HomeMy WebLinkAboutC14-239 CO Department of Public Health and Environment (Emergency Preparedness)r , • DEPARTMENT OR AGENCY NAME COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT OEPR-PHEP DEPARTMENT OR AGENCY NUMBER FHJA CONTRACT ROUTING NUMBER 15-65588 AMENDMENT FOR TASK ORDERS#2 This Amendment is made this 1st day of March,2014,by and between the State of Colorado,acting by and through the DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT,whose address or principal place of business is 4300 Cherry Creek Drive South,Denver,Colorado 80246,hereinafter referred to as the"State";and, BOARD OF COUNTY COMMISSIONERS OF EAGLE COUNTY,(a political subdivision of the state of Colorado),500 Broadway,Eagle,Colorado,81631,for the use and benefit of 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 01,2012,with contract encumbrance number PO FJA EPR1341889,and contract routing number 13 FJA 41889,as amended by Amendment for Task Orders#1,with contract routing number 14 FJA 53969,collectively referred to herein as the"Original Task Order Contract,whereby the Contractor was to provide to the State 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. The State promises to increase the amount of funds to be paid to the Contractor by Thirty One Thousand Five Hundred Forty Four Dollars,($31,544.00)for the renewal term of one year,ending on June 30,2015,in exchange for the promise of the Contractor to perform the increased work described herein. NOW THEREFORE,in consideration of their mutual promises to each other,stated below,the parties hereto agree as follows: 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 numberl3 FJA 41889, as amended by Amendment for Task Orders#1,with contract routing number 14 FJA 53969 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 FJA 41889. This Amendment is for the renewal term of July 01. 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 Thirty One Thousand Five Hundred Forty Four Dollars,($31,544.00) for an amended total financial obligation of the State of NINETY SIX THOUSAND ONE HUNDRED THIRTY FIVE DOLLARS,($96,135.00). This is an increase of Thirty One Thousand Five Hundred Forty Four Dollars,($31,544.00) of the amount payable from the previous term.Of the maximum amount for this renewal term Zero Dollars,($0.00)are attributable to a funding source of the State of Colorado and Thirty One Thousand Five Hundred Forty Four Dollars,($31,544.00)are attributable to a funding source of the United States Government(see Catalog of Federal Domestic Assistance(CFDA) number 93.074). Of the amended total financial obligation of the State referenced above Zero Dollars,($0.00)are attributable to a funding source of the State of Colorado and Ninety Six Thousand One Hundred Thirty Five Dollars,($96,135.00)are attributable to a funding source of the United States Government.The revised Additional Provisions is incorporated herein by this reference and identified as"Exhibit F.The revised Statement of Work is incorporated herein by this reference and identified as"Exhibit G". The revised Budget is incorporated herein by this reference and identified as"Exhibit H". 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 01,2014,or upon approval of the State Controller,or an authorized delegate thereof,whichever is later. 5. Except for the Special Provisions and other terms and conditions of the Master Contract and the General Provisions of the Original Task Order Contract,in the event of any conflict,inconsistency,variance,or contradiction between the terms and provisions of this Amendment and any of the terms and provisions of the Original Task Order Contract,the terms and provisions of this Amendment shall in all respects supersede,govern,and control. The Special Provisions and other terms and conditions of the Master Contract shall always control over other provisions of the Original Task Order Contract or any subsequent amendments thereto. The representations in the Special Provisions to the Master Contract concerning the absence of personal interest of state of Colorado employees and the certifications in the Special Provisions relating to illegal aliens are presently reaffirmed. 6. FINANCIAL OBLIGATIONS OF THE STATE PAYABLE AFTER THE CURRENT FISCAL YEAR ARE CONTINGENT UPON FUNDS FOR THAT PURPOSE BEING APPROPRIATED,BUDGETED, AND OTHERWISE MADE AVAILABLE. Amendment Task Order 083010 Page 2 of 5 a . / This page left intentionally blank. Amendment Task Order 083010 Page 3 of 5 IN WITNESS WHEREOF,the parties hereto have executed this Amendment on the day first above written. *Persons signing for Contractor hereby swear and affirm that they are authorized to act on Contractor's behalf and acknowledge that the State is relying on their representations to that effect. CONTRACTOR: STATE: BOARD OF COUNTY COMMISSIONERS OF STATE OF COLORADO 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 Agenc /4 % + In—.- By: 1 gnature of Authorize Officer For the Executive Director DEPARTMENT OF PUBLIC HEALTH J .///.0 n 11. 4G N AND ENVIRONMENT Print Name of Authorized Officer _e&irma,7 , 86 re. 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: Amendment_Task_Order 083010 Page 4 of 5 This page left intentionally blank. Amendment Task Order 083010 Page 5 of 5 EXHIBIT F STATEMENT OF WORK To Original Contract Routing Number 13 FJA 41889 Contract Amendment#2 Routing Number 15 FHJA 65588 These provisions are to be read and interpreted in conjunction with the provisions of the contract specified above. Entity Name: Eagle County Public Health Agency Term: July 1,2014—June 30,2015 II. 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. III. Definitions: 1. AAR—After Action Report 2. ASPR—Assistant Secretary for Preparedness and Response 3. CDC—Centers for Disease Control and Prevention 4. CRI—Cities Readiness Initiative 5. CDPHE—Colorado Department of Public Health and Environment 6. CEDRS—Colorado Electronic Disease Reporting Systems 7. CIIS—Colorado Inventory Management System 8. CO-SHARE—Colorado State Health Alert and Readiness Exchange 9. CO.TRAIN—Colorado Training Finder for Real-Time Affiliated Integrated Network 10. Contractor and/or Vendor—Any party to which a purchase order is issue 11. DOC—Department Operations Center 12. EPR—Emergency Preparedness and Response 13. FY—Fiscal Year 14. HPP—Hospital Preparedness Program 15. HSEEP—Homeland Security Exercise and Evaluation Program 16. ID—Identification Number 17. JRA-Joint Jurisdictional Risk Assessment 18. LTP—Local Transfer Point 19. L—TAR—Legal Technical Assistance Review 20. MHz—Megahertz 21. MCM- Medical Case Management 22. NORS—National Outbreak.Reporting System 23. OEPR—Office of Emergency Preparedness and Response Page 1of10 Statement of Work March 2014 v.1 EXHIBIT F 24. OMS—Outbreak Management System 25. PAHPA—Pandemic and All-Hazards Preparedness Act 26. POD—Point of Dispensing 27. PHEOP-Public Health Emergency Operations Plan 28. PHEP—Public Health Emergency Preparedness 29. PIC—Public Information and Communication 30. RSS—Receiving,Staging Storage Warehouse 31. RTP—Regional Transfer Point 32. SRPOC—State Regional Point of Contact 33. STEC-Shiga toxin-producing E. coli 34. SNS—Strategic National Stockpile IV. Performance(Work Plan and Requirements): Local Public Health Agency EPR Work Plan Table-Budget Period 3-2014-2015 1. Expenditure of Funds: The Contractor shall submit the CDPHE-OEPR Mid-Year Fiscal Report indicating projections for expenditure of funds for the remainder of the project period no later than January 1,2015 via email to the OEPR Fiscal Staff. Goal#1: Increase capacity for preparedness response and recovery in Eagle County Objective#1: No later than the expiration date of the Contract,provide public health preparedness response and recovery activities in Eagle County through planning,training and exercise. Primary Activity PLANNING:Participate in Emergency Preparedness and Response planning and planning #1 coordination. 1. The Contractor shall identify and update an annex of their Public Health Emergency Operations Plan(PHEOP),based upon both Joint Jurisdictional Risk Assessment(JRA)and the following Public Health Emergency Preparedness(PHEP)Capabilities:community preparedness and community recovery. 2. The Contractor shall update the Continuity of Operations section/annex of their PHEOP. 3. The Contractor shall discuss Training Needs Assessment data within Healthcare Coalitions and determine what trainings will be offered locally. 4. The Contractor shall update their jurisdictional Pandemic Annex of their PHEOP. 5. The Contractor shall update their SNS Public Information and Communications(PIC)Plan based upon the 2013 PIC Plan Review,2013 SNS Plan Template criteria(Annex D)and 2014 L-TAR Review for CRI agencies only. 6. The Contractor shall update their SNS Mass Antibiotic/Vaccination Dispensing Plan based upon the 2014 POD Plan Review,2013 SNS Plan Template criteria(Annex I)and 2014 L-TAR Review for CRI agencies only. Sub-Activities#1 7. The Contractor shall complete their SNS Distribution/RTP/LTP Plan based upon the 2013 SNS Plan Template criteria(Annex H),2013-2014 SNS Distribution Trainings and 2014 L-TAR Review for CRI agencies only. 8. The Contractor shall complete their SNS Security Plan based upon the 2012 CDPHE Security Plan Templates,the 2013 SNS Plan Template criteria(Annex G),and the 2014 L-TAR Review for CRI agencies only. 9. The Contractor shall complete at least one of the following activities: an Alternate Dispensing Plan,an Alternate Dispensing Training,or an Alternate Dispensing Exercise based on the needs identified in the OEPR Alternate Dispensing Survey and as outlined in the FY 14-15 MCM Operational Assessment Tool for CRI agencies only. 10. The Contractor shall use CDPHE-provided evaluation tools to collect CDPHE-specified data, upon request. 11. The Contractor shall recruit associates from a minimum of(2)two of(11)eleven community collaborators as defined in Standards and Requirements to review an annex of the contractor's PHEOP. Page 2 of 10 Statement of Work March 2014 v.1 EXHIBIT F Primary Activity TRAINING:Participate in Emergency Preparedness Training and Training Activities. #2 1. The Contractor shall participate in a minimum of one(1)training related to community preparedness. 2. The Contractor shall participate in a minimum of one(1)training related to community recovery. Sub-Activities#2 3. The Contractor shall participate in one(1)Colorado Inventory Management System(CIIS)Training as provided by CDPHE. 4. The Contractor shall participate in a CDPHE coordinated Healthcare Coalition workshop. 5. The Contractor shall post all hosted trainings in CO.TRAIN. 6. The Contractor shall post all hosted trainings within their region in CO-SHARE on the Training and Meeting calendar. Primary Activity EXERCISING/DRILLS:Participate in Emergency Preparedness and Response exercises and drills. #3 1. The Contractor shall facilitate or participate in a table top exercise that includes healthcare coalition members,using a scenario provided by CDPHE. 2. The Contractor shall ensure table top exercise date and location information is posted to CO.TRAIN. 3. The Contractor shall ensure table top exercise date and location information is posted on the Exercise calendar on CO-SHARE. 4. The Contractor shall complete an after action report and improvement plan based on completed table top exercise. 5. The Contractor shall participate in a minimum of three(3)communication drills,facilitated by Sub-Activities#3 CDPHE,focusing on multiple communication systems. 6. The Contractor shall participate in two(2)tactical communications drills initiated by CPDHE, focusing on CDPHE DOC,RSS-RTP/LTP,Regional/Local DOC,and/or POD communication via 800MHz radio and cell phone equipment. 7. The Contractor shall participate in one(1)Inventory Management System drill utilizing the CIIS as determined by CDPHE. 8. The Contractor shall participate in a minimum of two(2)dispensing or distribution drills as outlined by CDPHE. 9. The Contractor shall initiate and conclude a volunteer activation drill. Primary Activity ADDITIONAL ACTIVITIES: Coordinate collaborative activities with local,regional and state #4 emergency preparedness and response staff. 1. The Contractor shall act as a liaison between CDPHE and EPR Regional Staff to local community preparedness associates. 2. The Contractor shall share lessons learned,best practices and techniques learned during trainings,within local healthcare coalition meetings. 3. The Contractor shall participate in meetings or phone calls with the CDPHE State Regional Point of Contact(SRPOC)at a minimum of one(1)per quarter. Sub-Activities#4 4. The Contractor shall coordinate and participate in site visits as requested by CDPHE. 5. The Contractor shall participate in workshops and conferences as requested by CDPHE. 6. The Contractor shall respond to surveys as requested by CDPHE. 7. The Contractor shall participate in work groups as requested by CDPHE. 8. The Contractor shall attend mandatory meetings as directed by CDPHE. 9. The Contractor shall seek planning,training,exercise and other emergency preparedness and response technical assistance from EPR Regional Staff and CDPHE OEPR as needed. 10. EPR Regional Staff will provide technical assistance to all local public health agencies for all EPR activities as requested. Page 3 of 10 Statement of Work March 2014 v.1 EXHIBIT F 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 shall monitor documents and website content for updates and comply with all updates. 2. The Contractor shall ensure that appropriate Regional Emergency Preparedness and Response Staff time and resources are allocated to support all identified activities for all local agencies within the region. 3. The Contractor shall collaborate with CDPHE and EPR Regional Staff on all emergency preparedness and response activities. 4. The Contractor shall utilize the CDPHE Continuity Workbook guidance to update their Continuity of Operations section/annex of their PHEOP with the key elements established in the CDPHE Continuity workbook. 5. The eleven(11)community collaborators are as follows:Businesses,Community Leadership, Cultural and Faith-Based Groups and Organizations,Education and Childcare settings, Emergency Management,Healthcare,Housing and Sheltering,Media,Mental and Behavioral Health,Social Services,Senior Services.Associates from organizations engaged may represent Standards and more than one collaboration partner.The Contractor will provide community partners with the Requirements Community Collaborator Plan review sheet as a plan review format. 6. The Contractor shall utilize the OEPR Alternate Dispensing Needs Assessment Survey Results to complete the alternate dispensing plan,the alternate dispensing training,or the alternate dispensing exercise. 7. The Contractor shall use the Pandemic Annex Guidance/Template document to be released no later than October 1,2014 when updating the Pandemic Annex. 8. Any Jurisdictional Risk Assessment used must have been completed no longer than three(3) years before the grant date,include public health considerations,and be approved by CDPHE. 9. The Budget Period Performance Measures Specification and Implementation Guidance for both PHEP and HPP will be the primary source for evaluation data collection. 10. All trainings provided shall include a training evaluation form,with necessary components to be specified in the CDPHE guidance. 11. The Contractor shall use the Drill Reporting Template provided by CDPHE. 12. The Contractor shall provide an After Action Report and Improvement Plan for all exercises and real events based on lessons learned utilizing established Homeland Security Exercise Evaluation Program(HSEEP)documentation guidance. 1. Identify deficiencies in agency's PHEOP. 2. Identify deficiencies in PHEP capabilities. 3. Public health and emergency response associates will build proficiency in CDC-and ASPR- defined capabilities of community preparedness and community recovery. 4. Public Health and emergency response associates will acquire the necessary skills and tools to Expected Results of complete their responsibilities during emergency events. Activity(s) 5. Effectiveness of communication and situational awareness between CDPHE,local public health agencies,and organizations representing community collaborators(formerly termed "community sectors")through exercises,drills and real events. 6. Public health and emergency response associates will be able to track SNS assets through the (CIIS). Page 4 of 10 Statement of Work March 2014 v.1 EXHIBIT F 1. Measures of Public Health Emergency Operations Plans effectiveness and validity will be evaluated per the performance measures for PHEP and HPP capabilities—resources to reference include: Measurement of a. PHEP Performance Measures Specifications and Implementation Guidance Expected Results b. Hospital Preparedness Program(HPP)Performance Measure Manual. 2. The Inventory Management System Webinar will be evaluated through the completion of the CIIS exercise provided at the end of the training. 3. Exercises and drills will be evaluated through After Action Reports and Improvement Plans to determine plan or system response readiness. Completion Date 1. The Contractor shall upload their updated PHEOP annexes in the Report Midyear appropriate CO-SHARE Grant Reporting Folder. progress by Deliverables December 12, 2014. Final progress no later than June 1, 2015. 2. The Contractor shall upload their agency's updated Continuity of Report Midyear Operations annex in the appropriate CO-SHARE Grant Reporting Folder. progress by December 12, 2014. Final progress no later than June 1, 2015. 3. The Contractor shall upload a report outlining what trainings will be No later than offered locally in the appropriate CO-SHARE Grant Reporting Folder. February 15, 2015. 4. The Contractor shall upload a list of which two(2)community partners Report Midyear were approached by the Contractor to conduct a plan review in the progress by appropriate CO-SHARE Grant Reporting Folder. December 12, 2014. Final progress no later than June 1, 2015. 5. The Contractor shall update their agency's CO-SHARE Grant Reporting Report Midyear spreadsheet as local folders are updated. progress by December 12, 2014. Final progress no later than June 1, 2015. 6. The Contractor shall upload the updated Pandemic Annex to CO-SHARE No later than under their County PHEOP Panflu Annex folder. June 1,2015. 7. The Contractor shall upload SNS Plan Template Annexes D(Public No later than Information&Communications),G(Security),H(Distribution)and I February 15, (Dispensing)within their SNS Base Plan in the appropriate CO-SHARE 2015. Grant Reporting Folder. 8. The Contractor shall indicate in CO-SHARE which Alternate Dispensing Activity they will complete. No later than August 15,2014. 9. The Contractor shall indicate within the grant reporting spreadsheet one of No later than the following:the CO-SHARE location of the completed Alternate June 1,2015 Page 5 of 10 Statement of Work March 2014 v.1 EXHIBIT F Dispensing Plan,the CO.TRAIN ID of the Alternate Dispensing Training, or CO-SHARE location of the Alternate Dispensing Exercise AAR. 10. The Contractor shall upload the CIIS Inventory Management training No later than module exercise documentation that will be assigned during the Inventory June 1,2015. System Management System Webinar to CIIS 11. The contractor shall submit evaluation data via surveys as specified by No later than CDPHE.. June 1,2015 12. The Contractor shall upload certifications of completion of training into No later than CO-SHARE. June 1,2015. 13. The Contractor shall upload minutes and notes on lessons learned from Report Midyear healthcare coalition meetings. progress by December 12, 2014. Final progress no later than June 1, 2015. 14. The Contractor shall post documentation of their agency's participation in Report Midyear conference(s)and workshop(s)on the CO-SHARE Grant Reporting progress by Spreadsheet. December 12, 2014. Final progress no later than June 1, 2015. 15. The Contractor shall post all hosted trainings in CO.TRAIN. No later than 15 calendar days prior to training date. 16. The Contractor shall post all hosted trainings in their Region in CO- No later than SHARE,on the appropriate calendars. 15 Calendar days prior to training date. 17. The Contractor shall upload the Table Top Exercise After Action Report No later than and Improvement Plan in CO-SHARE. close of grant, June 30,2015. 18. The Contractor shall upload the sign in sheet from Table Top Exercise. No later than close of grant, June 30,2015. 19. The Contractor shall upload drill report templates for all drills completed in No later than the appropriate CO-SHARE Grant Reporting Folder. June 1,2015. 20. The Contractor shall post a Regional Staff Assistance Tracking Worksheet No later than in the appropriate CO-SHARE Grant Reporting Folder. December 31, 2014; June 30,2015 • Page 6of10 Statement of Work March 2014 v.1 EXHIBIT F Epidemiology Work Plan Table-Budget Period 3-2014-2015 Goal#1: Develop,sustain,and improve upon public health surveillance and epidemiological investigation systems and processes at the local level in Colorado. Objective#1: No later than the expiration date of the Contract,provide public health surveillance and epidemiological investigation activities for Colorado local public health agencies. Primary Activity#1 Attend and participate in scheduled epidemiologist conference calls,meetings,and trainings. 1. The Contractor or its designated regional epidemiologist shall attend twice-monthly epidemiologist conference calls coordinated by CDPHE. CDPHE will record and monitor attendance. 2. The Contractor or its designated regional epidemiologist shall attend the fall 2014 Sub-Activities#1 epidemiologist and regional staff meeting/training scheduled by CDPHE. Attendance may occur in person or via webinar/teleconference,if offered. CDPHE will record and monitor attendance. 3. The Contractor or its designated regional epidemiologist shall attend the spring 2015 epidemiologist and regional staff meeting/training scheduled by CDPHE.Attendance may occur in person or via webinar/teleconference,if offered. CDPHE will record and monitor attendance. Primary Activity#2 Assess and share public health surveillance data. 1. The Contractor or its designated regional epidemiologist shall assess the reporting timeliness of select notifiable diseases/conditions by clinical laboratories and hospitals within the Contractor's jurisdiction/region. 2. The Contractor or its designated regional epidemiologist shall assess the completeness of select variables within select notifiable diseases/conditions records in the Colorado Electronic Disease Reporting System(CEDRS)for cases which occur within the Contractor's jurisdiction/region. 3. The Contractor or its designated regional epidemiologist shall present on a surveillance or Sub-Activities#2 epidemiologic topic during at least one health care coalition meeting within the Contractor's jurisdiction/region.Topics can include: sharing surveillance data,discussing the agency's or region's epidemiological response plan,reviewing an outbreak investigation,reviewing the role of epidemiology in emergency preparedness and response,and sharing epidemiological tools that can be used in emergency preparedness and response. 4. The Contractor or its designated regional epidemiologist shall share CDPHE provided quarterly and year-to-date surveillance data reports,or internally generated surveillance data reports,with public health associates and stakeholders within the Contractor's jurisdiction/region either quarterly or bi-annually. Primary Activity#3 Conduct timely and complete case,outbreak,and incident investigations and implement appropriate disease control measures. 1. The Contractor or its designated regional epidemiologist shall participate in a real situation of need or urgency outside of the Contractor's jurisdiction/region as requested by CDPHE. 2. The Contractor or its designated regional epidemiologist shall monitor CEDRS to ensure local public health disease investigators within the jurisdiction/region are completing the "investigation start date"variable in CEDRS for diseases/conditions for which the local public health agency has primary investigatory responsibilities. CDPHE will monitor the completion Sub-Activities#3 of the"investigation start date"variable in CEDRS by running two reports throughout the grant year to assess completion and will share the reports with regional epidemiologists. 3. The Contractor or its designated regional epidemiologist shall monitor CEDRS to ensure local public health disease investigators within the jurisdiction/region are completing the"was case/surrogate interviewed"variable in CEDRS for diseases/conditions for which the local public health agency has primary investigatory responsibilities. CDPHE will monitor the completion of the"was case/surrogate interviewed"variable in CEDRS by running two reports throughout the grant year to assess completion and will share the reports with regional Page 7 of 10 Statement of Work March 2014 v.1 EXHIBIT F epidemiologists. 4. The Contractor or its designated regional epidemiologist shall initiate contact with disease cases within the Contractor's jurisdiction/region identified by CDPHE or the CDC to be part of a Colorado or multi-state outbreak or cluster within 24 hours of recognition using the outbreak or cluster-specific questionnaire provided by CDPHE or CDC. The Contractor or its designated regional epidemiologist shall participate in training local public Primary Activity#4 health staff and disease reporting partners(hospital infection preventionists and clinical laboratory staff as applicable)in the Contractor's jurisdiction/region on the new version of CEDRS using training resources developed by CDPHE. Primary Activity#5 The Contractor or its designated regional epidemiologist shall participate in a table top exercise using a scenario provided by CDPHE to provide epidemiological perspective and resources. 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 shall monitor documents and website content for updates and comply with all updates. 2. Additional details to assist the Contractor or its delegated regional epidemiologist complete this work plan table will be provided by the CDPHE Communicable Disease Epidemiology Section in the form of a guidance document prior to the start date of this contract. 3. The twice-monthly epidemiologist conference calls will occur on the first and third Wednesdays of every month from 9:30 am to 10:30 am. The Contractor or its designated regional epidemiologist shall attend at least 80%of the twice-monthly epidemiologist conference calls. 4. Disease reporting timeliness assessments shall be conducted by reviewing semi-annual CDPHE-generated reports from data contained in the Colorado Electronic Disease Reporting System(CEDRS). 5. CEDRS data completeness assessments shall be conducted by reviewing semi-annual CDPHE generated reports from data contained in the Colorado Electronic Disease Reporting System (CEDRS). 6. Primary disease case investigation responsibility (i.e., local or state public health agency) is outlined on the CDPHE Communicable Disease Manual website.This document 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-DCEED/CBON/1251607755419 (at the link Standards and titled"CDPHE guidance on diseases needing case investigation). Requirements 7. The Contractor or its designated regional epidemiologist shall comply with the requirements for reporting outbreaks to CDPHE. This information is located on the CDPHE-DCEED website. This document 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- DCEED/CBON/1251607755294(under the"Outbreak Investigation Guidelines"header). 8. The Contractor or its designated regional epidemiologist shall write outbreak reports that contain the following elements: background,investigation start date,methods,results, discussion/conclusion,and recommendations. 9. The"investigation start date"variable in CEDRS shall be completed for all 24-hour reportable conditions and the following seven(7)day reportable conditions which occur within the epidemiologist's jurisdiction/region: Shiga toxin-producing E. coli(STEC),Salmonella, Listeria, and tularemia. 10.The"was case/surrogate interviewed"variable in CEDRS shall be completed for all 24-hour reportable conditions and the following seven(7)-day reportable conditions which occur within the epidemiologist's jurisdiction/region: Shiga toxin-producing E. coli(STEC),Salmonella, Listeria, and tularemia. The target for completed case interviews for these conditions is 90%. 11.CDPHE will notify the Contractor or its designated regional epidemiologist if a case within their jurisdiction/region is determined to be part of a Colorado or multi-state outbreak and will provide the appropriate questionnaire. 12.CDPHE will provide CEDRS training resources by February 1,2015. Page 8 of 10 Statement of Work March 2014 v.1 EXHIBIT F 1. High quality public health surveillance and epidemiological investigation will occur within the Contractor's jurisdiction/region in line with functions described in capability 13 of the Expected Results of Activity(s) CDC PHEP cooperative agreement(Public Health Surveillance and Epidemiological Investigations). 1. Data in CEDRS and data provided to CDPHE will be tabulated to assess compliance with Measurement of CDC performance measures for PHEP Capability 13:Public Health Surveillance and Expected Results Epidemiological Investigation. (PHEP capability 13 performance measures can be found at this website: ht •://www.cdc.gov/oh•r/ca.abilities/ca.abilityl3.pdf) Comsletion Date Deliverables 1. The Contractor or its designated regional epidemiologist shall update September 12,2014 their agency's CO-SHARE Grant Reporting spreadsheet to document (for reports from any problems identified in the timeliness reports and how those Jan-June 2014) problems were addressed. March 13,2015(for reports from July— Dec 2014) 2. The Contractor or its designated regional epidemiologist shall update September 12,2014 their agency's CO-SHARE Grant Reporting spreadsheet to document (for reports from any problems identified in the completeness reports and how those Jan-June 2014) problems were addressed. March 13,2015(for reports from July— Dec 2014) 3. The Contractor or its designated regional epidemiologist shall update No later than June their agency's CO-SHARE Grant Reporting spreadsheet to record the 1,2015 name of the health care coalition to which a surveillance or epidemiologic topic was presented,the date of the presentation,and a brief topic synopsis. 4. The Contractor or its designated regional epidemiologist shall update No later than their agency's CO-SHARE Grant Reporting spreadsheet to record the December 15,2014 method,and the frequency(either quarterly or bi-annually),and date (for data covering they provided the quarterly and year-to-date surveillance data reports the first half of 2014 from CDPHE,or internally generated surveillance data reports,with or rd and 3`d public health associates and stakeholders within the Contractor's quarters of 2014) jurisdiction/region. No later than June 15,2015(for data covering the second half of 2014 or 4th quarter of 2014 and 15'quarter of 2015) 5. The Contractor or its designated regional epidemiologist shall submit a No later than 2 completed National Outbreak Reporting System(NORS)form to the months following CDPHE Communicable Disease Epidemiology Section via email(to the first illness onset Nisha.Alden cvstate.co.us)or fax(303-782-0338)for outbreaks of the outbreak occurring within the Contractor's jurisdiction/region. 6. The Contractor or its designated regional epidemiologist shall submit No later than June infectious disease outbreak reports to the CDPHE Communicable 1,2015 Disease Epidemiology Section via email(to Nisha.Alden(cvstate.co.us) or fax(303-782-0338)for outbreaks that occur within the Contractor's jurisdiction/region. 7. The Contractor or its designated regional epidemiologist shall update No later than June their agency's CO-SHARE Grant Reporting spreadsheet with a brief 1,2015 Page 9 of 10 Statement of Work March 2014 v.1 EXHIBIT F description of the situation of need or urgency outside of the Contractor's jurisdiction/region for which the epidemiologic assistance was provided. 8. The Contractor or its designated regional epidemiologist shall update No later than June their agency's CO-SHARE Grant Reporting spreadsheet to record the 1,2015 date a disease case was determined to be part of a Colorado or multi- state outbreak or cluster,the name of the disease/condition,and the date contact was initiated with the case to administer the appropriate outbreak or cluster-specific questionnaire. 9. The Contractor or its designated regional epidemiologist shall update No later than June their agency's CO-SHARE Grant Reporting spreadsheet to record the 1,2015 date CEDRS training was provided to each local public health agency and disease reporting partners(hospital infection preventionists and clinical laboratory staff,as applicable)in the Contractor's jurisdiction/region. 10. The Contractor or its designated regional epidemiologist shall update No later than June their agency's CO-SHARE Grant Reporting spreadsheet to record the 1,2015 date and location of the table top exercise in which epidemiological perspective and resources were provided. V. Monitoring: CDPHE's monitoring of this contract for compliance with performance requirements will be conducted throughout the contract period by the Contract Monitor. Methods used will include a review of documentation determined by CDPHE to be reflective of performance to include progress reports,invoices,site visit result,electronic data and other fiscal and programmatic documentation as applicable. The Contractor's performance will be evaluated at set intervals and communicated to the contractor.A Final Contractor Performance Evaluation will be conducted at the end of the life of the contract. VI. Resolution of Non-Compliance: The Contractor will be notified in writing 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 in writing and agreed to by both parties. If extenuating circumstances arise that requires an extension to the time line,the Contractor must email a request to the Grants Branch Manager and receive approval for a new due date. The State will oversee the completion/implementation of the action(s) to ensure time lines are met and the issue(s) is resolved. If the Contractor demonstrates inaction or disregard for the agreed upon compliance resolution plan, the State may exercise its rights under the provisions of this contract. Page 10 of 10 Statement of Work March 2014 v.1 Exhibit G Budget To Task Order Dated 04/01/2012-Contract Routing Number 13 FJA 41889 Contract Amendment#2 Routing Number 15 FHJA 65588 Eagle County Public Health Agency Fiscal Year 2014—2015 Budget Personnel Annual/Hourly/ %of Title: Salary Rate& #of Time Cost Fringe Months FTE Epidemiologist/EPR $104,979.00 12 0.27 $28,364.00 Coordinator Personnel Budget Total: $28,364.00 Supplies/Operating/Other Direct Expenses Description Cost Cell Phone Service for Epidemiologist/EPR Coordinator $660.00 800 MHz radio annual dues $540.00 Secure Fax Service and Toner for Disease Prevent/EPR Team $200.00 Printer/Fax Training for EPR Coordinator/EP,Director,PH Managers,Disease $380.00 Prevention Staff Supplies/Operating/Direct Costs Budget Total: $1,780.00 Travel(In-State/Out-of-State) Description Cost Mileage,Per Diem for required EPR State and Regional Meetings $840.00 Mileage,Per Diem for required Health Care Coalition and EPR $560.00 Meetings Travel Budget Total: $1,400.00 Consultant/Contractual Description Cost ContractuaUConsultant Budget Total: $0.00 Direct Costs Budget Total: I $31,544.00 Administrative/Indirect Cost Indirect: 10%of Direct Salaries and Wages including Fringe $0.00 Benefits—Contractor shall not charge Indirect under this Contract BUDGET TOTAL: $31,544.00 Page 1 of 1