HomeMy WebLinkAbout20181812.tiffRESOLUTION
RE: APPROVE TASK ORDER CONTRACT FOR IMMUNIZATION CORE SERVICES 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 for Immunization
Core Services 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 task order contract, and
WHEREAS, after review, the Board deems it advisable to approve said task order
contract, 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 for Immunization Core Services 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 task order contract.
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: da,f44) v• ..144,;(A,
Weld County Clerk to the Board
BY:
APP
Deputy Clerk to the
ounty Attorney
Mike Freeman
Date of signature: 07-42-(8
Steve Moreno, Chair
EXCUSED
Barbara Kirkmeyer, Pro-Tem
can P. Conway
ozad
GC. HiLCTG)
113o /i9
2018-1812
H L0050
/p4/iFi/-
Memorandum
TO: Steve Moreno, Chair
Board of County Commissioners
FROM: Mark E. Wallace, MD, MPH
Executive Director
Department of Public Health & Environment
DATE: June 6, 2018
SUBJECT: Immunization Core Services FY2018-2019
Renewal Contract
For the Board's approval is a FY18-19 Immunization Core Services continuation contract between
the Colorado Department of Public Health and Environment (CDPHE) and the Weld County Board of
Commissioners for the benefit and use of the Weld County Department of Public Health and
Environment (WCDPHE).
With the approval of this contract, Weld County will be reimbursed an amount not to exceed
$134,036 in FY 2018-2019. The term of this contract is one year, from July 1, 2018, through June 30,
2019. Funds include $85,392 in Federal funding and $48,644 in State funding.
These funds will be used to increase immunization rates in Weld County children and therefore,
reduce morbidity and mortality of infectious disease. We will follow CDC guidelines for immunization
and follow-up of children and adolescents to guard against vaccine -preventable diseases. We will
provide immunizations and educational materials in collaboration with schools, daycares, and
community agencies, such as WIC. In addition to provision of immunizations, WCDPHE will provide
technical support to community physician offices on the complex immunization schedules, conduct
reminder/recall activities, and maintain accurate reporting of immunizations to the Colorado
Immunization Information System (CIIS).
Assistant Weld County Attorney, Bob Choate, has reviewed the continuation contract and
determined that its terms are acceptable.
This contract was approved for placement on the Board's agenda via pass -around dated May 7,
2018.
I recommend approval of this Immunization Core Services continuation contract with CDPHE.
Colt1 / 18
2018-1812
1�Lao5o
DEPARTMENT OF PUBLIC HEALTH AND
ENVIRONMENT
CMS ROUTING NO. 19 FHHA 109514
APPROVED TASK ORDER CONTRACT - WAIVER #154
This task order contract is issued pursuant to master contract made on 11/23/2016, with routing number 18 FAA 00051.
STATE:
State of Colorado for the use & benefit of the
Department of Public Health and Environment
Disease Control and Environmental Epidemiology
Immunization - Core Services
4300 Cherry Creek South Drive
Denver, Colorado 80246
CONTRACT MADE DATE: 04/19/2018
CORE ENCUMBRANCE NUMBER:
************
TERM:
This contract shall be effective upon approval by
the State Controller, or designee, or on 07/01/2018,
whichever is later. The contract shall end on 6/30/2019.
PROCUREMENT METHOD:
Exempt
BID/REP/LIST PRICE AGREEMENT NUMBER:
Not Applicable
LAW SPECIFIED VENDOR STATUTE:
Not Applicable
STATE REPRESENTATIVE:
Teri Lindsey
4300 Cherry Creek South Drive
Denver, Colorado 80246
CONTRACTOR:
Board of County Commisioners of Weld County
(a political subdivision of the state of Colorado)
1150 "O" Streeet Greeley, Colorado 80631
for the use and benefit of the
Weld County Department of Public Health and Environment
Greeley, Colorado 80631
CONTRACTOR DUNS: 075757955
CONTRACTOR ENTITY TYPE:
Political Subdivision
BILLING STATEMENTS RECEIVED:
Quarterly
STATUTORY AUTHORITY: Not Applicable
CLASSIFICATION: Subrecipient
CONTRACT PRICE NOT TO EXCEED: $134,036.00
FEDERAL FUNDING DOLLARS: $85,392.00
STATE FUNDING DOLLARS: $48,644.00
OTHER FUNDING DOLLARS:
Specify "Other":
MAXIMUM AMOUNT AVAILABLE PER FISCAL YEAR:
FY19: $134,036.00
PRICE STRUCTURE: Fixed Price
CONTRACTOR REPRESENTATIVE:
Mark Wallace
1555 North 17th Avenue
Greeley, Colorado 80631
PROJECT DESCRIPTION:
This project serves to reduce and eliminate vaccine preventable diseases in Colorado by increasing and maintaining immunization coverage.
Local public health agencies will provide core immunization services, according to established best practices and standards, to improve the
health of individuals and communities.
Page 1 of 6
19 FHHA 109514 .docx ver 20.4.18
EXHIBITS:
The following exhibits are hereby incorporated:
Exhibit A -
Exhibit B -
Exhibit C -
Exhibit D -
Exhibit E -
Additional Provisions (and any of its Attachments; e.g., A-1, A-2, etc.)
Statement of Work (and any of its Attachments; e.g., B-1, B-2, etc.)
Budget (and any of its Attachments; e.g., C -1, C-2, etc.)
Option Letter
Grant Funding Change Letter
GENERAL PROVISIONS
The following clauses apply to this Task Order Contract. These general clauses may have been expanded upon or made
more specific in some instances in exhibits to this Task Order Contract. To the extent that other provisions of this Task
Order Contract provide more specificity than these general clauses, the more specific provision shall control.
1. This Task Order Contract is being entered into pursuant to the terms and conditions of the Master Contract
including, but not limited to, Exhibit One thereto. The total term of this Task Order Contract, including any
renewals or extensions, may not exceed five (5) years. The parties intend and agree that all work shall be
performed according to the standards, terms and conditions set forth in the Master Contract.
2. In accordance with section 24-30-202(1), C.R.S., as amended, this Task Order Contract is not valid until it has
been approved by the State Controller, or an authorized delegee thereof. The Contractor is not authorized to,
and shall not; commence performance under this Task Order Contract until this Task Order Contract has been
approved by the State Controller or delegee. The State shall have no financial obligation to the Contractor
whatsoever for any work or services or, any costs or expenses, incurred by the Contractor prior to the effective
date of this Task Order Contract. If the State Controller approves this Task Order Contract on or before its
proposed effective date, then the Contractor shall commence performance under this Task Order Contract on
the proposed effective date. If the State Controller approves this Task Order Contract after its proposed
effective date, then the Contractor shall only commence performance under this Task Order Contract on that
later date. The initial term of this Task Order Contract shall continue through and including the date specified
on page one of this Task Order Contract, unless sooner terminated by the parties pursuant to the terms and
conditions of this Task Order Contract and/or the Master Contract. Contractor's commencement of
performance under this Task Order Contract shall be deemed acceptance of the terms and conditions of this
Task Order Contract.
3. The Master Contract and its exhibits and/or attachments are incorporated herein by this reference and made a
part hereof as if fully set forth herein. Unless otherwise stated, all exhibits and/or attachments to this Task Order
Contract are incorporated herein and made a part of this Task Order Contract. Unless otherwise stated, the terms of
this Task Order Contract shall control over any conflicting terms in any of its exhibits. In the event of conflicts or
inconsistencies between the Master Contract and this Task Order Contract (including its exhibits and/or
attachments), or between this Task Order Contract and its exhibits and/or attachments, such conflicts or
inconsistencies shall be resolved by reference to the documents in the following order of priority: 1) the
Special Provisions of the Master Contract; 2) the Master Contract (other than the Special Provisions) and its
exhibits and attachments in the order specified in the Master Contract; 3) this Task Order Contract; 4) the
Page 2 of 6
19 FHHA 109514 .docx ver 20.4.18
Additional Provisions - Exhibit A, and its attachments if included, to this Task Order Contract; 5) the
Scope/Statement of Work - Exhibit B, and its attachments if included, to this Task Order Contract; 6) other
exhibits/attachments to this Task Order Contract in their order of appearance.
4. The Contractor, in accordance with the terms and conditions of the Master Contract and this Task Order
Contract, shall perform and complete, in a timely and satisfactory manner, all work items described in the
Statement of Work and Budget, which are incorporated herein by this reference, made a part hereof and
attached hereto as "Exhibit B" and "Exhibit C".
5. The State, with the concurrence of the Contractor, may, among other things, prospectively renew or extend the
term of this Task Order Contract, subject to the limitations set forth in the Master Contract, increase or
decrease the amount payable under this Task Order Contract, or add to, delete from, and/or modify this Task
Order Contract's Statement of Work through a contract amendment. To be effective, the amendment must be
signed by the State and the Contractor, and be approved by the State Controller or an authorized delegate
thereof. This contract is subject to such modifications as may be required by changes in Federal or State law,
or their implementing regulations. Any such required modification shall automatically be incorporated into and
be part of this Task Order Contract on the effective date of such change as if fully set forth herein.
6. The conditions, provisions, and terms of any RFP attached hereto, if applicable, establish the minimum
standards of performance that the Contractor must meet under this Task Order Contract. If the Contractor's
Proposal, if attached hereto, or any attachments or exhibits thereto, or the Scope/Statement of Work - Exhibit
B, establishes or creates standards of performance greater than those set forth in the RFP, then the Contractor
shall also meet those standards of performance under this Task Order Contract.
7. STATEWIDE CONTRACT MANAGEMENT SYSTEM [This section shall apply when the Effective Date
is on or after July 1, 2009 and the maximum amount payable to Contractor hereunder is $100,000 or higher]
By entering into this Task Order Contract, Contractor agrees to be governed, and to abide, by the provisions of
CRS §24-102-205, §24-102-206, §24-103-601, §24-103.5-101 and §24-105-102 concerning the monitoring of
vendor performance on state contracts and inclusion of contract performance information in a statewide
contract management system.
Contractor's performance shall be evaluated in accordance with the terms and conditions of this Task Order
Contract, State law, including CRS §24-103.5-101, and State Fiscal Rules, Policies and Guidance. Evaluation
of Contractor's performance shall be part of the normal contract administration process and Contractor's
performance will be systematically recorded in the statewide Contract Management System. Areas of review
shall include, but shall not be limited to quality, cost and timeliness. Collection of information relevant to the
performance of Contractor's obligations under this Task Order Contract shall be determined by the specific
requirements of such obligations and shall include factors tailored to match the requirements of the Statement
of Project of this Task Order Contract. Such performance information shall be entered into the statewide
Contract Management System at intervals established in the Statement of Project and a final review and rating
shall be rendered within 30 days of the end of the Task Order Contract term. Contractor shall be notified
following each performance and shall address or correct any identified problem in a timely manner and
maintain work progress.
Should the final performance evaluation determine that Contractor demonstrated a gross failure to meet the
performance measures established under the Statement of Project, the Executive Director of the Colorado
Department of Personnel and Administration (Executive Director), upon request by the Colorado Department
of Public Health and Environment and showing of good cause, may debar Contractor and
Page 3 of 6
19 FHHA 109514 .docx ver 20.4.18
prohibit Contractor from bidding on future contracts. Contractor may contest the final evaluation and result by:
(i) filing rebuttal statements, which may result in either removal or correction of the evaluation (CRS §24-105-
102(6)), or (ii) under CRS §24-105-102(6), exercising the debarment protest and appeal rights provided in
CRS §§24-109-106, 107, 201 or 202, which may result in the reversal of the debarment and reinstatement of
Contractor, by the Executive Director, upon showing of good cause.
8. If this Contract involves federal funds or compliance is otherwise federally mandated, the Contractor and its
agent(s) shall at all times during the term of this contract strictly adhere to all applicable federal laws, state
laws, Executive Orders and implementing regulations as they currently exist and may hereafter be amended.
Without limitation, these federal laws and regulations include the Federal Funding Accountability and
Transparency Act of 2006 (Public Law 109-282), as amended by §6062 of Public Law 110-252, including
without limitation all data reporting requirements required there under. This Act is also referred to as FFATA.
Page 4 of 6
19 FHHA 109514 .docx ver 20.4.18
SIGNATURE PAGE
Contract Routing Number. 19 FHHA 109514
THE PARTIES HERETO HAVE EXECUTED THIS CONTRACT
Each person signing this Contract represents and warrants that he or she is duly authorized to execute this Contract and to bind the party authorizing his or
her signature.
By:
CONTRACTOR
Board of County Commissioners of Weld County
A political subdivision of the State of Colorado
Steve Moreno
Chair
Signature of Authorized Individual
JUN 11 2018
Print Name of Authorized Individual
Print Title of Authorized tnatvidual
Date
PROGRAM APPROVAL
Colorado Department of Public Health and Environment
Signature Autho t d CDPHE
Approver
Date
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
Lisa McGovern
Purchasing and Contracting Section Director, CDPHE
Date
In accordance with §24-30-202 C.R.S., this Contract is not valid until signed and dated below by the State Controller or an
authorized delegate.
STATE CUNT LER
Robe A,J
By:
Effective Date:
19 FHHA 109514 .docx ver 20.4.18
Page 5 of 6
aWe,a`' /f/2&)
This page left intentionally blank.
Page 6 of 6
19 FHHA 109514 .docx ver 20.4.18
EXHIBIT A
ADDITIONAL PROVISIONS
To Task Order Contract Dated 04/19/2018 CMS Task Order Routing Number 19 FHHA 109514
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 federal and state funds (see Catalog of Federal Domestic Assistance
(CFDA) number 93.539).
2. The United States Department of Health and Human Services ("USHHS"), through the Centers for Disease
Control and Prevention ("CDC") has awarded as of 08/01/2018 anticipated federal funds of $5,885,050.00
under Notice of Cooperative Agreement Award, hereinafter "NCAA", number 6 NH23IP000719-05-01, to
perform the following — Immunization and Vaccines for Children Program.
If the underlying Award authorizes the State to pay all allowable and allocable expenses of a Contractor as
of the Effective Date of that Award, then the State shall reimburse the Contractor for any allowable and
allocable expenses of the Contractor that have been incurred by the Contractor since the proposed Effective
Date of this Task Order Contract. If the underlying Award does not authorize the State to pay all allowable
and allocable expenses of a Contractor as of the Effective Date of that Award, then the State shall only
reimburse the Contractor for those allowable and allocable expenses of the Contractor that are incurred by
the Contractor on or after the Effective Date of this Task Order Contract, with such effective date being the
later of the date specified in this Task Order Contract or the date the Task Order Contract is signed by the
State Controller or delegee.
3. To receive compensation under the Contract, the Contractor shall submit a quarterly electronic report as
stipulated in Deliverable Number Two (2) of the Statement of Work. This progress report shall document
the Contractor's progress toward completion of the activities in accordance with the Statement of Work.
Progress reports must be reviewed and approved by CIB staff before payment is made.
Payment under this Contract shall be made to the Contractor by the State in four (4) payments in
accordance with the budget included in this Contract. Payment shall be made only after CIB staff have
reviewed and approved the progress report submitted by the Contractor for the corresponding quarter.
The Contractor shall not use federal funds to satisfy federal cost sharing and matching requirements unless
approved in writing by the appropriate federal agency.
4. 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: 1) 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.
Page 1 of 2
Contract_Exhibit\_,\ddidonalirovisicros_TaskOrdcr_18.1.4
EXHIBIT A
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.
5. Health Insurance Portability and Accountability Act (HIPAA) Business Associate Determination.
The State has determined that this Contract does not constitute a Business Associate relationship under
HIPAA.
6. This award does not include funds for Research and Development.
7. The State, at its discretion, shall have the option to extend the term under this Task Order beyond the Initial
Term for a period or for successive periods, of 1 year at the same rates and under the same terms specified
in the Task Order. In order to exercise this option, the State shall provide written notice to Contractor in as
form substantially equivalent to Exhibit D. If exercised, the provisions of the Option Letter shall become
part of and be incorporated in the original Task Order. The total duration of this Task Order shall not
exceed 5 years.
8. The State, at its discretion, shall have the option to increase or decrease the statewide quantity of Goods
and/or Services based upon the rates established in this Task Order and modify the maximum amount
payable accordingly. In order to exercise this option, the State shall provide written notice to Contractor in
as form substantially equivalent to Exhibit D. Delivery of Goods and/or performance of Services shall
continue at the same rates and terms as described in this Task Order.
9. The State, at its discretion, may unilaterally increase or decrease the total funds available under this Grant,
the funds available under the Grant during any State fiscal Year or the funds available for any specific line
items described in this Grant. In order to exercise this right, the State shall provide written notice to
Grantee in a form substantially equivalent to Exhibit E. The exercise of this right shall not be valid until it
has been approved by the State Controller or designee.
10. Transfer of funds within the Budget:
a. Transfer funds between budget lines if the total of all cumulative transfers is less than 25% of the
budgeted amount does not require Immunization Section approval. However the Contractor shall
notify the Section of the changes in writing prior to the transfer of funds.
b. When the cumulative total of all transfers equals or exceeds twenty five percent (25%) of the total
budgeted amount, the Contractor must obtain written permission from the Immunization Section
to move any funds between lines. The Contractor shall submit the Immunization Section approved
budget modification form prior to making revised expenditures. The Immunization Section staff
will evaluate the request and inform the Contractor of a decision within 15 calendar days of
receiving the request.
Page 2 of 2
Contract _Exhibit -A_, \ddiuon alProvisions_TaskOrder_18.1.4
EXHIBIT B
STATEMENT OF WORK
To Original Contract Routing Number: 19 FHHA 109514
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
II. Project Description:
This project serves to reduce and eliminate vaccine preventable diseases in Colorado by increasing and
maintaining immunization coverage. Local public health agencies will provide core immunization
services, according to established best practices and standards, to improve the health of individuals and
communities.
III. Definitions:
1. ACIP:
2. CCC:
3. CCR:
4. CDC:
5. CDPHE:
6. CIIS:
Advisory Committee on Immunization Practices
Child Care Centers as defined by Colorado State Board of Health Rule 6 CCR
1009-2
Code of Colorado Regulations
Center for Disease Control and Prevention
Colorado Department of Public Health and Environment
Colorado Immunization Information System
7. CIIS reminder/recall: Reminder/recall involves identifying patients who are due (reminder) or
overdue (recall) for immunizations and contacting them to schedule an
appointment.
8. CIB: Colorado Immunization Branch
9. Core immunization services: As defined by the Colorado State Board of Health: assure access to
immunizations using established standards, and, in collaboration with CDPHE, monitor
community immunization levels.
10. Deputization: The formal extension of authority to provide VFC vaccines to eligible underinsured
children from a participating FQHC or RHC to another VFC-enrolled provider;
typically a local public health agency. Previously called Delegation of Authority.
11. Evidence -based: Conscientious use of current scientific evidence and clinical expertise.
12. FQHC: Federally Qualified Health Center
13. Jurisidiction: Power or right of a legal or political agency to exercise its authority over a
person, subject matter, or territory.
14. LPHA: Local Public Health Agency
15. MOU: Memorandum of Understanding
16. RHC: Rural Health Center
17. School: As defined by the Colorado State Board of Health: all child care facilities
licensed by the Colorado Department of Human Services including: child care centers,
school -age child care center, preschools, day camps, resident camps, day treatment
centers, family child care homes, foster care homes, and head start programs; public,
private, or parochial kindergarten, elementary or secondary schools through grade
twelve, or a college or university.
Page 1 of 5
Contract_ SOW_ Exhibit B_December 2015.doc
EXHIBIT B
18. Section 317 Vaccine: Vaccine funding used to support infrastructure critical to vaccine program
success including vaccine for: uninsured and underinsured adults, outbreak response
and preparedness support.
19. VFC: Vaccines for Children
20. VPD: Vaccine preventable disease
IV. Work Plan:
Goal #1: Reduce vaccine preventable diseases in Colorado by increasing or maintaining immunization coverage.
Objective #1: No later than the expiration of the contract, the Contractor shall provide core immunization services
intended to improve the health of individuals and communities.
Primary Activity #1
The Contractor shall implement immunization services within its jurisdiction.
Sub -Activities #1
1. The Contractor shall maintain inventory of all ACIP recommended VFC vaccines
available through the VFC program.
2. The Contractor shall vaccinate children eligible for VFC vaccine per ACIP
recommendations.
3. The Contractor shall vaccinate persons eligible for Section 317 vaccine per ACIP
recommendations.
4. The Contractor shall enter immunization data into CIIS within 30 days of vaccine
administration.
5. The Contractor shall review the county level Immunization Rates Report for the
following information:
a. children 19-35 months of age no later than 30 days after distribution by CIB
b. adolescents 13-17 years of age no later than 30 days after distribution by CIB
c. compare to the CDC National Immunization Surveys; Child and Teen and
CIIS-generated statewide rates provided by CIB in order to increase
awareness of county versus state and national immunization rates within the
30 days that the rates report is distributed by the CIB
6. The Contractor shall implement a minimum of one (1) evidence based strategy,
such as CIIS reminder/recall, to reduce or eliminate coverage disparities by race,
ethnicity and socio-economic status.
7. The Contractor shall promote informed vaccine decision making by educating a
minimum of one (1) of the following:
a. consumers
b. healthcare providers
c. staff who administer immunizations
d. policy makers
8. The Contractor shall promote seasonal influenza vaccine, with new and existing
partners, including those in the commercial sector, to improve preparedness in the
event of an influenza pandemic.
9. The Contractor shall maintain a deputization MOU with an FQHC/RHC.
Page 2 of 5
Contract_SOW_Exhibit B_December 2015.doc
EXHIBIT B
10. The Contractor shall deliver information to schools and CCCs about the Colorado
State Board of Health Rule 6 CCR 1009-2 annual reporting deadline.
a. The Contractor shall respond to questions from schools to assist in
preparation for reporting compliance.
b. The Contractor shall respond to questions from CCCs to assist
in preparation for reporting compliance.
c. The Contractor shall follow up with schools who fail to report data.
d. The Contractor shall follow up with CCCs who fail to report data.
11. The Contractor shall perform duties as requested by the CIB related to identified
immunization needs, and VPD and Hepatitis B case surveillance.
Primary Activity #2
The Contractor shall maintain staff immunization expertise.
Sub -Activities #2
1. The Contractor shall call in to the monthly CIB Immunization Update call.
2. If the monthly call is missed, the Contractor shall listen to the audio recording of
the call provided by the CIB within 30 days.
3. The Contractor shall attend a minimum of one (1) immunization related training or
conference.
Standards and
Requirements
1. The Contractor shall use the final results of the CDC National Immunization
Surveys; Child and Teen and CIIS-generated statewide rates provided by CIB via
email communication in order to increase awareness of county versus state and
national immunization rates.
2. The Contractor shall comply with the requirements for entering/submitting
immunization data into CIIS as agreed to in the CIIS Letter of Agreement found
within the online CIIS Resource Center located on the following website,
https://www.ciisresources.com. The content of this website is incorporated and
made part of this task order by reference.
3. The Contractor shall comply with the ACIP recommendations for vaccine
administration located on the following website,
http://www.cdc.gov/vaccines/acip/index.html. The content of this website is
incorporated and made part of this task order by reference.
4. The Contractor shall promote compliance with school immunization rules within
the Colorado State Board of Health Rule 6 CCR 1009-2 located on the following
website,
http://www.sos.state.co.us/CCR/GenerateRulePdf.do?ruleVersionId=6316. This
document establishes immunization standards and is incorporated and made part
of this task order by reference.
5. The Contractor shall maintain a signed VFC provider Enrollment Agreement.
Page 3 of 5
Contract_ SOW_ Exhibit B_ December 20 1 5.doc
EXHIBIT B
6. The Contractor shall comply with the requirements for utilizing
agreed to in the VFC Provider Enrollment Agreement packet provided
7. The Contractor shall comply with the eligibility requirements for
317 vaccine as provided by CIB via email communication.
8. The Contractor shall use a minimum of one (1) evidence based
eliminate coverage disparities by race, ethnicity and socio-economic
on the following website, www.thecommunityguide.org. The content
VFC vaccine
by CIB.
utilizing Section
strategy to
status located
of this
by CIB via
MOU.
report using the
via the following
website is incorporated and made part of this task order by reference.
9. The Contractor shall use deputization MOU guidance as provided
email communication.
10. Contractors that serve as a FQHC or a RHC do not require a deputization
11. CDPHE will provide programmatic technical assistance upon request.
12. The Contractor shall complete an electronic quarterly progress
2018/19 Immunization Core Services Quarterly Progress Report,
website, https://fs9.formsite.com/ColoradoIMMprogram/2018CoreProgress-
Report/index.html. The content of this website is incorporated
and made part of
websites may be
monitor
updates.
this task order by reference.
13. The content of electronic documents located on CDPHE and non-CDPHE
websites and information contained on CDPHE and non-CDPHE
updated periodically during the contract term. The contractor shall
documents and website content for updates and comply with all
Expected Results of
Activity(s)
1. Immunizations are provided within the Contractor's jurisdiction.
2. Immunizations are marketed within the Contractor's jurisdiction.
3. Immunizations are administered within the Contractor's jurisdiction.
Measurement of
Expected Results
1. Data contained in Immunization Rates Report
2. Data contained in quarterly progress reports
Completion Date
Deliverables
1. The Contractor shall submit, electronically, a signed VFC
Provider Enrollment Agreement.
No later than 30
business days
following the
receipt of the
enrollment packet,
and by 06/30/2019
2. The Contractor shall submit an electronic quarterly progress
report using the 2018/19 Immunization Core Services
Quarterly Progress Report.
No later than 30
calendar days
following the last
calendar day of
Page 4 of 5
Contract_ SOW_ Exhibit B_December 2015.doc
EXHIBIT B
September,
December, March,
and by 06/30/2019
3. The Contractor shall submit immunization data into CIIS.
No later than 30
days following
vaccine
administration,
and within the
contract term
V. Monitoring:
CDPHE's monitoring of this contract for compliance with performance requirements will be conducted
throughout the contract period by the CDPHE Contract Monitor. 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.
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 CDPHE Contract Monitor 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.
Page 5 of 5
Contract_SOW_Exhibit B_December 2015.doc
EXHIBIT C
BUDGET
To Task Order Contract Dated 04/19/2018 - Contract Routing Number 19 FHHA 109514
Original Budget
Immunization Core Service Activities -Weld
Federal (FY19)
Federal 317 funds
$85,392
State (FY19)
MSA funds
$48,644
TOTAL AMOUNTz. ` .146
Page 1 of 1
Exhibit D
OPTI
LETTER
Date:
State
Fiscal
Year:
Option
Letter
No.
Original
Contract CMS#
Option
Letter
CMS
Routing #
CORE
Encumbrance
#
BELE'1'E all text, CLS'_'O IZE Red text and CHANGE Red text to Black after customization.
1) OP'T'IONS: Choose all applicable options listed below
a. Option to extend for a renewal or additional term
b. Option to change amount of goods
c. Option to change amount of services
d. Option to change contract rates
e. Option to initiate next phase of contract
2) REQUIRED PROVISIONS. All Option Letters shall contain the appropriate provisions set forth below:
a. For use with 0 tions a: In accordance with Section(s) enter Section the Original Contract referenced above between
the State of Colorado, Colorado Department of Public Health and Environment, and enter Contractor's name the State
hereby exercises its option for an additional term beginning insert start date and ending on insert end date at the rates
stated in the Original Contract, as amended.
b. For use with Option b and co_In accordance with Section(s) enter Section of the Original Contract routing number
referenced above, between the State of Colorado, Colorado Department of Public Health and Environment, and enter
Contractor's name the State hereby exercises its option to Increase/Decrease the quantity of Goods/Services or both at
the same cost/price as specified in enter Exhibit/Attachment name.
c. For use with Ohtion de In accordance with Section(s) enter Section of the Original Contract routing number
referenced above, the State hereby exercise its option to modify the Contract rates specified in Exhibit/Section number.
The Contract rates attached to this Option letter in enter Exhibit/Attachment name replace the rates in the original
Contract as of the Option Effective Date of this Option Letter.
d. For use with Option e: In accordance with Section(s) enter Section of the Original Contract routing number
referenced above, the State hereby exercise its option to initiate Phase indicate which Phase: 2, 3, 4 etc. which shall
begin on insert start date and ending on insert end date at the cost/price specified in Section enter Section the Original
Contract referenced above.
e. For use with Options a, b, c that modify the contract value: The amount of the current Fiscal Year contract value
is increased/decreased by $ enter amount of change to a new contract value of insert new S amount as consideration for
services/goods ordered under the contract for the current fiscal year Indicate Fiscal Year. The Contract is hereby
modified accordingly. The amended total contract financial obligation including all previous amendments, option
letters, etc. is insert new $ amount.
3) Effective Date: The effective date of this Option Letter is upon approval of the State Controller if exact date is required
complete the following: enter date, and include the following: whichever is later.
Department
John
STATE
W.
of
Hickenlooper,
Public
OF
COLORADO
Health
GOVERNOR
and Environment
By:
PROGRAM
APPROVAL:
By:
Lisa
McGovern,
Date:
Purchasing
& Contracts Section Director
Date:
CRS
performing
by
§24-30-202
the
State
requires
Controller
prior thereto,
ALL
CONTRACTS
REQUIRE
APPROVAL BY THE
STATE CONTROLLER
signed
Contractor
for any
and
goods
dated
begins
and/or
below
the
or
the
State
delegate.
State
Controller
of
Contractor
Colorado
to
approve
is
is not
not obligated
services
all
authorized
State
provided
Contracts.
to
to begin
pay Contractor
hereunder.
This
performance
Contract is not
until
for such performance
valid
such
time.
until
If
or
Contract_OptionLetter_ 17.9.18
Exhibit D
STATE CONTROLLER
Robert Jaros, CPA, MBA, JD
By:
Date:
Contract_OptionLetter_ 17.9.18
Exhibit E
GRANT FUNDING CHANGE LETTER
Date:
State Fiscal Year:
Grant Funding Change
Letter (GFCL) #
CMS Routing #
CORE Encumbrance #
TO: <Insert Grantee's name>
In accordance with Section of the Original Contract routing number , [insert the following language here if
previous amendment(s), renewal(s) have been processed] as amended by [include all previous amendment(s), renewal(s) and
their routing numbers], [insert the following words here if previous amendment(s), renewal(s) have been processed] between the State
of Colorado, Department of Public Health and Environment and <insert contractor name> beginning <insert
start date of original contract> and ending on <insert ending date of current contract amendment>, the undersigned commits
the following funds to the Grant:
The amount of (federal, state, other) grant funds available and specified in Section of <insert previous
contract modification number and routing number> is ❑ increased or ❑ decreased by $
amount of change to new total
funds for the period <date to date> of $ <insert new period cumulative total> for the following reason:
Section is hereby modified accordingly. The revised Budget is incorporated herein by this reference and
identified as Revised Exhibit *. (if budget attached; delete sentence if no budget included.)
Complete the table below; insert/delete rows as needed.
The table below reflects the original budget and all modifications to the total since the effective date of the Original
Contract.
SUMMARY OF CHANGES
Document Type
CMS Routing
#
Funding Source
Period
Dollar Amount
Period
Total
(federal, state, other)
Original
Contract
$
$
$
$
$
$
$
$
$
$
Contract Cumulative Grand Total
$
This Grant Funding Change Letter does not constitute an order for services under this Grant.
The effective date of hereof is upon approval of the State Controller or <insert projected effective date>,
whichever is later.
STATE OF COLORADO
John W. Hickenlooper, Governor
Department of Public Health and Environment
PROGRAM APPROVAL
Colorado Department of Public Health and
Environment
By: By:
Lisa McGovern
INSERT -Name of Authorized Individual
Purchasing and Contracting Section Director, CDPHE INSERT -Official Title of Authorized Individual
Date
Date
In accordance with §24-30-202 C.R.S., this Contract is not valid until signed and dated below by the State Controller or an authorized
delegate.
STATE CONTROLLER
Robert Jaros, CPA, MBA, JD
By:
Effective Date:
Grant Funding Change Letter Ternplate.docx ver 19.4.18 Page 1 of 2
Grant Funding Change Letter Template.docx ver 19.4.1 8
Hello