HomeMy WebLinkAbout20161029.tiff RESOLUTION
RE : APPROVE TASK ORDER CONTRACT AMENDMENT #1 FOR WISEWOMAN
PROGRAM UNDER THE WOMEN ' S WELLNESS CONNECTION PROGRAM AND
AUTHORIZE CHAIR TO SIGN
WHEREAS , the Board of County Commissioners of Weld County , Colorado , pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County , Colorado , and
WHEREAS , the Board has been presented with a Task Order Contract Amendment # 1
for the WISEWOMAN (Well-Integrated Screening and Evaluation for WOMan Across the Nation )
Program under the Women ' s Wellness Connection Program between the County of Weld , State
of Colorado , by and through the Board of County Commissioners of Weld County , on behalf of
the Weld County Department of Public Health and Environment , and the Colorado Department of
Public Health and Environment , commencing upon execution of signature , and ending August 31 ,
2017 , with further terms and conditions being as stated in said amendment , and
WHEREAS , after review , the Board deems it advisable to approve said amendment , a
copy of which is attached hereto and incorporated herein by reference .
NOW, THEREFORE , BE IT RESOLVED by the Board of County Commissioners of Weld
County , Colorado , that the Task Order Contract Amendment #2 for the WISEWOMAN (Well -
Integrated Screening and Evaluation for WOMan Across the Nation ) Program under the Women 's
Wellness Connection Program between the County of Weld , State of Colorado , by and through
the Board of County Commissioners of Weld County , on behalf of the Weld County Department
of Public Health and Environment , and the Colorado Department of Public Health and
Environment , 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 21st day of March , A . D . , 2016 .
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY , COLORADO
ATTEST : dalL) ' &, ..x.
Mike Freeman , Chair
Weld County Clerk t the Board
/ Sean P . Conway , Pro-Tem
BY . •
e uty Clerk to the Board
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Memorandum
TO : Mike Freeman, Chair
r T Y Board of County Commissioners
FROM : Mark E . Wallace, MD, MPH
Executive Director
Department of Public Health & Environment
DATE : March 17, 2016
SUBJECT : Women' s Wellness Connection
WISEWOMAN Program Task Order Contract
Amendment # 1
Enclosed for the Board ' s review and approval is the Women ' s Wellness Connection —
WISEWOMAN Task Order Amendment 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 ) .
The purpose and mission of the Well - Integrated Screening and Evaluation for WOMen Across the
Nation ( WISEWOMAN ) program is to provide cardiovascular screenings, risk reduction
counseling, referrals, lifestyle programs and other healthy behavior support options to improve
control of hypertension and other cardiovascular disease risk factors to women residing in
Colorado who are insured or underinsured and are enrolled in the Women ' s Wellness Connection
program who meet the age , income, and lawful presence requirements .
The purpose of this contract amendment is to revise the budget due to an anticipated slight
decrease in women being screened this year ( $ 3590 ) and to add a provision for the purchase of
allowable supplies/operating, training/conferences, and subcontracts to further support our
work with the WISEWOMAN program ( $ 5000 ) . This results in a net increase to the WISEWOMAN
budget of $ 1 , 410, all of which is federal funds, and all of which shall be spent by June 30, 2016 .
The term of this Task Order Contract remains the same from March 1 , 2015 , through August 31,
2017, with the current fiscal period of July 1, 2015 , through June 30, 2016 .
I recommend approval of this WISEWOMAN Task Order Contract amendment .
I__ Memorandum
„geitts. ...,2,.±.,w±:-
Olr rra 111 TO : Rafaela, Deputy Clerk to the Board
„..... ...t... 01)
vG O U N T ? FROM : Skye Turchado
lDepartment of Public Health & Environment
DATE : March 17, 2016
SUBJECT: Routing Request — BOCC Agenda
The following documents have been approved for placement on the Board ' s meeting agenda
for the Board ' s final approval and the Chair' s signature . We would like to have these items
placed on the Board ' s agenda for Monday,
Marc-In 2J1Z0 (5
NEW BUSINESS :
3 Original (s ) : Nurse Home Visitor Program ( NHVP) Contract Amendment #2
3 Original ( s ) : Women' s Wellness Connection -WISEWOMEN (WWC-WiWo)Task Order
Amendment # 1
Original ( s ) :
Original ( s ) :
CONSENT AGENDA :
2 Original ( s ) : Colorado Mosquito Control ( CMC) Contract Agreement Extension/Renewal
Original ( s ) : Keywords listed in Tyler that would be helpful
to the Health Dept. :
Original ( s ) : Nurse Home Visitor : " NHVP "
WiseWomen : "WWC-WiWo " , "WIWO"
Original ( s ) : Colorado Mosquito Control : "CMC" , " mosquito
surveillance"
Once signed by the Chair, please return the original , signed documents to my attention .
If you have any questions, or if you require anything further in this regard , please let me know. I
can be reached at Extension 2102 or via email .
As always, thank you for all of your help with processing our paperwork with the Board .
r
r
•
DEPARTMENT OR AGENCY NAME
COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
FHLA - HSCB
DEPARTMENT OR AGENCY NUMBER
FAAA
TASK ORDER AMENDMENT ROUTING NUMBER
16-87648
To Original Task Order Routing Number
15-77061
TASK ORDER AMENDMENT # 1
This Task Order Amendment is made this 7th day of February, 2016, by and between the State of Colorado, acting
by and through the DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT, whose address or principal
place of business is 4300 Cherry Creek Drive South, Denver, Colorado 80246, hereinafter referred to as the
"State"; and, BOARD OF COUNTY COMMISSIONERS OF WELD COUNTY, (a political subdivision of the
state of Colorado) for the use and benefit of the Weld County Department of Public Health and Environment,
whose address or principal place of business is 1555 North 17th Avenue, Greeley, Colorado 80631 , hereinafter
referred to as the "Contractor".
FACTUAL RECITALS
The parties entered into a Master Contract dated January 17, 2012, with contract routing number 13 FAA 00051 .
Pursuant to the terms and conditions of the Master Contract the parties entered into a Task Order Contract dated
February 12, 2015, with encumbrance number CT FHLA2015000000000757, and task order contract routing
number 15 FHLA 77061 , hereafter referred to as the "Original Task Order Contract", whereby the Contractor
was to provide to the State the following:
Provide cardiovascular screenings, risk reduction counseling, referrals, lifestyle programs and other healthy
behavior support options to improve control of hypertension and other cardiovascular disease risk factors to
women residing in Colorado who are insured or underinsured and are enrolled in the Women ' s Wellness
Connection program who meet the age, income, and lawful presence requirements.
The State promises to increase the amount of funds to be paid to the Contractor by One Thousand Four Hundred
Ten Dollars, ($ 1 ,410.00) during the current term of the Original Task Order Contract in exchange for the promise of
the Contractor to perform the increased work under the Original Task Order Contract.
NOW THEREFORE, in consideration of their mutual promises to each other, stated below, the parties hereto agree
as follows:
1 . Consideration for this Task Order Amendment to the Original Task Order Contract consists of the
payments and services that shall be made pursuant to this Task Order Amendment, and promises and
agreements herein set forth.
2 . It is expressly agreed to by the parties that this Task Order Amendment is supplemental to the Original
Task Order Contract, contract routing number 15 FHLA 77061 , as amended by Grand Funding Change
Letter # 1 , routing number 15 FHLA 80204, and Grant Funding Change Letter #2, routing number 16
FHLA 80529, collectively referred to herein as the Original Task Order Contract, which is by this reference
incorporated herein. All terms, conditions, and provisions thereof, unless specifically modified herein, are
to apply to this Task Order Amendment as though they were expressly rewritten, incorporated, and
included herein.
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3 . It is expressly agreed to by the parties that the Original Task Order Contract is and shall be modified,
altered, and changed in the following respects only:
A. This Task Order Amendment is issued pursuant to paragraph 5 of the Original Task Order
Contract. This Task Order Amendment is for the current term of March 1 , 2015, through and
including August 31 , 2017. This Task Order Amendment modifies the Original Task Order
Contract by adding descriptive elements. The following provision modifications are incorporated
herein by this reference.
a. The following provision shall be added as a supplement to Exhibit A, Additional Provisions,
of the Contract:
i. This award does not include funds for Research and Development.
B. This Task Order Amendment is issued pursuant to paragraph 5. of the Original Task Order
Contract. This Task Order Amendment is for the current term of March 1 , 2015, through and
including August 31 , 2017. The maximum amount payable by the State for the work to be
performed by the Contractor during this current term is increased by One Thousand Four
Hundred Ten Dollars, ($ 1 ,410.00) for an amended total contract financial obligation of the State
of Thirty Two Thousand Five Hundred Fifty Five Dollars, ($32,555.00).
Of the increased amount for the current term Zero Dollars, ($0.001 are attributable to a funding
source of the State of Colorado and One Thousand Four Hundred Ten Dollars, ($ 1 ,410.00) are
attributable to a funding source of the United States Government (see Catalog of Federal Domestic
Assistance (CFDA) number 93.094).
Of the amended total financial obligation of the State referenced above Zero Dollars, ($0.00) are
attributable to a funding source of the State of Colorado and Thirty Two Thousand Five
Hundred Fifty Five Dollars, ($32,555.00) are attributable to a funding source of the United
States Government.
The revised Budget, if any, are incorporated herein by this reference and identified as "Exhibit
C"
C. Changes were required to add Provision # 10 and # 11 to Exhibit A, Additional Provisions, of the
Task Order Contract, and to add Standards and Requirements #28 to Exhibit B, Statement of
Work, of the Task Order Contract:
i . The following provision is hereby added as Provision # 10 of Exhibit A, Additional
Provisions, of the Task Order Contract:
The Contractor may be reimbursed a maximum of $5,000.00 by June 30, 2016, for the
purchase of allowable supplies/operating, training/conferences, and contractual . To
receive compensation under the Contract, the Contractor shall submit a signed Monthly
CDPHE Reimbursement Invoice Form. This form is accessible from the CDPHE internet
website https ://www.colorado.gov/pacific/cdphe/standardized-invoice-form-and-links
and is incorporated and made part of this Contract by reference. CDPHE will provide
technical assistance in accessing and completing the form. The CDPHE Reimbursement
Invoice Form and Expenditure Details page must be submitted no later than forty-five
(45) calendar days after the end of the billing period for which services were rendered.
Expenditures shall be in accordance with this Statement of Work and Budget.
Scan the completed and signed CDPHE Reimbursement Invoice Form into an electronic
document. Email the scanned invoice with the Excel workbook containing the
Expenditure Details page to the WWC Section Manager via email at
cdphe_wwc@state.co. us.
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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.
ii . The following information shall be added as Provision # 11 of Exhibit A, Additional
Provisions, of the Task Order Contract:
a) The Contractor shall request prior approval in writing from the Women ' s
Wellness Program manager for any modifications to the eCaST budget line item.
b) The Contractor shall request prior approval in writing from the State for all
modifications to the Statement of Work/Work Plan or for any modification to
the direct costs in excess of twenty-five percent (25%) of the total budget for
direct costs. Any request for modifications to the Budget in excess of twenty-
five percent (25%) of the total budget for direct costs shall be submitted to the
State at least ninety (90) days prior to the end of the contract period and may
require an amendment in accordance with General Provisions, Section 16,
Contract Modifications, of this Contract.
iii. The following statement is hereby added as Standards and Requirements #28 to Exhibit
B, Statement of Work, of the Task Order Contract:
a) The Contractor shall comply with allowable purchase of supplies/operating,
training/conferences, and subcontracts listed in the WISEWOMAN Allowable
Purchases document. This information is located on the website
https://www.colorado.gov/cdphe/wisewoman-provider-resources and is
incorporated and made part of this Contract by reference.
b) Should the Contractor purchase gift cards or vouchers, the Contractor shall
provide to CDPHE the Contractor' s written procedures related to gift card and
voucher purchase and handling. At a minimum, the procedures must include the
following:
1 ) How the gift card or voucher inventory is tracked and maintained
2) Gift card or voucher storage and safeguards against theft
3 ) The primary person responsible for securing and distribution gift cards
or vouchers
4) A gift card or voucher distribution log that records each gift card or
voucher number, dollar amount, and the printed name and signature of
each gift card or voucher recipient.
The Original Task Order Contract is modified accordingly. All other terms and conditions of the Original
Task Order Contract are reaffirmed.
4. The Effective Date of this Task Order Amendment is March 1 , 2016, or upon approval of the State
Controller, or an authorized delegate thereof, whichever is later.
5 . Except for the General Provisions and Special Provisions of the Original Task Order Contract, in the event
of any conflict, inconsistency, variance, or contradiction between the terms and provisions of this Task
Order Amendment and any of the terms and provisions of the Original Task Order Contract, the terms and
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provisions of this Task Order Amendment shall in all respects supersede, govern, and control. The Special
Provisions shall always control over other provisions of the Original Task Order Contract or any
subsequent Task Order Amendments thereto. The representations in the Special Provisions to the Original
Task Order Contract concerning the absence of personal interest of state of Colorado employees are
presently reaffirmed.
6. FINANCIAL OBLIGATIONS OF THE STATE PAYABLE AFTER THE CURRENT FISCAL YEAR
ARE CONTINGENT UPON FUNDS FOR THAT PURPOSE BEING APPROPRIATED, BUDGETED,
AND OTHERWISE MADE AVAILABLE.
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IN WITNESS WHEREOF, the parties hereto have executed this Task Order Amendment on the day first above
written.
* 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: STATE :
BOARD OF COUNTY COMMISSIONERS STATE OF COLORADO
OF WELD COUNTY for the use and benefit John W. Hickenlooper, Governor
of the Weld County Department of Public Health
and Environment
ty
(a political subdivision of the state of Colorado)
Ina* aittter By:
Signature of Authorized Officer For the Executive Direct r
MAR 2 1 2016 DEPARTMENT OF PUBLIC HEALTH
AND ENVIRONMENT
Date
Mike Freeman
Print Name of Authorized Officer
Chair
Print Title of Authorized Officer
PROGRAM APPROVAL:
e
By :
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.
STATE CONTROLLER
Robert Jaros, CPA, MBA, JD
By:
Date: 4/4
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• EXHIBIT C
4CDPHE ( COLORADO
CO IrvDepartment of Public
Health & Environment
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PREVENTION SERVICES DIVISION- BUDGET JUSTIFICATION FORM
Contract Routing # 16 FHLA 87648
Contractor Name Weld County Dept. of Public Health and Environment Program Contact Name, Title, Phone and Email Cynthia Horn, WISEWOMAN Program Coordinator, (970)
304-6420 x2433, chorn@co.weld.co.us
Budget Period 2/15/16 - 6/29/16 Fiscal Contact Name, Title, Phone and Email Wendy Paris, Fiscal Payment Manager, (970) 304-6410
x2116, wparis@co.weld.co.us
Project Name WISEWOMAN Contract/Encumbrance Number CT FHLA2015000000000757
Expenditure Categories Budget Totals
Modification
to Budget in
Personal Services Original Current Amendment/ Total Amount
Salaried Employees Contract Revised GFCL/Option Requested
Budget Budget Letter from CDPHE
Position Title/Employee Name Description of Work and Justification for Revision
$0.00
Modification
Personal Services
to Budget in
Hourly Employees
Current Amendment/ Total Amount
Original Revised GFCL/Option Requested
Budget Budget Letter from CDPHE
Position Title/Employee Name Description of Work and Justification for Revision
$0.00
$0.00
Total Personal Services
(including fringe benefits) $0.00 $0.00 $0.00 $0.00
Modification
Supplies 8i Operating Expenses to Budget in
Current Amendment/ Total Amount
Original Revised GFCL/Option Requested
Budget Budget Letter from CDPHE
Item Description of Item and Justification for Revision
Service Delivery Billed in eCast $20,000 ($3,590.001 $16,410.00
Allowable purchase of supplies/operating listed on the WISEWOMAN allowable purchase
Operating supplies document on the WISEWOMAN website: https://www.colorado.gov/cdphe/wisewoman-provider-
resources $2,500.00 $2,500.00
$0.00
Total Supplies
& Operating Expenses $20,000.00 $0.00 ($1,090.00) $18,910.00
Modification
to Budget in
Travel
Current Amendment/ Total Amount
Original Revised GFCL/Option Requested
Budget Budget Letter from CDPHE
Item Description of Item and Justification for Revision
Travel costs Allowable purchase of travel costs listed on the WISEWOMAN allowable purchase document on the
WISEWOMAN website: https://www.colorado.gov/cdphe/wisewoman-provider-resources $2,500.00 $2,500.00
$0.00
Total Travel
$0.00 $0.00 $2,500.00 $2,500.00
Page 1 of 2
EXHIBIT C
PREVENTION SERVICES DIVISION- BUDGET JUSTIFICATION FORM
Contract Routing # 16 FHLA 87648
Contractor Name Weld County Dept. of Public Health and Environment Program Contact Name, Title, Phone and Email Cynthia Horn, WISEWOMAN Program Coordinator, (970)
304-6420 x2433, chorn@co.weld.co.us
Budget Period 2/15/16 - 6/29/16 Fiscal Contact Name, Title, Phone and Email Wendy Paris, Fiscal Payment Manager, (970) 304-6410
x2116, wparis@co.weld.co.us
Project Name WISEWOMAN Contract/Encumbrance Number
Modification
to Budget in
Contractual (payments to third parties or entities) Current Amendment/ Total Amount
Original Revised GFCL/Option Requested
Budget Budget Letter from CDPHE
Item Subcontractor Entity Name and/or Description of Item
$0.00
Total Contractual
$0.00 $0.00 $0.00 $0.00
SUB-TOTAL BEFORE INDIRECT
$20,000.00 $0.00 $1,410.00 $21,410.00
Modification
to Budget in
Indirect
Current Amendment/ Total Amount
Original Revised GFCL/Option Requested
Budget Budget Letter from CDPHE
Item Description of Item
•� Negotiated Indirect cost rate
(Federal, State, or CDPHE) $0.00
4 Indirect rate (other): $0.00
Indirect (modified or additional
base) $0.00
Total Indirect
$0.00 $0.00 $0.00 $0.00
TOTAL
$20,000.00 $0.00 $1,410.00 $21,410.00
Page 2 of 2
RE : WOMEN ' S WELLNESS CONNECTION WISEWOMAN PROGRAM TASK ORDER
CONTRACT AMENDMENT #1
ATTEST : Wasa1444) `Adid);IA BOARD OF COUNTY COMMISSIONERS
Weld Co . ty Clerk to the : oard WELD COUNTY , COLORADO
BY : Addit " er�►/ "
Deputy CI : k o he Bo f if 1 . • I - �► Mike Freeman , Chair �, �,Oia
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