coalition through the CTC planning
implementation process.
Health Ed Specialist I
CTC Community Facilitator to
help guide the
and
$ 54,250.45
$ 21,119.70
35.0%
$ 26,379.55
coalition through the CTC planning
implementation process.
Health Ed Specialist II
Support CTC Facilitator to help guide the coalition
through the CTC planning and implementation
process.
$ 63,824.17
$ 24,846.75
50.0%
$ 44,335.46
Community
process in both CTC
$ 70,047.31
$ 27,269.42
20.0%
$ 19,463.35
Supervisor for the 1.0 FTE CTC
Facilitator and oversee the CTC
communities.
CTC Program Supervisor
Division Director
Provide overall program administration, budget
management, and supervision of staff
$ 106,402.69
$ 41,422.57
1.0%
$ 1,478.25
Fringe
Fringe benefits are 38.93%. Components included
are: 1.45% SSI, .09% unemployment, .08% worker's
compensation, 13.7% PERA, .33% life insurance,
12.13% health insurance,4.6% vacation, 4.23% for
holidays and 2.3% for sick leave.
$
Personal
Services
Position Title
Description of Work
Hourly Wage
Hourly Fringe
Total # of
Hours on
Project
Total Amount
Requested from
CDPHE
Office Technician III
0.02 FTE will provide desktop publishing, design,
and other duties as required in fulfilling activitities.
$ 18.41
$ 7.17
40.0
$ 1,023.08
Total
Personal
Services (including
fringe benefits)
$ 177,854.66
Supplies
&
Operating
Expenses
Item
Description of Item 1
Rate
Quantity
Total Amount
Requested from
CDPHE
Page 1of3
Exhibit H
PREVENTION SERVICES DIVISION- 12 MONTH BUDGET WITH JUSTIFICATION FORM
Contract Routing Number: 19 FHLA 109753
Contractor Name
Weld County Department of Public Health and
Environment
Program Contact Name, Title,
Phone and Email
Rachel Freeman, CTC Supervisor,
970.400.2385, rfreeman@weldgov.com
Budget Period
July 1, 2018 - June 30, 2019
Fiscal Contact Name, Title,
Phone and Email
Tanya Geiser, Director of Administrative
Services, (970) 400-2122;
tgeiser@weldgov.com
Project Name
Communities that Care
Contract (CT or PO) Number
CT FAAA FHLA 201800003253
formerly known as CT FAAA FHLA
201700000142
Communty Coalition Food
Community Coalition meals (majority
meetings during the year with
Meeting/training schedule per
($9/person x 15 people x 24
Coalition snacks (majority daytime
workshops involving approximately
people x 12 = $600). Food is
to incentivize meeting participation.
held close to meal times (i.e.
achieve adequate meeting participation,
15
evening meetings)
participants each
Implementation
= $3,240).
workgroup
10 participants)
for community
Additionally,
the lunch hour)
meals
meeting.
model.
Community
meetings
($5/person
meetings
meetings
so in
must be
up to 24
and
x 10
in order
may be
order to
served.
5 106.67
36.0
$ 3,840.12
CTC
meetings
needed
over
Printing/Copies
Printing and photocopying
10,000 = $200;
$24.17/month]
@ (black and white 0.02 cents
color @ 0.06 cents per copy x 1500 = $90
per copy x
[avg
$ 24.17
12.00
$ 290.04
Office Supplies
Office supplies and misc materials for 12-18 community coalition and
workgroup meetings. ($20 x 12 meetings = $240)
$ 20.00
12.00
$ 240.00
Youth Work Group Stipend
Stipends for existing youth work groups
to assist in the assessment process per the
in social media advocacy- supporting CDPHE
schools/organizations at $1000 = $2000)
within
schools/organizations
model and participate
campaigns. (2
$ 1,000.00
2.00
$ 2,000.00
CTC
media
Youth Coalition Gift Cards
Youth advisor gift
coalition - one member
one youth member
16 youth = $320)
cards incentivizing
plus one alternate
required per CTC
16 youth to partipicate in the
per community. At least
Implementation model. ($20 x
$ 20.00
16.00
$ 320.00
Training and Conference
Registration
Training registration cost for 2 staff members to attend the Risk and
Protective Factor Conference. ($40 x 2 people = $80)
$ 40.00
2.00
$ 80.00
Total
Supplies
& Operating
$ 6,770.16
Travel
4
Item
Description of Item
Rate
Quantity
Total Amount
Requested from
CDPHE
Mileage Reimbursement
Round-trip mileage
work with specified
attend required
for CTC Facilitators
community
and
coalitions
trainings per
Program
and workgroups;
Assistant to
and to
model.,
$ 0.525
3829.0
$ 2,010.23
CDPHE-CTC
CTC Implementation
Training and Conference
Lodging
Hotel cost for program
Conference. ($200/night
program staff to
($175/night x 1 person
[avg per night is
staff
x 2
to attend
people x
Facilitator
= $350)
6 nights]
the Risk and Protective Factor
2 days = $800) Hotel cost for
Training in Denver Metro area
Total hotel stay = $1,150
$ 191.67
6.00
$ 1,150.02
attend CTC
x 2 days
$191.67 for
Training and Conference
Meals
Off -site meal cost
Factor Conference
program staff to
people x 3 days =
for program staff
($40/day x 2 people
to attend the Risk
x 3 days = $240)
Training ($40/day
costs = $360
and
Protective
Meal cost for
x 1
S 40.00
9.00
5 360.00
attend the CTC Facilitator
$120) Total Meal
Total
Travel
$ 3,520.25
Page 2 of 3
Exhibit H
PREVENTION SERVICES DIVISION- 12 MONTH BUDGET WITH JUSTIFICATION FORM
Contract Routing Number: 19 FHLA 109753
Contractor Name
Weld County Department of Public Health and
Environment
Program Contact Name, Title,
Phone and Email
Rachel Freeman, CTC Supervisor,
970.400.2385, rfreeman@weldgov.com
Budget Period
July 1, 2018 - June 30, 2019
Fiscal Contact Name, Title,
Phone and Email
Tanya Geiser, Director of Administrative
Services, (970) 400-2122;
tgeiser@weldgov.com
Project Name
Communities that Care
Contract (CT
or PO) Number
CT FAAA FHLA 201800003253
formerly known as CT FAAA FHLA
201700000142
Contractual
Subcontractor Name
Description of Item
Rate
Quantity
Total Amount
Requested from
CDPHE
Community Organization
Minigrant
Minigrants will support the implementation of community level
strategies as identified through the prioritization process and
community action plan in the Communities that Care Process.
Strategies will address risk factors (e.g. availability of drugs, low
neighborhood attachment, etc.) and protective factors (e.g.
opportunities for prosocial involvement, evidence -based programs
and strategies, etc.) within each CTC community. ($10,000 x 2 CTC
Communities = $20,000)
$ 10,000.00
2.0
$ 20,000.00
Total
Contractual
$ 20,000.00
SUB -TOTAL OF DIRECT COSTS
$ 208,145.06
Indirect
Item
Description of Item
Total Amount
Requested from
CDPHE
Federally -Negotiated
Indirect Cost Rate
CDPHE-Negotiated Indirect
Cost Rate
Indirect rate for 2018 = 19.88%
$ 41,379.24
De minimis Indirect Cost
Rate
Total
Indirect
$ 41,379.24
$ 249,524.00
TOTAL
Page 3 of 3
Exhibit I
ADDITIONAL PROVISIONS
To Original Task Order Contract Dated 04/10/2016 - Task Order Routing Number 17 FULA 89340
Task Order Amendment #1 — 19 FH LA 109753
These provisions are to be read and interpreted in conjunction with the provisions of the Task Order Contract specified
above.
1 This Task Order Contract contains state funds.
2. To receive compensation under the Contract, the Contractor shall submit a signed Monthly CDPHE
Reimbursement Invoice Form. This form is accessible from the CDPHE Internet website
https://www.colorado.gov/pacific/cdphe/standardized-invoice-form-and-links and is incorporated and made
part of this Contract by reference. CDPHE will provide technical assistance in accessing and completing
the form. The CDPHE Reimbursement Invoice Form and Expenditure Details page must be submitted no
later than forty-five (45) calendar days after the end of the billing period for which services were rendered.
Expenditures shall be in accordance with this Statement of Work and Budget.
Scan the completed and signed CDPHE Reimbursement Invoice Form into an electronic document. Email
the scanned invoice with the Excel workbook containing the Expenditure Details page to: Ali Maffey,
MSW, Policy and Communication Unit Supervisor, ali.maffey@state.co.us
Final billings under the Contract must be received by the State within a reasonable time after the expiration
or termination of the Contract; but in any event no later than forty-five (45) calendar days from the
effective expiration or termination date of the Contract.
Unless otherwise provided for in the Contract, "Local Match", if any, shall be included on all invoices as
required by funding source.
The Contractor shall not use federal funds to satisfy federal cost sharing and matching requirements unless
approved in writing by the appropriate federal agency.
Time Limit for Acceptance of Deliverables.
a. Evaluation Period. The State shall have thirty (30) calendar days from the date a deliverable is
delivered to the State by the Contractor to evaluate that deliverable, except for those deliverables
that have a different time negotiated by the State and the Contractor.
b. Notice of Defect. If the State believes in good faith that a deliverable fails to meet the design
specifications for that particular deliverable, or is otherwise deficient, then the State shall notify
the Contractor of the failure or deficiencies, in writing, within thirty (30) calendar days of: I ) the
date the deliverable is delivered to the State by the Contractor if the State is aware of the failure or
deficiency at the time of delivery; or 2) the date the State becomes aware of the failure or
deficiency. The above time frame shall apply to all deliverables except for those deliverables that
have a different time negotiated by the State and the Contractor in writing pursuant to the State's
fiscal rules.
c
Time to Correct Defect. Upon receipt of timely written notice of an objection to a completed
deliverable, the Contractor shall have a reasonable period of time, not to exceed thirty (30)
calendar days, to correct the noted deficiencies. If the Contractor fails to correct such deficiencies
within thirty (30) calendar days, the Contractor shall be in default of its obligations under this
Task Order Contract and the State, at its option, may elect to terminate this Task Order Contract or
the Master Contract and all Task Order Contracts entered into pursuant to the Master Contract.
4. Health Insurance Portability and Accountability Act (HIPAA) PAA) Business Associate Determination.
Page 1 o 3
( :ontracr_I •:xhibit-. \_. )rovisions_I'ask( )rdlcr_)4071 5
Exhibit I
The State has determined that this Contract does not constitute a Business Associate relationship under
HIPAA
5 This award does not include funds for Research and Development
6 If Contractor indicates full expenditure of funds under this Contract by February 28 of each grant year and
the full expenditure does not occur, CDPHE has the option to reduce current or upcoming Contract by said
amount or a percent deemed reasonable by CDPHE The State will notify the Contractor of the potential
need to decrease the current or upcoming budget If the Contractor indicates at a later date than February
28 of each grant year an expectation of surplus of funds or inability to fully expend said funds for
unforeseen circumstances that Contractor had not anticipated by February 28, CDPHE will reallocate
unspent funds without any penalties to the Contractor
Upon receipt of timely written notice of an objection by the State for inability to fully expend funds, the
Contractor shall have a reasonable period of time not to exceed ten (10) calendar days to respond to the
action If no dispute is received by the State within ten (10) calendar days, the State has the option to
reduce the current budget for the current year and any upcoming budget for future contractual agreements
7 Contractor shall request prior approval in writing from the State for all modifications to the Statement of
Work/Work Plan or for any modification to the direct costs in excess of twenty-five percent (25%) of the
total budget for direct costs Any request for modifications to the Budget in excess of twenty-five percent
(25%) of the total budget for direct costs shall be submitted to the State at least ninety (90) days prior to the
end of the contract period and may require an amendment in accordance with General Provisions, Section
5 of this Contract
8 The State of Colorado, specifically the Colorado Department of Public Health and Environment, shall be
the owner of all equipment as defined by Federal Accounting Standards Advisory Board (FASAB)
Generally Accepted Accounting Principles (GAAP) purchased under this Contract At the end of the term
of this Task Order Contract, the State shall approve the disposition of all equipment
9 Contractor shall not use State funds provided under this Task Order Contract for the purpose of lobbying as
defined in Colorado Revised Statutes (C R S ) 24-6-301(3 5)(a)
10 The State may increase or decrease funds available under this Task Order Contract using a Grant Funding
Letter substantially equivalent to Exhibit D The Grant Funding Change Letter is not valid until it has been
approved by the State Controller or designee
11 The State may require continued performance for a period of up to three (3) years at the same rates and
same terms specified in the Task Order Contract If the State exercises the option, it will provide written
notice to Contractor at least 30 days prior to the end of the current contract term in a form substantially
equivalent to Exhibit E If exercised, the provisions of the Option Letter shall become part of and be
incorporated into the original Task Order Contract The total duration of this Task Order Contract,
including the exercise of any options under this clause, shall not exceed five (5) years (Note 5 years is the
maximum allowable )
12 The State may increase or decrease the quantity of goods/services described in Exhibit G based upon the
rates established in the Task Order Contract If the State exercises the option, it will provide written notice
to Contractor as least 1 day prior to the end of the current contract term in a form substantially equivalent to
Exhibit E Delivery/performance of the goods/service shall continue at the same rates and terms If
exercised, the provisions of the Option Letter shall become part of and be incorporated into the original
Task Order Contract
Page 2 of 3
Contract_Exhibit-A_,tddmonall'rovi,ion5_ I atikOrdc x_040715
Exhibit I
13 The State may require the contractor to begin performance on the next contact phase as outlined in the
Statement of Work in Exhibit G and at the same terms and same conditions stated in the Task Order
Contract If the State exercises this option, it will provide written notice to the contractor at least 1 day prior
to the end of the current phase in a form substantially equivalent to Exhibit E If exercised, the provisions
of the Option Letter shall become part of and be incorporated into the original Task Order Contract
Page 3 of 3
C ontTact_LYlubtt-r\_,\ddtttonallmvtaon5_ l aakOrdcr_040715
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