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Home My WebLink About20141492.tiff RESOLUTION RE: APPROVE AMENDMENT #3 TO TASK ORDER CONTRACT FOR STATE TOBACCO EDUCATION AND PREVENTION PARTNERSHIP GRANT AND AUTHORIZE CHAIR TO SIGN WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS,the Board has been presented with Amendment#3 to the Task Order Contract for the State Tobacco Education and Prevention Partnership Grant 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 July 1, 2014, and ending June 30, 2015, 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 Amendment#3 to the Task Order Contract for the State Tobacco Education and Prevention Partnership Grant 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 19th day of May, A.D., 2014. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST: Wascrifetir / c ..Rne,.,MArt Doug Radema •r, Chair Weld County Clerk to the Board t\\ ELz T=ra Kirkme'er, Pro- em BY'•, a. .,�,� 11 �; �� Depu Clerk to the Board iY P. Conway AB O DA RM: Mike Fr County Attorney _ William . Garcia Date of signature: 11"9-lij ‘01 2014-1492 HL0044 2O 3_ 2 ,0g Memorandum TO: Douglas Rademacher, Chair Board of County Commissioners FROM: Mark E. Wallace, MD, MPH, Executive Director Department of Public Health & Environment DATE: 5/15/2014 SUBJECT: Amendment 35 Contract Continuation - Tobacco Use Prevention & Cessation Enclosed for Board review and approval is a contract between the Colorado Department of Public Health and Environment and the Board of County Commissioners of Weld County on behalf of the Weld County Department of Public Health and Environment. With the approval of the Board, the Weld County Department of Public Health & Environment will enter into year three of a three year contract agreement with CDPHE to implement various tobacco use cessation and prevention initiatives. The contract amount for this final year three is $340,221; the contract becomes effective July 1, 2014, and ends June 30, 2015. Tobacco use continues to be one of the main causes of death and disability in Colorado and Weld County. The State Health Department provides tobacco use prevention and cessation funding to local public health agencies from monies received via Amendment 35, a voter approved initiative to use a portion of state tobacco excise taxes to fund prevention and cessation activities. This continuation contract was approved for placement on the agenda by the Board via pass- around dated May 13, 2014. I recommend approval of this Amendment 35 Contract Continuation for Tobacco Use Prevention & Cessation Education. 2014-1492 DEPARTMENT OR AGENCY NAME COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT PSU-STEPP DEPARTMENT OR AGENCY NUMBER FLA CONTRACT ROUTING NUMBER 15-67545 AMENDMENT FOR TASK ORDERS#3 This Amendment is made this 18th day of April,2014, 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),915 10'1 Street,j reeley,Colorado 80632-0758,for the use and benefit of the Weld County Department of Public Health and Environment,whose address or principal place of business is 1555 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 October 1,2012, with contract encumbrance number PO FLA PPG 1348329,and contract routing number 13 FLA 48329,as amended by Contract Amendment#1,Contract Routing Number 14 FLA 55697 and Contract Amendment#2,Contract Routing Number 14 FLA 59142,collectively referred to herein as the`Original Task Order Contract, whereby the Contractor was to provide to the State the following: To increase tobacco cessation, reduce initiation of tobacco use,decrease tobacco prevalence among youth and decrease exposure to secondhand smoke. The State promises to increase the amount of funds to be paid to the Contractor by Three Hundred and Forty Thousand,Two Hundred and Twenty-One Dollars,($340,221.00)for the renewal term of one year,ending on June 30,2015, in exchange for the promise of the Contractor to perform the increased work described herein. NOW THEREFORE, in consideration of their mutual promises to each other, stated below,the parties hereto agree as follows: Consideration for this Amendment to the Original Task Order Contract consists of the payments and services that shall be made pursuant to this Amendment,and promises and agreements herein set forth. 2. It is expressly agreed to by the parties that this Amendment is supplemental to the Original Task Order Contract,contract routing number 13 FLA 48329,as amended by Contract Amendment#1,Contract Routing Number 14 FLA 55697 and Contract Amendment#2,Contract Routing Number 14 FLA 59142,collectively referred to herein as the Original Contract,which is by this reference incorporated herein. All terms,conditions,and provisions thereof, unless specifically modified herein,are to apply to this Amendment as though they were expressly rewritten, incorporated,and included herein. 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 Amendment is issued pursuant to paragraph 5 of the Original Task Order Contract identified by contract routing number 13 FLA 48329. This Amendment is for the renewal term of July 1, 2014,through and including June 30,2015. The maximum amount payable by the State for the Amendment_Task_Order_083010 Page I of 5 0C/' /VZ work to be performed by the Contractor during this renewal term is Three Hundred and Forty Thousand,Two Hundred and Twenty-One Dollars,($340,221.00)for an amended total financial obligation of the State of NINE HUNDRED AND THIRTY-FIVE THOUSAND, SEVEN HUNDRED AND SIX DOLLARS,($935,706.002. This is an increase of Three Hundred and Forty Thousand,Two Hundred and Twenty-One Dollars,($340,221.00]of the amount payable from the previous term. The revised Additional Provisions are incorporated herein by this reference and identified as"Exhibit G".The revised Statement of Work is incorporated herein by this reference and identified as"Exhibit H". The revised Budget is incorporated herein by this reference and identified as"Exhibit I". 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 Amendment is July 1,2014,or upon approval of the State Controller,or an authorized delegate thereof, whichever is later. 5. Except for the Special Provisions and other terms and conditions of the Master Contract and the General Provisions of the Original Task Order Contract,in the event of any conflict, inconsistency,variance,or contradiction between the terms and provisions of this Amendment and any of the terms and provisions of the Original Task Order Contract,the terms and provisions of this Amendment shall in all respects supersede,govern,and control. The Special Provisions and other terms and conditions of the Master Contract shall always control over other provisions of the Original Task Order Contract or any subsequent amendments thereto. The representations in the Special Provisions to the Master Contract concerning the absence of personal interest of state of Colorado employees and the certifications in the Special Provisions relating to illegal aliens 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. Amendment_Task_Order_083010 Page 2 of 5 This page left intentionally blank. Amendment_Task_Order_083010 Page 3 of 5 IN WITNESS WHEREOF,the parties hereto have executed this 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 OF STATE OF COLORADO WELD COUNTY (a political subdivision of the John W.Hickenlooper,Governor State of Colorado)for the use and benefit of the Weld County Department of Public Health and �^L /f Environment'��\ � �' J ,// �/✓� Ci LR.�� (rVC.( k✓ By: ZI ` Signature of uthorize Officer MAY 19 2014 For the Executive Director DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT Douglas Rademacher Print Name of Authorized Officer Chair, Board of Weld County Commissioners Print Title of Authorized Officer PROGRAM PPROVAL: 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: t -/9-/5/ Amendment_Task_Order_083010 Page 4 of 5 This page left intentionally blank. Amendment Task Order083010 Page 5 of 5 EXHIBIT C ADDITIONAL PROVISIONS To Task Order Contract Dated 10/01/2012-Contract Routing Number 13 FLA 48329 Contract Amendment Routing Number 15 FLA 67545 These provisions are to be read and interpreted in conjunction with the provisions of the Task Order Contract specified above. I. This Task Order Contract contains state funds. 2. To receive compensation under the Task Order Contract,the Contractor shall submit a signed Monthly CDPHE Reimbursement Invoice Form. This form is accessible from the CDPHE intemet website http://www.colorado.gov/cs/Satellite/CDPHE-Main/CBON/1251622941228 and is incorporated and made part of this Task Order 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 and Expenditure Details page to: Tobacco Program Generalist at cdphe steep og(&,state.co.us Final billings under the Task Order Contract must be received by the State within a reasonable time after the expiration or termination of the Task Order Contract; but in any event no later than forty-five(45) calendar days from the effective expiration or termination date of the Task Order Contract. Unless otherwise provided for in the Task Order Contract,"Local Match", if any, shall be included on all invoices as required by funding source. The Contractor shall not use state funds to satisfy federal cost sharing and matching requirements unless approved in writing by CDPHE. 3. Time Limit For Acceptance Of Deliverables. a. Evaluation Period. The State shall have thirty(30)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 thirty(30)calendar days of: I)the date the deliverable is delivered to the State by the Contractor if the State is aware of the failure or deficiency at the time of delivery; or 2)the date the State becomes aware of the failure or deficiency. The above time frame shall apply to all deliverables except for those deliverables that have a different time negotiated by the State and the Contractor in writing pursuant to the State's fiscal rules. c. Time to Correct Defect. Upon receipt of timely written notice of an objection to a completed deliverable,the Contractor shall have a reasonable period of time,not to exceed thirty(30) calendar days,to correct the noted deficiencies. If the Contractor fails to correct such deficiencies within thirty(30)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. To be attached to CDPHE Page 1 of 3 Revised: 12/19/06 Task Order v1.0(3/12)contract template EXHIBIT G 4. Health Insurance Portability and Accountability Act(HIPAA)Business Associate Determination. The State has determined that this Task Order Contract does not constitute a Business Associate relationship under HIPAA. 5. 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 or$250,000.00,whichever is less,shall be submitted to the State at least 90 days prior to the end of the contract period and may require an amendment in accordance with General Provisions, Section 5,of this Task Order Contract. 6. If Contractor indicates full expenditure of funds under this Task Order Contract by March 1 of each grant year and the full expenditure does not occur,CDPHE has the option to reduce current or upcoming Task Order Contract by said amount or a percent deemed reasonable by CDPHE.The State will notify the Contractor of the potential need to decrease the current or upcoming budget. If the Contractor indicates at a later date than March lof each grant year an expectation of surplus of funds or inability to fully expend said funds for unforeseen circumstances that Contractor had not anticipated byMarch 1,CDPHE will reallocate unspent funds without any penalties to the Contractor. Upon receipt of timely written notice of an objection by the State for inability to fully expend funds,the Contractor shall have a reasonable period of time not to exceed ten(10)calendar days to respond to the action. If no dispute is received by the State within ten(10)calendar days,the State has the option to reduce the current budget for the current year and any upcoming budget for future contractual agreements. 7. Notwithstanding the terms contained in General Provisions of the Master Contract, Section 9,Rights in Data, Documents and Computer Software or Other Intellectual Property, unless otherwise provided for,all data collected or produced or derived exclusively from the Contractor's or subcontractor's work under this Task Order Contract shall remain the sole property of the State, whether in individual,aggregate, identified or de-identified form or any other form required by the State. To facilitate follow-up,research,surveillance and evaluation,any such data collected,used or acquired shall be made available in any form required by the State,to the State and any other entity designated by the State. Any such data collected, used or acquired shall be used solely for the purposes of this Task Order Contract. The Contractor and its subcontractors agree not to release,divulge, publish,transfer,sell,or otherwise make known any such data to unauthorized persons without the express prior written consent of the State or as otherwise required by law. This includes a prior written request by the Contractor to the State for submission of abstracts or reports to conferences, which utilize data collected under this Task Order Contract. Notwithstanding the foregoing,the Contractor shall be entitled to retain a set of any such data collected or work papers necessary to perform its duties under this Task Order Contract and in accordance with professional standards. 8. Notwithstanding the terms contained in General Provisions of the Master Contract, Section 9,Rights in Data, Documents and Computer Software or Other Intellectual Property,or Section 23.i, General Provisions, Media or Public Announcements,the State of Colorado,specifically the Department of Public Health and Environment,shall be the owner of all printed materials,graphic representations,educational materials,audio-visual products,or any other media,in whatever form,created under this Task Order Contract.This requirement applies,but is not limited to,any brochure, flyer,presentation, billboard,radio spot,website, banner advertisement. The State reserves the right to require logos,or other wording on any material,representation,product or other media form created under this Task Order Contract. Any material,representation, product or other media form that will use the State's or logo or information must be approved by the State prior to production and distribution.A minimum of ten (10)business days is required for the review and approval process. To be attached to CDPHE Page 2 of 3 Revised: 12/19/06 Task Order v1.0(3/12)contract template EXHIBIT G 9. Funds provided under this Task Order Contract may not be used to: supplant funding for any existing programs/models; develop new cessation programs/models;develop curricula for youth or adults not reviewed and approved by the State;pay for individual cessation aids or nicotine replacement therapy; fund capital improvements; or fund costs of enforcement of state or local laws and ordinances. 10. The Contractor affirms that it maintains no affiliations or contractual relationships,direct or indirect,with tobacco companies,owners,affiliate,subsidiaries,holding companies or companies involved in any way in the production,processing,distribution,promotion,sales,or use of tobacco. II. The State of Colorado, specifically the Colorado Department of Public Health and Environment,shall be the owner of all equipment as defined by Federal Accounting Standards Advisory Board(FASAB) Generally Accepted Accounting Principles(GAAP)purchased under this Task Order Contract. At the end of the term of this Task Order Contract,the State shall approve the disposition of all equipment. 12. The Contractor shall not use funds provided under this Task Order Contract for the purpose of lobbying as defined in Colorado Revised Statutes(C.R. S.)24-6-301(3.5)(a). 13. The State may increase or decrease funds available under this Task Order Contract using a Grant Funding Letter substantially equivalent to Attachment G-1. The Grant Funding Change Letter is not valid until it has been approved by the State Controller or designee. To be attached to CDPHE Page 3 of 3 Revised: 12/19/06 Task Order v1.0(3/12)contract template Attachment G-1 GRANT FUNDING CHANGE LETTER Date: State Fiscal Year: Grant Funding Change Letter# CMS Routing # TO: Insert Grantee's name In accordance with Section of the Original Contract routing number , [insert the following language here if previous amendment(s), renewal(s) have been processed] as amended by [include all previous amendment(s), renewal(s) and their routing numbers], [insert the following word here if previous amendment(s), renewal(s) have been processed] between the State of Colorado, Department of Public Health and Environment and Contractor's Name beginning Insert start date <insert start date of original contract> and ending on Insert ending date <insert ending date of current contract amendment>, the undersigned commits the following funds to the Grant: The amount of grant funds available and specified in Section of <insert contract amendment number and routing number> is ❑ increased or❑ decreased by $amount of change to a new total funds available of$ <insert new cumulative total> for the following reason: . Section is hereby modified accordingly. • This Grant Funding Change Letter does not constitute an order for services under this Grant. The effective date of hereof is upon approval of the State Controller or , whichever is later. STATE OF COLORADO John W. Hickenlooper,GOVERNOR Department of Public Health and Environment PROGRAM APPROVAL: By: Lisa McGovern, Purchasing &Contracts Unit By: Director Date: ALL GRANTS REOUIRE 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. 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E u u in .E t '�' (V^ c° " - 2 o .o c L ≤a EE F r - J J L., J EXHIBIT /.(7%\--c.\ Colorado Department of Public Health and Environment ••:; PREVENTION SERVICES DIVISION- BUDGET G6ndo To Task Order Contract Dated 10/1/2012-Contract Routing Number 13 FLA 48329-Contract Amendment Routing Number 15 FLA 67545 dPublk health s and Emiraommt Weld County Department of Public Health and Program Contact Name, Contractor Name Eric Aakko;Division Director,Health Communication Environment Title,Phone and Email and Education 970.304.6470 x 2380 Fiscal Contact Name, Budget Period July 1,2014-lune 30,2015 Tide,Phone and EmailTanya Geiser,Administrative Services Director 970- 304-6410 x 2122 Project Name Weld County Public Health Tobacco Program Expenditure Categories Personal Services Salaried Employees List SOW deliverable/ primary task Match or In- numberls)this Gross or Percent of Kind(If Total Amount Position Title/Employee budget item Annual Time on Required by Requested from Name Description of Work supports Salary Fringe Project RFA) CDPHE 1,0 FTE Health educator(12 mos)will coordinate youth prevention activities;including at risk young adults,collaboration with community based Health Education Specialist organizations,youth organizations,school 1,2,4,5,6,9 5 56,302.46 521,918.55 100% $78,221.01 II/Rachel Freeman administrators and coordination of school based trainings and retailer audits.Additional duties are related to the paid and earned media. 1.0 FTE Health educator(12 mos) will coordinate activities related to cessation,secondhand smoke,and tobacco free coalition;including Health Education Specialist working with multiunit housing,colleges, 1,2,7,8 $ 54,731.20 521,306.86 100% $76,038.06 II/Maggie Shawcross collaboration with community based organizations,and the Weld County tobacco free coalition. 0.3 FTC Bilingual health educator(12 mos)will collaborate on the healthy corner store initiative Bilingual Health Education in Spanish speaking neighborhoods,provide 1,3 5 59,774.00 523,270.02 30% $24,913.21 Specialist/Ofelia Orozco cessation resources in Spanish,and smoke free housing activities. 0.05 FTE Data and evaluation specialist(12 mos) will provide evaluation assistance on all workplan Data and Evaluation activities and evaluation coordination withthe 1 thru 9 584,383.14 532,850.36 5% 55,861.67 Specialist/Cindy Kronauge Weld County Community Health Improvement Plan(CHIP). 0.05 FTE Division director(12 mos)will provide overall Division Director/Eric program administration,budget management,and 1 thru 10 $ 81,135.71 $31,586.13 5% 55,636.09 Aakko staff supervision of 3.0 FTE tobacco staff. Page 1 of 5 EXHIBIT I 3 Colorado Department of Public Health and Environment -•�;fG P PREVENTION SERVICES DIVISION- BUDGET -- CdwadoDr�rr..au To Task Order Contract Dated 10/1/2012-Contract Routing Number 13 FLA 48329-Contract Amendment Routing Number 15 FLA 67545 �FaNc El nick Contractor Name Weld County Department of Public Health and Program Contact Name, Eric Aakko;Division Director,Health Communication Environment Title,Phone and Email and Education 970.304.6470 x 2380 Fiscal Contact Name, Budget Period July 1,2014-lune 30,2015 Title,Phone and Email Tanya Geiser,Administrative Services Director 970- 304-6410 x 2122 Project Name Weld County Public Health Tobacco Program Health Education Specialist 0.5 FTE Health educator(12 mos) will coordinate tobacco work related to young adults and the 3 $50,253.09 519,563.53 50% $34,908.31 1/Corrie Groesbeck straight to work population. Fringe benefits are 38.93%.Components included are: 1.45%medicare,.09%unemployment, 08%worker's compensation,13.7%PERA,.33%life insurance, Fringe @ 38.93% $0.0012.13%health insurance,4.6%vacation,4.23%for holidays and 2.3%for sick leave.County employees can only pay into PERA,there is no option. $0.00 Personal Services Hourly Employees deliverable/ primary task Match or In- number(s)this Total#of Kind(If Total Amount Position Title/Employee budget item Hourly Hours on Required by Requested from Name Description of Work supports Hourly Wage Fringe Project RFA) CDPHE Office technician @$18.52 per hour(avg over 2080 hours in a year,including COLA&step Office Technician increase)(-4 hours per week)will provide desktop 1 thru 9 $ 18.52 $7.21 208 $5,352 III/Marjorie Hanson publishing,design,and other duties as required in fulfilling activitities. Fringe benefits are 38.93%.Components included are:1.45%medicare,.09%unemployment,.08% worker's compensation,13.7%PERA,.33%life Fringe @ 38.93% insurance,12.13%health insurance,4.6% 5D vacation,4.23%for holidays and 2.3%for sick leave.County employees can only pay into PERA, there is no option. $0 Total Personal Services (including fringe benefits) SO $230,930 Supplies&Operating Expenses Page 2 of 5 EXHIBIT I Colorado Department of Public Health and Environment PREVENTION SERVICES DIVISION- BUDGET Coloradopr�orr.�c To Task Order Contract Dated 10/1/2012-Contract Routing Number 13 FLA 48329-Contract Amendment Routing Number 15 FLA 67545 of Public HdtA and Emimnmmi Contractor Name Weld County Department of Public Health and Program Contact Name, Eric Aakko;Division Director,Health Communication Environment Title,Phone and Email and Education 970.304.6470 x 2380 Fiscal Contact Name, Budget Period July 1,2014-June 30,2015 nue,Phone and Email Tanya Geiser,Administrative Services Director 9]0- 304-6410 x 2122 Project Name Weld County Public Health Tobacco Program List ww deliverable/ primary task number(s) Match or In- this budget Kind(If Total Amount item Required by Requested from Item Description of Item supports Rate Quantity RFA) CDPHE Printing and photocopying(black and white @.02 cents per copy x 20,000=$400;color @.06 cents per copy x 3000=$180(; Printing/Copies replacement of ink toners @$300.Printing supports all activities 1 thru 9 $880.00 1 $880 from 1 thru 9 in the workplan. County also supports some printing expenses as"in-kind." Postage for mailing surveys,response to complaints,etc. The County Postage does include some postage"in-kind"in our general operating budget, 1 thru 9 50.43 300 $129 therefore we do not require a large postage line-item.Average of 25 letters/surveys per month x 0.43 cents=$129. Paper,pens,lamination supplies,etc.The County also supports our General Office supplies supplies with"in-kind"support. Rate is calculated at$25 per month 1 thru 9 525.00 12 5300 (or$8.33 per 1.0 FTE/month(x 12 months=$300. Educational Supplies- Purchase of emerging tobacco supplies for youth coalition meetings 345,6 $5.00 5 $25 tobacco products (e.g.chew,snuff,tobacco(.Approx.cost is$5 per item. $240 for material to support youth meetings,(e.g.plates,cups, napkins,etc).Food,beverages for youth meetings,community Meeting Supplies meetings @ approx 30 people per month(12 months)X$10 per 1 thru 9 $3,840 W 1 $3,840 person=$3600 $o Total Supplies &Operating Expenses $0 $5,174 Travel Llsr sow deliverable/ primary task number(s) Match or In- this budget Kind(If Total Amount Item Required by Requested from Item Description of Item supports Rate Quantity RFA) CDPHE 4 health educators @ 150 miles/month X 54.5 cents a mile;travel Mileage includes in county travel;required travel to CDPHE state meetings(2 1 thru 10 $0.54 7200 $3,888 staff)and other trainings(2 staff). $0 Total Travel $0 Page 3 of 5 EXHIBIT I a Colorado Department of Public Health and Environment :; • PREVENTION SERVICES DIVISION- BUDGET Wets&Dganme� To Task Order Contract Dated 10/1/2012-Contract Routing Number 13 FLA 48329-Contract Amendment Routing Number 15 FLA 67545 dlLdk Fldrb r and Fmimnmmr Contractor Name Weld County Department of Public Health and Program Contact Name, Eric Aakko;Division Director,Health Communication Environment Title,Phone and Email and Education 970304.6470 x 2380 Budget Period Jul 1,2014-June 30,2015 Fiscal Contact Name, July Title,Phone and Email Tanya Geiser,Administrative Services Director 970- 304-6410 x 2122 Project Name Weld County Public Health Tobacco Program Contractual LISS win deliverable/ primary task number(s) Match or In- this budget Kind(If Total Amount item Required by Requested from Subcontractor Name Description of Item supports Rate Quantity RFA) CDPHE Public information and earned media in college(e.g.UNC Mirror newspaper)and highschool newspapers,billboards near schools,and Greeley Stampede in Weld County(e.g.vendor for billboards is Lamar Advertising).$45,259 is an estimate based on previous and anticipated expenditures for billboard campaign($11,159), radio spots for 2 months($11,200),Stampede costs for 1 month($11,800), and guerilla marketing for 6 months($11,100). All costs are Media-TBD estimates. 1,2,3,5 $45,259.00 1 $45,259 Minigrant to support the work of the coalition in educating at least 500 of the target population(i.e.public and community stakeholders) Tobacco Free Weld County about the evidence of different in reducing strategies youth initiation 3,7,8 $5,100.00 1 $5,100 Coalition g of tobacco and increasing community awareness about evidence- based tobacco pricing strategies NASPA Campus tobacco policy and strategic planning training for FY14 4 $2,500.00 1 $2,500 college campuses in Weld(e.g.Aims,UNC,IBMC). Colorado Tobacco Education and Prevention Alliance(CTE PA)- Bob Doyle consultation on smoke free housing forum and coalition 2,7,8 $55.00 80 $4,400 development.Continue consultation activities from Year 1. Rate is determined at$55 per hour x 80 hours. Lindsey is a Positive Youth Development expert and will provide youth coalition leadership;she has experience in collaboration with Weld County partners to bridge gaps between nonprofit,governmental and Lindsey Sides 3 $22.00 431.8 $9,500 youth partners.She will recruit high burden and low SES youth;and provide school district information and presentations specific to Weld County youth. Rate is calculated at$22/hour x 431.8 hours. $0 Total ContractualSO $66,759 Page 4 of 5 EXHIBIT I Colorado Department of Public Health and Environment PREVENTION SERVICES DIVISION- BUDGET C)ado O�.�. To Task Order Contract Dated 10/1/2012-Contract Routing Number 13 FLA 48329-Contract Amendment Routing Number 15 FLA 67545 d ILNk HdeA and Fmimnmmi Contractor Name Weld County Department of Public Health and Program Contact Name, Eric Aakko;Division Director,Health Communication Environment Title,Phone and Email and Education 970.304.6470 x 2380 Fiscal Contact Name, Budget Period July 1,2014-June 30,2015 Title,Phone and Email Tanya Geiser,Administrative Services Director 970- 304-6410 x 2122 Project Name Weld County Public Health Tobacco Program SUB-TOTAL BEFORE INDIRECT $306,751 Indirect Match or In- Kind(If Total Amount Required by Requested from Item Description of Item RFA) CDPHE Negotiated Indirect cost rate(Federal,State,or WCDPHE has a 2014 negotiated indirect rate of 13.39%of Total Direct Costs. $32,135 CDPHE) Indirect rate(other): 2%on contractual. $1,335 Indirect(modified or additional base) Total IndirectSO $33.476 TOTAL MATCH OR IN KIND SO 4`t + ?-mz..•)'�_{z. ' -{f . =:m . a,S. $340,221 Page 5 of 5 Exhibit C Budget sc Colorado Department of Public Health and Environment PREVENTION SERVICES DIVISION- BUDGET Cobrado Department To Task Order Contract Dated 10/1/2012-Contract Routing Number 13 FLA 48329-Contract Amendment Routing Number 15 FLA 67545 °Dub&NSA and Environment Contractor Name Weld County Department of Public Health and Program Contact Name, Eric Aakko;Division Director,Health Communication Environment Title,Phone and Email and Education 970.304.6470 x 2380 Fiscal Contact Name, Budget Period July 1,2014-June 30,2015 Tick,Phone and Email Tanya Geiser,Administrative Services Director 970- 304-6410 x 2122 Project Name Weld County Public Health Tobacco Program Indirect Match or In- Kind(If Total Amount Required by Requested from Item Description of Item RFA) CDPHE Negotiated Indirect cost rate(Federal,State,or WCDPHE has a 2014 negotiated indirect rate of 13.39%of Total Direct Costs. $32,135 CDPHE) Indirect rate(other): 2%on contractual. $1,335 Indirect(modified or additional base) Total Indirect SO $33,470 TOTAL MATCH OR IN KIND $0 j . w .. $340,221 Page 20 of 20 V.1 Jan 2013 Hello