HomeMy WebLinkAboutC14-219 Colorado Department of Public Health and Environment (15-67641) DEPARTMENT OR AGENCY NAME
COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
OFFICE OF PLANNING AND PARTNERSHIPS
DEPARTMENT OR AGENCY NUMBER
FAA
CONTRACT ROUTING NUMBER
15-67641
AMENDMENT FOR TASK ORDERS#1
This Amendment is made this 18 day of April,2014,by and between the State of Colorado,acting by and through
the DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT,OFFICE OF PLANNING AND
PARTNERSHIPS,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
EAGLE COUNTY(a political subdivision of the state of Colorado),whose address or principal place of
business is 500 Broadway,Eagle,Colorado 81631-0850,for the use and benefit of the EAGLE COUNTY
PUBLIC HEALTH AGENCY,whose address or principal place of business is 551 Broadway,Eagle,Colorado
81631,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 00016.
Pursuant to the terms and conditions of the Master Contract,the parties entered into a Task Order Contract,dated
April 1,2012,with contract encumbrance number PO FAA OPP 1342757,and contract routing number 13 FAA
42757,as amended by Option Letter No.1,contract routing number 14 FAA 55339,collectively referred to herein
as the"Original Task Order Contract,whereby the Contractor was to provide to the State the following:
Provide support for public health services,as established by the State Board of Health pursuant to§25-1-
503(1),C.R.S.and in accordance with Section§25-1-512 C.R.S.and Section§24-75.1104.5(1.5)(a)(IV)
C.R.S.The district public health agency shall participate in assessment and planning efforts at the state,
regional,and local level facilitated by the Office of Planning of Partnerships.These efforts shall include
maintaining and improving local capacity to provide services as established by the State Board of Health.
The State promises to increase the amount of funds to be paid to the Contractor by One Hundred Sixty-Four
Thousand,Eight Hundred Ninety-Four Dollars,($164,894.00)for the renewal term of 12 months,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:
1. 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 FAA 42757,as amended by Option Letter No.1,contract routing
number 14 FAA 55339,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:
Amendment.Task Order 083010 Page 1 of 5
A. This Amendment is issued pursuant to paragraph 5 of the Original Task Order Contract identified
by contract routing number 13 FAA 42757. 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
work to be performed by the Contractor during this renewal term is One Hundred Sixty-Four
Thousand,Eight Hundred Ninety-Four Dollars,($164,894.00)for an amended total financial
obligation of the State of Three Hundred Eighty-Three Thousand,Two Hundred Twenty
DOLLARS,($383,220.00). This is an increase of One Hundred Sixty-Four Thousand,Eight
Hundred Ninety-Four Dollars,($164,894.00)of the amount payable from the previous term. Of
the maximum amount for this renewal term One Hundred Twenty Thousand,Seven Hundred
Sixty-Nine Dollars,($120,769.00)are attributable to a funding source of the State of Colorado
and Forty-Four Thousand,One Hundred Twenty-Five Dollars,($44,125.00)are attributable to
a funding source of the United States Government(see Catalog of Federal Domestic Assistance
(CFDA)number 93.994). Of the amended total financial obligation of the State referenced above
Two Hundred Eighty-Four Thousand,Five Hundred Eighty-Nine Dollars,($284,589.00)are
attributable to a funding source of the State of Colorado and Ninety-Eight Thousand,Six
Hundred Thirty-One Dollars,($98,631.00)are attributable to a funding source of the United
States Government. The revised Statement of Work is incorporated herein by this reference and
identified as"Exhibit D".The revised Budget is incorporated herein by this reference and
identified as"Exhibit E".
B. The State may increase or decrease funds available under this Contract using a Grant Funding
Letter substantially equivalent to Exhibit F.The Grant Funding Letter is not valid until it has been
approved by the State Controller or designee.
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.
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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
EAGLE COUNTY(a political subdivision of the John W.Hickenlooper,Governor
state of Colorado)for the use and benefit of the
EAGLE COUNTY PUBLIC HEALTH AGENCY
GC6'(—/ By:
Sign ure of Authorized Officer For the Executive Director
DEPARTMENT OF PUBLIC HEALTH
ji/a. / /t-i
AND ENVIRONMENT
Print Name of Authorized Officer
114W' al Lk
Print Title of Authorized Officer
PROGRAM APPROVAL:
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:
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Amendment Task Order 083010 Page 5 of 5
EXHIBIT D
STATEMENT OF WORK
To Task Order Dated 04/01/2012-Contract Routing Number 13 FAA 42757-Contract Amendment#1
Routing Number 15 FAA 67641
These provisions are to be read and interpreted in conjunction with the provisions of the contract specified above.
I. Project Description:
The Office of Planning and Partnerships is focused on strengthening Colorado's public health system,by ensuring
Core Public Health Services are available statewide.Each local public health agency shall assure the provision of Core
Public Health Services within their jurisdiction.The scope of the provision of each Core Public Health Service is
determined at the local level and is to be informed by the community health assessment and respective local public
health improvement plan,and may differ across agencies based on priorities,funding,and capacity.The Office of
Planning and Partnerships and the local public health agency are accountable in assuring state moneys are being used
effectively to provide Core Public Health Services.
H. Definitions:
CDPHE: Colorado Department of Public Health and Environment
CFPS: Child Fatality Prevention System •
CYSHCN:Children and Youth with Special Health Care Needs
DEHS:Division of Environmental Health and Sustainability
DHD:Digital Health Department
HACCP:Hazard Analysis Critical Control Points
HCP:Program for Children and Youth with Special Health Care Needs
MCH:Maternal and Child Health
NCCDR:National Center for Child Death Review Case Reporting System
OPP:Office of Planning and Partnerships
VNRFPS:Voluntary National Retail Food Regulatory Program Standards
III. Performance Requirements/Deliverables:
1. The content of electronic documents located on CDPHE and non-CDPHE websites and information contained on
CDPHE and non-CDPHE websites may be updated periodically during the contract term.The Contractor(agency)
shall monitor documents and website content and comply with all updates.
2. Local Planning and Support
a. Core Public Health Services.The local public health agency(agency)shall use these moneys to provide
support for Core Public Health Services(core services),as established by the State Board of Health pursuant
to C.R.S. §25-1-503,and in accordance with 6 CCR 1014-7.The required core services include Assessment,
Planning,and Communication,Vital Records and Statistics,Communicable Disease Prevention,
Investigation,and Control,Prevention and Population Health Promotion,Emergency Preparedness and
Response,Environmental Health,and Administration and Governance.
b. Statewide and County/District Public Health Planning.The local public health agency shall participate in
assessment and planning efforts at the state,regional and local level facilitated by the Office of Planning and
Partnerships. These efforts shall assist in defining the core services delivery appropriate to meet local needs
and in identifying strategies to improve local health outcomes.
The Core Public Health Services rule is incorporated and made part of the scope of work by reference and is
available on the following website:http://www.colorado.gov/cs/Satellite/CDPHE-
Main/CB ON/12515 8 825 985 5
3. Maternal and Child Health Services.This section is only for local public health agencies that do not have a
separate Maternal and Child Health(MCH)contract.For agencies receiving MCH funds in this contract,the scope
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EXHIBIT D
of work is included.Different contract expectations exist for the following two funding levels:under$15,000 and
over$15,000 per State fiscal year.
MCH Annual Planning Form shall be completed in partnership with Office of Planning and Partnership
Public Health Nurse Consultant by July 1 of the State fiscal year for both funding levels.
The MCH funding portion of your local public health agency contract shall be used as follows.The work
selected shall be commensurate with each local public health agency's MCH funding level:
a. Agencies receiving over$15,000 of MCH funding per State fiscal year shall implement HCP Care
Coordination and may select an additional deliverable from the options listed:
Required:Implement the HCP Care Coordination model for children and youth with special health care
needs per HCP Care Coordination policies and guidelines which includes entering data into the CYSHCN
Data System(CDS);and participating in HCP Care Coordination training,monitoring and consultation
processes set forth by the state HCP Program.HCP Coordination policies and guidelines are incorporated and
made part of the scope of work by reference and available on the following website:
littp://www.hcpcolorado.org/.
Additional deliverable based on the following list of options:
Option 1: Address an MCH priority by customizing and implementing part or all of a state-developed MCH
Action Plan. Select one or more of action plans for the following MCH priorities:
• Promote screening,referral and support for pregnancy-related depression.
• Improve developmental and social emotional screening and referral rates for all children ages birth to
5.
• Prevent obesity among all children ages birth to 5.
• Prevent development of dental caries in all children ages birth to 5.
• Reduce barriers to a medical home approach.
• Promote sexual health among all youth ages 15-19.
• Improve motor vehicle safety among all youth ages 15-19.
Option 2: Identify and assess the health status and needs of the MCH population(defined as children,youth,
children and youth with special health care needs,and women ages 15-44)as part of the local public health
improvement process. Consider MCH population needs and recommended strategies for serving this
population when conducting the local issue prioritization process and in,the development of the local public
health improvement plan.
4. Child Fatality Prevention System.This section is for local public health agencies to establish and coordinate
local,multidisciplinary child fatality prevention review teams pursuant to C.R.S. §25-20.5-404-405.The
purpose of local child fatality prevention review is to conduct systematic,comprehensive,multidisciplinary
reviews of all preventable child deaths to better understand how and why children die.Local child fatality
prevention review teams use a public health approach to identify trends and patterns,to take action,to improve
• systems,and to implement strategies that may prevent future deaths from occurring.
The local public health agency shall complete the following activities in its service area during the contract year:
a. Establish or arrange for the establishment of a local child fatality prevention review team by January 1,2015.
b. Invite representatives within its service area who will serve as members for the local child fatality
prevention review team to fulfill the disciplines listed on the mandatory membership list in C.R.S. §25-
20.5-404(3)(a)(I)-(VII)and invite,on an ad hoc basis,additional representatives according to C.R.S. § 25-
20.5-404(3)(b)(I)-(IX)when required to complete the review of 2014 child death cases that occurred in its
service area.
c. Serve as the coordinating agency for the local child fatality prevention review team.
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EXHIBIT D
d. Identify a local child fatality prevention review team coordinator who shall:
i. Act as a liaison between the local child fatality prevention review team and the Colorado
Department of Public Health and Environment's (CDPHE) Child Fatality Prevention System
(CFPS)support team;
ii. Request capacity assistance, technical assistance, and training when needed from CFPS support
staff for the purpose of conducting a child fatality review;
iii. Complete state-level data collection tools and surveys(Local CFPS Annual Survey,Local Review
Team Tracking Form, Prevention Strategies Tracking Form, CFPS State Support Team
Satisfaction Survey) for the purpose of evaluating the Colorado CFPS. The CFPS state support
team will send these data collection tools and surveys to coordinators for completion on an annual
basis;
iv. Register for access to the National Center for Child Death Review (NCCDR) Case Reporting
System(the data collection website);and
v. Adhere to processes and policies outlined in the Child Fatality Prevention System (CFPS)
Operations Manual(incorporated and made part of the scope of work by reference and available
on the Colorado Child Fatality Prevention System Collaboration Website:
http://www.cochildfatalityprevention.com) to determine 2014 child fatality cases assigned to the
local child fatality prevention team,review cases,and facilitate effective local team meetings.
e. With respect to each child fatality assigned for review,the local child fatality prevention review team shall
adhere to processes and policies outlined in the Child Fatality Prevention System (CFPS) Operations
Manual to conduct individual, case-specific review of fatalities for the purpose of identifying prevention
recommendations and enter information regarding the child fatality into the NCCDR Case Reporting
System to fulfill C.R.S.§25-20.5-405(2)(f)(H)-(IV).
f Each local child fatality prevention review team may, within existing appropriations and community
resources, promote continuing education for professionals involved in investigating, treating, and
preventing child abuse and neglect as a means of preventing child fatalities due to abuse or neglect and
other child fatalities. The local review team may also, within existing resources, implement child fatality
prevention efforts (e.g. purchasing child passenger safety seats, contributing to educational campaigns,
etc.).If there are no child deaths to review within the local child fatality prevention team's service area,it is
acceptable to use funding for child fatality prevention efforts. For ideas on acceptable uses of funding for
child fatality, injury, and violence prevention efforts and strategies, please visit
www.cochildfatalityprevention.com.
5. Division of Environmental Health and Sustainability (DENS) Services. This section is for local public
health agencies performing environmental health services under contract with the State to conduct regulatory
inspections of retail food establishments,schools and child care centers.The agency shall provide these services
to achieve the uniform statewide administration, implementation and enforcement of standards and rules
established by the CDPHE.
The agency shall also conduct investigations as necessary into complaints,including but not limited to,mobile
home parks,campgrounds,motels,and hotels.The agency shall respond to environmental health emergencies,as
defined by the State in its service area,and complete reasonable requests by the State to provide assistance in
various program activities.
A. DEHS Retail Food Establishment Services
a. In order to execute the uniform statewide administration of the"Food Protection Act",the agency shall
sustain the following during the contract period:
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EXHIBIT D
i. Implement and require compliance with the"Food Protection Act",C.R.S.25-4-16 et seq,the
"Colorado Retail Food Establishment Rules and Regulations(6 CCR 1010-2)",and all other policies,
regulations,interpretive memoranda,and documents issued by CDPHE which are used to clarify
interpretation and implementation of the laws,rules and regulations.
ii. Utilize enforcement provisions including the assessment of civil penalties pursuant to C.R.S.25-4-
1611 and the suspension or revocation of licenses and certificates of license pursuant to C.R.S.25-4-
1609.
iii. Enroll and maintain progress in the FDA's Voluntary National Retail Food Regulatory Program
Standards(VNRFPS)as staffing resources allow.Including:
1. Participation,as desired by the agency,in statewide committees for the development of the State
requirements for a particular standard.
2. Implementation of the minimum Standards developed by the State and/or the statewide
committees.
iv. Have at least one employee that has successfully completed retail food establishment standardization
through the DEHS,or have one employee who meets the eligibility requirements for standardization
and participates in and successfully completes the standardization exercise when scheduled by
DEHS.
v. Implement the State risk-based inspection methodology or an alternate risk-based methodology
approved by the State.In order to be approved,alternate methodologies shall include implementation
of State-approved intervention methods for highest risk establishments to minimize food-borne
illness violations and to address critical item violations.
vi. Identify and implement performance measures to assure that employees cite critical item violations
on retail food inspections and take the appropriate measures to ensure that these violations are
corrected.
vii. Participate in program audits conducted by DEHS and implement any findings from the audits.
viii. Participate in Statewide trainings offered for the retail food program or Digital Health Department
(DHD).
b. The local public health agency shall complete the following activities for retail food establishments in its
service area each contract year:
i. Provide inspections of retail food establishments in accordance with the delegation of responsibilities
under the"Food Protection Act"C.R.S.25-4-1604(a),(c),(d),(e)and(h).
1. Conduct interventions for those retail food establishments that,through inspection data,are
identified as having a large number of food-borne illness risk factors.An intervention is
considered a routine inspection and can include onsite training,announced inspection,or a
Hazard Analysis Critical Control Point(HACCP)-based critical item inspection.
ii. Enter inspection,intervention and compliance data into the agency's digital database or through the
State's digital database,[Digital Health Department(DHD)]within five days working days after the
last day of each month.
iii. Grant or refuse licenses and certificates of licenses pursuant to C.R.S.25-4-1606.
iv. Issue new and renewal licenses and certificates of license using DHD or agency-specific data
system(s),and remit the State's portion of licensing fees to DENS upon receipt of payment.
v. Review and approve HACCP plans submitted to verify and ensure that food handling risks are
reduced to prevent food-borne illness outbreaks.
vi. Review all submitted plans for new or extensively remodeled retail food establishments and provide
written response within 30 days.
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EXHIBIT D
c. In order to demonstrate performance and participate in statewide efforts to standardize and evaluate retail
food establishment information,the agency shall sustain the following information during the contract
period:
i. Maintain adequate records in a digital database[e.g.,Digital Health Department(DHD)]in order for
DEHS to determine:
1. An accurate and complete inventory of existing retail food establishments;
2. The number of inspections conducted;
3. Completion rates for required inspections and interventions;
4. The number of food-borne illness and critical item violations cited;
5. Whether food-borne illness and critical items identified on retail food establishment inspections
were corrected;
6. Whether the required inspection frequency was met;and
7. The number of enforcement actions taken to obtain compliance in retail food establishments.
ii. Maintain standardized data,reports,and data interchange capabilities in order to participate in the
State's data standardization efforts.
iii. Submit,receive,and evaluate data quarterly to/from the State data warehouse as part of the State's
data standardization efforts.
B. DEHS Child Care Services
a. In order to execute the uniform statewide administration of health and sanitation requirements at child
care facilities,the agency shall sustain the following during the contract period:
i. Implement and require compliance with the"Rules and Regulations Governing the Health and
Sanitation of Child Care Facilities(6 CCR 1010-7)"and interpretive memoranda issued by CDPHE
which are used to clarify interpretation of the law,rules and regulations.
b. The local public health agency shall complete the following activities for child care facilities in its
services area each contract year:
i. Provide inspections to establish and enforce sanitary standards for the operation and maintenance of
child care facilities in accordance with C.R.S.25-1.5-101(h).
1. Inspect each child care center once every two years or on a risk-based inspection frequency.
2. Inspect each summer camp once per year.
ii. Enter inspection and compliance data into a digital database[Digital Health Department(DHD)]
within five days working days after the last day of each month.
iii. Review all submitted plans and provide written response within two weeks of submittal.
c. In order to demonstrate performance,the agency shall sustain the following information during the
contract period:
i. Maintain adequate records in a digital database[Digital Health Department(DHD)]in order for
DEHS to determine:
1. An accurate and complete inventory of licensed child care facilities;
2. The number of inspections conducted;'
3. Completion rates for required inspections and interventions,and;
4. Whether the required inspection frequency was met.
C. DEHS School Services
a. In order to execute the uniform statewide administration of health and sanitation requirements at schools,
the agency shall sustain the following during the contract period:
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•
EXHIBIT D
i. Use and require compliance with the"Rules and Regulations Governing Schools(6 CCR 1010-6)"
and interpretive memoranda issued by CDPHE which are used to clarify interpretation of the law,
rules and regulations.
b. The local public health agency shall complete the following activities for schools in its service area each
contract year:
i. Provide inspections to establish and enforce sanitary standards for the operation and maintenance of
schools in accordance with C.R.S.25-1.5-101(h).
1. Inspect each school that contains a laboratory or shop once per year.
2. Inspect each school that does not contain a laboratory or shop at least once every three years.
ii. Enter inspection and compliance data into a digital database [Digital Health Department(DHD)]
within five days working days after the last day of each month.
c. In order to demonstrate performance,the agency shall sustain the following information during the
contract period:
i. Maintain adequate records in a digital database[Digital Health Department(DHD)] in order for
DEHS to determine:
_ 1. An accurate and complete inventory of existing schools;
2. The number of inspections conducted;
3. Completion rates for required inspections and interventions;and,
4. Whether the required inspection frequency was met.
D. Required Equipment
a. For the purpose of performing the environmental health services,the agency shall secure,maintain and
use the following equipment,at a minimum:
i. A laptop or tablet computer;
ii. Thermocouple or probe-type thermometer;
iii. Maximum registering thermometer or temperature-sensitive tape(s);
iv. Chemical test kits/papers;
v. Drinking water test kit;
vi. Flashlight and,
vii. Alcohol-swabs.
E. Work Completion
a. In order to fully execute its delegated State authority,the agency shall complete 100%of the required
inspections during the State fiscal year and ensure that inspections are completed at a sufficient rate
throughout the year to protect public health and maintain a consistent regulatory presence in the
community(i.e.25%of required inspections completed per quarter).
b. The agency shall develop a performance plan that addresses staffing fluctuations,seasonal facilities,and
periods of heavy workload in other public and environmental health programs in order to assure
consistent performance of State-delegated duties on a quarterly basis.
i. If extenuating circumstances(i.e.staffing,program or funding changes),including those as stated in
item 23,paragraph G"Force Majeure"in the General Provisions of this contract,cause the agency to
complete less than 25%of the annually-required number of inspections in a quarter,the agency shall
notify the State in writing of the extenuating circumstances.The State shall determine if extenuating
circumstances are sufficient to relieve the responsibility to consistently complete inspections during
that quarter.The State shall notify the agency of such decision in writing.
c. Using the State's risk-based inspection scheduling capabilities in DHD,or an alternate risk-based
methodology approved by the State,the agency will be evaluated quarterly on the following standards:
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EXHIBIT D
i. The number of retail food inspections required to be completed by the agency during the State fiscal
year,and the number of inspections completed to date;
ii. The number of child care facility inspections required to be completed by the agency during the State
fiscal year,and the number of inspections completed to date;
iii. The number of school inspections required to be completed by the agency during the State fiscal
year,and the number of inspections completed to date;
iv. The percentage of the total number of required inspections completed to date;
IV. Reports and Audits
Office of Planning and Partnerships:
a. The agency shall provide to CDPHE an agency annual report for the previous calendar year to be
submitted April 1st of the each State fiscal year.The report is to be submitted on an electronic template
provided by the Office of Planning and Partnerships. The quarterly advance of funds for the period
April,May and June of the current State fiscal year shall be withheld until all reports are received by
CDPHE. The agency shall maintain such records as may be necessary to provide the information
herein required by CDPHE and submit to such reasonable audits and evaluations as may be necessary.
b. The agency shall submit the MCH Annual Planning Form to the Office of Planning and Partnership
Public Health Nurse Consultant for approval by July 15}of each State fiscal year.
Child Fatality Prevention System
a. If there is a 2014 child fatality, enter child fatality data into the National Center for Child Death
Review(NCCDR)Case Reporting System no later than two months after the local child team reviews
a case(this will generally be one year after the death occurs).
Division of Environmental Health and Sustainability Services:
a. During the contract period the agency must submit semi-annual progress reports to DEHS in a format
provided by the State.The six-month report is due on or before January 15 and the year-end report is due
on or before June 15 of each State fiscal year.
V. Personnel
Child Fatality Prevention System
a. Within existing resources,the local public health agency may employ a local child fatality prevention
review team coordinator to perform contractual services related to CFPS
Division of Environmental Health and Sustainability Services:
a. To perform the DEHS contractual services,the agency shall employ an individual as the lead
environmental health professional who possesses at least a Bachelor of Science(BS)degree in
environmental health or in a closely associated field,and at least two years of field experience in general
environmental health programs.A Masters of Public Health degree may be substituted for one year of
field experience.
b. The agency may employ an environmental health professional or technician without two years of field
experience or an individual who does not possess a BS degree if the individual is supervised by an
environmental health professional with the qualifications listed above.
VI. 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 and site visits. The Contractor's performance will be evaluated one(1)time a
year and communicated to the contractor.A Final Contractor Performance Evaluation will be conducted at the end of
the life of the contract.
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EXHIBIT D
VII.Resolution of Non-Compliance:
The Contractor will be notified by email within 7 days of discovery of a compliance issue. Within 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 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 Contract Monitor 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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Exhibit E
BUDGET
To Task Order Dated 04/01/2012—Contract Routing Number 13 FAA 42757—Contract
Amendment#1 Routing Number 15 FAA 67641
Budget:
Local Planning Maternal and Child Fatality
and Support Environmental Child Health Prevention TOTAL
Quarter Amount Health Amount Amount Amount Payment
July 1 through September 30,2014 $21,742.25 $7,500.00 $11,031.25 $950.00 $41,223.50
October 1 through December 31,2014 $21,742.25 $7,500.00 $11,031.25 $950.00 $41,223.50
January 1 through March 31,2015 $21,742.25 $7,500.00 $11,031.25 $950.00 $41,223.50
April 1 through June 30,2015 $21,742.25 $7,500.00 $11,031.25 $950.00 $41,223.50
Total $86,969.00 $30,000.00 $44,125.00 $3,800.00 . $164,894.00
Accumulative Budget:
Local Planning and Maternal and Child Fatality
Support Environmental Child Health Prevention TOTAL
Fiscal Year Amount Health Amount Amount Amount Payment
July 1,2012—June 30,2013 $82,956.00 $0.00 $19,466.00 $0.00 $102,422.00
July 1,2013—June 30,2014 $80,864.00 $0.00 $35,040.00 $0.00 $115,904.00
July 1,2014—June 30,2015 $86,969.00 $30,000.00 $44,125.00 $3,800.00 $164,894.00
Total $250,789.00 $30,000.00 $98,631.00 $3,800.00 $383,220.00
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Exhibit F
GRANT FUNDING CHANGE LETTER
Date: State Fiscal Year: I Grant Funding Change Letter# I CMS Routing#
TO: Insert Grantee's name
In accordance with Section of the Original Contract routing number , [insert the following
language here if previous amendment(s), renewal(s) have been processed] as amended by [include all
previous amendment(s), renewal(s) and their routing numbers], [insert the following word here if
previous amendment(s), renewal(s) have been processed] between the State of Colorado, Department
of Public Health and Environment and Contractor's Name beginning Insert start date<insert start date of
original contract> and ending on Insert ending date <insert ending date of current contract amendment>,
the undersigned commits the following funds to the Grant:
The amount of grant funds available and specified in Section of<insert contract amendment
number and routing number> is ❑ increased or❑ decreased by$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 REQUIRE APPROVAL BY THE STATE CONTROLLER
CRS§24-30-202 requires the State Controller to approve all State Grants.This Grant is not valid until signed and dated below by
the State Controller or delegate.Grantee is not authorized to begin performance until such time.If Grantee begins performing prior
thereto,the State of Colorado is not obligated to pay Grantee for such performance or for any goods and/or services provided
hereunder.
STATE CONTROLLER
Robert Jaros, CPA, MBA,JD
By:
Date:
Grant Funding_Change_Letter OSC_082509 Page 1 if 1
