HomeMy WebLinkAbout20173163RESOLUTION
RE: APPROVE CONTRACT AMENDMENT #1 PROMOTING SAFE AND STABLE
FAMILIES (PSSF) GRANT AND AUTHORIZE CHAIR TO SIGN
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS, the Board has been presented with Contract Amendment #1 to Promoting
Safe and Stable Families (PSSF) Grant between the County of Weld, State of Colorado, by and
through the Board of County Commissioners of Weld County, on behalf of the Department of
Human Services, and Colorado Department of Human Services, Office of Early Childhood,
commencing October 1, 2017, and ending September 30, 2018, with further terms and conditions
being as stated in said amendment, and
WHEREAS, after review, the Board deems it advisable to approve said amendment, a
copy of which is attached hereto and incorporated herein by reference.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld
County, Colorado, that the Contract Amendment #1 to Promoting Safe and Stable Families
(PSSF) Grant between the County of Weld, State of Colorado, by and through the Board of County
Commissioners of Weld County, on behalf of the Department of Human Services, and Colorado
Department of Human Services, Office of Early Childhood, be, and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized
to sign said amendment.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 13th day of September, A.D., 2017.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
ATTEST:dd ., to•t.k.
Weld County Clerk to the Board
BY:
APPR
ounty A ttorney
Date of signature: Q (
Julie A. Cozad, Chair
Steve Moreno, Pro -Tern
Cc' HSQ
to/9/17
arbara Kirkmeyer
r
2017-3163
HR0088
Ny\-660I IZ2 �o
PRIVII:EGEL) AND CONFIDENTIAL
MEMORANDUM
DATE: August 29, 2017
TO: Board of County Commissioners — Pass -Around
FR: Judy A. Griego, Director, Human Services
RE: Weld County Department of Human Services' Grant Award
Contract Amendment #1 for the Promoting Safe and Stable
Families (PSSF) Grant
Please review and indicate if you would like a work session prior to placing this item on the Board's agenda.
Request Board Approval of the Department's Grant Award Contract Amendment #1 for the Promoting
Safe and Stable Families (PSSF) Grant. The Department is requesting approval of the State of Colorado
Human Services Contract Amendment #1 for the PSSF grant award. The original grant application was
approved through Pass -Around on January 26, 2017. The Department was awarded $120,000 annually, with
the initial contract approved on Pass -Around April 26, 2017, for the period of April 1, 2017 thru September 30,
2017 (6 months), for the pro -rated amount of $60,000. The State is renewing the contract for a full year term,
October 1, 201.7 thru September 30, 2018, for the full annual award amount of $120,000.
The PSSF program enables States to operate coordinated programs of community -based family support
services, family preservation services, time -limited family reunification services, and adoption promotion and
support services to accomplish goals. We will continue to collaborate with Catholic Charities in this effort.
I do not recommend a Work Session. I recommend approval of this Grant Award Contract Amendment.
Sean P. Conway
Julie A. Cozad, Chair
Mike Freeman
Barbara Kirkmeyer
Steve Moreno, Pro -Tern
Approve
Recommendation Work Session
Schedule
rne
Other/Comments:
2017-3163
Pass -Around Memorandum; August 29, 2017 — ID 1386
Page 1
ti-2veg$
CONTRACT AMENDMENT #1
—.--' "--
a` a AVG
State Agency
Colorado Department of Human Services
Office of Early Childhood
1575 Sherman Street. I" Floor
Denver, CO 80203
Original Contract Number
17 MIA 98658
Contractor
Weld County Department of Human Services
PO Box A
Cirecley. CO 80632
Amendment Contract Number
18 II IIA 104226
Current Contract Maximum Amount
Initial Term
Federal Fiscal Year 2017 560,000
Extension Terms
Federal Fiscal Year 2018 S120.000
Total for All Federal Fiscal Years S180,000
Contract Performance Beginning Date
July 19, 2017
Current Contract Expiration Dale
September 30, 2018
THE PARTIES HERETO HAVE EXECUTED THIS AMENDMENT
Each person signing this Amendment represents and warrants that he or she is duly authonzed to execute this Amendment
and to hind the Party authorizing his or her signature.
CONTRACTOR
Weld County Department of Human Services
By Julie Cozad. Weld County C4m nssioner
Date SEP 1 3 2017
STATE OF COLORADO
John W Hickenlooper, Governor
Reggie Bicha
Execu •e Director
By M An Snyder. Director. Office of Early Childhood
Date dtt). O ,.-
In accordance with }24-30-202 C R S this Amendment is not valid until signed and dated hekiw by the State Controller or an
authorized delegate
Qr
STATE CONTROLLER
Robert Jpros, CPA, MBA, JD
Clint Wood
Amendment F flective Date
Vain Dimple
Sci •6r- 30,
1nzrndmrnt Contract Numhcr IS IEII1 70422b Page I of 3
001-1- 31(030)
1. PARTIES
This Amendment (the "Amendment") to the Original Contract shown on the Signature and Cover
Page for this Amendment (the "Contract") is entered into by and between the Contractor, and the
State.
2. TERMINOLOGY
Except as specifically modified by this Amendment, all terms used in this Amendment that are
defined in the Contract shall be construed and interpreted in accordance with the Contract.
3. AMENDMENT EFFECTIVE DATE AND TERM
A. Amendment Effective Date
This Amendment shall not be valid or enforceable until the Amendment Effective Date
shown on the Signature and Cover Page for this Amendment. The State shall not be bound
by any provision of this Amendment before that Amendment Effective Date, and shall have
no obligation to pay Contractor for any Work performed or expense incurred under this
Amendment either before or after the Amendment term shown in §3.B of this Amendment.
B_ Amendment Term
The Parties' respective performances under this Amendment and the changes to the
Contract contained herein shall commence on the Amendment Effective Date shown on the
Signature and Cover Page for this Amendment or October 1, 2017, whichever is later and
shall terminate on the termination of the Contract.
4. PURPOSE
To provide resources for the implementation of the Promoting Safe and Stable Families (PSSF)
program; which is a part of the Social Security Act Title IVB Subpart 2 federal programming.
The purpose of the grant is to help prevent the unnecessary separation of children from their
families, improve the quality of care and services to children and their families, and ensure
permanency for children by reuniting them with their parents. by adoption or by another
permanent living arrangement. Services provided will address: family support, family
preservation, time -limited family reunification and adoption promotion and support. This
amendment extends the contract term for FFY 18, increases funds for services to be provided in
FFY 18, and amends Exhibit A, B, D and E.
5. MODIFICATIONS
The Contract and all prior amendments thereto (Original CMS 17 IHIA 98658), are modified as
follows:
A. Extend Contract Expiration Date from September 30, 2017 to September 30, 2018.
The Initial Contract Expiration Date on the Contract's Signature and Cover Page is hereby
deleted and replaced with the Current Contract Expiration Date shown on the Signature and
Cover Page for this Amendment.
B. Increase Contract Maximum Amount by $120,000 for services in FFY18 and increase
the Total for All Federal Fiscal Years from $60,000 to $180,000.
The Contract Maximum Amount table on the Contract's Signature and Cover Page is
hereby deleted and replaced with the Current Contract Maximum Amount table shown on
the Signature and Cover Page for this Amendment.
Amendment Contract Number: 18 IHIA 104226 Page 2 of 3
C. Exhibit A — Statement of Work
Exhibit A — Amendment #1, which is attached and incorporated into this Amendment, is
hereby added to Exhibit A of the Original Contract.
D. Exhibit B — Budget
Exhibit B — Amendment #1, which is attached and incorporated into this Amendment, is
hereby added to Exhibit B of the Original Contract.
Exhibit D — Supplemental Provisions for Federal Awards
Exhibit D — Amendment #1, which is attached and incorporated into this Amendment, is
hereby added to Exhibit D of the Original Contract.
F. Exhibit E — Additional Provisions
Exhibit E — Amendment #1, which is attached and incorporated into this Amendment,
hereby replaces Exhibit E of the Original Contract.
6. LIMITS OF EFFECT AND ORDER OF PRECEDENCE
This Amendment is incorporated by reference into the Contract, and the Contract and all prior
amendments or other modifications to the Contract, if any, remain in full force and effect except
as specifically modified in this Amendment. Except for the Special Provisions contained in the
Contract, in the event of any conflict, inconsistency, variance, or contradiction between the
provisions of this Amendment and any of the provisions of the Contract or any prior modification
to the Contract, the provisions of this Amendment shall in all respects supersede, govern, and
control. The provisions of this Amendment shall only supersede, govern, and control over the
Special Provisions contained in the Contract to the extent that this Amendment specifically
modifies those Special Provisions.
Amendment Contract Number: 18 IHIA 104226 Page 3 of 3
Exhibit A — Amendment #1
STATEMENT OF WORK (SOW)
WELD COUNTY DEPARTMENT OF HUMAN SERVICES
P.O. BOX A
GREELEY, CO 80632
SUBCONTRACTOR:
CATHOLIC CHARITIES AND COMMUNITY SERVICES
OF THE ARCHDIOCESE OF DENVER
1442 NORTH 11TH AVENUE
GREELEY, COLORADO 80631
October 1, 2017 — September 30, 2018
Page 1 u£8
Exhibit A — Amendment #1
INTRODUCTION/BACKGROUND
The Weld Countti' Department of Human Services and Catholic Charities share the same goals of
maintaining the unity offamilies, advocating for services for. families while keeping children
safe, and fostering stability in children's living arrangements. Through a blend of both
preventive services and crisis intervention management, all services are intended to stabilise
families to ensure the well-being of their children by preventing future abuse/neglect and
building safe, healthy and nurturing environment for children.
SCOPE OF WORK
Through case management utili_ing the High -Fidelity Wraparound model, families will
demonstrate increased life skills and confidence so that they can better address stressors, self-
advocate, become self-sufficient, and increase their knowledge of how to access benefits and
resources. Families will he provided resources and training to further develop their skills.
PERIOD OF PERFORMANCE
October 1, 2017 September 30, 2018
Families will work with a case manager for up to six months. There will a short assessment
period in which a service plan and goals will be developed for families utili_ing the High -
Fidelity Wraparound model. Families will be provided community and human services resources
and he offered family team meetings to further assist in the development of a service plan. They
will complete a pre -assessment within the fist week on contact and will complete a post -
assessment to evaluate their successes with the CFS:4 tool.
Page 2 of 8
Exhibit A — Amendment #1
WORK PLAN
Work Plan
OUTCOMES, BENCHMARKS, AND MILESTONES
Outcome statement:
Clients will demonstrate
increased life skills and
confidence so that they can
better address stressors, self -
advocate, become self-
sufficient, and increase their
knowledge of how to access
benefits and resources.
The Weld County Department of Human Services in partnership with Catholic Charities shall
provide 25 Families with intensive case management services through High Fidelity Wraparound.
Families will complete a pre- and post -assessment. Weld County Department of Human Services
will see a reduced number of this population of families entering the Child Welfare system.
This partnership will collaborate in providing community based supportive services to families
who are in crisis or at risk of involvement in Child Welfare system. Through High Fidelity and
Wraparound services, these families will gain skills and knowledge to improve their overall
family and housing stability.
Key Activity A: Family Assessment/Consultation — Case Management using High Fidelity Wraparound Model
Tasks
Time
Period
Deliverable
Measurement
Person(s)
Responsible
Budget
Category
Completion of assessment
utilizing tools such as the
CFSA (Colorado Family
Support Assessment) Intake
Within 1st
or 2" `� face-
to -face
contact. (1-2
weeks)
Community Case
Manager will
evaluate outcomes of
CFSA to have as a
focal point for
wraparound phases,
which include
Engagement and
Team Preparation_
Initial Plan
Development,
Implementation, and
Transition phase.
CFSA —Pre- and
post-test will show
improvements in
the focused family
plan with at a
minimum of
families showing an
improvement in two
of the 1 1 areas of
focus.
Community
Case Manager,
Geraldine
Romero
Catholic
Charities Case
Manager,
Monica
Ramirez
Family
Support and
Family
Preservation
for Family
Stability
Family Engagement Meeting
Completed
during
intake
process — I'`
or 2"i face-
to-face
contact and
continued at
a minimum
2 times a
month.
Initial Plan
Development is
created with family
Review scheduled
time frames set for
goals monthly
Community
Case Manager,
Geraldine
Romero
Catholic
Charities Case
Manager,
Monica
Ramirez
Schedule Family Team Meeting
Within 2 - 3
weeks of
intake
Implementation plan
is established with
family and case
manager.
Family will share
progress of their
implementation
plan at follow up
family team
meeting.
Community
Case Manager,
Geraldine
Romero
Catholic
Charities Case
Manager,
Monica
Ramirez
Page 3 of 8
Exhibit A — Amendment #1
Transition stage
Completed
Community Case
Workers will
Community
at 4-8
weeks.
Manager will work
with the family to
complete the
transition stage with
Case Manager,
Geraldine
initiate their
transition plan.
the families served.
45% of families
will complete all
stages in Wrap
Romero
Catholic
Charities Case
Around Model.
Manager,
Monica
Ramirez
Training in High Fidelity
Within 90 -
Trainer will train to
Trainer will review
Doug Hainley,
Wraparound for case manager,
120 days of
the High -Fidelity
pretest and post-test
Family
Prevention Supervisor and
PSSF
Wraparound model
and show successful
Engagement
Manager
approval
and incorporate the
pretest for trainees.
completion of
training.
Supervisor
SCHEDULE/MILESTONES
Through the work of case management, we will provide supportive services and training to 25
families on the Guadalupe Campus and at a minimum and reach out to 40 community families by
the end of year one. With home and community -based services, the development of service plans
and system navigation that could include family team decisions, case planning and community
outreach, the goal is to preserve family unity and reduce involvement of the child welfare .system.
Services would be available to stabili_e families and reduce crisis and the deterioration of the
family system. Our outcome is to reduce the number of families that will enter or re-enter the
child welfare system. Families may continue to outreach to services available through Human
Services (e.g., the Prevention Unit), without having an open child welfare case. Overall less than
3% of all Case Management cases will enter or re-enter the child welfare system by the end of
year one.
ACCEPTANCE CRITERIA
The referral process may be initiated through a Catholic Charities or Child Welfare referral.
The Community Case Manager and Catholic Charities case manager will review and track all
referrals. They will work together with Department of Human Services Prevention Supervisor
and Resource Manager to review and collect data for program evaluation and development.
Page 4 of 8
Exhibit A — Amendment #1
STATEMENT OF WORK (SOW):
KINSHIP/ADOPTION/POST PERMANENCY SUPPORT AND EDUCATION
WELD COUNTY DEPARTMENT OF HUMAN SERVICES
P.O. BOX A
GREELEY, CO 80632
SUBCONTRACTOR:
CATHOLIC CHARITIES AND COMMUNITY SERVICES
OF THE ARCHDIOCESE OF DENVER
1442 NORTH 11TH AVENUE
GREELEY, COLORADO 80631
October 1, 2017 — September 30, 2018
Page 5 of 8
Exhibit A — Amendment #1
The Statement of Work (SOW) is a document which describes the scope of work required to
complete a specific project. It is a formal document and must be agreed upon by all parties
involved and ultimately becomes a part of the executed agreement (Contract, PO, etc.). In order to
be effective, the SOW must contain an appropriate level of detail so all parties clearly understand
what work is required, the duration of the work involved, what the deliverables are, and what is
acceptable.
INTRODUCTION/BACKGROUND
The project will continue and enhance a long-term collaboration of support and services
provided by Catholic Charities and Weld County DHS to relative caregivers/kinship/post
permanency/adoptive parents and their children through group support and training. The
Kinship/Adoption/Post Permanency Support and Education group will meet monthly, providing
the Parent Program and the Children's Program.
Parent Program: The goal will he to protect children from abuse and neglect, improve stability
and safety in kinship/adoptive/post permanency families and enhance parents ' ability to meet the
emotional, developmental and educational needs of their children. The groups will be skill -based
and informational but will also help parents reduce social isolation and develop new support
systems and social connections. Families will be given the opportunity to experience skills
learned through `family night incentives ". The incentive will he used for a family each month to
experience a night out with the family to share and model skills learned.
Children's Program: The goal will he to offer a safe and supportive environment where children
can learn new ways to cope with conflicts and stress in their lives including the challenges that
may arise from being separated from birth parents and may raise in the care of grandparents,
adoptive homes, or other relatives. Fun activities, educational games and play will also enhance
children's experience of participating in the group. The children's group will take place while
the support group, for parents is in session. The children's group will be. facilitated by an
educator who has the experience and knowledge of child development and trauma.
SCOPE OF WORK
The Kinship/Adoption/Post Permanency Support and Education group will he co -facilitated by
staff from Catholic Charities and Weld County DHS'. When appropriate, community experts will
be brought in to present to the group. Parent needs, involvement and determination will help set
the schedule for topics covered in the parent education trainings. The trainings will he drawn
from components of evidenced -based parent education and training models. The goal will he to
equip kinship/adoptive/post permanency parents with tools to manage children 's behavior,
understand child development and improve the parent/child relationship.
PERIOD OF PERFORMANCE
The Kinship/Adoption/Post Permanency Support and Education group will he held monthly,
beginning October 1, 2017 - September 30, 2018.
Page 6 of 8
Exhibit A — Amendment #1
WORK PLAN
Work Plan
OUTCOMES, BENCHMARKS, AND MILESTONES
Outcome statement: The
Kinship/Adoptive/Post Permanency Support
and Education group will strive to enrich
parenting skills, encourage good behavior
and strengthen the parent/child relationships
with the goal of establishing permanency and
avoiding further out -of -home placement.
Pre- and post-test will measure the changes in each parent's expectations and the
program will use tools and techniques to manage child behavior and enhance the
parent/child relationship.
A pre-test and assessment will be conducted at the beginning of the new working
group and then repeated at 12 months to determine progress toward goals for the
group.
Key Activity A: Kinship/Adoption/Post Permanency Parent Education and Support Group
Tasks
Time Period
Deliverable
Measurement
Person(s) Responsible
Budget Category
Plan and conduct
Monthly
Kinshipr;Adoption/Post
Permanency and
Education and Support
Group fur families.
Groups will be
held once a
month. October
2017 - September
2018.
Case managers and
Kinship
Coordinators will
work together to
provide structure,
facilitation, and
support based on the
groups needs
identified by the
families.
Up to 50
families will be
served through
this group
process during
the grant cycle
period. 60%
will have
demonstrated
new awareness
and knowledge
that will be
identified in
pre -and post-
tests. Families
will have at a
minimum of
two identified
community
resources that
can further
assist them with
parenting and
support.
Enita Kearns-Hout,
Catholic Charities
Regional Director and
Facilitator. Weld
County DHS Kinship
Team, Co -Facilitators:
Family
Preservation for
Family
Stability/Adoption
Support services
Provide monthly
children's group
during parent support
group.
Groups will be
held once a
month. October
2017 — September
2018.
Supervise children
in a safe and
supportive
environment where
they can have the
opportunity to learn
new concepts, ideas,
and skills to
improve self-esteem,
awareness and to
cope with conflicts
and stress that arise
from separation of
family.
Up to 50
children will
participate in
the children's
group within the
12 -month
period.
Educational/Children's
Instructor along with
assistance from
Catholic Charities and
DHS Kinship team.
Family Support
for Family
Stability
Page 7 of 8
Exhibit A — Amendment #1
SCHEDULE/MILESTONES
Seventy percent of the families will continue participation in the Kinship/Adoption/Post
Permanency Support and Education group for one year. Parents will be able to identift three
new ideas resources or information they have learned in the group that helps them strengthen
the parent child relationship and prompts trauma informed parenting.
ACCEPTANCE CRITERIA
The acceptance of all deliverables will reside with the Office of Early Childhood Promoting Safi
and Stable Families. The designated program manager will produce reports as
required/requested on deliverables and outcomes from pre- and post -testing for this ongoing
project.
Page 8of8
Exhibit B - Amendment #1
N
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Counties/Areas Served:
o
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17
Ca
W
FFY 2018
Total Amount
Requested from
DEC
tcc-5v 5
$ 46.271
FFY 2018
Total Amount
Requested from
DEC
io
g.n
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—.NI M
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et '
33
..O
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a
FFY 2018 I
Total Amount
Requested from
DEC
0
. ,
a
Personnel Services -Salaried Employees
d
7.'E m
o f o Q
F a o o.
'
o
N
41
IP;
IP
Y1
ID
Family Support
for Family
Stability
N .n
an N
.n yr
Na
F
Family Support
for Family
Stability
an a
Cost Based on
Percent of Time
on
Family Support
for Family
Stability
$ 46,271
S 46.271
Cost Based on
Percent of Time
on
Family
Preservation for
Family Stability
N
•
a
Family
Preservation for
Family Stability
N'4
N m
ro
N N
m
''n N
08
ry
N N
N
Oi
n
N
N
in in
Family
Preservation for
Family Stability
N co,
Cost Based on
Percent of Time
on
Adoption
Promotion and
Support (APS)
an
N
Adoption
Promotion and
Support (APS)
<v co
.-4 eo
.n an
S 17,367
$ 367
o
ev
ur w
N
r.
a
N
N a
Adoption
Promotion and
Support (APS)
.n a
Cost Based on
Percent of Time
on
Time -limited
Reunification
(TLR)
N
N
Time -Limited
Reunification
(LTR)
an .n
N an
an Ui
an N
a o
A C
oc .7,' c
E m
~ co
V1 N
Cost Based on
Percent of Time
on
Administration
. n
N
Administration
N an
N. n
an an
,,
..
N N
I
Q
N N
0=
o
m r
E o d
z
N
~
Total Personnel Services (including fringe benefits)!
IContractors/Consultants (payments to third
E
a
0
c
0
a
x
O
a
.E]
ti
91
a O
a
o v
rn c
o i'
y a
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70' o
o
a
c o
Social Case Manager II (64% of salaries/benefits) ---
Teachers for Kinship Group (2 hours/month)
Reimbursement for part of staff cell phones so they are reachable after hours
Handouts, Refreshments, General Group Supplies
!Catholic Charities 'Administrative Costs --
I1 Total Contractors/Consultants
Description of Item
INo costs in this category will be reimbursed by CDHS.
Total Travel
rS'
m
z
W
r
$ = r
C N
t'.5a
w
n
a
Description of Work and
What is included in Fringe Benefits
provides outreach and case management for atrisk
families who have been referred from either Child Protection or the
community. Provides information on available community resources
and other Weld County OHS prevention programs to help families in
need in order to prevent entry into the Child Welfare system. Fringe
includes medical, dental, & retirement.
Position Title/
Employee Name
Community Case Manager
Geraldine Romero
E
o
o
x o
y
D
Yc
a
L
w Si
Monica Ramirez
TBD
c o
o n
a n
-
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c.
_
r
E
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Exhibit B - Amendment #1
FFY 2018
Total Amount
Requested from
OEC
o
1
V,S8eo
',n
-
N N
0.O
r
N
N
W
FFY 2018
Total Amount
Requested from
OEC
4.4 Vf
0
O
N
N
FFY 2018
Total Percentage
8,°.�
V
Y1
N
°f
N
rl
M
Supplies & Operating Expenses
Family Support
for Family
Stability
0
p
O
Yrr
0
g
.n
f.0
NO i
Vr v,
.y
O
n
V1
N
$ 51,972
Indirect Costs
[not to exceed 10% unless Negotiated Federal Indirect Cost rate or Negotiated State Indirect Cost rate is attached]
Family Support
for Family
Stability
,n M
N
n
til
VI
TOTAL AMOUNT REQUESTED FROM OEC
PERCENTAGE OF BUDGET BY PROJECT
Family Support
for Family
Stability
m
O
{{
n
co
N.
N
$ 74,246
Family
Preservation for
Family Stability
S
0
.n
0
0
w
.E,v,
..0
N
.-1
N
0
N
of
N
Family
Preservation for
Family Stability
.
,r N
p
.-1
m
.
TOTAL FAMILY SUPPORT FOR FAMILY STABILITY'
Family
Preservation for
Family Stability
N
M
1O1
Ti
N,N
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V
O
Adoption
Promotion and
Support (APS)
ux
.n
w sn
o
m.
N
N
n
C
M
N
Adoption
Promotion and
Support (APS)
,n y
N
a,
r.
m
TOTAL FAMILY PRESERVATION FOR FAMILY STABIUTVI
Adoption
Promotion and
Support (APS)
n
L6T'ET $
of
a
M
V
N
Time -Limited
Reunification
(LTR)
yr,
,n
yr tiNN
Time -Limited
Reunification
(LTR)
,, N
N
TOTAL ADOPTION PROMOTION AND SUPPORT (APS)'
Time -Limited
Reunification
(LTR)
0
NN
o
ti
E
Qv,
en
v, an
.
N
Q
.�-r
W
N
Administration
,,, M
'R
CO
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H
TOTAL TIME -LIMITED REUNIFICATION (LTR)'
Administration
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Description of Item
Required training for Community Case Managers and Supervisor
Community Case Managers - licensure for four staff ---
Training materials, presenters, children's group educators, supplies, location fees
Incentives for families attending Kinship/Adoption/Post Permanency Groups:
Total Supplies & Operating Expenses)
MODIFIED TOTAL DIRECT COSTS (MTDC)I
Description of Item
Indirect rate: INo costs in this category will be reimbursed by CONS.
Total Indirect
TOTAL ADMINISTRATION'
PERCENTAGE OF BUDGET BY PROJECT'
Match Projection / Required 'Percentage:30% '
TOTAL BUDGET (INCLUDING MATCH)'
E
2
Grantee Meetings and
Conference
Licenses for OES database
Kinship Program
Kinship Program
E
2
EXHIBIT D - Amendment #1 - Supplemental Provisions for Federal Awards
For the purposes of this Exhibit only, Contractor is also identified as "Subrecipient." This Contract has been funded, in
whole or in part, with an award of Federal funds. In the event of a conflict between the provisions of these Supplemental
Provisions for Federal Awards, the Special Provisions, the Contract or any attachments or exhibits incorporated into and
made a part of the Contract, the Supplemental Provisions for Federal Awards shall control. In the event of a conflict
between the Supplemental Provisions for Federal Awards and the FFATA Supplemental Provisions (if any), the FFATA
Supplemental Provisions shall control.
I) Federal Award Identification
i. Subrecipient: Weld County Department of Human Services;
ii. Subrecipient DUNS number: 959401464;
iii. The Federal Award Identification Number (FAIN) is G-1701COFPSS;
iv. The Federal award date is 11/30/2016;
v. The subaward period of performance start date is 10/01/2017 and end date is 09/30/2018;
vi. Federal Funds:
Contract or
Fiscal Year
Amount of Federal funds
obligated by this Contract
Total amount of Federal
funds obligated to the
Subrecipient
Total amount of the
Federal Award committed
to Subrecipient by CDHS
$120,000
FFY18
$120,000
$120,000
vii. Federal award project description: Promoting Safe and Stable Families Program;
viii. The name of the Federal awarding agency is US Department of Health and Human Services; the name of
the pass -through entity is the State of Colorado, Department of Human Services (CDHS); and the contact
information for the awarding official is Mary Martin, Director, Division for Community and Family
Support, 1575 Sherman Street, 1st Floor, Denver, CO 80203; maryw.martin(t state.co.us; 303-866-5023;
ix. The Catalog of Federal Domestic Assistance (CFDA) number is 93.556, name is Promoting Safe and Stable
x. Families, and dollar amount is $3,482,791;
xi. This award is not for research & development:
xii. The indirect cost rate for the Federal award (including if the de minimis rate is charged per 2 CFR §200.414
Indirect (F&A) costs) is pre -determined based upon the State of Colorado and CDHS cost allocation plan.
2) All requirements imposed by CDHS on Subrecipient so that the Federal award is used in accordance with Federal
statutes, regulations, and the terms and conditions of the Federal award, are stated in the General Provisions, Exhibit
A - Statement of Work, and Exhibit E - Additional Provisions.
3) Any additional requirements that CDHS imposes on Subrecipient in order for CDHS to meet its own responsibility to
the Federal awarding agency, including identification of any required financial and performance reports, are stated in
the General Provisions, Exhibit A - Statement of Work, and Exhibit E - Additional Provisions.
4) Subrecipient's approved indirect cost rate is a CDHS negotiated rate of 0 %.
5) Subrecipient must permit CDHS and auditors to have access to Subrecipient's records and financial statements as
necessary for CDHS to meet the requirements of 2 CFR §200.331 Requirements for pass -through entities, §§ 200.300
Statutory and National Policy Requirements through §200.309 Period of performance, and Subpart F —Audit
Requirements of this Part.
6) The appropriate terms and conditions concerning closeout of the subaward are listed in Section 16 of this Exhibit and
the General Provisions, Exhibit A - Statement of Work, and Exhibit E - Additional Provisions.
7) Performance and Final Status. Subrecipient shall submit all financial, performance, and other reports to CDHS no
later than 30 calendar days after the period of performance end date or sooner termination of this Contract containing
an evaluation and review of Subrecipient's performance and the final status of Subrecipient's obligations hereunder.
8) Matching Funds
If a box below is checked, the accompanying provision applies.
Supplemental Provisions for Federal Awards
Page 1 of 5 Issued 3/16/2016
Revised 11/18/2016
Subrecipient is not required to provide matching funds.
ii. Subrecipient shall provide matching funds as stated in Exhibit B - Budget. Subrecipient shall have
raised the full amount of matching funds prior to the Effective Date and shall report to CDHS regarding the
status of such funds upon request. Subrecipient's obligation to pay all or any part of any matching funds,
whether direct or contingent, only extends to funds duly and lawfully appropriated for the purposes of this
Contract by the authorized representatives of the Subrecipient and paid into the Subrecipient's treasury or
bank account. Subrecipient represents to CDHS that the amount designated as matching funds has been
legally appropriated for the purposes of this Contract by its authorized representatives and paid into its
treasury or bank account. Subrecipient does not by this Contract irrevocably pledge present cash reserves for
payments in future fiscal years. and this Contract is not intended to create a multiple -fiscal year debt of the
Subrecipient. Subrecipient shall not pay or be liable for any claimed interest, late charges, fees, taxes or
penalties of any nature, except as required by Subrecipient's laws or policies.
9) Record Retention Period. The record retention period previously stated in this Contract is replaced with the record
retention period prescribed in 2 CFR §200.333.
10) Single Audit Requirements. If Subrecipient expends $750,000 or more in Federal Awards during Subrecipient's
fiscal year, Subrecipient shall procure or arrange for a single or program -specific audit conducted for that year in
accordance with the provisions of Subpart F -Audit Requirements of the Uniform Guidance, issued pursuant to the
Single Audit Act Amendments of 1996, (31 U.S.C. 7501-7507). 2 CFR §200.501.
i. Election. Subrecipient shall have a single audit conducted in accordance with Uniform Guidance §200.514
(Scope of audit), except when it elects to have a program -specific audit conducted in accordance with
§200.507 (Program -specific audits). Subrecipient may elect to have a program -specific audit if Subrecipient
expends Federal Awards under only one Federal program (excluding research and development) and the
Federal program's statutes, regulations, or the terms and conditions of the Federal award do not require a
financial statement audit of CDHS. A program -specific audit may not be elected for research and
development unless all of the Federal Awards expended were received from CDHS and CDHS approves in
advance a program -specific audit.
ii. Exemption. If Subrecipient expends less than $750,000 in Federal Awards during its fiscal year, Subrecipient
shall be exempt from Federal audit requirements for that year, except as noted in 2 CFR §200.503 (Relation to
other audit requirements), but records shall be available for review or audit by appropriate officials of the
Federal agency, the State, and the Government Accountability Office.
iii. Subrecipient Compliance Responsibility. Subrecipient shall procure or otherwise arrange for the audit
required by Part F of the Uniform Guidance and ensure it is properly performed and submitted when due in
accordance with the Uniform Guidance. Subrecipient shall prepare appropriate financial statements,
including the schedule of expenditures of Federal awards in accordance with Uniform Guidance §200.510
(Financial statements) and provide the auditor with access to personnel, accounts, books, records, supporting
documentation, and other information as needed for the auditor to perform the audit required by 2 CFR Part
F -Audit Requirements.
11) Contract Provisions. Subrecipient shall comply with and shall include all of the following applicable provisions in
all subcontracts entered into by it pursuant to this Contract:
i. Equal Employment Opportunity. Except as otherwise provided under 41 CFR Part 60, all contracts that meet
the definition of "federally assisted construction contract" in 41 CFR Part 60-1.3 shall include the equal
opportunity clause provided under 41 CFR 60-1.4(b), in accordance with Executive Order 11246, "Equal
Employment Opportunity" (30 FR 12319, 12935, 3 CFR Part, 1964-1965 Comp., p. 339), as amended by
Executive Order 11375, "Amending Executive Order 11246 Relating to Equal Employment Opportunity,"
and implementing regulations at 41 CFR part 60, "Office of Federal Contract Compliance Programs, Equal
Employment Opportunity, Department of Labor."
Supplemental Provisions for Federal Awards
Page 2 of 5 Issued 3/16/2016
Revised 11/18/2016
"During the performance of this contract, the contractor agrees as follows:
a) The contractor will not discriminate against any employee or applicant for employment because of
race, color, religion, sex, or national origin. The contractor will take affirmative action to ensure that
applicants are employed, and that employees are treated during employment, without regard to their
race, color, religion, sex, or national origin. Such action shall include, but not be limited to the
following: Employment, upgrading, demotion, or transfer, recruitment or recruitment advertising;
layoff or termination; rates of pay or other forms of compensation; and selection for training,
including apprenticeship. The contractor agrees to post in conspicuous places, available to employees
and applicants for employment, notices to be provided by the contracting officer setting forth the
provisions of this nondiscrimination clause.
b) The contractor will, in all solicitations or advertisements for employees placed by or on behalf of the
contractor, state that all qualified applicants will receive consideration for employment without regard
to race, color, religion, sex, or national origin.
c) The contractor will send to each labor union or representative of workers with which he has a
collective bargaining agreement or other contract or understanding, a notice to be provided by the
agency contracting officer, advising the labor union or workers' representative of the contractor's
commitments under section 202 of Executive Order 11246 of September 24, 1965, and shall post
copies of the notice in conspicuous places available to employees and applicants for employment.
d) The contractor will comply with all provisions of Executive Order 11246 of September 24, 1965, and
of the rules, regulations, and relevant orders of the Secretary of Labor.
e) The contractor will furnish all information and reports required by Executive Order 11246 of
September 24, 1965, and by the rules, regulations, and orders of the Secretary of Labor, or pursuant
thereto, and will permit access to his books, records, and accounts by the contracting agency and the
Secretary of Labor for purposes of investigation to ascertain compliance with such rules, regulations,
and orders.
f) In the event of the contractor's non-compliance with the nondiscrimination clauses of this contract or
with any of such rules, regulations, or orders, this contract may be canceled, terminated or suspended
in whole or in part and the contractor may be declared ineligible for further Government contracts in
accordance with procedures authorized in Executive Order 11246 of September 24, 1965, and such
other sanctions may be imposed and remedies invoked as provided in Executive Order 11246 of
September 24, 1965, or by rule, regulation, or order of the Secretary of Labor, or as otherwise
provided by law.
g) The contractor will include the provisions of paragraphs (1) through (7) in every subcontract or
purchase order unless exempted by rules, regulations, or orders of the Secretary of Labor issued
pursuant to section 204 of Executive Order 11246 of September 24, 1965, so that such provisions will
be binding upon each subcontractor or vendor. The contractor will take such action with respect to
any subcontract or purchase order as may be directed by the Secretary of Labor as a means of
enforcing such provisions including sanctions for noncompliance: Provided, however, that in the
event the contractor becomes involved in, or is threatened with, litigation with a subcontractor or
vendor as a result of such direction, the contractor may request the United States to enter into such
litigation to protect the interests of the United States."
ii. 4.2 Davis -Bacon Act. Davis -Bacon Act, as amended (40 U.S.C. 3141-3148). When required by Federal
program legislation, all prime construction contracts in excess of $2,000 awarded by non -Federal entities
must include a provision for compliance with the Davis -Bacon Act (40 U.S.C. 3141-3144, and 3146-3148) as
supplemented by Department of Labor regulations (29 CFR Part 5, "Labor Standards Provisions Applicable
to Contracts Covering Federally Financed and Assisted Construction"). In accordance with the statute,
Supplemental Provisions for Federal Awards Page 3 of 5
Issued 3/16/2016
Revised 11/18/2016
contractors must be required to pay wages to laborers and mechanics at a rate not less than the prevailing
wages specified in a wage determination made by the Secretary of Labor. In addition, contractors must be
required to pay wages not less than once a week. The non -Federal entity must place a copy of the current
prevailing wage determination issued by the Department of Labor in each solicitation. The decision to award
a contract or subcontract must be conditioned upon the acceptance of the wage determination. The non -
Federal entity must report all suspected or reported violations to the Federal awarding agency. The contracts
must also include a provision for compliance with the Copeland "Anti -Kickback" Act (40 U.S.C. 3145), as
supplemented by Department of Labor regulations (29 CFR Part 3, "Contractors and Subcontractors on Public
Building or Public Work Financed in Whole or in Part by Loans or Grants from the United States"). The Act
provides that each contractor or Subrecipient must be prohibited from inducing, by any means, any person
employed in the construction, completion, or repair of public work, to give up any part of the compensation to
which he or she is otherwise entitled. The non -Federal entity must report all suspected or reported violations
to the Federal awarding agency.
iii. Rights to Inventions Made Under a Contract or Agreement. If the Federal Award meets the definition of
"funding agreement" under 37 CFR §401.2 (a) and Subrecipient wishes to enter into a contract with a small
business firm or nonprofit organization regarding the substitution of parties, assignment or performance of
experimental. developmental, or research work under that "funding agreement," Subrecipient must comply
with the requirements of 37 CFR Part 401, "Rights to Inventions Made by Nonprofit Organizations and Small
Business Firms Under Government Grants, Contracts and Cooperative Agreements," and any implementing
regulations issued by the awarding agency.
iv. Clean Air Act (42 U.S.C. 7401-7671q.) and the Federal Water Pollution Control Act (33 U.S.C. 1251-1387),
as amended. Contracts and subgrants of amounts in excess of .5 150,00 must contain a provision that requires
the non -Federal award to agree to comply with all applicable standards, orders or regulations issued pursuant
to the Clean Air Act (42 U.S.C. 7401-7671q) and the Federal Water Pollution Control Act as amended (33
U.S.C. 1251-1387). Violations must be reported to the Federal awarding agency and the Regional Office of
the Environmental Protection Agency (EPA).
v. Debarment and Suspension (Executive Orders 12549 and 12689). A contract award (see 2 CFR 180.220)
must not be made to parties listed on the government wide exclusions in the System for Award Management
(SAM), in accordance with the OMB guidelines at 2 CFR 180 that implement Executive Orders 12549 (3
CFR part 1986 Comp., p. 189) and 12689 (3 CFR part 1989 Comp.. p. 235), "Debarment and Suspension."
SAM Exclusions contains the names of parties debarred, suspended, or otherwise excluded by agencies, as
well as parties declared ineligible under statutory or regulatory authority other than Executive Order 12549.
vi. Byrd Anti -Lobbying Amendment (31 U.S.C. 1352). Contractors that apply or bid for an award exceeding
5100,000 must file the required certification. Each tier certifies to the tier above that it will not and has not
used Federal appropriated funds to pay any person or organization for influencing or attempting to influence
an officer or employee of any agency, a member of Congress, officer or employee of Congress, or an
employee of a member of Congress in connection with obtaining any Federal contract, grant or any other
award covered by 31 U.S.C.1352. Each tier must also disclose any lobbying with non -Federal funds that takes
place in connection with obtaining any Federal award. Such disclosures are forwarded from tier to tier up to
the non -Federal award.
12) Compliance. Subrecipient shall comply with all applicable provisions of The Office of Management and Budget
Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform
Guidance), including but not limited to these Supplemental Provisions for Federal Awards. Any revisions to such
provisions automatically shall become a part of these Supplemental Provisions, without the necessity of either party
executing any further instrument. CDHS may provide written notification to Subrecipient of such revisions, but such
notice shall not be a condition precedent to the effectiveness of such revisions.
Supplemental Provisions for Federal Awards Page 4 of 5 Issued 3/16/2016
Revised 11/18/2016
13) Procurement Procedures. Subrecipient shall use its own documented procurement procedures which reflect
applicable State, local, and Tribal laws and regulations, provided that the procurements conform to applicable Federal
law and the standards identified in the Uniform Guidance, including without limitation, §5200.318 through 200326
thereof
14) Certifications. Unless prohibited by Federal statutes or regulations, CDHS may require Subrecipient to submit
certifications and representations required by Federal statutes or regulations on an annual basis (2 CFR §200.208).
Submission may be required more frequently if Subrecipient fails to meet a requirement of the Federal award.
Subrecipient shall certify in writing to CDHS at the end of the Contract that the project or activity was completed or
the level of effort was expended. 2 CFR §200.201(b)(3). If the required level of activity or effort was not carried out,
the amount of the Contract must be adjusted.
15) Event of Default. Failure to comply with the Uniform Guidance or these Supplemental Provisions for Federal
Awards shall constitute an event of default under the Contract pursuant to 2 CFR §200.339 and CDHS may terminate
the Contract in accordance with the termination provisions in the Contract.
16) Close Out. Subrecipient shall close out this Contract within 90 days after the End Date. Contract close out entails
submission to CDHS by Subrecipient of all documentation defined as a deliverable in this Contract, and
Subrecipient's final reimbursement request. CDHS shall withhold 5% of the allowable costs until all final project
documentation has been submitted and accepted by State as substantially complete. If the project has not been closed
by the Federal awarding agency within 1 year and 90 days after the End Date due to Subrecipient's failure to submit
required documentation that CDHS has requested from Subrecipient, then Subrecipient may be prohibited from
applying for new Federal awards through the State until such documentation has been submitted and accepted.
17) Erroneous Payments. The closeout of a Federal award does not affect the right of the Federal awarding agency or
CDHS to disallow costs and recover funds on the basis of a later audit or other review. Any cost disallowance
recovery is to be made within the record retention period.
EXHIBIT END
Supplemental Provisions for Federal Awards
Page 5 of 5 Issued 3/16/2016
Revised 11/18/2016
Exhibit E — Amendment #1
ADDITIONAL PROVISIONS
1. SERVICE PROVISIONS
The Contractor shall provide the services according to the plans submitted in the "Statement of Work",
attached and incorporated herein by this reference as EXHIBIT A. In all cases, the descriptions, plans,
timetables, tasks, duties, and responsibilities of the Contractor as described in the Statement of Work, shall
be adhered to in the performance of the requirements of this contract. In the event of a conflict, the terms
and conditions of this contract shall control over the Statement of Work.
2. GOALS AND OBJECTIVES
The Contractor shall be responsible for the achievement of any goals and objectives as specified within the
Statement of Work (EXHIBIT A) of this contract unless written notice of any modifications are furnished
by the State to the Contractor allowing adequate time for compliance during the term of this contract.
3. COPY OF SUBCONTRACT
The Contractor shall provide to the State a copy of any executed subcontract between the Contractor and
any provider of services to fulfill any requirements of this contract. Subcontracts shall be emailed to the
Contract Representative upon execution.
4. PAYMENT
In consideration of the provision of services and reporting and subject to all payment and price provisions
and further subject to verification by the State of full and satisfactory compliance with the terms of this
contract, the State shall pay to the Contractor an amount not to exceed the amount specified in the Budget
(EXHIBIT B), of this contract.
a. The Contractor shall submit requests for payment to CDHS OEC Invoicingstate.co_us no less than
monthly on forms prescribed and provided by the State.
b. Payment shall be made on a cost reimbursement basis for services rendered. Advances will not be
approved except in documented situations of cash flow emergency, for a specified term, with the prior
written approval of the State, and in accordance with State fiscal rules and procedures.
c. The Contractor shall maintain source documentation to support all payment requested pursuant to this
contract. All source documentation shall be provided to the State by the Contractor upon request.
d. It is understood that the State reserves the right to offset funds pursuant to this contract based on the
discovery of overpayment or improper use of funds by the Contractor. Overpayment or improper use of
funds is interpreted to apply to specific terms of prior year contracts, and includes without limitation
requirements of the Generally Accepted Accounting Principles (GAAP) issued by the American Institute
of Certified Public Accountants, and applicable sections of the Colorado Revised Statutes.
5. PARTICIPATION
The Contractor representative(s) is required to participate in any Office of Early Childhood sponsored
meetings related to this contract.
6. SUPPLANTING
Payments made to the Contractor under this contract will supplement and not supplant other state, local or
federal expenditures for services associated with this contract.
Page 1 of 2
Exhibit E — Amendment #1
7. BUDGET CHANGES
Contractor may request in writing adjustments to the budget (EXHIBIT B) direct costs not to exceed 10% of
the total direct costs. Requests shall be made in the form of a written budget revision request to the
appropriate program staff. Written approval for the budget revision shall be required prior to any changes to
the budget related to the budget revision request. The total dollar amount of the contract budget cannot be
changed as a result of the budget revision request. No adjustments to the Indirect Costs portion of the budget
are allowable without a formal amendment.
8. DATA COLLECTION
The Contractor will participate in reporting designated outcome measures. The required data will be entered
into an approved CDHS database no later than five (5) working days after completion of task/service or
activity supported by PSSF funds.
9. REPORTING REQUIREMENTS
The Contractor is required to submit quarterly programmatic reports and year end progress reports. Reports
must be submitted to CHDS four times per year on the federal fiscal year calendar. The first report is due on
the last business day of July. The second report is due on the last business day of October. The third report
is due on the last business day of January and the final report is due on the last business day of April each
year.
10. SUBRECIPIENT
Contractors determined to be a Sub -recipient of federal funds shall complete the sub -recipient performance
report and assessment survey at: http:iieepurl.com/ccRiDP upon contract execution. Failure to complete the
performance report and assessment survey shall delay payment to the Contractor.
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