HomeMy WebLinkAbout20152836.tiff RESOLUTION
RE: APPROVE TASK ORDER CONTRACT FOR LEAD SURVEILLANCE COLORADO
CHILDHOOD LEAD POISONING PREVENTION 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 for the Lead
Surveillance Colorado Childhood Lead Poisoning Prevention 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 September 30, 2015, and ending
September 29, 2016, 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 Lead Surveillance Colorado Childhood
Lead Poisoning Prevention 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 task order contract.
2015-2836
CC �� 69//41 HL0047
TASK ORDER CONTRACT FOR LEAD SURVEILLANCE COLORADO CHILDHOOD LEAD
POISONING PREVENTION PROGRAM
PAGE 2
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 24th day of August, A.D., 2015.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, C LORADO
ATTEST: ditilvt) G: .ep.vi h/�
arbara Kirkmey r, Chairr Weld County Clerk to the Board -�
• j !-a/\ reeman, ro-Tem
De uty Clerk to the Board ISM (`��'���'•. w
t
n Con ay _ �
Plor
APPROVED AS ,► t c�RM: �� 'r, � t&> ( A ),
� �,►��� e A. Cozad
u yAttorney
Steve Moreno
Date of signature: 9//ti5
2015-2836
HL0047
BOARD OF COUNTY COMMISSIONERS
PASS-AROUND REVIEW/WORK SESSION REQUEST
RE: Lead Surveillance— Colorado Childhood Lead Poisoning Prevention Program (CCLPPP) Task
Order Contract
DEPARTMENT: PUBLIC HEALTH & ENVIRONMENT DATE: August 12, 2015
PERSON REQUESTING: Mark E. Wallace, MD, MPH, Executive Director
Brief description of the problem/issue:
Enclosed for the Board's review and approval is a Task Order Contract for the Lead Surveillance — Colorado
Childhood Lead Poisoning Prevention Program 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). The Task Order term is September
30, 2015, through September 29, 2016.
WCDPHE currently conducts surveillance, investigation, and reporting of elevated childhood blood lead levels
(paid with local dollars). The CDPHE has offered us a contract in the amount of$18,000 to provide operational
funding to fund our local program. This funding originates at the U.S. Department of Health and Human
Services through the CDC. This is part of a state initiative to provide funding to local public health agencies that
experience the largest burden of elevated childhood blood lead cases in Colorado.
As a part of this proposed contract, WCDPHE will actively participate in CCLPPP workgroups and meetings to
develop efficiencies through the development of systematic guidelines, processes, and reporting requirements
for elevated blood lead cases by collaborating with the State and other counties. WCDPHE will continue to
conduct case investigations on elevated childhood blood lead levels as we have in the past, however, now our
findings will be reported to CDPHE. No additional FTE will be required to provide the grant deliverables.
Assistant County Attorney Frank Haug has reviewed this contract and it meets with his approval.
What options exist for the Board? (Include consequences, impacts, costs, etc. of options)
1. Continue operating as-is without contractual funding from CDPHE. For the past eight years WCDPHE
has operated and funded the Health Department's lead program without State assistance including FTE,
equipment, sampling, and investigations of elevated childhood blood lead cases within the county.
2. Approve the contract with CDPHE's CCLPPP to cover program costs including FTE, equipment and
equipment maintenance, sampling, and investigations. The funding will fully cover the program's costs
and result in saving the County associated expenditures for the program. The instrumentation used for
investigations requires maintenance and calibration every four to five years costing $6,500 in 2010. This
funding will allow WCDPHE the means to keep the instrumentation in good working order.
Recommendation: I recommend approval of this task order contract for our lead surveillance program.
Approve Schedule
Recommendation Work Session Other/Comments
Barbara Kirkmeyer, Chair
Mike Freeman, Pro-Tem
Sean P. Conway
Julie A. Cozad 2015-2836
Steve Moreno
-N11.OO-
Memorandum
TO: Esther Gesick, Clerk to the Board
V O U N T Y FROM: Skye Turchado
Department of Public Health & Environment
DATE: August 18, 2015
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, August 24, 2015.
NEW BUSINESS:
Original(s): FY16 Lead Surveillance CCLPPP Task Order Contract
Original(s):
Original(s):
Original(s):
CONSENT AGENDA:
Original(s):
Original(s):
Original(s):
Original(s):
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 - or via email.
As always, thank you for all of your help with processing our paperwork with the Board.
I
....,,., 1861, Memorandum
I
r ,.• TO: Barbara Kirkmeyer, Chair
1 -- T Y )
Board of County Commissioners
I FROM: Mark E. Wallace, MD, MPH,
Executive Director
Department of Public Health & Environment
DATE: August 18, 2015
SUBJECT: Lead Surveillance—Colorado Childhood Lead
Poisoning Prevention Program (CCLPPP) Task
Order Contract
Enclosed for the Board's review and approval is a Task Order Contract for the Lead Surveillance
— Colorado Childhood Lead Poisoning Prevention Program 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). The Task Order term is September 30, 2015, through September 29,
2016.
WCDPHE currently conducts surveillance, investigation, and reporting of elevated childhood
blood lead levels (paid with local dollars). The CDPHE has offered us a contract in the amount
of$18,000 to provide operational funding to fund our local program. This funding originates at
the U.S. Department of Health and Human Services through the CDC. This is part of a state
initiative to provide funding to local public health agencies that experience the largest burden
of elevated childhood blood lead cases in Colorado.
As a part of this proposed contract, WCDPHE will actively participate in CCLPPP workgroups and
meetings to develop efficiencies through the development of systematic guidelines, processes,
and reporting requirements for elevated blood lead cases by collaborating with the State and
other counties. WCDPHE will continue to conduct case investigations on elevated childhood
blood lead levels as we have in the past, however, now our findings will be reported to CDPHE.
No additional FTE will be required to provide the grant deliverables.
This task order contract was approved for placement on the agenda by the Board via pass-
around dated August 12, 2015.
I recommend approval of this Lead Surveillance —Colorado Childhood Lead Poisoning
Prevention Program (CCLPPP) Task Order Contract.
I
DEPARTMENT OF PUBLIC HEALTH AND
ENVIRONMENT
CMS ROUTING NO. 16 FHH 1 82441
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: CONTRACTOR:
State of Colorado for the use&benefit of the Board of County Commissioners of Weld County
Department of Public Health and Environment (a political subdivision of the state of Colorado)
Disease Control and Environmental Epidemiology 915 10th Street
CCLPPP Greeley,Colorado 80632-0758
4300 Cherry Creek Drive South for the use and benefit of the
Denver,Colorado 80246 Weld County Department of Public Health and Environment
1555 North 17th Avenue
Greeley,Colorado 80631
CONTRACTOR DUNS: 075757955
CONTRACTOR ENTITY TYPE:
Political Subdivision Colorado
TASK ORDER MADE DATE: 7/24/2015
BILLING STATEMENTS RECEIVED:
CORE ENCUMBRANCE NUMBER: Monthly
20160000000000001338
TERM: STATUTORY AUTHORITY:Not Applicable
This Task Order shall be effective upon approval by
the State Controller,or designee,or on 09/30/2015, CLASSIFICATION: Sub-Recipient
whichever is later.The contract shall end on 9/29/2016.
CONTRACT PRICE NOT TO EXCEED: $18,000.00
PROCUREMENT METHOD:
Exempt FEDERAL FUNDING DOLLARS: $18,000.00
BID/RFP/LIST PRICE AGREEMENT NUMBER: STATE FUNDING DOLLARS: $0.00
N/A MAXIMUM AMOUNT AVAILABLE PER FISCAL YEAR:
LAW SPECIFIED VENDOR STATUTE: FY 16: $18,000.00
N/A
STATE REPRESENTATIVE:
Michael VanDyke
DCEED
Environmental Epidemiology PRICE STRUCTURE: Cost Reimbursement
4300 Cherry Creek Drive South CONTRACTOR REPRESENTATIVE:
Denver, CO 80246 Tanya Geiser
1555 N. 17th Avenue
Greeley, Colorado 80631
PROJECT DESCRIPTION:
This project serves to provide operational funding to local public health agencies that experience the largest burden of elevated childhood blood
lead cases in Colorado.The public health agencies will actively participate in CCLPPP workgroups and meetings to develop efficiencies
through the development of systematic guidelines,processes,and reporting requirements for elevated blood lead cases.
Contract Template_Task Order_012215.doc Page 1 of 6
EXHIBITS:
The following exhibits are hereby incorporated:
Exhibit A- Additional Provisions(and any of its Attachments;e.g.,A-1,A-2,etc.)
Exhibit B- Statement of Work(and any of its Attachments;e.g.,B-1, B-2,etc.)
Exhibit C- Budget(and any of its Attachments;e.g.,C-1,C-2,etc.)
Exhibit D- Grant Funding Change Letter
GENERAL PROVISIONS
The following clauses apply to this Task Order Contract.These general clauses may have been expanded upon or
made more specific in some instances in exhibits to this Task Order Contract.To the extent that other provisions of
this Task Order Contract provide more specificity than these general clauses,the more specific provision shall
control.
1. This Task Order Contract is being entered into pursuant to the terms and conditions of the Master Contract
including,but not limited to,Exhibit One thereto.The total term of this Task Order Contract,including any
renewals or extensions,may not exceed five(5)years.The parties intend and agree that all work shall be
performed according to the standards,terms and conditions set forth in the Master Contract.
2. In accordance with section 24-30-202(1),C.R.S.,as amended,this Task Order Contract is not valid until it
has been approved by the State Controller,or an authorized delegee thereof.The Contractor is not
authorized to,and shall not;commence performance under this Task Order Contract until this Task Order
Contract has been approved by the State Controller or delegee.The State shall have no financial obligation
to the Contractor whatsoever for any work or services or,any costs or expenses,incurred by the Contractor
prior to the effective date of this Task Order Contract.If the State Controller approves this Task Order
Contract on or before its proposed effective date,then the Contractor shall commence performance under
this Task Order Contract on the proposed effective date.If the State Controller approves this Task Order
Contract after its proposed effective date,then the Contractor shall only commence performance under this
Task Order Contract on that later date.The initial term of this Task Order Contract shall continue through
and including the date specified on page one of this Task Order Contract,unless sooner terminated by the
parties pursuant to the terms and conditions of this Task Order Contract and/or the Master Contract.
Contractor's commencement of performance under this Task Order Contract shall be deemed acceptance of
the terms and conditions of this Task Order Contract.
3. The Master Contract and its exhibits and/or attachments are incorporated herein by this reference and made
a part hereof as if fully set forth herein.Unless otherwise stated,all exhibits and/or attachments to this Task
Order Contract are incorporated herein and made a part of this Task Order Contract.Unless otherwise stated,
the terms of this Task Order Contract shall control over any conflicting terms in any of its exhibits.In the event
of conflicts or inconsistencies between the Master Contract and this Task Order Contract(including its exhibits
Contract_Template_Task_Order_0I22I5.doc 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
Contract_Template_Task_Order_012215.doc 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.
Contract_Template_Task_Order_012215.doc 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: STATE OF COLORADO:
JOHN W. HICKENLOOPER,GOVERNOR
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 Entityj )l'
By: '-
Barbara Kirkmeyer For Executive Director
Print Name of Authorized Officer Department of Public Health and Environment
11A--
Signatu c of Authorize Officer
AUG 2 4 2015
Date
A m .Depaartmentt Program Approval:
Chair By: � 17/*/ ' (/ (i . (—
a
— '
Print Title of Authorized Officer
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:
obert Jaros,CP IBA,JD
By: /taut,:
f
Date *illi 5
Contract_Lem platc_paskOrder_()12215doc Page 5 of 6
o2o/s oZ 36 (`'1-J
i
Lead Surveillance - CCLPPP Task Order Contract
ATTEST: dia44441 J4L;iii BOARD OF COUNTY COMMISSIONERS
Weld Co n erk to the Boar WELD COUNTY, COLORADO
BY: �E ill t, IAA— .
Deputy Clerk o the Board I +. /Barbara Kirkmey r, Chair
,�I' } AAUG 2 4 2015
APP: •VED AS 0 FUNDI r , ,;44, e-
PROVED AS TO SUBSTANCE:
Controller I V Y�,is 4 lected Official N or Department Head
APPRp�/ED AS O FOR y: `' j r ,v '
"l ., i' -/ Director of General Services
County Attorney
o2oiti 0.136 6)
EXHIBIT A
ADDITIONAL PROVISIONS
To Task Order Contract Dated 07/24/2015 CMS Task Order Routing Number 16 FHHA 82441
These provisions are to be read and interpreted in conjunction with the provisions of the Task Order('ontract specified
above.
1. This Task Order Contract contains federal funds(see Catalog of Federal Domestic Assistance(CFDA)
number 93.753).
2. The United States Department of Health and Human Services("USHHS"),through the Centers for Disease
Control and Prevention("CDC")has awarded as of 11/14/2014 anticipated federal funds of$259,275.00
under Notice of Cooperative Agreement Award,hereinafter"NCAA",number lUE1EH001254,to
perform the following—Childhood Lead Poisoning Prevention.
If the underlying Award authorizes the State to pay all allowable and allocable expenses of a Contractor as
of the Effective Date of that Award,then the State shall reimburse the Contractor for any allowable and
allocable expenses of the Contractor that have been incurred by the Contractor since the proposed Effective
Date of this Task Order Contract. If the underlying Award does not authorize the State to pay all allowable
and allocable expenses of a Contractor as of the Effective Date of that Award,then the State shall only
reimburse the Contractor for those allowable and allocable expenses of the Contractor that are incurred by
the Contractor on or after the Effective Date of this Task Order Contract,with such effective date being the
later of the date specified in this Task Order Contract or the date the Task Order Contract is signed by the
State Controller or delegee.
3. To receive compensation under the Contract,the Contractor shall submit a signed Monthly CDPHE
Reimbursement Invoice Form. This form is accessible from the CDPHE internet website
http://www.colorado.gov/cs/Satellite/CDPHE-\lain/CBON/1251622941228 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.
Scan the completed and signed CDPHE Reimbursement Invoice Form into an electronic document. Email
the scanned invoice and Expenditure Details page to:
Matthew Newman,Lead Surveillance Coordinator
matthew.newmanrdstate.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.
Page 1 of 2
Contract Exhibit-A_AdditionalProvisions_TaskOrder 040715
EXHIBIT A
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.
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 forty-five(45)
calendar days,to correct the noted deficiencies. If the Contractor fails to correct such deficiencies
within forty-five(45)calendar days,the Contractor shall be in default of its obligations under this
Task Order Contract and the State,at its option,may elect to terminate this Task Order Contract or
the Master Contract and all Task Order Contracts entered into pursuant to the Master Contract.
5. Health Insurance Portability and Accountability Act(HIPAA)Business Associate Determination.
The State has determined that this Contract does not constitute a Business Associate relationship under
HIPAA.
6. This award does include funds for Research and Development.
7. Transfer of funds within the Budget:
a. Transfer funds between budget lines if the total of all cumulative transfers is less than 25%of the
budgeted amount does not require Lead Section approval.However the Contractor shall notify the
Section of the changes in writing prior to the transfer of funds.
b. When the cumulative total of all transfers equals or exceeds twenty five percent(25%)of the total
budgeted amount,the Contractor must obtain written permission from the Lead Section to move
any funds between lines.The Contractor shall submit the Lead Section approved budget
modification form prior to making revised expenditures.The Lead Section staff will evaluate the
request and inform the Contractor of a decision within 15 calendar days of receiving the request.
8. 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.
Page 2 of 2
Contract Exhibit-A_AdditionalProvisions_TaskOrder 040715
EXHIBIT B
STATEMENT OF WORK
To Original Contract Routing Number 16 FHHA 82441
These provisions are to be read and interpreted in conjunction with the provisions of the contract specified above.
Entity Name:Weld County Department of Public Health and Environment
Contract Term:September 30,2015 through September 29,2016
H. Project Description:
This project serves to provide operational funding to local public health agencies that experience the largest
burden of elevated childhood blood lead cases in Colorado. The public health agencies will actively participate in
CCLPPP workgroups and meetings to develop efficiencies through the development of systematic guidelines,
processes, and reporting requirements for elevated blood lead cases. Additionally, utilizing current, established
elevated blood lead case management/investigation protocols within their respective agency, they will conduct
case investigations on elevated childhood blood lead levels and report back investigation findings to CDPHE.
III. Definitions/Acronyms:
1. CDPHE Colorado Department of Public Health and Environment
2. CCLPPP Colorado Childhood Lead Poisoning Prevention Program
3. CEDRS Colorado Electronic Disease Reporting System
4. Elevated Blood Lead Level A level of at least 10 micrograms per deciliter(µg/dL)
5. LPHA Local Public Health Agency
6. SOW Scope of Work
7. Target Geographical Area Weld County,Colorado
IV. Work Plan:
Goal#1: Prevent and ultimately eliminate childhood lead poisoning in Colorado.
Objective#1: Provide each child identified with an elevated blood lead level in the target geographical area with proper care,
education,and information about lead poisoning in an effort to reduce his/her lead level.
Primary Activity#1 The Contractor shall perform exposure investigations in the target geographical area.
1. The Contractor shall conduct exposure investigations to determine the cause of an elevated
blood lead level in the home of every child that has a confirmed elevated blood lead level
test result,as reported to the Contractor by CDPHE.
2. The Contractor shall notify CDPHE,via email,if there is insufficient staff capacity and
ability to perform exposure investigations.
a. If the Contractor does not have the staff capacity and/or ability to perform an
Sub-Activities#1 exposure investigation,Environmental Protection Specialists from the CDPHE
Air Pollution Control Division will assist to coordinate or conduct the
investigation.
3. The Contractor shall collect exposure investigation information via the Exposure
Investigation Report Form, or an alternate method as approved by CDPHE,and report
findings to CDPHE.
4. The Contractor shall report investigation findings via a follow-up letter to the families of
the children with elevated blood levels and providers.
Primary Activity#2 The Contractor shall compile and share educational materials related to lead poisoning.
Sub-Activities#2 I. The Contractor shall research and compile existing educational materials to share with
other LPHA's,as directed by CDPHE.The Contractor shall have the option of creating
Page 1 of 3
Contract Statement of Work—Exhibit B
January 2015
EXHIBIT B
new educational materials under this project.
2. The Contractor shall provide the family of every child with an elevated blood lead level
with educational materials that promote lead poisoning prevention.
Primary Activity#3 The Contractor shall attend trainings and meetings as directed by CDPHE.
1. The Contractor shall attend a minimum of one(1)CCLPPP conference call orientation
meeting as directed by CDPHE.
Sub-Activities#3 2. The Contractor shall attend and participate in a minimum of six(6)Colorado Lead
Coalition meetings as directed by CDPHE.The goal of these meetings shall be to develop
efficiencies through the development of systematic guidelines,processes,and reporting
requirements for elevated blood lead cases.
I. The Contractor shall use a CDPHE-provided Exposure Investigation Report Form, or an
alternate method as approved by CDPHE,to collect exposure investigation information to
submit to CDPHE.
a. Exposure investigations shall be conducted no later than 60 days after CDPHE
■ Standards and notifies the Contractor of a confirmed elevated blood lead test result.
Requirements b. CDPHE will provide the Contractor with the Exposure Investigation Report
Form via email.
2. The Contractor shall use a CDPHE-provided follow-up letter template, or an alternate
method as approved by CDPHE, to report investigation findings to the families of the
children with elevated blood lead levels no later than 30 days after the investigation is
complete.
a. CDPHE will provide the Contractor with the follow-up letter template via email.
Expected Results of 1. Provide CDPHE with accurate and up-to-date childhood lead surveillance data.
Activity(s) 2. Provide education regarding lead poisoning to families.
Measurement of Expected Data collected in case report forms,follow-up letters,and number of environmental inspections
Results performed.
Completion Date
Deliverables I. The Contractor shall notify the CDPHE Lead Surveillance No later than seven(7)
Coordinator,via email,if there is insufficient staff capacity calendar days after receipt
and ability to perform exposure investigations. of elevated blood lead
level test result from
CDPHE.
2. The Contractor shall submit,electronically via CEDRS,the No later than 30 calendar
completed Exposure Investigation Report Form,or an days after the investigation
alternate method as approved by CDPHE,to the CDPHE is complete.
Lead Surveillance Coordinator.
3. The Contractor shall submit any educational materials No later than 30 calendar
created under this project via email to the CDPHE Lead days after the materials are
Surveillance Coordinator. finalized.
V. Monitoring:
CDPHE's monitoring of this contract for compliance with performance requirements will be conducted throughout
the contract period by the Lead Surveillance Coordinator. 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.
Page 2 of 3
Contract Statement of Work—Exhibit B
January 2015
EXHIBIT B
VI. Resolution of Non-Compliance:
The Contractor will be notified in writing within forty-five(45)calendar days of discovery of a compliance issue.
Within forty-five(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 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 Lead Surveillance Coordinator 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—Exhibit B
January 2015
EXHIBIT C
BUDGET
To Contract Dated 07/24/2015-Contract Routing Number 16 FHHA 82441
Personnel
Budgeted
FTE Salary Salary Fringe Amount
Description
Senior Chemist/Laboratory Manager 5% $78,090.11 $3,904.51
$1,520.00 $5,424.51
Environmental Health Specialist 10% $67,182.74 $6,718.27 $2,615.22 $9,333.49
Total Personal Services:
$18,245 $14,758.00
Supplies and Operating Expenses
Description Amount
Ghost Wipes,Vials,Gloves,Soil Samples,Dust Wipe Samples,etc.submitted to Reservoirs Environmental for analysis $797.00
Total Supplies and Operating: $797.00
Travel
Description Amount
In-State Travel Mileage:(500 miles at$0.555/miles) $277.50
Total Travel: $277.50
TOTAL EXPENSES $15,832.50
Indirect
Description Amount
indirect rate of 13.69% $15,832.70 total expenses $2,167.50
.
TOTALISUDGET $18,000
Page 1 of 1
GRANT FUNDING CHANGE LETTER
Date: State Fiscal Year: Grant Funding Change CMS Routing#
Letter(GFCL)# CORE Encumbrance#
TO: <Insert Grantee's name>
In accordance with Section of the Original Contract routing number , [insert the following language here it
previous amendment(s),renewal(s)have been processed]as amended by [include all previous amendment(s),renewal(s)and
their routing numbers], [insert the following words here if previous amendment(s),renewal(s)have been processed]between the State
of Colorado,Department of Public Health and Environment and <insert contractor name>beginning <insert
start date of original contract/and ending on <insert ending date of current contract amendment/,the undersigned commits
the following funds to the Grant:
The amount of(federal, state, other)grant funds available and specified in Section of <insert previous
contract modification number and routing number>iS❑ increased or❑decreased by$ amount of change to new total
funds for the period <date to date>Of$ <insert new period cumulative total>for the following reason:
Section is hereby modified accordingly.The revised Budget is incorporated herein by this reference and
identified as Revised Exhibit *. (if budget attached:delete sentence if no budget included.)
Complete the table below;insert/delete rows as needed.
The table below reflects the original budget and all modifications to the total since the effective date of the Original
Contract.
SUMMARY OF CHANGES
Document Type CMS Routing Funding Source Period Dollar Amount Period
# (federal,state,other) Total
Original Contract $ $
$ $
$ $
$ $
$ $
Contract Cumulative Grand Total $
This Grant Funding Change Letter does not constitute an order for services under this Grant.
The effective date of hereof is upon approval of the State Controller or <insert projected effective date>,
whichever is later.
STATE OF COLORADO
John W.Hickenlooper,GOVERNOR PROGRAM APPROVAL:
Department of Public Health and Environment
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:
Ex D GFCL.doc,. Page I of I
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