HomeMy WebLinkAboutC16-011 Colorado Department of Public Health and Environment for Immunization Core ServicesDEPARTMENT OR AGENCY NAME
COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
DCEED -1114M
DEPARTMENT OR AGENCY NUMBER
FAAA
CONTRACT ROUTING NUMBER
16 -85597
AMENDMENT FOR TASK ORDERS #1
This Amendment is made this 23"' day of November, 2015, 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) 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 -0850, 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
November 5, 2014, with encumbrance number 15 FHHA 74623, and contract routing number
FHHA2015000000000129, referred to herein as the "Original Task Order Contract, whereby the Contractor was to
provide to the State the following:
The goal of the Immunization Core Services Project is to reduce and eliminate vaccine preventable diseases in
Colorado by increasing and maintaining immunization coverage. Local public health agencies shall provide
core immunization services, according to established best practices, to improve the health of individuals and
communities.
The State promises to increase the amount of funds to be paid to the Contractor by Fifty Six Thousand Three
Hundred Ninety Five Dollars, ($56,395.00) for the renewal term of One (1) year, ending on December 31, 2016,
in exchange for the promise of the Contractor to perform the increased work described herein.
NOW THEREFORE, in consideration of their mutual promises to each other, stated below, the parties hereto agree
as follows:
Consideration for this Amendment to the Original Task Order Contract consists of the payments and
services that shall be made pursuant to this Amendment, and promises and agreements herein set forth.
2. It is expressly agreed to by the parties that this Amendment is supplemental to the Original Task Order
Contract, contract routing number 15 FHHA 74623, 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.
It is expressly agreed to by the parties that the Original Task Order Contract is and shall be modified,
altered, and changed in the following respects only:
A. This Contract Amendment is issued pursuant to paragraph 5 of the Original Task Order Contract
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Contract Amendment_TaskOrder_01 -2015 C16 -011
identified by contract routing number 15 FHHA 74623. This Amendment is for the renewal term
of January 1, 2016, through and including December 31, 2016. This Amendment modifies the
Original Task Order Contract by adding descriptive elements. The following provision
modifications are incorporated herein by this reference.
i. The following information shall be added as a supplement to page 1 of the Task Order
Contract:
a Contractor DUNS: 084024447
b Classification: Subrecipient
ii. The following information shall be added as a supplement to Exhibit A, Additional
Provisions, of the Task Order Contract:
a This award does not include funds for Research and Development.
B. This Amendment is issued pursuant to paragraph 5 of the Original Task Order Contract identified
by contract routing number 15 FHHA 74623. This Amendment is for the renewal term of
January 1, 2016 through and including December 31, 2016. The maximum amount payable by
the State for tlie work to be performed by the Contractor during this renewal term is Fifty Six
Thousand Three Hundred Ninety Five Dollars, ($56,395.00) for an amended total financial
obligation of the State of One Hundred Nine Thousand One Hundred Eighty Seven Dollars,
($109,187.00). This is an increase of Fifty Six Thousand Three Hundred Ninety Five Dollars,
($56,395.00) of the amount payable from the previous term. Of the maximum amount for this
renewal term Forty One Thousand Two Hundred Sixty Five Dollars, ($41,265.00) are
attributable to a funding source of the State of Colorado and Fifteen Thousand One Hundred
Thirty Dollars, ($15,130.00) are attributable to a funding source of the United States Government
(see Catalog of Federal Domestic Assistance (CFDA) number 93.268 . Of the amended total
financial obligation of the State referenced above Seventy Eight Thousand Nine Hundred
Twenty Seven Dollars, ($78,927.00) are attributable to a funding source of the State of Colorado
and Thirty Thousand Two Hundred Sixty Dollars, ($30,260.00) 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 E ". The revised Budget is incorporated herein by this
reference and identified as "Exhibit F".
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 January 1, 2016, 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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Contract Amendment TaskOrder 01 -2015
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Contract Amendment TaskOrder 01 -2015
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:
Board of County Commissioners of Eagle County
(a political subdivision of the state of Colorado)
for the use and benefit of the
Eagle County Public Health Agency
�. . 0 �
Stature of Authorized Officer
Date
Print Name of Authorized Officer
Cr%.11
Print Title of Authorized Officer
STATE:
STATE OF COLORADO
John W. Hickenlooper, Governor
By: ?)4, ) -Y) OA"
For the Executive Director
DEPARTMENT OF PUBLIC HEALTH
AND ENVIRONMENT
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.
By:
Date:
STATE CONTROLLER
Robert J
CPA, MBA, JD
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Contract Amendment TaskOrder 01 -2015
EXHIMT E
STATEMENT OF WORK
To Original Contract Routing Number 15 FHHA 74623
Contract Amendment # 1 Routing Number 16 FHI1A 85597
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
I. Project Description:
This project serves to reduce and eliminate vaccine preventable diseases in Colorado by increasing and
maintaining immunization coverage. Local public health agencies shall provide core immunization services,
according to established best practices and standards, to improve the health of individuals and communities.
H. Definitions:
I .
ACIP:
Advisory Committee on Immunization Practices
2.
CCR:
Code of Colorado Regulations
3.
CDC:
Center for Disease Control and Prevention
4.
CDPHE:
Colorado Department of Public Health and Environment
5.
CIIS:
Colorado Immunization Information System
6.
CIB:
Colorado Immunization Branch
7.
Deputization: The formal extension of authority to provide VFC vaccines to eligible underinsured children
of this contract by reference.
from a participating FQHC or RI-IC to another VFC- enrolled provider; typically a local public
2. The Contractor shall enter and submit immunization data into CIIS within thirty (30)
health agency. Previously called Delegation of Authority.
8.
FQHC:
Federally qualified health center
9.
LPHA:
Local Public Health Agency
10.
MOU:
Memorandum of understanding
11.
RHC:
Rural Health Center
12.
Section 317 Vaccine: Vaccine funding used to support infrastructure critical to vaccine program success
including vaccine for: uninsured and underinsured adults, outbreak response and preparedness
support.
13.
VFC:
Vaccines for Children
III. Work Plan
Goal #I: Reduce vaccine preventable diseases in Colorado by increasing or maintaining immunization
coverage.
Objective #1: No later than the expiration of the contract, LPHAs shall provide core immunization services
intended to improve the health of individuals and communities.
Primary Activity
1. The Contractor shall implement immunization services within its jurisdiction.
#1
1. The Contractor shall review the Immunization Rates (County/Zip Code Level)
Report provided by the CIB for children 19 -35 months of age and adolescents 13 -17
years of age no later than June 30 and December 31 and compare to the CDC
National Immunization Surveys; Child and Teen in order to increase awareness of
Sub - Activities #1
county versus national immunization rates. This information can be found at the
CDC's website: http: / /www.cdc.gov /nchs /nis.htm and is incorporated and made part
of this contract by reference.
2. The Contractor shall enter and submit immunization data into CIIS within thirty (30)
days of vaccine administration.
Page 1 of 4
Contract Statement of Work — Exhibit B
January 2015
EXHIBIT E
3. The Contractor shall vaccinate children eligible for VFC vaccine per ACID
recommendations.
4. The Contractor shall vaccinate persons eligible for Section 317 vaccine per ACIP
recommendations.
5. The Contractor shall implement an evidence based strategy(s), such as CIIS
reminder /recall, to reduce or eliminate coverage disparities by race, ethnicity and
socio- economic status.
6. The Contractor shall promote informed vaccine decision making for consumers,
healthcare providers, and policy makers through education.
7. The Contractor shall promote seasonal influenza vaccine, with new and existing
partners, including those in the commercial sector, to improve preparedness in the
event of an influenza pandemic.
8. The Contractor shall maintain a deputization MOU with an FQHC/RHC or serve as
an FQHC/RHC.
9. The Contractor shall offer clients printed resource and referral materials that direct
them to the nearest community Medicaid and Connect for Health Colorado
enrollment location(s), including online enrollment options.
1. The Contractor shall utilize the final results of the CDC National Immunization
Surveys; Child and Teen provided by the CIB via email communication to review
and compare immunization rates in order to increase awareness of county versus
national immunization rates.
2. The Contractor shall comply with the requirements for entering/submitting
immunization data into CIIS as agreed to in the CIIS Letter of Agreement found
within the online CIIS Resource Center located at: Itttps: / /www.ciisresources.com.
The content of this website is incorporated and made part of this contract by
reference.
3. The Contractor shall comply with the ACIP recommendations for vaccine
administration located at http: / /www.cdc.gov /vaccines /acip /index.htmi. The content
of this website is incorporated and made part of this task order by reference.
Standards and 4. The Contractor shall promote compliance with school immunization rules within the
Requirements Colorado State Board of Health Rule 6 CCR 1009 -2 located at
http: / /www.sos. state .co.us / CCR/ GeneratcRulePdf .do ?ruieVersionid =6316. This
document establishes immunization standards and is incorporated and made part of
this contract by reference.
5. The Contractor shall comply with the requirements for utilizing VFC vaccine agreed
to in the VFC Provider Enrollment Agreement packet as provided by CIB via
certified mail.
6. The Contractor shall comply with the eligibility requirements for utilizing Section
317 vaccine as provided by CIB via email communication.
7. The Contractor shall utilize a minimum of one (1) evidence based strategy located on
The Guide to Community Preventive Services website to eliminate coverage
disparities by race, ethnicity and socio- economic status found at
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Contract Statement of Work— Exhibit B
January 2015
EXHIBIT E
IV. Monitoring:
CDPHE's monitoring of the purchase order 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 and other fiscal and
programmatic documentation as applicable. The Contractor's performance will be evaluated at set intervals and
communicated to the contractor.
Page 3 of 4
Contract Statement of Work - Exhibit B
January 2015
www.thecomniunity uig de.org. The content of this website is incorporated and made
part of this contract by reference.
8. The Contractor shall utilize deputization MOU guidance as provided by CIB via
email communication.
9. The content of electronic documents located on CDPHE and non -CDPHE websites
and information contained on CDPHE and non -CDPI IE websites may be updated
periodically during the contract term. The contractor shall monitor documents and
website content for updates and comply with all updates.
10. CIB will provide technical assistance upon request.
11. Printed resource and referral materials for Medicaid and Connect for Health Colorado
enrollment shall be available for clients with Limited English Proficiency (LEP).
Contractors that routinely offer enrollment services on -site are exempt from this
requirement because the services provided go beyond this minimum requirement.
12. Information on enrollment resources, referral locations, LEP and outreach and
promotional materials is available at https:4/www.colorado.gov /pacific /cdphe-
pha/administration- and - governance which is incorporated and made a part of this
task order by reference.
Expected Results
1. Immunizations are provided, promoted and administered within the contractor's
of the Activity(s)
jurisdiction.
Measurement of
1. Data contained in immunization rates reports, progress reports and evaluation reports.
Expected Results
rl
Completion Date
Deliverables
1. The Contractor shall submit, annually, a signed VFC
No later than 30
Provider Enrollment Agreement to the CDPHE via email to
business days
cdphe vfc(i�state.co.us.
following the receipt
of the enrollment
packet.
2. The Contractor shall submit an electronic quarterly
No later than 30
progress report via
calendar days
https:// fs9. formsite. com /ColoradolMMprogram /2016CoreP
following the last day
roeress- Report/index.html The content of this website is
incorporated and made part of this task order by reference.
of March, June,
September and
December, annually.
IV. Monitoring:
CDPHE's monitoring of the purchase order 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 and other fiscal and
programmatic documentation as applicable. The Contractor's performance will be evaluated at set intervals and
communicated to the contractor.
Page 3 of 4
Contract Statement of Work - Exhibit B
January 2015
EXHIBIT E
V. Resolution of Non - Compliance:
The Contractor will be notified in writing within 30 calendar days of discovery of a compliance issue. Within 45
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 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 provisions of
this contract.
Page 4 of 4
Contract Statement of Work Exhibit B
January 2015
EXHIBIT F
BUDGET
Amendment #1 - Contract Routing Number 16 FHHA 85597
Immunization Core Service Activities-Eagle
Federal Funds (January 1, 2016- December 31, 2016)
$15,130
State funds (January 1, 2016 -June 30, 2016)
$22,434
State funds (Estimated for July 1, 2016 - December 31, 2016)
$18,831
Total amount:
$56,395
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