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HomeMy WebLinkAboutC04-314 Colorado Department of Public Health and Environment – Bioterrorism Grant~o~ -~3i~-ate. STATE OF COLORADO Bill Owens, Governor Douglas H. Benevento, Executive Director Dedicated to protecting and improving the health and environment of the people of Colorado 4300 Cherry Creek Dr. S. Laboratory Services Division ~ _ __ Denver, Colorado 80246-1530 8100 Lowry Blvd. ~ .~ Phone (303) 692-2000 Denver, Colorado 80230-6928 1 . s -~ _. . , f TDD Line (303) 691-7700 (303) 692-3090 Located in Glendale, Colorado ~~ ~} ~ ~ ~Q~~ http://www.cdphe.state.co. us September 8, 2004 Dear Local Health Partner, HEALTc~ & ~`~U~y~r;~v ~iri-~4~;w..a .t`v -- ~~ of Coto H ~ ~8~s ~ Colorado Department of public Health and Environment Enclosed please find a fully approved Purchase Order (OE FHA EPI05000094) between the State of Colorado, Department of Public Health and Environment's Preparedness Programs and Eagle County Government for the use and benefit of Eagle County Nursing Service. This purchase agreement references your Bioterrorism Grant Year 04/05 Preparedness & Response Activities Scope of Work and has an effective start date of September 1, 2004. Please keep this original in your contracts file For your information and the reference of your auditors, the United State Department of Health and Human Service, Centers for Disease Control and Preventions ("CDC") has awarded the State these federal funds under Notice of Cooperative Agreement Award ("NCAA") number U90/CCU816827-05-O1 to fund "Public Health Preparedness and Response for Bioterrorism" activities, see, Catalog of Federal Domestic Assistance ("CFDA") number 93.283. Please review the attached document(s) and upon review and approval please sign below and then fax this signed letter to the attention of Marti Wood at (303) 691-7811 by October 15, 2004. After faxing the signed letter to my attention, you may begin submitting invoices for reimbursement of any expenses incurred during this grant award period. Please duect those billings and any questions you might have regarding the reimbursement process to the attention of Brian Hancock, Contracts Monitor for the Public Health Preparedness Programs at (303) 692-2681. (A copy of the billing form is also attached.) As always thank you for your continued cooperation and support. Should you have any questions or require further information please do not hesitate to contact me. Sincerely, Marti Wood Contracts Coordinator Public Health Preparedness Programs Colorado Department of Public Health and Environment Phone: (303) 692-2645 Fax: (303) 691-7811 LOCAL HEALTH PARTNER ACCEPTANCE OF PURCHASE ORDER I, , on behalf of ,hereby acknowledge that the Scope of Work and Purchase Agreement have been reviewed, and are accepted and agreed to. I further acknowledge that I have the necessary authority to sign this acceptance on behalf of the entity mentioned above. ~ ~81~~ Date CO DEPT OF PUBLIC HEALTH/ENV 4300 CHERRY CREEK DRIVE SO DENVER CO 80246 1530 Buyer. LUPE QUESADA Phone Number: 303-692-2073 Agency Contact: MARTI WOOD ' Phone Number: 303 692 2645 DATE: 09-01-04 oF•~o ,~~ ._; -`°.~ PURCHASE . ~ y4~ :. ORDER IMPORTANT The PO # and Line # must * * # >r STATE OF COLORADO appear on all invoices, ~ 1876 ~` packing slips, cartons P.O. # OE FHA EP105000094 Page# O1 and correspondence ACC : 0 8 - 31- 0 4 State Award # FEIN 846000762 L Phone: - - Vendor Contact: Purchase Requisition #: R% FHA EP105000144 e EAGLE COUNTY GOVERNMENT N EAGLE COUNTY NURSING SERVICE o PO BO% 660 R EAGLE CO 81631 INSTRUCTIONS TO VENDOR: 1. It for any nmson, dellwry of this older la oelayed beydtd the dellwryllnstallaUOn date shown, plgp nolly the agency rnMaet named at tM top IeR (Right of ancNlatlon Is reserved In Instanps In whkh Umey dNlwry Is not made.) 2. All ehemkals, equlpneM and materleb must coMOrm to the sMndards rcqulred ty OSHA. 3. NOTE: Addttbnel terms aM eondttlons on nwrse side. SPECIAL INSTRUCTIONS: Bid # Invoice in Triplicate To: DEPT PUBLIC HEALTH/ENVIRONMENT DIS CONTRQL&ENV EPI DIV A-3 4300 CHERRY CREEK DRIVE SOUTH DENVER, COLORADO 80246-1530 Payment will be made by this agency Ship CO PUBLIC HEALTH/ENVIRONMENT To: DIS CNTL & ENV EPI DIV A-3 4300 CHERRY CREEK DRIVE SOUTH DENVER CO 80246 1530 Delivery/Installation Date: 08-31-05 F.O.B. T17. CT1T hT 7\TTf1LT CST 71 rTL~ T1A LINE COMMODITYIITEM UNIT OF pUANTITY UNIT COST TOTAL ITEM COST ITEM CODE MEASUREMENT 001 91883000000 $39,451.00 BT GRANT YEAR 04/05 PREPAREDNESS & RESPONSE ACTIVITIES SOW INCORPORATED HEREIN BY REFERENCE TERM: 09/01/04-08/31/05 THIS PO IS ISSUED IN ACCORDANCE WITH STATE AND FEDERAL REGULATIONS FPO FM DOCUMENT TOTAL = $39,451.00 /'/~E STATE ~ COLORADO ~~ _ r ~~ AutlarizW Signature Eagle County Public Health Nursing Service 2004-2005 Scope of Work Public Health Preparedness and Response Program Activities Contract Term: September 1, 2004 through August 31, 2005 Contract Objective: To ensure statewide coordination in preparedness and response to bioterrorism, outbreaks of infectious disease, other public health threats and emergencies. To maintain and enhance statewide capacity in the following areas: emergency preparedness and response; integrated detection and investigation; prevention; laboratory readiness; sustaining competent and trained workers; research and evaluation; communications as well as integrated and secure information systems. Contractor shall achieve these objectives through state, regional and local partnerships. Contractor shall ensure collaboration with all regional staff within the North West Region, including: Eagle, Garfield, Grand, Jackson, Mesa, Moffat, Pitkin, Rio Blanco, Routt, and Summit counties. Contractor shall be responsible for fulfilling the contracted responsibilities and ensuring agency representation at required meetings, training sessions, and conference calls. Contractor shall designate at least one staff member as the point of contact for public information, communications, or media relations. Contractor shall be responsible for required agency progress reports. Contractor shall be responsible for appropriate use of grant funds for all staff working on related projects as well as required equipment, supplies, travel, and operating expenses. Contractor shall at no time utilize grant funds to supplant other programs or unrelated projects. Project Area 1: Plannins 8c Response Foundation: In conjunction with public health and emergency response partners, assess resources, infrastructure, and capacities to respond to an emergency and develop, update, evaluate, and revise scalable plans that facilitate response. In order to achieve the above objective and reach *hP dPC1Qn9+Pd manotr...n~ ......a....~a,._ ..L,.n -- '- - - -- ---- -- ..v, ~. a Activities /Tasks (1v1V1 JLllll• Associated Milestones Completion Date s 1.Collaborate with Regional Staff to provide information on local resources for 1.6, 1.10 9/1104-8/31/05 res once laps, includin SNS, Communication, and Disease Investi ation 2. Attend two bi-re Tonal Tannin meetin s 1.1 9/1/04-8/31/05 3. Review and update, as necessary, agency emergency response plan, agency 1.2, 1.3, 1.4, 1.5, 9/1/04-8/31/05 res irato rotection Tan, disease investi ation rotocols, and mass clinic laps. 3.1, 3.2, 4. Partici ate in coon -level inters enc Tannin efforts 1.1, 1.10 9/1/04-8/31/05 5. In collaboration with regional staff and as necessary, assist and participate in the 1.7, 1.8, 1.9 9/1/04-8/31/05 following: mass fatality planning; ensuring that all staff are aware of and understand the Public Health statutes and their respective implementation; base training and assessment needs on the Department of Homeland Security's After Action report followin all disease outbreak investi ations and exercises. Eagle SOW FINAL.doc Page 1 Eagle County Public Health Nursing Service 2004-2005 Scope of Work Public Health Preparedness and Response Program Activities Proiect Area Z: IT & Communications Infrastructure: Develop, maintain, and update IT systems, communication systems, and databases to ensure the ability of public health communication and information management staff throughout the state to respond to an emergency. In order to achieve the above ob'ective and reach the desi nated milestones contractor shall• Activities /Tasks Associated Completion Milestones Date s 1. Ensure access to a high-speed link from the contractor's computer network to an 2.1, 2.4 09/O1/2004- Internet Service Provider. The Internet connection should be available at all times 08/31/2005 and should not require manual dial-up each time for connection. The contractor will serve as a contact oint for secure Internet transactions with the state. 2. Maintain an up-to-date telephone/fax/email directory of public health and other 1.6, 2.2, 2.3, 4.6, 9/1/04-8/31/05 emer enc artners Local and State 3. Maintain IT s stems with redundant method of alertin 1.6, 2.2, 2.3, 9/1/04-8/31/05 4. Review and u date, as needed, a enc communications lan 1.5, 9/1/04-8/31/05 Proiect Area 3: Training & Exercising: Train, exercise, and evaluate all-hazard public health emergency response systems to ensure a well planned, adequately resourced, organized, and coordinated approach to emergency response, with an emphasis on acts of bioterrorism, disease outbreaks, or events requiring use of the Strategic National Stockpile. In order to achieve the above obiective and reach the desiunated .r,t~P~t~nP~_ ~.,„~r~..r..r ~ti.,n. --- -~ - Activities /Tasks Associated Milestones Completion Date s 1. Activel artici ate in an desi ated statewide exercises. 3.7, 3.12, 3.13 TBD 2. Attend one re Tonal, state or national ublic health trainin event or conference 3.5, 3.12, 9/1/04-8/31/05 3. Partici ate in all bi-re Tonal all-hazard exercises 3.5, 3.12, 9/1/04-8/31/05 4. Partici ate in Coun all-hazard exercises 3.5, 3.12, 9/1/04-8/31105 5. Conduct annual review of staff core competencies for public health preparedness as outlined b CDC 3.6, 3.14 9/1/04-8/31/05 6. Develo a enc trainin strate to address core co etenc a s 3.3, 3.4, 3.6, 9/1/04-8/31/05 7. In collaboration with regional staff, participate in county tabletop exercises. 3.3, 3.4, 3.6, 3.7, 3.8, 3.9, 3.10, 3.11, 3.12, 3.13, 3.14 9/1/04-8/31/05 Eagle SOW FINAL.doc Page 2 Eagle County Public Health Nursing Servlce 2004-2005 Scope of Work Public Health Preparedness and Response Program Activities Project Area 4: Disease Investigation and Control: State and local public health partners will ensure appropriate epidemiological response is provided in the event of a public health emergency. In order to achieve the above objective and reach the designated milestones, contractor shall: Activities /Tasks Associated Completion Milestones Dat s l.Work with local health care providers to ensure that the State receives information 3.1, 3.2, 4.1, 4.3, 9/1/04-8/31/05 about re ortable disease cases as re uired b Statute 2. Operate in accordance with State Statute with regard to disease investigation and 3.2, 4.1, 4.3, 9/1/04-8/31/05 control 3. Provide information to CDPHE, the State Field Epidemiologist, or to the Regional 3.1, 3.2, 4.7, 9/1/04-8/31/05 Epidemiologist (When assistance is required by the Field Epidemiologist), to confum diagnosis, investigate causes, and identify other cases related to the outbreak 4. Work with the Regional epidemiologist in the development of tools to enhance 4.8 9/1/04-8/31/05 the disease investigation process in the region. This may include the development of questionnaires, data management standards, investigation protocols, GIS files, or other information as requested by the regional epidemiologist as it relates to projects defined in the re Tonal work lan. 5. Collaborate and support regional epidemiologist to ensure appropriate training 4.2, 4.4, 4.5 9/1/04-8/31/05 and development requirements are achieved that address identified areas of need. In collaboration with regional staff, participate in exercises, assessments, epidemiologic response activities; ensure 24/7 electronic reporting of diseases and unusual disease occurrences; maintain ongoing analysis of surveillance data. Billing Schedule: Contractor shall submit monthly invoices to CDPHE and shall be paid on a cost reimbursement basis only. Contractor shall submit copies of receipts for all equipment purchases. Transfer of funds from one budget line item to another is permissible. Total cost to CDPHE shall not exceed the total budget amount. Contractor understands and agrees that none of the funding made available pursuant to this procurement agreement can be used on any work or project other than that specified in this Scope of Work. Contractor further understands that Contractor is not to include any work not related to the Scope of Work, attached to this procurement agreement, on any invoices to the State. If Contractor mistakenly includes any unrelated work on an invoice, submitted pursuant to this procurement agreement, then Contractor hereby agrees to return this amount of money to the state immediately upon it becoming or being made aware. Attachment A: Budget Eagle SOW FINAL.doc Page 3 Attachment A: Project Budget Description of Budget Item Budget Amaunt Personnel .39 FTE (Senior level sta 23,712 (salary, Fringe, Indirect, ' Frin a estimate of 23% 5,454 E, etc.) °lo of F1 Deliverables: 1.1, 1.2, 1.3, 1.4, 1.5, 1.6, 1.7, 1.10, 2.1-2.4, 3.1-3.7, 3.12-3.14, 4.1, 4.3, 4.7, 4.8 Personnel Seib-Total 29,166 Equipment U date co uters, cell hones, PDA's 500 (Example Computers, Deliverables: 1.6, 2.1, 2.2, 2.3, 2.4 Phones) Equipment Sub-Total 500 Travel In and Out of State meetin s, trainin s, conferences 3,368 (Ia-Statelout-state) hotel, er diem, miles e, etc. *Attendance at 6 regional Deliverables: 1.1, 3.5, 3.7, 3.12, 3.13 meetings/trainings Travel Sub-Tatal 3,368 Operating/ PhonelFaxJlnternet Service, Office Su lies, Posts e, Printin 500 Supplies Deliverables: 1.1,1.3, 1.6, 2.2, 2.3, 2.4, 3.5, 3.7, 3.12, 3.13 (Not part of Indirect) (Example: Rent, Printing, Posta Phone bills) e g , Operating/Supply Sub-Total 500 Indirect (20.29% of Salaries and Fringe) 5,917 (Please give % and areas included, i.e. personnel, di t d/ or rect cos s) an Indirect Sub-Total 5,917 TOTAL BUDGET AMOUNT 39,451 Agency Budget Page 1 To: Colorado Deot. of Public Health & Environment Address: 4300 Cherry Creek Drive South, A-3 Denver, CO 80246 Attn: Brian Hancock Fax: 303-691-7811 Program: Public Health Preparedness & Response for Bioterrorism From: Address: Contact: Date of Expenditure: From: To: Phone: Contract/PO Number: Final Invoice: Yes No FEIN: S#C~ _C4}.~&£ ;, Ngg~Yd~3~ .S~i~...:~s'.~: } l- fin' _ F'~-'h Y. -S"L •.,'% ,C'4A3~'dr~:ycf- ei r4~~Vn.r~!,s.~'', `^l-~a ~.a;1Y. .~~"'~k.. ra"+4° ~"d`$• !65'• ~ ~~~`K~.. ~ ~-. F,,,Fp.u ti `.~~. ~4q ai~fifi3ii•+ Y {} ~:.~s~!'Ti~'i1 ~ -{ i°.~'S .' -,1 ti~± 4 m' +e Sd` •~ \~~Ya x~~'.'.E~24a~s~s~ ~ T v~` - -tl.k° H -.. i-i`Rl' ti~ fi' Personnel; l.~ ~ Equipment: Copies or Receipts Required ~:~~~ ~ :j~`~2 K R ' 6-ir .j;.{; t', `iP f~~°~4''wi~P fl Travel: ,i- i~s - ,'k' ~ ,~ ., ..y.-P,~` [~.dp~. ~e';'.y ',~~r~+-'~iyY ifs. '.~'>. ~.~.71sT ., dDT~4'^-. _ ~~~~~F3: `~4:_' $S ~~`7 ~_, _~ '.ri/wv~+s~}~iS ~Yb-, Operating/ Supplies: -.~;. x . .~...;~e~t~- eke ~~~ - ~:~~u ~~,~4~~~:~;~;~:~. Indirect /Other (Please give % and areas ' ~ ~ • ~~ ~~'~ ~~* ~ ~ .-J+!ei.y,..~,+. ~YY _~ i '; iii alky~w . _{ 't," ° _ _ .'Y ..,, x.. M..!.tr i~,'- d.: ezur~:^ ..:a:` -' :,i..a - .'~.`,aih,, o, t.~w ,r j .' :}~, ~~"f~!~~^f~~.bt }~+~(, 1 r w`- +` i/~y~ i}'': i ~ di i." l; F.` tv'.`.` ~'J:'.;-. _~~ ~ V,9 ~~ x,e. ~^:;, - •~, •#~..-•~, > ~t r'p.fi ~`: y +e r'f. ~P-i-`~ S. ~: "9X :S^„,{,5y,,..y : F ,,.~ a •Aa ~~°.~ ~}.4'< :~~ 7 `ice, :.amity I certify the expenses listed above were incurred by our agency; are true and just in all respects and are in compliance with the above referenced Contract /Purchase Order. Signature (CONTRACTOR): Date: As a State designee, I hereby certify that al! contract requirements have been met, the requested amounts are correct and the payment u authorized. Signature (CDPHE): Date: Monitor Initial: