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HomeMy WebLinkAboutC12-234 Emergency and Preparedness and Response Task Order (FJA 41889) DEPARTMENT OF PUBLIC HEALTI -I AND ENVIRONMENT
ROUTING NO. 13 FJA 41889
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 00016
STATE: CONTRACTOR:
State of Colorado for the use & benefit of the Board of County Commissioners of Eagle County
Department of Public Health and (A Political Subdivision of the State of Colorado)
Environment 500 Broadway
Emergency Preparedness and Response Eagle, Colorado 81631
Division For the use and benefit of the
4300 Cherr Creek. Drive South Eagle County Public Health Agency •
y 551 Broadway
Denver, Colorado 80246 Eagle, Colorado 81631
TASK ORDER MADE DATE: CONTRACTOR ENTITY TYPE:
April 1, 2012 Colorado Political Subdivision
PO /SC ENCUMBRANCE NUMBER:
PO FJA EPR1341889
1TiRM: BILLING STATEMENTS RECEIVED:
This Task Order shall be effective upon Monthly
approval by the State Controller, or designee,
or on 08/10/2012, whichever is later. The ST'ATUT'ORY AUTHORI'T'Y:
Task Order shall end on 06/30/2013. - Not Applicable
PRICE STRUCTURE: CONTRACT PRICE NOT TO EXCEED:
Cost Reimbursement $32,579.00
PROCURI MENTMEF! FEDERAL FUNDING DOLLARS: $32,579.00
Exempt FUNDING DOI..I. $0.00
BID /REP /LIST PRICE AGRl MINT NUMBER: MAXIMUM AMOUNT AVAILABLE PER FISCAL YEAR:
Not Applicable FY 13: $32,579.00
1,AW SPICIFIED VENDOR STATUTE:
Not Applicable
STATE REPRESEN'TA'TIVE: CONTRACTOR REPRESENTATIVE:
Kim Pasic Rachel Oys
Department of Public Health and Environment Director
Office of Emergency Preparedness and Response Eagle County Public Health Agency
4300 Cherry Creek Drive South 551 Broadway
Denver, CO 80246 Eagle, Colorado 81631
SCOPE OF WORK:
Contractor shall work with and through state, regional, and local partnerships to achieve emergency
preparedness activities. Contractor shall ensure collaboration with the Colorado Department of Public
Health and Environment, the Office of Emergency Preparedness and Response, local public health
agencies, and regional epidemiologist and generalist staff members within the designated All- Hazards
Region.
EXIiIB ITS:
The following exhibits are hereby incorporated:
Exhibit A - Additional Provisions (and its attachments if any — e.g., A -1, A -2, etc.)
Exhibit B - Statement of Work and Budget (and its attachments if any — e.g., B -1, B -2, etc.)
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
i Task including, but not limited to, Exhibit One thereto. The total term of this Tas 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
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 ".
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 -1.02 -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 addressor 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
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.
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:
Board of County Commissioners of Eagle County John W. Hickenlooper, GOVERNOR
(A Political Subdivision of the State of Colorado)
For the use and benefit of the
Eagle County Public Health Agency
Legal Name of Contracting Entity
By
For Executive Director
Department of Public Health and Environment
Signature of Authorized Offic-
' 1 = : (fit) Nq Ni
Print Name of Authorized Officer
�� , ( Department Program Approval:
;��
K—/ r l / 1 V By
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:
David J. McDermott, CPA
By
Date
This page left intentionally blank.
EXHIBIT A
ADDITIONAL PROVISIONS
To Task Order Contract Dated 04/01/2012 - Contract Routing Number 13 FJA 41889
These provisions are to be read and interpreted in conjunction with the provisions of the
Task Order Contract specified above.
1. 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.
2. This Task Order Contract contains federal funds (see Catalog of Federal Domestic Assistance (CFDA)
number 93.069)
3. The United State Department of Health and Human Services ( "USHHS "), through the Center for Disease
Control and Prevention ( "CDC ") has awarded federal funds under Award number * * * * * * * * * *, hereinafter
"Award ", to perform the following — Contractor shall work with and through state, regional, and local
partnerships to achieve emergency preparedness activities. Contractor shall ensure collaboration with the
Colorado Department of Public Health and Environment, the Office of Emergency Preparedness and
Response, local public health agencies, and regional epidemiologist and generalist staff members within the
designated All Hazards Region.
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.
4. To receive compensation under this Task Order Contract, the Contractor shall submit a signed Monthly
CDPHE Reimbursement Invoice Form. This form is accessible from the CDPHE internet website.
CDPHE will provide technical assistance in accessing and completing the form. The CDPHE
Reimbursement Invoice Form must be submitted within thirty (30) calendar days of the end of the billing
period for which services were rendered. Expenditures shall be in accordance with the Statement of Work
and the associated Budget attached hereto as Exhibit B and incorporated herein.
All Counties, Local Public Health Agencies and select intergovernmental Contractors will undergo a
financial risk assessment conducted by the CDPHE Financial Risk Management System. Until such
assessment is completed and the Contractor has been notified of the results, the Contractor shall provide the
following documentation with the completed invoice; submit documentation for expenditures of $5,000.00
or more. This requirement does not include personnel expenses. This supporting documentation shall be
submitted with the completed CDPHE Reimbursement Invoice Form and sent to:
..-, . . . �._�w___ .. , n.. — • _ J. ,n„n /h,
EXHIBIT A
OEPR Fiscal Staff
Office of Emergency Preparedness and Response
Colorado Department of Public Health and Environment
OEPR — C2 — 4350
4300 Cherry Creek Drive South
Denver, Colorado 80246
Or
Fax to: 303- 691 -7811
To be considered for payment, billings for payments pursuant to this Task Order Contract must be received
within a reasonable time after the period for which payment is requested, but in no event no later than thirty
(30) calendar days after the relevant performance period has passed. Final billings under this Task Order
Contract must be received by the State within a reasonable time after the expiration or termination of this
Task Order Contract; but in no event no later than thirty (30) calendar days from the effective expiration or
termination date of this Task Order Contract.
Unless otherwise provided for in this Task Order 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.
5. 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: 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 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.
EXHIBIT B
STATEMENT OF WORK
To Task Order Dated 04/01/2012 - Contract Routing Number 13 FJA 41889
These provisions are to be read and interpreted in conjunction with the provisions of the Task Order Contract specified above.
Agency Funding Demographics
Catalog of Federal Domestic Assistance (CFDA): 93.069
Local Public Health Agency (LPHA) Name: Eagle County Public Health Agency
Contract Term: August 10, 2012 through June 30, 2013
Contract Total Award for Fiscal Year 12 -13: $ 32,579.00
Agency PHEP Award: $32,579.00
Cities Readiness Initiatives Award: $0.00
Number of Funded Regional Staff (FTE):
0 Public Health Emergency Preparedness Regional Staff
0 Regional Epidemiologist
Regional Counties Served: Eagle County
Current hndirect Rate: 10% of Direct Salaries and Wages Including Fringe Benefits
EXHIBIT B
I. Project Description:
Purpose: The purpose of the aligned 2012 -2017 Hospital Preparedness Program (HPP) - Public Health
Emergency Preparedness (PHEP) cooperative agreement programs is to provide technical assistance and
resources that support state, local, territorial, and tribal public health departments and healthcare
systems /organizations in demonstrating measurable and sustainable progress toward achieving public health
and healthcare preparedness capabilities that promote prepared and resilient communities.
Contract Objectives — The HPP and PHEP cooperative agreements are authorized under Section 319C -1 and
319C -2 of the Public Health Service Act, as amended by the Pandemic and All- Hazards Preparedness Act
(PAHPA) of 2006.
Public Health Emergency Preparedness (PHEP): CDC has developed 15 capabilities to serve as national
public health preparedness standards. CDC's Public Health Preparedness Capabilities: National Standards
for State and Local Planning ensures that federal preparedness funds are directed to priority areas within
jurisdictions. CDC strongly recommends that awardees prioritize the order of the capabilities in which they
intend to invest based upon: 1) their jurisdictional risk assessments, 2) an assessment of current capabilities
and gaps, and 3) CDC's recommended tiered strategy for capabilities. For additional information on the
Public Health Preparedness Capabilities please visit http://www.cdc.gov/phpricapabilities/.
Cities Readiness Initiative (CRI): Funding has been made available to jurisdictions in support of all- hazards
Medical Countermeasure Dispensing and Medical Materiel Management Distribution and Dispensing
(MCDMMDD) planning and preparedness. To align with the PHEP cooperative agreement's capabilities -
based approach CRI requirements support the MCDMMDD capabilities. As described in those capabilities,
CRI supports MCDMMDD for all hazards events, which includes the ability of jurisdictions to develop
capabilities for U.S. cities to respond to a large -scale biological attack, with anthrax as the primary threat
consideration.
II. Definitions:
A. Acronyms
CFDA — Catalog of Federal Domestic Assistance
LPHA — Local Public Health Agency
FTE - Full -Time Equivalent
HPP — Hospital Preparedness Program
PHEP — Public Health Emergency Preparedness
PAHPA — Pandemic and All- Hazards Preparedness Act
CDC — Centers for Disease Control
CRI — Cities Readiness Initiative
MCMDD — Medical Countermeasure Dispensing and Medical Materiel Management Distribution
and Dispensing
OMB — Office on Management and Budget
CDPHE — Colorado Department of Public Health and Environment
FFATA — Federal Funding Accountability and Transparency Act
OEPR — Office of Emergency Preparedness and Response
EPR — Emergency Preparedness and Response
SOW — Scope of Work
CALPHO — Colorado Association of Local and Public Health Officials
PRS — Preparedness Reporting System
CMS — Contract Monitoring System
SAToo1 — Situational Awareness Tool
CVM — Colorado Volunteer Mobilizer
EXHIBIT B
CEDRS — Colorado Electronic Disease Reporting Systems
OMS — Outbreak Management System
RPOC — Regional Point of Contract
NACCHO — National Association of City and County Health Officials
PPHR — Project Public Health Ready
ASPR — Assistant Secretary for Preparedness and Response
COHAN — Colorado Health Alert Network
AAR — After Action Report
ID — Identification
DOC — Department Operations Center
RTP — Regional Transfer Point
LTP — Local Transfer Point
RSS — Receiving, Staging Storage Warehouse
POD — Point of Dispensing
MOU — Memorandum of Understanding
III. Performance Requirements /Deliverables:
A. Standards and Requirements
Contracting Provisions - contingencies in place to promote program and contractual compliance and
support well - maintained emergency preparedness agreements.
Contractor agrees that no amount of funding made available pursuant to this contractual agreement can
be used for work other than projects that are specified in this Scope of Work.
Contractor further understands that Contractor is not to include any work not related to the Scope of
Work on any reimbursement statements to the State.
If Contractor mistakenly includes any unrelated work on a reimbursement statement submitted pursuant
to this contractual agreement, then Contractor hereby agrees to return this amount of money to the State
immediately upon becoming or being made aware.
Contractor shall ensure that all service related expenses are completed and all goods related expenses
are received on or before June 30, 2013.
Contractor shall comply with all applicable Office of Management and Budget (OMB) circulars and
shall be subject to performance and financial site visits as requested by CDPHE. Contractor shall
provide status information periodically as requested by the Colorado Department of Public Health and
Environment (CDPHE) and /or the Centers for Disease Control and Prevention (CDC).
The Contractor shall maintain a complete file of all records, documents, communications, and other
materials that pertain to the operation of the activities under this contractual agreement for six years.
Such files shall be sufficient to properly reflect all direct and indirect costs of labor, materials,
equipment, supplies and services, and other costs of whatever nature for which a reimbursement was
made. These records shall be maintained according to generally accepted accounting principles and shall
be easily separable from other Contractor records. Contactor's auditor shall perform audits in
accordance with the requirements of the OMB Circulars A -87 (Cost Principles for State, Local, and
EXHIBIT B
Tribal Governments), A -122 (Cost Principles for Non - Profit Organizations) and A -133 (Audits of
States, Local Governments, and Non - Profit Organizations), as applicable.
Contractor shall ensure that reimbursement requests are not duplicated under any other Public Health
Emergency Preparedness funding or utilized to supplant non - related activities or programs. Contractor
shall ensure appropriate distribution of costs in direct relation to the activities performed.
Fiscal Provisions — contingencies and definitions in place to promote fiscal compliance and support
well- maintained emergency preparedness contracting.
Funds Contingency:
Payment pursuant to this contract whether in whole or in part, is subject to and contingent upon the
continuing availability of federal and /or state funds for the purposes hereof. In the event of said funds,
or any part thereof, become unavailable, as determined by the state, the state may immediately terminate
this contract or amend it accordingly without liability including liability for termination costs.
Financial obligations of the State of Colorado payable after the current fiscal year are contingent upon
funds for that purpose being appropriated, budgeted and otherwise made available.
Federal Funding Accountability and Transparency Act (FFATA) Reporting Requirements
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 1 10 -252, including without limitation all data reporting requirements required there under.
This Act is also referred to as FFATA.
Supplantation:
Cooperative agreement funds cannot supplant any current state or local expenditures. Supplantation
refers to the replacement of non - federal funds with federal funds intended to support the same activities.
The Public Health Service Act, Title 1, Section 319 (c) specifically States: "SUPPLEMENT NOT
SUPPLANT. Funds appropriated under this section shall be used to supplement and not supplant other
federal, state, and local public funds provided for activities under this section." Therefore, the law
strictly and expressly prohibits supplantation.
Unallowable Costs:
• Reimbursement of pre -award costs is not allowed.
• Funds may not be used for research.
• Funds may not be used for clinical care.
• Funds under this program cannot be used to purchase vehicles of any kind.
• Funds may not be used for construction.
• Funds may not be used to purchase antivirals.
• Funds may not be used to purchase promotional and /or incentive items and memorabilia,
including but not limited to models, gift cards, gifts, and souvenirs.
• Funds may not be used for entertainment, including amusement, diversion, and social activities
and any costs directly associated with such costs.
• Recipients may not use funds for fund raising activities and lobbying.
• Payment or reimbursement of backfilling costs for staff is not allowed.
PnQPd (If 1R
EXHIBIT B
Budget Line Definitions
Agency has the ability to move funds from budget line to budget line not to exceed the total dollar
amount of the contract.
Personnel: Contractor shall dedicate the necessary funds to support salary and fringe for any staff
member devoting time and effort towards the accomplishment of any activities identified under this
Scope of Work.
Equipment: Contractor shall dedicate the necessary funds to purchase equipment, as well as maintain
the working order of any existing equipment, required to meet any activity identified under this Scope
of Work. This shall include, but is not limited to, personal and portable computers, communication
radios, cellular telephones, facsimile machines, laboratory equipment, training equipment, public
information kits, etc.
Travel: Contractor shall dedicate the necessary funds to support travel related costs to ensure
accomplishment of activities identified under this Scope of Work. This shall include, but is not limited
to, regional planning meetings, local partner planning meetings, attendance at training sessions,
conferences, and agency representation at the Emergency Preparedness and Response conference calls.
Operating and Supplies: Contractor shall dedicate the necessary funds for operating and supply costs
directly associated with any activities identified under this Scope of Work. This shall include, but is not
limited to, high -speed Internet connections, notification systems, telephone and communication systems,
office supplies, copying, printing, postage, room rental, software purchase and upgrades, etc.
Indirect: An agency's current allowable Indirect Rate with the Colorado Department of Public Health
and Environment is 10% of Direct Salaries & Wages, Including Fringe Benefits. If during the
current term of this contract the agency - established rate changes with CDPHE, and if the agency has an
approved and executed rate that rate may change, the new Indirect Rate can be used for the remainder of
the current year / contract period. The new Indirect Rate will not be retroactive to the starting date of the
agency contract.
Contractor shall establish a process to track all obligations and expenditures related to this contractual
agreement separately from other funds awarded through the Public Health Preparedness and Response
Cooperative Agreement.
Cities Readiness Initiatives (CRI) Agencies Only: CRI Expenditures must be invoiced and budgeted
separately from Public Health Emergency Preparedness (PHEP) Expenditures.
All expenditures for this agreement must be on separate invoices, tracked separately, and cannot be
combined with invoices for other projects.
Reduction of Funds:
If Contractor indicates full expenditure of Office of Emergency Preparedness and Response (OEPR)
funds by January 1 of each grant year and the full expenditure does not occur, CDPHE OEPR has the
option to reduce current or upcoming contractual agreements by said amount. The State will notify the
Contractor of the potential need to decrease the current or upcoming budget. If Contractor indicates at a
later date than January 1s of each grant year an expectation of surplus of funds or inability to fully
expend said funds for unforeseen circumstances that contractor had not anticipated by January l
CDPHE OEPR will reallocate unspent funds without any penalties to the Contractor.
Page 5of18
EXHIBIT B
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.
Program Provisions - Contractor shall work with and through state, regional and local partnerships to
achieve the activities identified under this Scope of Work. Contractor shall ensure collaboration with
CDPHE, local public health agencies, regional epidemiologist and EPR staff members within the All -
Hazards Region. Contractor shall ensure agency representation at the requested meetings, training
sessions and conference calls. Contractor shall designate at least one staff member as the point of
contact for Emergency Preparedness and Response activities, public information, communications, or
media relations.
Any Contractor receiving funding to support regional staff and accomplish the regional epidemiologist
and regional staff tasks, as identified and incorporated in this scope of work, shall ensure full
collaboration with and support for all agencies within the respective All- Hazards Region. Any
Contractor receiving regional funding shall be directly responsible for the accomplishment of the
applicable epidemiologist and regional staff tasks as designated in the budget section of this scope of
work.
Colorado Department of Public Health and Environment (CDPHE) shall be responsible for setting
precedents for actual response to a disease outbreak or emergency over the activity requirements of this
contractual agreement. The Contractor shall be responsible for the accomplishment of all local health
agency activities through state, regional and local partnerships and shall comply with Colorado Revised
Statue 25 -1.5 -102.
Collaboration:
Colorado's nine All- Hazards Emergency Management Regions were mandated in 2004. The success of
this regional model is based upon collaboration among all of the counties in a region since what affects
one county may impact the other counties in that region. Although some emergency preparedness
Regional staff represent portions of their region, all Emergency Preparedness and Response (EPR)
Regional staff shall collaborate with their entire region while representing their specific counties.
Collaboration includes, but is not limited to:
• Participation in all regional meetings (either hosting or attending)
• Clear identification of which regional personnel is assigned to assist each county in the region
• Communication with all partners as appropriate within the region
• Coordination with all assigned public health EPR staff on all EPR issues, including
development, testing, and updating regional planning, trainings and exercise activities.
• Coordination with all assigned public health EPR staff in the entire region on all EPR issues as
identified in the current LPHA contract and regional staff Scope of Work (SOW).
Regional Staff Positions: Contractor will notify CDPHE of Regional. Emergency Preparedness and
Response staff (Epidemiologist and General Emergency Preparedness staff) turnover. Upon notification
of the vacancy the Colorado Department of Public Health and Environment (CDPHE) with support from
the Colorado Association of Local and Public Health Officials (CALPHO) will review agency and
regional circumstances and decide if the position needs to be maintained.
Page 6 of 18
EXHIBIT B
Real Event Deployment and Meetings Requested by CDPHE: Regional staff may be deployed to
support a real emergency event, including assistance to counties outside of their county of employment
or assigned region, as requested by local emergency managers, public health agencies and /or CDPHE.
Regional staff should work with their respective agencies to arrange for emergency travel
reimbursement. All meals, hotel expenses, and other associated travel costs will be eligible for
reimbursement through the current EPR invoicing process.
Local Public Health Agency (LPHA) management must approve terms of deployment for an emergency
event or meeting, including the timeline and location of deployment.
Preparedness Reporting System: All agencies receiving these funds will be required to report contract
progress to the Preparedness Reporting System (PRS) on all deliverables, whether tasks have been
completed or not, by the following dates: November 15, 2012; February 15, 2013; and June 14, 2013.
Pending reimbursement requests will only be considered for agencies that have completed reports in
PRS.
If the Contractor has expended 25% or more of the funds prior to February 15, 2013, the Contractor
must document activities and justify expenditures by entering progress data into PRS. Expenditure
requests of 25% or more may be held until progress data is entered.
Contract Monitoring System: Contractor shall cooperate with CDPHE evaluations, as detailed by the
Contract Monitoring System (CMS) and implemented by CDPHE.
Technology and Information Systems: All agencies receiving EPR funds will use and attend necessary
training for statewide technology information systems such as, Dialogics, CO.TRAIN Learning
Management System, Preparedness Reporting System (PRS), Situational Awareness Tool (SAToo1),
EMSystem, Colorado Volunteer Mobilizer (CVM), Colorado Electronic Disease Reporting Systems
(CEDRS), Outbreak Management System (OMS), Integrated Data Repository, and secure messaging as
appropriate.
All agencies receiving EPR funds must sustain security and reliability of computer and communication
systems; and ensure redundant communication system infrastructure.
Capability Assessments: All agencies receiving EPR funds may be asked to assess current capabilities
and gaps based on CDC's Public Health Preparedness Capabilities: National Standards for State and
Local Planning.
Cities Readiness Initiative (CRI): CDC has developed a Medical Countermeasure Distribution and
Dispensing (MCMDD) composite score to serve as a collective indicator for MCMDD preparedness and
operational capability within local /planning jurisdictions, CRI areas and states. Local, city, and state,
preparedness will be subsequently defined as a composite measure derived from results of technical
assistance reviews (TARs), drill submissions, full -scale exercise, and compliance with programmatic
standards.
Medical Countermeasure Dispensing and Medical Materiel Management Distribution and Dispensing
Failure to meet CDC composite score benchmarks may result in withholding of future PHEP funds.
Page 7 of 18
EXHIBIT B
B. Deliverables
Mandatory Deliverables
M1 Technical Assistance [Cap. 1 -10, 13, 14, 15]
M1A. By June 14, 2013, the agency will attend bi- monthly calls or meetings to work with regional staff
and regional point of contact (RPOC) on identified deficiencies, gaps and current grant deliverables.
Utilize technical assistance template to document progress. In PRS, the agency will indicate date of
every call and /or meeting held.
M2 Emergency Response Plans [Cap. 1 - 15]
M2A. By June 14, 2013, update public health emergency response plans and all annexes ensuring all
response plans are updated per exercise and real event corrective actions, deficiencies and gaps
identified by NACCHO PPHR application review, and based upon feedback provided by CDPHE plan
reviews. Post all appropriate plans on COHAN based upon the plan review schedule provided by
CDPHE. In PRS, the agency will provide a COHAN path to the location of the requested plan(s).
M3. Participation in Healthcare Coalitions [Cap. 1 - 15]
M3A. By November 15, 2012, work with members of your health care coalition to determine the
coalition's current stage of development using the definitions provided by CDPHE. Work with
members of your healthcare coalition to complete and submit the documentation required by CDPHE.
M3B. By June 14, 2013, assist your healthcare coalition in developing a planning document that
outlines strategies for how the coalition will continue to improve per the guidance provided by CDPHE.
M3C. By June 14, 2013, assist your Healthcare Coalition in completing a questionnaire to be provided
by ASPR.
M4. Training and Exercises [Cap. 1 - 15]
M4A. By June 14, 2013, the agency will conduct at least one training and /or one exercise related to the
plan of your choice as identified in the most current PPHR criteria. The agency will update the plan(s)
based on lessons learned. In PRS, the agency will indicate the CO.TRAIN course identification (ID) for
all training and /or exercises conducted in the comments field. For all exercises, the agency will post the
final AAR in COHAN. In PRS, the agency will provide a COHAN path to the location of the AAR(s).
M5. Radio Drills [Cap. 6]
M5A. By June 14, 2013, participate in at least two tactical communications drills with CDPHE.
Exercise will focus on DOC- to -DOC via 800MHz radio and land -line or cell -phone equipment. For
agencies that have been assigned responsibility for RTP /LTP operations, also participate in at least two
tactical communications exercises that focus on RSS- RTP /LTP communication via 800MHz radio and
land -line or cell phone equipment. All drills will be scheduled by CDPHE multiple times throughout the
year.
M6. Alternate Dispensing [Cap. 8, 9]
M6D. First Responder Prophylaxis Planning [Cap. 8, 9]
Establish a plan for providing prophylaxis to first responders.
M6D1. By November, 15, 2012 LPHA will define what a First Responder is, create a list of local First
Responder agencies that meet that definition, and the estimated number of individuals that will be
covered under this prophylaxis plan. Agency must also determine whether or not this plan will cover
First Responders family members, and include those numbers accordingly.
M6D2. By February 15, 2013 LPHA will have created a draft First Responder prophylaxis plan, and
submitted it to key planning partners for review. Key planning partners include any
agencies /organizations that have been tasked with roles and responsibilities in the plan, as well as
partners that represent the First Responder agencies previously identified.
Page 8 of 18
EXHIBIT B
M6D3. By June 14, 2013 LPHA will have a final First Responder Prophylaxis plan that is incorporated
into the County POD plan and approved by key planning partners and first responder agency
representatives. LPHA must ensure they address a plan for messaging to First Responder agencies and
individuals who will be provided prophylaxis separately from the public PODs.
2012 -13 Regional Staff Task List (For Agencies with Regional EPR Staff ONLY)
R1 [Cap. 1 -15]
R1A. By June 14, 2013, assist local public health agencies in updating and maintaining all public
health emergency preparedness and response plans and annexes per exercise and real event
corrective actions and feedback provided by plan reviews. Work with local public health agencies to
ensure that all deficiencies and gaps identified by NACCHO PPHR application review have been
addressed. Ensure that all plan documentation is posted on COHAN and available for an annual plan
review based upon the schedule provided by CDPHE. Please document your progress in the comments
section of PRS by the following dates: November 15, 2012, February 15, 2013, and June 14, 2013.
*Please note: the deadline for completion of SNS plans is contingent upon the date of the
CDC /Division of the Strategic National Stockpile (DSNS) annual assessment. SNS plans must
be completed prior to this assessment. CDPHE will provide guidance and updates for
integrating the most current Strategic National Stockpile (SNS) Technical Assistance Review
(TAR) criteria.
R2 [Cap. 1 - 15]
R2A. By June 14, 2013, participate in at least three plan reviews, providing feedback on state, regional
and /or local planning documents using the criteria and schedule provided by CDPHE. Please document
your progress in the comments section of PRS by the following dates: November 15, 2012, February 15,
2013, and June 14, 2013.
R3 [Cap. 1 -15]
R3A. By June 14, 2013, ensure that all emergency preparedness training provided to local public
health agency and healthcare coalition staff is made available for registration through CO.TRAIN
prior to the event. All participants who complete training must be verified in CO.TRAIN no more
than 30 days after the event. Post the CO.TRAIN Course IDs for all public health emergency
preparedness and response training conducted in the region or county quarterly. Please document your
progress in the comments section of PRS by the following dates: November 15, 2012, February 15,
2013, and June 14, 2013.
R3B. By June 14, 2013, ensure that all local /regional exercise documentation, including After Action
Reports (AAR) and Improvement Plans (IPs), meet Homeland Security Exercise Evaluation Program
(HSEEP) requirements and are posted on COHAN within 60 days of completing the exercise. In PRS,
indicate the CO.TRAIN course ID and provide a COHAN path to the location of the AAR for all
exercises conducted. Please document your progress in the comments section of PRS by the following
dates: November 15, 2012, February 15, 2013, and June 14, 2013.
R3C. By June 14, 2013, ensure all Point of Dispensing (POD) operations and /or POD training is
documented in CO.TRAIN. Post the CO.TRAIN Course IDs for all POD - related activities conducted in
the region in PRS. Please document your progress in the comments section of PRS by the following
dates: November 15, 2012, February 15, 2013, and June 14, 2013.
R4 [Cap. 1 -15]
R4A. By June 14, 2013, attend and document participation in at least 80% of bi- monthly meetings
with both local public health agencies and with the CDPHE regional point of contact (RPOC) to
identify and address deficiencies, gaps and questions related to the current grant deliverables. Suggested
Page 9 of 18
EXHIBIT B
documentation to be kept on file includes: meeting dates, agenda and meeting minutes, and a
participant roster or names of agencies assisted. Please document your progress in the comments
section of PRS by the following dates: November 15, 2012, February 15, 2013, and June 14, 2013.
R6B. By June 14, 2013, utilize the technical assistance template provided by CDPHE to document
progress and provide an electronic copy of a completed technical assistance template to the CDPHE
RPOC after each local public health bi- monthly meeting. Please document your progress in the
comments section of PRS by the following dates: November 15, 2012, February 15, 2013, and June 14,
2013.
R6C. By June 14, 2013, download reports for each of your assigned counties from PRS and discuss
progress on deliverables for each county with your CDPHE RPOC. Please document your progress in
the comments section of PRS by the following dates: November 15, 2012, February 15, 2013, and June
14, 2013.
R6D. By June 14, 2013, participate in at least 80% of the additional EPR meetings, conference calls,
and training as scheduled by CDPHE. Please document your progress in the comments section of PRS
by the following dates: November 15, 2012, February 15, 2013, and June 14, 2013.
R5 [Cap. 1 - 15]
RSA. By November 15, 2012, assist members of the Healthcare Coaltion(s) within your region to define
the coalition's stage of development using the definitions provided by CDPHE.
RSB. By February 15, 2013, assist healthcare coalition in reaching out to Long -Term Care Facilities and
Assisted Living Residences to include them in emergency preparedness planning activities.
R5C. By June 14, 2013, assist your healthcare coalition(s) in developing planning documentation
outlining strategies for how the coalition(s) will continue to improve per the guidance provided by
CDPHE.
R5D. By June 14, 2013, assist your Healthcare Coalition in completing a questionnaire to be provided
by ASPR.
RSE. By June 14, 2013, attend and /or coordinate A11- Hazards Emergency Management Region
meetings, Healthcare Coalition meetings, and other events as appropriate. Integrate community partners
that lead or support Emergency Support Function #8 activities (public health, environmental health,
medical, mortuary and behavioral health). Please document your progress in the comments section of
PRS by the following dates: November 15, 2012, February 15, 2013, and June 14, 2013.
Suggested documentation to be kept on file include: a sign - in roster, an agenda, and meeting
minutes.
R5F. By June 14, 2013, utilize outcomes of All- Hazards and Healthcare Coalition meetings to update
local /regional plans, protocols, and procedures. Ensure documentation is posted to COHAN in the
appropriate regional and /or agency folder. Please document your progress, including the path to where
your healthcare coalition documents are posted in COHAN, in the comments section of PRS by the
following dates: November 15, 2012, February 15, 2013, and June 14, 2013.
R6 [Cap. 1]
R6A. By June 14, 2013, assist CDPHE with site visit coordination, as requested. Assistance includes the
following: serving as the CDPHE contact person for the site visits in your region; coordinating local
agency, regional staff, dates, and times; attending site visit meeting in the region, as needed. Please
document your assistance in the comments section of PRS by the following dates: November 15, 2012,
February 15, 2013, and June 14, 2013.
R7 [Cap. 4, 8, 9]
R7A. By June 14, 2013, participate as a member or leader in at least one of the following SNS
workgroups: Public Information and Communication, Distribution, Rapid Dispensing, Alternate
Dispensing, and /or Regional SNS Plan Modifications. As a member of at least one of the above
workgroups, you may be responsible for the development and documentation of meeting minutes, tasks,
Page 10of18
EXHIBIT B
and achievements, the completion of measures agreed upon with CDPHE, presenting work products and
providing resources and materials to CDPHE and other partners statewide or providing subject matter
expertise to CDPHE as requested and appropriate. Please document your assistance in the comments
section of PRS by the following dates: November 15, 2012, February 15, 2013, and June 14, 2013.
R8 [Cap. 6]
RBA. By November 15, 2012, recruit or participate as the local or regional administrator for the
COHAN system. Provide the name and contact information for the primary and back up
SATooI /COHAN Community administrators for your jurisdiction to CDPHE.
R8B. By June 14, 2013, ensure members of the SAToo1 /COHAN Community contact information is
updated and maintained on a quarterly basis, especially for 24x7 emergency contact roles and for the
PHIN roles (or whichever exist in agency). Detect and correct errors by each of the following dates:
November 15, 2012, February 15, 2013, and June 14, 2013. In PRS, document the dates the contact
information was updated in the SAToo1 /COHAN Community and if this was achieved by
adding/updating users manually in SAToo1 /COHAN Community or by using the mass user upload
spreadsheet. Document progress by the following dates: November 15, 2012, February 15, 2013, and
June 14, 2013.
R8C. By June 14, 2013, document any state, regional or local training and /or exercise that provides
your region with the opportunity to use SATooI /COHAN Community. In the PRS comments, include
details of the training or exercise and how SAToo1 /COHAN Community it was used and /or COHAN
path to the location of the AAR for any exercises conducted that meet this requirement. Document
progress in PRS by the following dates: November 15, 2012, February 15, 2013, and June 14, 2013.
R9 [Cap. 6, 15]
R9A. By February 15, 2013, ensure that a regional or local administrator has been assigned to assist
each county in your region in the use of the Colorado Volunteer Mobilizer (CVM) system.
R9B. By June 14, 2013, document any state, regional or local training and /or exercise that provided
your region with the opportunity to use the CVM system in CO.TRAIN. In PRS comments, include
details of a training or exercise and how CVM was used and/or COHAN path to the location of the
AAR for any exercises conducted that meet this requirement. Document progress in PRS by the
following dates: November 15, 2012, February 15, 2013, and June 14, 2013.
R10 [Cap. 9]
R10A. By November 15, 2012 identify the SNS distribution strategy that best suits the region/sub-
region. If utilizing a `push/delivery' model, complete routing and mapping data to delivery supplies to
all receiving points (Public PODs, Closed PODs and Hospitals etc.). If utilizing a `pull' model,
complete site flow chart and any scheduling, loading /unloading and dock specific issues.
R10B. By February 15, 2013, distribution plan should include logistics and population planning. This
will include identifying the estimated population to be served at each dispensing point, and addressing
any cross - border region and /or county planning issues.
R10C. By June 14, 2013 submit complete SNS distribution strategy to CDPHE. Document progress in
PRS by the following dates: November 15, 2012, February 15, 2013, and June 14, 2013.
R11 [Cap. 6]
R11A. By June 14, 2013, participate in four 800 MHz radio drills using the regional schedule provided
by CDPHE. Document your progress in the comments section of PRS by the following dates: November
15, 2012, February 15, 2013, and June 14, 2013.
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EXHIBIT B
R12 [Cap. 6]
R12A. By June 14, 2013, participate in four EMSystems drills using the schedule provided by CDPHE.
Document your progress in the comments section of PRS by the following dates: November 15, 2012,
February 15, 2013, and June 14, 2013.
2012 - 13 Regional Staff Task List (For Agencies with Regional EPR Staff ONLY)
All regional epidemiologists must complete the following nine deliverables:
(Documentation and PRS requirements are in red)
El [Cap. 13] — Regional Epidemiologist Conference Calls /Meetings
These activities are monitored by CDPHE. Regional epi should complete the PRS check boxes for
each of the activities below.
E1(1). By June 14, 2013, participate in at least 80% of the twice - monthly regional epidemiologist
conference calls.
El (2). By June 14, 2013, present a concise summary on an epidemiological topic such as a case or
cluster /outbreak investigation during one of the regional epidemiologist conference calls.
E1(3). By June 14, 2013, participate in writing the conference call minutes as assigned.
E1(4). By June 14, 2013, document attendance (in PRS) at the scheduled fall 2012 and spring 2013
regional epidemiologist and regional staff meetings /trainings.
E1(5). By June 14, 2013, non -North Central Region regional epidemiologists will participate in at least
80% of the bi- monthly conference calls or in- person meetings held with the CDPHE Office of
Emergency Preparedness and Response "Regional Point of Contact" and the local public health
agencies within the region. North Central Region regional epidemiologists will join the North Central
Region email group in order to receive regular updates on emergency preparedness activities that occur
within the region.
E2 [Cap. 6 and Cap. 13] — Disease Surveillance Timeliness and Completeness
For both E2(1) and (2), submit form (from regional epi guidance document) directly to Nicole
Comstock via fax /email.
E2(1). By November 15, 2012, assess (by either reviewing semi - annual CDPHE- generated tabulations
or some other method) the timeliness and completeness of communicable disease reporting for January
June 2012 in the region/jurisdiction and work with public health agencies / labs / disease reporters to
solve any problems identified.
E2(2). By June 14, 2013, assess (by either reviewing semi- annual CDPHE - generated tabulations or
some other method) the timeliness and completeness of communicable disease reporting for July -
December 2012 in the region /jurisdiction and work with public health agencies / labs / disease reporters
to solve any problems identified.
E3 [Cap. 13] — CDC National Outbreak Reporting System Forms
For both E3(1) and (2), in PRS Comments box, provide a brief description of the outbreak, the
date of the first illness onset, the date the NORS form was submitted to CDPHE.
E3(1). By November 15, 2012, document dates that CDC National Outbreak Reporting System
(NORS) forms are submitted to CDPHE to ensure that public health agencies in the region/jurisdiction
are submitting the forms within two months after the first illness onset of the outbreak.
E3(2). By June 14, 2013, document dates that CDC National Outbreak Reporting System (NORS)
forms are submitted to CDPHE to ensure that public health agencies in the region/jurisdiction are
submitting the forms within two months after the first illness onset of the outbreak.
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EXHIBIT B
E4 [Cap. 13] — Outside Agency /Region Response
In PRS Comments box provide a brief description of the situation, the date(s) the regional epi
assisted, and the role the regional epi had in the response activities.
E4(1). By June 14, 2013, document assistance (either by the regional epidemiologist or epi- trained
designee from the regional epidemiologist's office) in a real situation of need /urgency outside of the
regional epidemiologist's home agency /region, as requested by CDPHE or a local public health agency.
E5 [Cap. 13] — Emergency Preparedness and Response Integration
Submit form (from regional epi guidance document) directly to Nicole Comstock via fax /email.
E5(1). By June 14, 2013, document participation in at least one local or regional emergency
preparedness and response (EPR) exercise or other activity, such as writing/reviewing /updating an EPR
plan, participating in EPR - related training, attending regular EPR meetings, participating in an EPR
coalition, or assisting in creation, coordination, and distribution Health Alert Network messages.
E6 [Cap. 13] — Epidemiological Response Plan Reviews
Submit form (provided by CDPIIE) directly to Nicole Comstock via fax/email.
E6(1). By June 14, 2013, review the epidemiological response plans in place at selected local public
health agencies and provide feedback to the appropriate local public health agency using the criteria
provided by CDPHE.
E7 [Cap. 13] — Laboratory Testing Practices Survey
Submit form (provided by CDPIIE) directly to Nicole Comstock via fax /email.
E7(1). By February 15, 2013, contact the clinical laboratories within the regional epidemiologist's
jurisdiction and administer a laboratory testing practices survey developed by CDPHE to assess testing
capacity and the testing practices currently in place for selected organisms /diagnoses.
Note: Further guidance, for this deliverable will be provided by CDPHE, especially for North Central
Region regional epidemiologists, as the CDPHE Emerging Infections Program routinely conducts a
similar survey for clinical laboratories within the seven - county Denver metropolitan area.
E8 [Cap. 13] - CDC Biosurveillance Performance Measure — Investigation Start Date
These activities are monitored by CDPHE by pulling data from CEDRS. Regional epi should
complete the PRS check boxes for each of the activities below after receiving feedback from
CDPHE.
E8(1). By November 15, 2012, to comply with the CDC "Biosurveillance Performance Measures"
disease investigation start date measure, ensure the "investigation start date" variable in CEDRS is
completed for the following reportable conditions: botulism, Shiga toxin - producing E. coli, hepatitis A,
measles, meningococcal disease, and tularemia.
E8(2). By June 14, 2013, to comply with the CDC "Biosurveillance Performance Measures" disease
investigation start date measure, ensure the "investigation start date" variable in CEDRS is completed
for the following reportable conditions: botulism, Shiga toxin- producing E. coli, hepatitis A, measles,
meningococcal disease, and tularemia.
E9 [Cap. 13] — CDC Biosurveillance Performance Measure — Outbreak Reports
Submit reports directly to Nicole Comstock via fax /email.
E9(1). By November 15, 2012, to comply with the CDC `Biosurveillance Performance Measures"
outbreak report measure, submit infectious disease outbreak reports to CDPHE for at least 50% of
investigations conducted in the regional epidemiologist's jurisdiction.
E9(2). By June 14, 2013, to comply with the CDC `Biosurveillance Performance Measures" outbreak
report measure, submit infectious disease outbreak reports to CDPHE for at least 50% of investigations
conducted in the regional epidemiologist's jurisdiction.
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EXHIBIT B
Note: Further guidance for this deliverable will be provided by CDPHE, including examples of short
reports and long reports (depending on the type of outbreak). Reports do not need to be submitted for
TB investigations and norovirus /viral gastroenteritis /influenza -like illness outbreaks at long term care
facilities determined to be due to person-to-person transmission. Each report, regardless of length,
should contain the following minimal elements in order to meet the CDC Biosurveillance Performance
Measures criteria: background, investigation start date, methods, results, discussion /conclusion, and
recommendations.
Each regional epidemiologist must complete two or more of the following six deliverables:
E10 [Cap. 6 and Cap. 13] — Sharing Surveillance Data
For El OW, (2), and (3), submit form (from regional epi guidance document) directly to Nicole
Comstock via fax /email.
E10(1). By November 15, 2012, document dates when 3` quarter 2012 disease surveillance data was
distributed to health care providers or local public health agencies, a summary of content, and the
method that was used to distribute the information.
E10(2). By February 15, 2013, document dates when 4 quarter 2012 disease surveillance data was
distributed to health care providers or local public health agencies, a summary of content, and the
method that was used to distribute the information.
E10(3). By June 14, 2013, document dates when l s quarter 2013 disease surveillance data was
distributed to health care providers or local public health agencies, a summary of content, and the
method that was used to distribute the information.
Ell [Cap. 13] — Surveillance Summary
Submit report directly to Nicole Comstock via email /fax.
E11(1). By June 14, 2013, submit a five -year surveillance report for your agency /region on a disease(s)
or condition(s) of the regional epidemiologists choice (examples: vaccine preventable disease;
zoonotic /vectorborne disease; sexually transmitted infections; chronic conditions; etc.).
E12 [Cap. 13] — Monitoring Disease Reports
For E12(1), (2), and (3), submit log sheet (from regional epi guidance document) directly to Nicole
Comstock via email /fax.
E12(1). By November 15, 2012, document twice monthly disease case report monitoring (by running
cross - tabulation reports in CEDRS or some other method) in a log sheet provided by CDPHE, and
submit this log sheet to CDPHE.
E 12(2). By February 15, 2013, document twice monthly disease case report monitoring (by running
cross - tabulation reports in CEDRS or some other method) in a log sheet provided by CDPHE, and
submit this log sheet to CDPHE.
E12(3). By June 14, 2013, document twice monthly disease case report monitoring (by running cross-
tabulation reports in CEDRS or some other method) in a log sheet provided by CDPHE, and submit this
to g sheet to CDPHE.
E13 [Cap. 13] — Public Health Improvement Process Data
In PRS Comments box provide a brief description of the data request and the data that was
provided.
E13(1). By June 14, 2013, document instances where disease and /or outbreak data was requested and
provided for agencies in the regional epidemiologist's region/jurisdiction working on the public health
improvement process.
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EXHIBIT B
E14 [Cap. 13] — Epidemiological Training
In PRS Comments box, provide the title of the training, a brief description, the date it was held,
and number of participants.
E14(1). By June 14, 2013, participate in organizing and presenting an epidemiological - related training
in the region /jurisdiction. (The range of training topics is broad. Examples include basic communicable
disease training, training on using the incident command system when responding to outbreaks, region -
specific training such as responding to drinking water advisories, etc.)
E15 [Cap. 13] — Relationships/Partnerships with Animal Control Agencies and /or Veterinarians
In PRS Comments box provide a brief description of the project /outreach that was conducted
with animal control agencies and veterinarians in the regional epidemiologist's jurisdiction.
E15(1). By June 14, 2013, strengthen relationships and partnerships with animal control agencies
and /or veterinarians in the regional epidemiologist's jurisdiction by conducting one or more of the
following activities:
• Develop a Health Alert Network fax/email group specific for these groups for at least
one agency /jurisdiction within the region;
• Send at least one Health Alert Network fax or email notification focused on zoonotic
disease to these groups;
• Query animal control agencies about current rabies vaccine ordinances in place and
future plans to modify current requirements;
• Organize and help provide a training to these groups on a zoonotic disease issue, which
can be done in conjunction with the CDPHE State Public Health Veterinarian.
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EXHIBIT B
Regional Epidemiologist Meeting and Conference Call Calendar
Date Type Location/Time
August 15, 2012 Regional Epi Conference Call 9:30 — 10:30 am
September 5, 2012 Regional Epi Conference Call 9:30 — 10:30 am
September 19, 2012 Regional Epi Conference Call 9:30 — 10:30 am
October 2012 (TBD) Regional Staff Meeting Denver
October 3, 2012 Regional Epi Conference Call 9:30 — 10:30 am
October 17, 2012 Regional Epi Conference Call 9:30 — 10:30 am
November 7, 2012 Regional Epi Conference Call 9:30 — 10:30 am
November 21, 2012 Regional Epi Conference Call 9:30 — 10:30 am
December 5, 2012 Regional Epi Conference Call 9:30 — 10:30 am
December 19, 2012 Regional Epi Conference Call 9:30 — 10:30 am
January 2, 2013 Regional Epi Conference Call 9:30 — 10:30 am
January 16, 2013 Regional Epi Conference Call 9:30 — 10:30 am
February 6, 2013 Regional Epi Conference Call 9:30 — 10:30 am
February 20, 2013 Regional Epi Conference Call 9:30 — 10:30 am
March 6, 2013 Regional Epi Conference Call 9:30 — 10:30 am
March 20, 2013 Regional Epi Conference Call 9:30 — 10:30 am
April 3, 2013 Regional Epi Conference Call 9:30 — 10:30 am
April 17, 2013 Regional Epi Conference Call 9:30 — 10:30 am
May 2013 (TBD) Regional Staff Meeting Denver
May 1, 2013 Regional Epi Conference Call 9:30 — 10:30 am
May 15, 2013 Regional Epi Conference Call 9:30 — 10:30 am
June 5, 2013 Regional Epi Conference Call 9:30 — 10:30 am
June 19, 2013 Regional Epi Conference Call 9:30 — 10:30 am
Page 16 of 18
1
EXHIBIT B
CRI Mandatory Deliverables
Contractor shall maintain their portion of the MCMDD composite score, in order for the state to meet
overall MCMDD benchmark, as outlined in the MCMDD guide. Contractor must comply with the
following requirements and submit all required supporting documentation by May 1, 2013.
Cl [Cap. 1, 8, 9]
CIA. By May 1, 2013, Contractor shall participate in the planning process to conduct a CRI MSA full
scale exercise that meets the requirements and standards set forth by the CDC and as outlined in the
Medical Countermeasure Distribution and Dispensing (MCMDD) guide. The exercise is currently
scheduled to take place in the 2012 -2013 grant year.
C2 [Cap. 8, 9]
C2A. By May 1, 2013, Contractor shall conduct at least three different drills from the range of eight
possible drills and submit the appropriate documentation no later than May 1, 2013. Documentation of
the three required drills must be submitted via the DSNS portal and in accordance with the requirements
and standards set forth in the MCMDD guide.
C3 [Cap. 8, 9]
C3A. May 1, 2013, Contractor must submit POD Standard data in accordance with the requirements
and standards set forth in the MCMDD guide (operational based data that defines each POD site
location in the jurisdiction).
C4. [Cap. 8, 9]
C4A. By May 1, 2013, Per CDPHE guidance, Contractor shall assist the CRI Coordinator in completing
all CDC requests of CRI which will include but not be limited to progress reporting.
C5 [Cap. 6, 8, 9]
C5A. By May 1, 2013, Contractor shall participate in the annual SNS Local Technical Assistance
Review process conducted by either DSNS and /or CDPHE. Based on identified gaps and
recommendations for improvement provided by either CDC /DSNS or CDPHE, contractor shall develop
two additional deliverables to be completed in the BP 12-13 grant year. Deliverables must meet the
following criteria:
• Must be developed using the SMART framework and template /format provided and requested.
• Must be completely drafted and approved by the CRI Coordinator by August 31, 2012
• Must address gaps and align with recommendations made during the BP 11 -12 L -TAR by either
CDC /DSNS or CDPHE
• Completion of the deliverables must result in agency receiving credit for their completion in the BP
12 -13 L -TAR.
• Build upon and enhance deliverables from the previous year and allow for continuity and progressive
achievement.
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EXHIBIT B
IV. Monitoring:
CDPHE's monitoring of this contract for compliance with performance requirements will be conducted
throughout the contract period by the Program's Contract Monitor. Methods used will include review of
documentation reflective of performance to include progress reports, site visits, surveys, and electronic data.
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 by email, telephone or mail within thirty (30) calendar days of discovery of a
compliance issue. Within thirty (30) 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 by email and /or mail 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 Fiscal Officer 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 Remedies section of the
General Provisions of this contract.
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