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HomeMy WebLinkAbout20253273 Resolution Approve Grant Agreement Amendment#3 to Task Order Contract for Public Health Emergency Preparedness and Response 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 Grant Agreement Amendment#3 to a Task Order Contract for the Public Health Emergency Preparedness and Response Program 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 Public Health and Environment, and the Colorado Department of Public Health and Environment, commencing upon full execution of signatures, and ending June 30, 2026, 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 Grant Agreement Amendment #3 to a Task Order Contract for the Public Health Emergency Preparedness and Response Program 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 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 Board of County Commissioners of Weld County, Colorado, approved the above and foregoing Resolution, on motion duly made and seconded, by the following vote on the 1st day of December, A.D., 2025: [Insert Resolution Attestation Block Post Meeting] 2025-3273 HL0058 Con C-k- D I UI Z� BOARD OF COUNTY COMMISSIONERS PASS-AROUND REVIEW PASS-AROUND TITLE: Amendment 3 Public Health Emergency Preparedness and Response Contract DEPARTMENT: Public Health & Environment DATE: November 20, 2025 PERSON REQUESTING: Jason Chessher Brief description of the problem/issue: Enclosed for the Board's review and approval for placement on the agenda is contract amendment#3 between the Colorado Department of Public Health and Environment (CDPHE) and the Board of County Commissioners of Weld County for the use and benefit of the Weld County Department of Public Health and Environment (WCDPHE) for our Public Health Emergency Preparedness & Response program. This grant program was originally reduced by 25% at the start of the grant period due to uncertainty about the federal budget. This amendment fully funds the program at $311,328 for the fiscal year. What options exist for the Board? Accept or decline the grant amendment. Consequences: Accepting the contract amendment will allow the program to return to normal service levels. Impacts: If this contact amendment is not approved, grant funded positions, and the services they provide, will remain unfilled. Costs (Current Fiscal Year/Ongoing or Subsequent Fiscal Years): This amendment fully funds the grant program. No additional county funding or FTE is requested. Recommendation: I recommend approval to place this item on a future BOCC agenda for formal consideration. Support Recommendation Schedule Place ona-6 BOCC Agenda Work Session Other/Comments: Perry L. Buck Scott K. James Via )�2i Jason S. Maxey „� Lynette Peppier j 6 . alati Kevin D. Ross t�`✓ 2025-3273 i7 /1 BLUDS Karla Ford From: Scott James Sent: Friday, November 21, 2025 2:37 PM To: Karla Ford; Lynette Peppler Subject: Re: Please Reply - PHEP amendment#3 I support—thanks! COUNTY,CO Scott K.James Weld County Commissioner Office: 970-400-4200/Cell : 970-381-7496 P.O. Box 758, 1150 0 St., Greeley, CO 80632 0E3000 Join Our Team IMPORTANT:This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication.Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. From: Karla Ford <kford@weld.gov> Date: Friday, November 21, 2025 at 2:35 PM To: Scott James <sjames@weld.gov>, Lynette Peppier<Ipeppler@weld.gov> Subject: Please Reply- PHEP amendment#3 Please advise if you support recommendation and to have department place on the agenda. COUNTY,CO Karla Ford Office Manager& Executive Assistant Board of Weld County Commissioners Desk: 970-400-4200/970-400-4228 P.O. Box 758, 1150 0 St., Greeley, CO 80632 Karla Ford From: Lynette Peppier Sent: Friday, November 21, 2025 2:52 PM To: Karla Ford; Scott James Subject: RE: Please Reply - PHEP amendment#3 I am ok with it going to the agenda. COUNTY,CO Lynette Peppter Weld County Commissioner, District 3 Board of Weld County Desk: 970-400-4205/Cell : 970-305-7243 P.O. Box 758, 1150 0 St., Greeley, CO 80632 0E3000 Join Our Team IMPORTANT:This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged,confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication.Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. From: Karla Ford <kford@weld.gov> Sent: Friday, November 21, 2025 2:35 PM To:Scott James<sjames@weld.gov>; Lynette Peppler<Ipeppler@weld.gov> Subject: Please Reply- PHEP amendment#3 Importance: High Please advise if you support recommendation and to have department place on the agenda. WELW COUNTY,CO Karla Ford Office Manager& Executive Assistant Board of Weld County Commissioners Docusign Envelope ID:9B9A9906-4475-40F4-995A-36F3DE98F56F FOR SUBRECIPIENTS ONLY This is a supporting document for Contract Number: 2026*0060 Amendment #3 The updated information provided here does not modify the original contract or original task order in any way.The information provided here informs the grantee of updated items that are required under 2 CFR 200.332. Data Required by 2 CFR 200.332(All pass through entities must ensure that every subaward is clearly identified to the subrecipient as a subaward and includes the following information at the time of the subaward.If any of these data elements change,the changes are to be reflected in subsequent subaward modification.When some of this information is not available,the pass-through entity must provide the best available information when some of the information below is unavailable.A pass-through entity must provide the unavailable information when it is obtained.): A. Subrecipient name: Shown in Contractor box on cover page of original contract and subsequent modifications. B. Subrecipient's unique entity identifier: MKKXT9U9MTV5 C. Federal Award Identification Number(FAIN):NU9OTU000029 D. Federal Award Date(when Federal award was signed by authorized official of the Federal awarding agency):9/15/2025 E. Subaward Period of Performance Start and End Date:Start date shown on cover page of original contract and end date shown on cover page of original contract,as updated by any subsequent modifications. F. Subaward Budget Period Start and End Date: Start date shown on cover page of original contract and end date shown on cover page of original contract,as updated by any subsequent modifications. G. Amount of Federal Funds Obligated by this action by the pass-through entity to the subrecipient: Shown on Budget Exhibit in column matching this contract modification. H. Total Amount of Federal Funds Obligated to the subrecipient by the pass-through entity including the current financial obligation: Shown on cover page of this contract modification and on Budget Exhibit. I. Total Amount of the Federal Award committed to the subrecipient by the pass-through entity: Shown on cover page of this contract modification and on Budget Exhibit. J. Federal award project description,as required to be responsive to the Federal Funding Accountability and Transparency Act(FFATA): This funding program aims to strengthen the capacity and capability of state,tribal, local,and territorial(STLT)public health systems to prepare for,respond to,and recover from public health threats and emergencies. K. Name of Federal awarding agency,pass-through entity,and contact information for the awarding official of the Pass-through entity: Colorado Department of Public Health and Environment,Kurt Williams,kurt.williams@state.co.us 303-810-4679. L. Assistance Listing number and Title;93.069 Public Health Emergency Preparedness total Award to CDPHE including Match:$22,534,620.00 M. Identification of whether the award is R&D:No N. Indirect cost rate for the Federal award(including if the de minimis rate is charged)per§200.414: Shown on Budget Exhibit as indicated by indirect rate and amount. Ver 10/2024 Zo25 3213 Docusign Envelope ID:9B9A9906-4475-40F4-995A-36F3DE98F56F 1. Parties This Amendment (the "Amendment") to the Original Agreement shown on the Signature and Cover Page for this Amendment (The "Agreement") is entered into by and between the Grantee, and the State. 2. Terminology Except as specifically modified by the Amendment, all terms used in this Amendment shown on the Signature and Cover Page for this Amendment (the "Agreement") is entered into by and between the Grantee, and the State 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 Grantee for any Work performed or expense incurred under this Amendment either before or after of 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 Agreement contained herein shall commence on the Amendment Effective Date shown on the Signature and Cover Page for this Amendment or December 15, 2025, whichever is later and shall terminate on the termination of the Agreement or June 30, 2026, whichever is earlier. 4. Purpose The Parties entered into the agreement to support public health department's ability to effectively respond to a range of public health threats, including infectious diseases, natural disasters, biological, chemical, nuclear and radiological events. The Parties now desire to update the Statement of Work - Work Plan activities, Standards and Requirements and add deliverables. This amendment increases the contract budget and increases the current contract maximum. Amendment Agreement Number: 2026*0060 Amd #3 Page 3 of 4 Version: 11.2024 Docusign Envelope ID:9B9A9906-4475-40F4-995A-36F3DE98F56F 5. Modification The Agreement and all prior amendments thereto, if any, are modified as follows: A. The Agreement Initial Agreement Expiration Date on the Agreement's Signature and Cover Page is hereby deleted and replaced with the Current Agreement Expiration Date shown on the Signature and Cover Page for this Amendment. B. The Agreement Maximum Amount field on the Agreement's Signature and Cover Page is hereby deleted and replaced with the Current Agreement Maximum Amount field shown on the Signature and Cover Page for this Amendment. C. The Parties now agree to modify Exhibit B-Statement of Work of the agreement. Exhibit B- Statement of Work is deleted and replaced in its entirety with Exhibit B-Statement of Work attached to this amendment. D. The Parties now agree to modify Exhibit C-Budget of the agreement. Exhibit C-Budget is deleted and replaced in its entirety with Exhibit C-Budget attached to this Amendment. 6. Limits of Effect and Order of Precedence This Amendment is incorporated by reference into the Agreement, and the Agreement and all prior amendments or other modifications to the Agreement, if any, remain in full force and effect except as specifically modified in this Amendment Except for the Special Provisions contained in the Agreement, in the event of any conflict, inconsistency, variance, or contradiction between the provisions of this Amendment and any of the provisions of the Agreement or any prior modification to the Agreement, 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 Agreement to the extent that this Amendment specifically modifies those Special Provisions. Amendment Agreement Number: 2026*0060 Amd #3 Page 4 of 4 Version: 11.2024 Docusign Envelope ID:9B9A9906-4475-40F4-995A-36F3DE98F56F EXHIBIT B STATEMENT OF WORK To Original Contract Number 2025-0152 These provisions are to be read and interpreted in conjunction with the provisions of the contract specified above. I. Project Description This project serves to improve medical and public health preparedness, response, recovery and epidemiological capabilities at the federal, state, and local levels. Public health systems are essential in preparing communities to respond to and recover from emergencies and threats. Centers for Disease Control and Prevention(CDC) established the Public Health Emergency Preparedness PHEP program to build public health emergency response capabilities both nationally and locally. The PHEP cooperative agreement provides technical assistance and resources to support state, local, Tribal, and territorial public health departments, along with Healthcare Coalitions(HCCs) and health care organizations, throughout Colorado to record measurable and sustainable progress towards achieving the preparedness and response capabilities that promote prepared and resilient communities through planning, training, and exercises. II. Definitions 1. AAR/IP -After Action Report/Improvement Plan 2. CDB -Communicable Disease Branch 3. CDEU- Communicable Disease Epidemiology Update Calls, facilitated by CDPHE which occur bi-monthly 4. CDPHE -Colorado Department of Public Health and Environment 5. CO-SHARE- Colorado State Health and Readiness Exchange 6. EpiTrax-Colorado's disease reporting and surveillance system 7. Epi -Epidemiology 8. ESF#8 -Emergency Support Function 8, Public Health&Medical 9. FoodNet-A collaboration between the CDC and selected state health departments to track pathogens that cause foodborne illnesses 10. HAN- Health Alert Network 11. High-Risk Disease Situation-A situation where the public health agency must make timely decisions or perform timely actions to prevent additional disease spread. 12. LPHA -Local Public Health Agency 13. MCM -Medical Countermeasures 14. MYIPP - Multi Year Integrated Preparedness Plan 15. NORS -National Outbreak Reporting System 16. OEPR-Office of Emergency Preparedness and Response 17. Priority Jurisdictional Risk-Risk identified as a priority area of concern by the jurisdiction 18. RRC -Readiness & Response Coordinator Page 1 of 9 Amendment Agreement Number: 2026*0060 Amendment#3 Ver.2.I5.24 Docusign Envelope ID:9B9A9906-4475-40F4-995A-36F3DE98F56F EXHIBIT B 19. SOW- Statement of Work 20. State Capstone Tabletop Exercise -Component of PHEP exercise series III. Work Plan Goal#1: Local Public Health Agencies will effectively prepare for, monitor, detect, diagnose, investigate, and nimbly respond to all types of conditions, events, and disasters that impact the public's health. Objective#1: No later than the expiration date of the Contract, maintain public health surveillance and epidemiological response capacity within the Jurisdiction through planning,training activities, exercises and response to real events. Primary Activity#1 The Contractor shall update a local public health response plan. Primary Activity#2 The Contractor shall conduct timely, complete disease investigations within their jurisdiction in order to implement appropriate disease control mitigation activities. Sub Activity#2 1. The Contractor shall maintain complete, accurate investigation data in statewide surveillance systems. • Primary Activity #3 The Contractor shall respond to incidents with public health implications within their jurisdiction in order to implement appropriate disease control mitigation activities including immediate responses to High-Risk Disease Situations outside of normal business hours. Primary Activity#4 The Contractor shall evaluate disease investigation metrics reports provided to them by the Communicable Disease Branch(CDB) at the Colorado Department of Public Health and Environment(CDPHE). Primary Activity#5 The Contractor shall attend statewide Communicable Disease Epidemiology (Epi)Update calls. Primary Activity#6 The Contractor shall attend Statewide Epi Response Coordination calls during statewide response to communicable disease events. Primary Activity #7 The Contractor shall meet quarterly with the state Field Epidemiologist assigned to their jurisdiction to provide agency epidemiology updates. Primary Activity#8 The Contractor shall evaluate public health surveillance data to assist with the prompt identification of potentially hazardous health situations to enable information sharing for rapid response decision making. Page 2 of 9 Amendment Agreement Number: 2026'0060 Amendment#3 Ver.2.15.24 Docusign Envelope ID:9B9A9906-4475-40F4-995A-36F3DE98F56F EXHIBIT B Sub-Activity#8 1. The Contractor shall present public health data concepts with invested community organizations, a minimum of once during the term of the Contract. Primary Activity#9: The Contractor shall conduct disease control prevention activities among people at higher risk of communicable disease infections through collaboration with other invested organizations and individuals. Primary Activity#10 The Contractor shall respond to bi-annual communicable disease after-hour drills conducted by the CDB by one of the CDB approved methods. Objective#2 No later than the expiration date of the Contract, improve public health emergency preparedness, response, and recovery activities within the Jurisdiction through planning, training, exercises and response to real events. Primary Activity #1 The Contractor shall update the Emergency Preparedness & Response(EPR) Partners Contact Spreadsheet Local Public Health Agency(LPHA) Contact List in CO-SHARE. Primary Activity#2 The Contractor shall provide one of the following: a. The development of an All-Hazards Multi-Year Integrated Preparedness Plan (MYIPP). b. An updated All-Hazards MYIPP. c. Participation in the jurisdictional All-Hazards MYIPP. Primary Activity#3 The Contractor shall participate in Workforce Development Training. Primary Activity#4 The Contractor shall complete an exercise that addresses a Priority Jurisdictional Risk with public health impacts. Primary Activity #5 The Contractor shall participate in the State Capstone Tabletop Exercise led by CDPHE, Office of Emergency Preparedness and Response(OEPR). Primary Activity#6 The Contractor shall complete an After-Action Report/Improvement Plan (AAR/IP)Data Elements Document within 90 days from any event, exercise or real world, in CO- SHARE. Primary Activity#7 The Contractor shall complete one of the following: a. a new agency recovery plan b. update an existing agency recovery plan Page 3 of 9 Amendment Agreement Number: 2026*0060 Amendment#3 Ver.2.1 5.24 Docusign Envelope ID:9B9A9906-4475-40F4-995A-36F3DE98F56F EXHIBIT B Primary Activity#8 The Contractor shall maintain an updated Notification list for use in epidemic emergencies. Primary Activity #9 The Contractor shall document their Volunteer Management strategy. Primary Activity#10 The Contractor shall respond to quarterly redundant communication drills which includes quarterly redundant 800 MHz radio communication drills conducted by CDPHE by an OEPR approved method(s). Primary Activity #11 The Contractor shall conduct semi-annual drills to test redundant forms of communication among its response partners. Primary Activity#12 The Contractor shall update jurisdictional Health Alert Network(HAN) policies and procedures. Standards and Requirements 1. The content of electronic documents located on CDPHE and non-CDPHE websites and information contained on CDPHE and non-CDPHE websites may be updated periodically during the contract term. The contractor shall monitor documents and website content for updates and comply with all updates. 2. The Contractor shall include in the updated local public health response plans the following required components: a. The identification of staff who monitor routine jurisdictional public health surveillance systems that may include i. EpiTrax ii. Ad-hoc response systems. b. The identification of staff who are trained to conduct timely disease investigations of i. Disease cases ii. Disease outbreaks. c. The identification of staff who can support surge activities in response to disease related events. d. The identification of staff who can respond 24/7 to emergencies that threaten public health including immediate after-hours response to High-Risk Disease Situations. i. Examples of High-Risk Disease Situations include but are not limited to: 1. Performing case investigations for an immediately reportable disease/condition to offer post-exposure prophylaxis to contacts. 2. Investigating a potential bioterrorism agent. 3. Implementing immediate disease control measures for an outbreak. e. Processes to request additional assistance during a public health disease response. f. Communications procedures for notifying local partners in the event of a High-Risk Disease Situation response. 3. The Contractor shall utilize the staff identified in their response plan. Page 4 of 9 Amendment Agreement Number: 2026'0060 Amendment#3 Ver.2.15.24 Docusign Envelope ID:9B9A9906-4475-40F4-995A-36F3DE98F56F EXHIBIT B 4. The Contractor shall follow the processes identified in their response plan. 5. CDPHE will provide access to EpiTrax as well as other ad-hoc response systems for the contractor's disease investigation staff. 6. The Contractor shall comply with CDPHE requirements in the use of EpiTrax and ad-hoc response systems for data reporting including a. Timely data entry b. Complete data entry for required fields. 7. The Contractor shall comply with primary disease case investigation responsibilities outlined in the CDPHE Communicable Disease Manual in the Public Health Reportable Condition Investigation Guidance. This document and website are incorporated and made part of the contract by reference and are available on the following website: CDPHE.Colorado.Gov 8. The Contractor shall comply with the public health response timelines outlined in the CDPHE Communicable Disease Manual CDPHE Communicable Disease Manual in the"Public Health Reportable Condition Investigation Guidance". This document and website are incorporated and made part of the contract by reference and are available on the following website: CDPHE.Colorado.Gov 9. The Contractor shall use statewide guidance and best practice in investigation of disease and outbreaks, including exposure monitoring. Guidance can be found in the CDPHE Communicable Disease Manual. Outbreak guidance can be found in the Outbreak Investigation Guidance Document. Guidance may evolve and be adapted for changing responses or new pathogens. a. The CDPHE CDB will provide the most up to date guidance documentation as needed. 10. The Contractor shall report cases, contacts, or exposures of reportable conditions that require investigation outside of the Contractor's jurisdiction into EpiTrax or ad-hoc response surveillance systems within one working day of Contractor knowledge of the case, contact, or exposed individual or immediately by phone to CDPHE for high-risk conditions. 11. The Contractor shall complete disease investigation interviews of cases when, during the course of the interview,the Contractor learns that a case resides in a different jurisdiction. EpiTrax re-routing of the case to the proper jurisdiction is required: a. within 1 working day or b. immediately by phone if an outbreak or other High-Risk Disease Situation is identified. 12. The Contractor shall comply with standard reporting requirements when completing outbreak report forms, including the CDC National Outbreak Reporting System(NORS)forms. This information is incorporated and made part of this contract by reference and is located on the CDPHE website CDPHE.Colorado.Gov 13. The Contractor shall comply with CDPHE requirements for outbreak reporting. Outbreak reporting requirements can be found in the Outbreak Investigation Guidance Document, the Communicable Disease Manual, and on the CDPHE website. 14. The Contractor shall comply with the investigation expectations described in the 2023 FoodNet Expansion Plan(FoodNet Expansion Plan)by achieving the expectations described for LPHA to have CDPHE conduct FoodNet interviews. 15. The Contractor shall complete disease case interview data entry in EpiTrax within three(3) business days. During urgent response, more timely data submission may be required. 16. The Contractor shall complete outbreak investigation data entry in EpiTrax within three(3) business days. During urgent response, a more timely data submission may be required. 17. The Contractor shall consult with CDPHE CDB for surge support and prioritization if the Contractor is unable to meet the target for completing timely investigations for conditions with Page 5 of 9 Amendment Agreement Number: 2026'0060 Amendment#3 Ver.2.15.24 Docusign Envelope ID:9B9A9906-4475-40F4-995A-36F3DE98F56F EXHIBIT B primary LPHA investigation responsibility within the timeframe described in Public Health Reportable Condition Investigation Guidance or in other response specific guidance. This target is 90% of all cases interviewed within the designated time frame for that condition from the date the case was assigned to a county in EpiTrax. 18. The Contractor shall resolve issues related to missing data for disease and outbreak investigation in EpiTrax or ad hoc surveillance systems for conditions and outbreaks investigated by the LPHA no later than two(2)weeks after receiving a missing data report. a. The Contractor shall meet with CDPHE CDB if there are challenges resolving missing data issues. 19. The Contractor shall utilize staff that can be reached 24/7 to respond to a High-Risk Disease Situation as well as after-hours drills. 20. CDPHE will provide disease investigation metrics reports via email from the Communicable Disease Branch to the contractor twice annually in October 2025,as well as February 2026. 21. The Contractor shall record disease investigation metrics reports issue resolutions in the Grant Reporting Spreadsheet. 22. The Contractor shall attend a minimum of 80% of the statewide Communicable Disease Epi Update calls(CDEU) as well as Statewide Epidemiology Response Coordination calls during statewide response to communicable disease events. 23. CDPHE will record and monitor attendance of the CDEU and Statewide Epidemiology Response Coordination calls. 24. The Contractor shall document the date in which meetings with the state Field Epidemiologist took place in the Grant Progress Reporting Spreadsheet 25. CDPHE will provide disease surveillance reports via email from the Communicable Disease Branch to the contractor quarterly for the duration of the contract. 26. The Contractor shall present public health data concepts to community organizations at the discretion of the Contractor once during the term of the contract. Presentation recommendations will be provided to the contractor by CDPHE in the SOW guidance document. 27. The Contractor shall provide a summary of their community presentations in the Grant Reporting Spreadsheet to include: a. Topics covered in the presentation b. The date of the presentation c. The name of the community organization that the presentation was given to 28. The Contractor shall identify high-risk populations within their jurisdiction. Examples of high-risk populations will be provided by CDB to the Contractor in the SOW guidance document. 29. CDPHE-CDB will provide the contractor with a Statement of Work(SOW)guidance document by August 1, 2025, via email. 30. The Contractor shall fill in all fields within the LPHA &Tribal Contact List in CO-SHARE, the Colorado State Health Readiness Exchange a minimum of two (2) times per year or when: a. Contact information changes, b. Operating hours change, c. EPR staff change, d. Primary Communicable Disease staff change, e. HAN Coordinator staff change. f. PIO staff change g. Fiscal staff change 31. The Contractor shall complete one of the following: Page 6 of 9 Amendment Agreement Number: 2026'0060 Amendment#3 Ver.2.15.24 Docusign Envelope ID:9B9A9906-4475-40F4-995A-36F3DE98F56F EXHIBIT B a. The Contractor shall update their existing MYIPP b. The Contractor shall develop a new MYIPP 32. The Contractor shall demonstrate participation in the All-Hazards MYIPP by preparing a MYIPP that addresses plans, training and exercising for prioritized jurisdictional risks. 33. The Contractor shall select a Workforce Development Training from the list provided by CDPHE- OEPR in COSHARE by August 1, 2025. 34. Jurisdictional Risk/Public Health Impact exercises shall be selected from one of the following options that best meets their jurisdictional needs: a. Seminar b. Workshop c. Tabletop Exercise d. Game e. Functional Exercise f. Full Scale Exercise 35. The Contractor shall complete one of the following exercises: a. The Contractor shall conduct a Public Health exercise b. The Contractor shall participate in a jurisdictionally led Public Health exercise 36. CDPHE-OEPR will provide an After-Action Report/Improvement Plan Data Elements document in COSHARE by August 1, 2025. 37. CDPHE-OEPR will provide the Capstone Exercise Data Elements requirements via COSHARE by August 1, 2025. 38. CDPHE-OEPR will provide a recovery plan template via COSHARE by November 15, 2025. 39. The notification list for an emergency epidemic shall include at a minimum the following organizations: a. General access hospitals, b. Critical access hospitals, c. Regional emergency medical and trauma advisory councils, d. Rural health clinics, e. Federally qualified health centers, f. Local emergency management agencies within the jurisdiction of the local public health agency. g. Healthcare Coalitions 40. CDPHE-OEPR will provide a volunteer management strategy template via COSHARE by August 1, 2025. 41. Public Health&Medical (ESF#8)considerations can include however are not limited to the 15 PHEP Capabilities. 42. The Contractor shall include ESF#8 collaborators, including the roles and responsibilities of the HCC RRC in any medical system response in any updates to the following: a. Plans, b. Strategies, c. Medical Countermeasures (MCM). Expected Results of Activity(s) 1. Colorado public health agencies surveillance response to public health epidemiological emergencies and related events to which a public health response is necessitated will be maintained. Page 7 of 9 Amendment Agreement Number: 2026*0060 Amendment#3 Ver.2.15.24 Docusign Envelope ID:9B9A9906-4475-40F4-995A-36F3DE98F56F EXHIBIT B 2. Colorado public health agency's ability to respond to public health emergencies and related events to which a public health response is necessitated will be maintained. Measurement of Expected Results 1. Required Outbreak Documentation is complete. 2. Disease investigations conducted by the Contractor are timely and complete. 3. The Grant Reporting spreadsheet is complete for all deliverables. Deliverables Description Completion Date 1. The Contractor shall submit their local No later than September 30, 2025 Public Health Response plan to the contract monitor via CO-SHARE. 2. The Contractor shall submit documentation No later than one(1)month after of any issues identified in the disease receiving the report investigation metrics reports to the contract monitor via the Grant Reporting Spreadsheet. 3. The Contractor shall submit requested No later than June 15, 2026 presentation information on the public health community organization disease topic to the contract monitor in the Grant Reporting Spreadsheet. 4. The Contractor shall submit a brief No later than June 15, 2026 summary of communicable disease prevention or response efforts among people of higher risk of communicable disease infection to the contract monitor via the Grant Reporting Spreadsheet. 5. Contractor shall submit an All-Hazards No later than June 15, 2026 MYIPP to the contract monitor in CO- SHARE 6. The Contractor shall submit proof of No later than June 15, 2026 participation in Workforce Development Training to the contract monitor in COSHARE. 7. The Contractor shall submit the AAR/IP No later than 90 days from any event, Data Elements to the contract monitor in exercise or real world, CO-SHARE. but no later than June 15, 2026 8. The Contractor shall submit the Recovery No later than-June 15, 2026 Plan to the contract monitor in COSHARE. Page 8 of 9 Amendment Agreement Number: 2026*0060 Amendment#3 Ver.2.15.24 Docusign Envelope ID:9B9A9906-4475-40F4-995A-36F3DE98F56F EXHIBIT B Description Completion Date 9. The Contractor shall submit Capstone No later than June 15, 2026 Exercise Participation Data Elements to the Contract Monitor via CO-SHARE. 10. The Contractor shall submit After Action No later than 90 days after Report/Improvement Plans to the Contract completing exercise or real-world Monitor in COSHARE. incident 11. The Contractor shall submit their No later than June 15, 2026 notification list to the contract monitor via COSHARE. 12. The Contractor shall submit their volunteer No later than June 15, 2026 management strategy to the contract monitor via COSHARE. 13. The Contractor shall complete the No later than June 15, 2026 Redundant Communication Google Form for the contract monitor via COSHARE. 14. The Contractor shall submit their agency No later than June 15, 2026 HAN policies&procedures to the contract monitor via COSHARE. IV. Monitoring CDPHE's monitoring of this contract for compliance with performance requirements will be conducted throughout the contract period by the program 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. V. Resolution of Non-Compliance The Contractor will be notified in writing within 30 calendar days of discovery of a compliance issue. Within 45 calendar days of discovery, the Contractor and the State will collaborate,when appropriate, to determine the action(s) necessary to rectify the compliance issue and determine when the action(s) must be completed.The action(s)and timeline for completion will be documented in writing and agreed to by both parties. If extenuating circumstances arise that requires an extension to the timeline, the Contractor must email a request to the Public Health and Emergency Preparedness (PHEP) Contract Monitor and receive approval for a new due date. The State will oversee the completion/implementation of the action(s)to ensure timelines are met and the issue(s) is resolved. If the Contractor demonstrates inaction or disregard for the agreed upon compliance resolution plan, the State may exercise its rights under the provisions of this contract. Page 9 of 9 Amendment Agreement Number: 2026*0060 Amendment#3 Ver.2.15.24 Docusign Envelope ID:9B9A9906-4475-40F4-995A-36F3DE98F56F Exhibits is . y....r.v7:. 1COLORADO i Department of Public c" ' I Health b Environment DCPHR MODIFICATION BUDGET To Original Contract Routing 8:2025-0152 Budget Modification Routing 8:2026-0060 Amd#3 Weld County Departmentof Program Contact Name, Dan Joseph Public Health and Title Phone Environmental Health Director Agency Name Environment Email 970-400-2206 djoseph(ieweld.eov Fiscal Contract Name, Bill Fritz,Finance Manager Budget Period 7/1/2024-6/30/2026 Title Phone Email 970-400-2122 bfritzar weld.am. Project Name OEPR-PHEP Date Completed 10.22.2025 Expenditure Categories Personnel Services Salaried Employees Previous Contract / Pto y Total New Contract Gross or Percent of OC 2025'0152- 2026'0060 Contract Grand Position Title Description of Work Annual Fringe Time on 2026•0060 Amd Salary Project #2 Amd.J13 Totals Coordinated EPR programming and LPHA deliverables.Awar<i EPR Specialist brought to ieval fu,uilng odd 25°<to>;ne $114,150.40 $48,034.49 16.25% $181,964.03 $26,355.05 $208,319.08 Coordinated EPI programming and LPHA deliverables.Award Epidemiologist II broue;ht to,r-vel btorilott-ado 25 a to hnc $89,190.40 $37,531.32 25.00% $209,363.56 $31,680.43 $241,043.99 Communicable Disease Manager Management of EPR Specialist and PHEP EPI $0.00 $0.00 0.00% $7,161.11 $0.00 $7,161.11 Management of Epidemiologist Award brought to level EH Program Manager r,,,,i ar ,d,i 25 :o..r, $127,952.26 $53,842.31 0.75% $4,090.38 $1,363.46 $5,453.84 Management of EPR Specialist and PHEP EPI Award brought EH Division Director $135,054.40 $56,830.89 0.75% $4,317.42 $1,439.14 $5,756.56 to'evei fun:b.:g add b to:leas Personnel Services/Hourly Employees Hourly ` Total*of Position Title Description of Work Hourly Wage Fringe Hours on Project Epidemiologist I Coordinated EPI programming and LPHA deliverables $0.00 $0.00 0.00 $5,358.75 $0.00 $5,358.75 Total Personnel Services (Including fringe benefits) $412,255.25 $60,838.08 $473,093.33 Supplies&Operating Expenses Item Description of item Rate Quantity To include annual renewals of Salamander,Ready Op,SAS,Survey Monkey Software fees A,,ard or:,�,pnr ro nv.'i I'nd:no-arm 24' totor‘ $1362.50 1 $9,537.50 $1,362.50 $10,900.00 Annual membership(s)to emergency management organizations for the EPR Specialist,PHEP Epi and Communicable Disease Program Manager:CEMA(3 Memberships @ $147.50 1 $1,367.10 5147.50 $1,514.60 $45.00),CSTE(2 @$250.00),CPHA(2 @$45.00),IAEM(1 @$199.00) A a'd brought 7'•,vrl t,;r y-add 2• o'.ioe Misc.office/operating supplies,training supplies,exercises Office Supplies: cell phone expenses,printer paper,printer ink,pens,sticky notes,etc.Figured on a 12 Operating supplies month $105.00 1 $579.00 $105.00 $684.00 period and other supplies as needed. Award brought to level funding ado Amendment Agreement Number: 2026•0060 Amd 112 Page I of 3 Docusign Envelope ID:9B9A9906-4475-40F4-995A-36F3DE98F56F Exhibit C Mobile phone charges(monthly average of$75/month x 2 phones) Award Phones brought to level funding add 75"-;to hoe $600.00 1 $4,200.00 $600.00 $4,800.00 Small items of equipment,medical cache supplies,PPE Award brought to Small items of equipment/PPE Ivvel fwuf,ng add 25,to line $125.00 1 $519.00 $125.00 $644.00 Printing General printing costs within the office;could include allocations $0.00 0 $144.00 $0.00 $144.03 $0.00 Total Supplies $16,346.60 $2,340.00 $18,686.60 &Operating Expenses Travel Item Description of Item Rate Quantity Attend HCC,OEPR and AFN meetings,workgroups,trainings,partner Local Travel mileage meetings,in-state conferences Arva,d brought to level funding add 23 50.70 230 $1,068.69 $160.65 $1,229.34 Local Travel Per diem Per diem @$50 per day for 10 days x 2 staff $0.00 0 $1,000.00 $0.00 $1,000.00 International Association of Conference registration($799.00 x 1),Lodging($249,00 x 4 nights),Per diem Emergency Managers ($50.00/day x 4 days x 1 staff)Ground Transportation($250 $0.00 0 $2,245.25 $0.00 $2,245.25 Conference parking/shuttles/mileage) Council of State and Conference Registration:$900.20. Award brought to level funding-add Territorial Epi(CSTE) $225.05 1 $5,367.15 $225.05 $5,592.20 2; to IL„ National Conference Council of State and CSTE National Conference airfare for 1 person Award brought to level Territorial Epi(CSTE) funding-add 25%to line $175.00 1 $525.00 $175.00 $700.00 National Conference Council of State and CSTE National Conference lodging for 1 person/4 nights Award brought to Territorial Epi(CSTE) $250.00 1 $750.00 $250.00 $1,000.00 ',,:el`ond.',H add 255.to Iln., National Conference Council of State and CSTE National Conference per diem for 1 person/4 days Award brought to Territorial Epi(CSTE) $50.00 1 $150.00 $50.00 $200.00 level funding add 25h,to line National Conference Council of State and CSTE National Conference parking for 1 person/4 days Award brought to Territorial Epi(CSTE) level funding-add 25%to line $15.00 1 $45.00 $15.00 $60.00 National Conference Council of State and CSTE National Conference Mileage to/from airport and ground Territorial Epi(CSTE) transportation $33.45 1 $100.35 $33.45 $133.80 National Conference Award b,aoght to level funding-add 25%to line Conference Registration($650 ea x 2 staff),Roundtrip Airfare($500.00 ea x 2025 Preparedness Summit 2staff),Lodging($199 per night x 4 nights x2 staff),Per diem($50.00/day x4 $0.00 0 $4,792.00 $0.00 $4,792.00 days for 2 staff),Ground Transportation($250 parking/shuttles/mileage x2 staff) Conference Registration:$450;Lodging:$199/night x 3 nights;Per diem: CEMA Conference $50/day x 3 days for 1 person Award brought to level funding-add 25°5e to $598.50 1 $4,189.50 $598.50 $4,788.00 Public Health in the Rockies Conference Registration($375.00 x 2 staff),Lodging($199 x 4 nights x 2 Conference staff),Per diem($50/day x 4 days x 2 staff) $0.00 0 $2,742.00 $0.00 $2,742.00 Colorado OneHealth Conference Registration for 6 people Award brought to level funding-add and Zoonosis Conference 25 to line $90.00 1 $360.00 $90.00 $450.00 Colorado Epidemiology Hotel:$150/night x 1 night for 6 people Award brought to level funding- Conference add 25%to line $225.00 1 $1,195.00 $225.00 $1,420.00 $0.00 0 $0.00 $0.00 $0.00 Total Travel $24,529.94 $1,822.65 $26,352.59 Amendment Agreement Number: 2026.0060 Amd#2 Page 2 of 3 Exhibit C Docusign Envelope ID:9B9A9906-4475-40F4-995A-36F3DE98F56F Contractual(payments to third parties or entities) Contractor Name Description of Work Rate Quantity $0.00 0 $0.00 $0.00 $0.00 Total Contractors/Consultants $0.00 50.00 $0.00 TOTAL DIRECT COSTS(TDC) $453,131.79 $65,000.73 $518,132.52 Less:Expenses per OMB 2CFR 4 200 Contractor in excess of$50,000 $0.00 $0.00 $0.00 SubAward in excess of$50,000 $0.00 $0.00 $0.00 Rent $0.00 $0.00 $0.00 Equipment $0.00 $0.00 $0.00 Other Unallowable Expenses $0.00 $0.00 $0.00 Total Indirect Reduction $0.00 $0.00 $0.00 MODIFIED TOTAL DIRECT COSTS(MTDC) $453,131.79 565,000.73 $518,132.52 Indirect Costs Total Indirect Indirect Cost Description of Item Percentage Indirect Approved Rate(MTDC) 70,4 negot,a,ee na,.,. 189 ,On cwPN9 .,ea ramea ale-,9.,.x 19.74% $87,434.38 $12,831.14 S100,263 ,2 Total Indirect $87,434.38 $12,831.14 $100,265.52 OC 2025'0152- 2026.0060 OC-to-Date 2026.0060 Amd Amd.#3 Contract Total #2 TOTAL $540,567.00 $77,832.00 $618,399.00 Amendment Agreement Number: 2026.0060 Amd N2 Page 3 of 3 Contract Form Entity Information Entity Name* Entity ID* New Entity? COLORADO DEPT OF PUBLIC @00001 926 HEALTH ENVIRONMENT Contract Name* Contract ID Parent Contract ID CDPHE PUBLIC HEALTH EMERGENCY PREPAREDNESS 10128 AND RESPONSE CONTRACT AMENDMENT#3 Requires Board Approval Contract Lead* YES Contract Status BFRITZ CTB REVIEW Department Project# Contract Lead Email bfritz@weld.gov;Health- Contracts@weld.gov Contract Description* CDPHE PUBLIC HEALTH EMERGENCY PREPAREDNESS AND RESPONSE CONTRACT AMENDMENT #3 Contract Description 2 Contract Type* Department Requested BOCC Agenda Due Date GRANT HEALTH Date* 11 '27/2025 12 01 2025 Amount* Department Email $31 1 ,328.00 CM-Health@weld.gov Will a work session with BOCC be required?* NO Renewable* Department Head Email NO CM-Health- Does Contract require Purchasing Dept. to be DeptHead@weld.gov included? Automatic Renewal County Attorney Grant GENERAL COUNTY IGA ATTORNEY EMAIL County Attorney Email CM- COU NTYATTORNEY@WEL D.GOV If this is a renewal enter previous Contract ID If this is part of a MSA enter MSA Contract ID Note: the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts are not in OnBase Contract Dates Effective Date Review Date* Renewal Date 05/01 /2026 Termination Notice Period Expiration Date* Committed Delivery Date 06/30/2026 Contact Information Contact Info Contact Name Contact Type Contact Email Contact Phone 1 Contact Phone 2 Purchasing Purchasing Approver Purchasing Approved Date Approval Process Department Head Finance Approver Legal Counsel JASON CHESSHER RUSTY WILLIAMS BYRON HOWELL DH Approved Date Finance Approved Date Legal Counsel Approved Date 11 /25/2025 11 /25/2025 11 /25/2025 Final Approval BOCC Approved Tyler Ref# AG 120125 BOCC Signed Date Originator BOCC Agenda Date BFRITZ 12/01 /2025 Hello