HomeMy WebLinkAbout20170286.tiffRESOLUTION
RE: APPROVE TASK ORDER CONTRACT FOR PREVENTION OF INFERTILITY AND THE
MANAGEMENT OF SEXUALLY TRANSMITTED INFECTIONS (STI) AND AUTHORIZE
CHAIR TO SIGN
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS, the Board has been presented with Task Order Contract for the Prevention
of Infertility and the Management of Sexually Transmitted Infections (STI) 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 February 1, 2017, and ending
December 31, 2017, 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 the Prevention of Infertility and the
Management of Sexually Transmitted Infections (STI) 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.
Cc: I-1LC'rG/ST" r -0
O'/lCo/t"7
2017-0286
HL0049
RE: TASK ORDER CONTRACT FOR THE PREVENTION OF INFERTILTIY AND THE
MANAGEMENT OF SEXUALLY TRANSMITTED INFECTIONS (STI)
PAGE 2
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 25th day of January, A.D., 2017.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORAQO
ATTEST: d,,dM4,‘) G •. ', o4k.
Weld County Clerk to the Board
BY:
Cputy Clerk to the Board
APP ED AS TO FOR
County Attorney
Date of signature: O (OCo!
Julie A. Cozad, Chair
Steve Moreno, Pro -T ems
arbara Kirkmeye
l
2017-0286
HL0049
Memorandum
TO: Julie A. Cozad, Chair
Board of County Commissioners
FROM: Mark E. Wallace, MD, MPH
Executive Director
Department of Public Health & Environment
DATE: January 19, 2017
SUBJECT: Task Order Contract with CDPHE for the
prevention of infertility and the management
of sexually transmitted infections (STI)
Enclosed for the Board's approval is a task order contract between the Colorado Department of
Public Health and Environment (CDPHE) and the Board of County Commissioners for the use and
benefit of the Weld County Department of Public Health and Environment (WCDPHE) for the
management of sexually transmitted infections (STI).
This project serves to support the prevention of infertility and C. trachomatis and N. gonorrhea
infection through the provision of screening, treatment, and partner management for these
infectious diseases. Chlamydia continues to be the most commonly reported sexually
transmitted infection (STI) in Colorado. Project activities include testing in the federally funded
Title X clinic(s) including Family Planning (FP) and STD clinics within WCDPHE, and the Platte
Valley Youth Detention Center (PVYDC). WCDPHE has partnered with CDPHE and received cost
reimbursement for C. trachomatis and N. gonorrhea testing for at least the past five years. The
term of this contract is from February 1, 2017, through December 31, 2017, for an amount not
to exceed $11,935.00.
This contract was approved for placement on the Board's agenda via pass -around dated January
13, 2017. I recommend approval of this Task Order Contract with CDPHE for the prevention of
infertility and the management of sexually transmitted infections (STI).
2017-0286
ikDD9-1
DEPARTMENT OF PUBLIC HEALTH AND
ENVIRONMENT
CNN ROUTING NO. 17 FHHA 95844
APPROVED TASK ORDER CONTRACT - WAIVER #154
This task order contract is issued pursuant to master contract made on 01/17/2012, with routing number 13 FAA 00051.
STATE:
State of Colorado for the use & benefit of the
Department of Public Health and Environment
Disease Control and Environmental Epidemiology
Chlamydia
4300 Cherry Creek Drive South
Denver, Colorado 80246
CONTRACT MADE DATE: 11/29/2016
CORE ENCUMBRANCE NUMBER:
201700002993
TERM.
This contract shall be effective upon approval by
the State Controller, or designee, or on 2/1/2017,
whichever is later. The contract shall end on 12/31/2017.
PROCUREMENT METHOD.
Exempt
BID/RFP/LIST PRICE AGREEMENT NUMBER'.
Not Applicable
LAW SPECIFIED VENDOR STATUTE:
Not Applicable
STATE REPRESENTATIVE.
Maria Jackson
Department of Public Health and Environment
Disease Control and Environmental Epidemiolog
4300 Cherry Creek Drive South
Denver, Colorado 80246
CONTRACTOR:
Board of County Commissioners of Weld County
(a political subdivision of the state of Colorado)
915 10th Street
Greeley, Colorado 80632-0758
for the use and benefit of the
Weld County Department of Public Health and Environment
1555 North 17th Avenue
Greeley, Colorado 80631
CONTRACTOR DUNS: 075757955
CONTRACTOR ENTITY TYPE.
Political Subdivision
BILLING STATEMENTS RECEIVED:
Monthly
STATUTORY AUTHORITY. Not Applicable
CLASSIFICATION. Sub -Recipient
CONTRACT PRICE NOT TO EXCEED: $11,935.00
FEDERAL FUNDING DOLLARS: $11,935.00
STATE FUNDING DOLLARS $0.00
OTHER FUNDING DOLLARS: $0.00
Specify "Other".
MAXIMUM AMOUNT AAVAILABLE PER FISCAL YEAR.
FY17: $5,425.00
FY18: $6,510.00
PRICE STRUCTURE: Cost Reimbursement
CONTRACTOR REPRESENTATIVE:
Mark Wallace, Executive Director
Weld County Department of Public Health
and Environment
1555 North 17th Avenue
Greeley, Colorado 8063
PROJECT DESCRIPTION.
This project serves to support the prevention of infertility and C. trachomatis and N. gonorrhea infection through the provision of screening,
treatment, and partner management for these infectious diseases.
CT Temp 1795844_doox Page 1 of6
EXHIBITS_
The following exhibits are hereby incorporated:
Exhibit A -
Exhibit B -
Exhibit C -
Exhibit D -
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.)
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.
I . 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.
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
CT Temp 17 95844_ do c x Page 2 of 6
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
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
CT Temp 17 95844_ do c x Page 3 of 6
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.
CT Temp 17 95844_.do c x Page 4 of 6
THE PARTIES HERETO HAVE EXECUTED THIS CONTRACT
* Persons signing for Contractor hereby swear and affirm that they are authorized to act on Contractor's
behalf and acknowledge that the State is relying on their representations to that effect.
CONTRACTOR:
Board of County Commissioners of Weld County
(a political subdivision of the state of Colorado)
for the use and benefit of the
Weld County Department of Public Health and
Environment
Legal Name of Contracting Entity
Julie A. Cozad
Print Name of Authorized Officer
(cd1
Signature of Authorize
0
JAN 2 5 Z017
ce
Date
Chair
Print Title of Authorized Officer
By:
By:
STATE OF COLORADO:
JOHN W. HICKENLOOPER, GOVERNOR
For Executive Director
Department of Public Health and Environment
Department Program Approval:
ALL CONTRACTS MUST BE APPROVED BY THE STATE CONTROLLER
CRS §24-30-202 requires the State Controller to approve all State Contracts. This Contract is not valid until
signed and dated below by the State Controller or delegate. Contractor is not authorized to begin performance until
such time. If Contractor begins performing prior thereto, the State of Colorado is not obligated to pay Contractor
for such performance or for any goods and/or services provided hereunder.
By:
Date
CT Temp 17 95844_do cx
STATE CONTROLLER:
obert Jaros, CPA, MBA, JD
Page 5 of 6
O21, /7-oaF6()
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CT Temp 17 95844— do c x Page 6 of 6
EXHIBIT A
ADDITIONAL PROVISIONS
To Task Order Contract Dated 11/29/2016 - Contract Routing Number 17 FHHA 95844
These provisions are to be read and interpreted in conjunction with the provisions of the Task Order Contract specified
above.
I. This Task Order Contract contains federal funds (see Catalog of Federal Domestic Assistance (CFDA)
number 93.977).
2,
The United States Department of Health and Human Services ("USHHS"), through the Centers for Disease
Control and Prevention ("CDC") has awarded federal funds under Award number 1 H25PS004319-01
hereinafter "Award", to perform the following — To prevent infertility and C. trachomatis infection through
the provision of Chlamydia trachomatis and Neisseria gonorrhea screening, treatment and partner
management.
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.
To receive compensation under the Contract, the Contractor shall submit a signed Monthly Disease Control
and Environmental Epidemiology Division (DCEED) HIV Care and Treatment Program Reimbursement
Invoice Form. This form is accessible from the CDPHE Internet website
hnps:Uwww.colorado.gov/pacific/cdphe/standardized-invoice-form-and-links and is incorporated and made
part of this Contract by reference. CDPHE will provide technical assistance in accessing and completing
the form. The CDPHE Reimbursement Invoice Form and Expenditure Details page must be submitted no
later than forty-five (45) calendar days after the end of the billing period for which services were rendered.
Expenditures shall be in accordance with the Statement of Work and Budget. The Contractor shall submit
the invoice by scanning the completed and signed CDPHE Reimbursement Invoice Form into an electronic
document. Email the scanned invoice and Expenditure Details page to:
cdphe icpp.cm('2state.co.us
Final billings under the Contract must be received by the State within a reasonable time after the expiration
or termination of the Contract; but in any event no later than forty-five (45) calendar days from the
effective expiration or termination date of the Contract.
Unless otherwise provided for in the Contract, "Local Match", if any, shall be included on all invoices as
required by funding source.
The Contractor shall not use federal funds to satisfy federal cost sharing and matching requirements unless
approved in writing by the appropriate federal agency.
4. Time Limit For Acceptance Of Deliverables.
a. Evaluation Period. The State shall have forty-five (45) 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.
Conrract_Exhibit A AdditionalProvisions_040715 Page 1 of 2
EXHIBIT A
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 forty-five (45) 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.
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.
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. Transfer of funds within the Budget:
a. Transfer funds between budget lines if the total of all cumulative transfers is less than 10% of the
budgeted amount does not require STI/HIV/VH Branch 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 ten percent (10%) of the total
budgeted amount, the Contractor must obtain written permission from the STI/HIV/VH Branch to
move any funds between lines. The Contractor shall submit the STI/HIV/VH Branch approved
budget modification form prior to making revised expenditures. The STI/HIV/VH Branch staff
will evaluate the request and inform the Contractor of a decision within 15 calendar days of
receiving the request.
7. The Contractor may not purchase goods or services not directly specified in the budget document without
prior written approval by the STI/HIV/VH Branch.
8. This award does not include funds for Research and Development.
9. The State may increase or decrease funds available under this Contract using a Grant Funding Letter
substantially equivalent to Exhibit D. The Grant Funding Letter is not valid until it has been approved by
the State Controller or designee.
Contract Exhibit -A AdditionalProvisions_040715 Page 2 of 2
EXHIBIT B
STATEMENT OF WORK
To Original Contract Routing Number 17 FHHA 95844
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 & Environment
Term: February 1, 2017 — December 31, 2017
II. Project Description:
This project serves to support the prevention of infertility and C. trachomatis and N. gonorrhea infection
through the provision of screening, treatment, and partner management for these infectious diseases.
Chlamydia continues to be the most commonly reported sexually transmitted infection (STI) in
Colorado. Project activities include testing in the federally funded Title X clinic, STI clinic, and
community health clinics.
III. Definitions:
1. CDC — Centers for Disease Control and Prevention
2. CT — Chlamydia Trachomatis - a sexually transmitted disease that when left untreated, may
result in infertility in women
3. DORA — Department of Regulatory Agencies
4. EPT — Expedited Partner Therapy
5. GC — Neisseria gonorrhea - a sexually transmitted disease that when left untreated, may result in
infertility in women
6. Sequelae — A pathological condition resulting from a disease, i.e., a complication of untreated
disease
7. STD — Sexually transmitted disease(s)
8. Title X - Title X of the Public Health Service Act (Public Law 91-572 Population Research and
Voluntary Family Planning Programs). The federal grant program dedicated solely to providing
persons with comprehensive family planning and related preventive health services
9. Target population — Young females 15-24 years of age and other persons presenting to the Title
X clinic
IV. Work Plan:
Goal #1: Prevent the spread of sexually transmitted diseases, their sequelea, including infertility, in Colorado.
Objective #1: No later than the expiration date of this contract, conduct screening and provide treatment for
Chlamydia trachomatis and Neisseria gonorrhea for persons receiving services in the federally funded Title X
clinic.
Primary Activity #1
The Contractor shall conduct screening for Chlamydia Trachomatis (CT) and
Neisseria gonorrhea (GC) for the Target Population.
Sub -Activities #1
1. The Contractor shall collect the following information for quarterly progress
reports submitted to CDPHE for all persons for whom a CT and/or GC test is
performed by the Contractor:
a. epidemiologic data;
b. test results
Page 1 of3
Contract Statement of Work
2017
EXHIBIT B
c. and Medicaid status
Primary Activity #2
The Contractor shall provide treatment for persons exposed to, or testing positive for
CT and/or GC.
Sub -Activities #2
I. The Contractor shall ensure all treatment administered is documented pursuant
to generally accepted standards of care for this agency and included in the
quarterly progress reports submitted to CDPHE.
2. The Contractor shall ensure types of treatment are agreed upon with CDPHE
STI/HIV program staff prior to administering treatment to clients.
Standards and
Requirements
1. The Contractor shall perform CT and GC screening in accordance with CDC
screening guidelines available on the following website
http://www.cdc.gov/std/tg20I5/screeninu-rccommendations.htm and are
incorporated and made part of this contract by reference.
2. The Contractor shall ensure the quality of CT and GC control activities in the Title
X clinic and community health clinics through chart review activities agreed upon
in conjunction with the CDPHE STI/HIV program staff.
3. The Contractor shall adhere to the Sexually Transmitted Diseases Summary of
CDC Treatment Guidelines, 2015, available on the following website
http://www.cdc.gov/std/ta2015 and are incorporated and made part of this contract
by reference.
4. The Contractor shall comply with the data collection and reporting requirements
stated in the Data Collection and Reporting Guidelines. This document can be
accessed at https://www.colorado.aov/pacific/cdphe/sti-and-hiv-contractor-and-
provider-resources is incorporated and made part of this contract by reference.
5. The Contractor shall comply with the guidelines concerning data security and
confidentiality stated in the Centers for Disease Control's Data Security and
Confidentiality Guidelines for HIV, Viral Hepatitis, Sexually Transmitted Disease
and Tuberculosis Programs. This document can be accessed at
httP://www. cdc. gov/nchhstp/programintegrati on/docs/PC S I DataSecuritvGu idol inc
s.pdf is incorporated and made part of this contract by reference.
6. The content of electronic documents located on CDPHE and non-CDPHE
websites and information contained on CDPHE and non-CDPHE websites may be
updated periodically during the contract term. The Contractor shall monitor
documents and website content for updates and comply with the most recent
revisions.
7. The Contractor shall comply with the following rules and regulations when
performing data collection and entry, reporting, and the implementation of
activities. These guidelines and standards are located on the state of Colorado
website http://www.sos.state.co.us/CCR/Welcome.do and are incorporated and
made part of this contract by reference:
a. § 25-4-14 C.R.S. et seq. concerning HIV infection.
b. §1 8-4-412 C.R.S. et seq. concerning the theft of medical records.
c. Colorado State Board of Health Rules for the Reporting, Prevention and
Page 2 of 3
Contract Statement of Work
2017
EXHIBIT B
Control of AIDS, HIV Related Illness and HIV Infection (6CCR 1009-9).
Expected Results of the
Activity
1. Persons exposed to, or testing positive for CT or GC shall have documentation of
adequate treatment.
2. Not less than 80 percent of persons screened for CT and GC shall be females 15-
24 years of age.
Measurement of
Expected Results
Deliverables
V. Monitoring:
1. Eighty percent of the CT and GC testing conducted occurred for females
15-24 years of age as determined by aggregate testing data at the 6 month
and 12 month period of the agreement.
2. Information contained in quarterly progress reports.
The Contractor shall submit quarterly progress reports to the CDPHE
STI/HIV program staff in the agreed upon electronic format. Report
shall include the epidemiologic data, Medicaid enrollment status, and
CT and GC results for all persons tested by the Contractor.
No later than
forty five
(45) days
following the
end of each
quarter
CDPHE's monitoring of this contract for compliance with performance requirements will be conducted
throughout the contract period by the 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. A Final Contractor Performance
Evaluation will be conducted at the end of the life of the contract.
VI. Resolution of Non -Compliance:
The Contractor will be notified in writing within 15 calendar days of discovery of a compliance issue.
Within 30 calendar days of discovery, the Contractor and the State will collaborate, when appropriate, to
determine the action(s) necessary to rectify the compliance issue and determine when the action(s) must
be completed. The action(s) and time line for completion will be documented in writing and agreed to
by both parties. If extenuating circumstances arise that requires an extension to the time line, the
Contractor must email a request to the 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 3 of 3
Contract Statement of Work
2017
EXHIBIT C
COLORADO
Department of Public
Health b Environment
Colorado Department of Public Health and Environment
DCEED- BUDGET WITH JUSTIFICATION FORM
Contract Routing Number: 17 FHHA 95844
Contractor Name
Weld County
Program Contact Name
Title, Phone and Email
Tanya Geiser, Administrative Services
Director
tanya.geiser®co.weld.co.us
970-304-6410 x 2122
Budget Period
February 1, 2017 -December 31, 2017
Project Name
Prevention of Infertility, GC and CT
Screening
Expenditure Categories
Supplies & Operating Expenses
Rate
Quantity
Budgeted Amount
568 CT/GC Tests @ $21.00 per test (339 in FP and STD clinics, 229
at Platte Valley Youth Detention Center)
-$21.00
568
$11,935
Total Direct Costs
$11,935
Indirect
0
Total Direct Costs
$11,935
Page 1 of 1
EXHIBIT D
GRANT FUNDING CHANGE LETTER
Date:
State Fiscal Year:
TO: Insert Grantee's name
Grant Funding Change Letter #
CMS Routing #
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 word here if
previous amendment(s). renewal(s) have been processed] between the State of Colorado, Department
of Public Health and Environment and Contractor's Name beginning Insert start date <insert start date of
original contract> and ending on Insert ending date <insert ending date of current contract amendment>,
the undersigned commits the following funds to the Grant:
The amount of grant funds available and specified in Section of <insert contract amendment
number and routing number> is ❑ increased or ❑ decreased by $amount of change to a new total
funds available of $ <insert new cumulative total> for the following reason: . Section
is hereby modified accordingly.
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 , whichever is later.
STATE OF COLORADO
John W. Hickenlooper, GOVERNOR
Department of Public Health and Environment
PROGRAM APPROVAL:
By:
By: Lisa McGovern, Purchasing & Contracts Unit
Director
Date:
ALL GRANTS REQUIRE APPROVAL BY THE STATE CONTROLLER
CRS §24-30-202 requires the State Controller to approve all State Grants. This Grant is not valid until signed and dated below by
the State Controller or delegate. Grantee is not authorized to begin performance until such time. If Grantee begins performing prior
thereto, the State of Colorado is not obligated to pay Grantee for such performance or for any goods and/or services provided
hereunder.
STATE CONTROLLER
Robert Jaros, CPA, MBA, JD
By:
Date:
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