HomeMy WebLinkAboutC16-260 Colorado Department of Public Health and Environment (CDPHE) Grant Funding Change LetterC16-260
Contractor Name Eagle County Government
Budget Period 7/1/15-6/30/16
Project Name West Mountain Tobacco Program
Position Title/Employee
Name Description of Work
Budget Item
Supports SOW
(Yes/No)
Gross or
Annual Salary Fringe
Percent of
Time on
Project
Total Amount
Requested from
CDPHE
Project Coordinator
The coordinator will collaborate with health care and
dental health providers evaluating current protocols and
practices related to patient tobacco use information and
referral systems. Train health care and dental health
providers in evidence-based models of 5As and AAR, and
support implementation of the 5As and AAR model and
Colorado Quitline referral into healthcare systems.
Collaborate with Eagle County Housing Authority to
strengthen multi-unit housing tobacco policies, and work
with County Human Resource and Health and Human
Services to strengthen existing tobacco policies and
promote tobacco cessation and education through
worksite wellness initiatives. Assess current policies in
three county region. Design and implement media plans
to support cessation and policy work. Fringe Detail -
FICA: $3,216.25 Medicare: $542.09 County Retirement:
3,112.50 Workers Comp: 153.00 County Wellness:
$450.00 County Insurance: $29,274.24
Yes $51,875.00 $36,748.08 100%$88,623.08
Position Title/Employee
Name Description of Work
Budget Item
Supports SOW
(Yes/No)Hourly Wage Hourly Fringe
Total # of
Hours on
Project
Total Amount
Requested from
CDPHE
$88,623.08
Item
Budget Item
Supports SOW
(Yes/No)Rate Quantity
Total Amount
Requested from
CDPHE
Supplies & Operating Expenses
PREVENTION SERVICES DIVISION- BUDGET WITH JUSTIFICATION FORM
Contract Routing # 17 FHLA 91614
Program Contact Name,
Title, Phone and Email
Fiscal Contact Name, Title,
Phone and Email
Mandy Ivanov, Project
Coordinator, 970-328-8808,
Denise Matthews, Fiscal Lead
Specialist, 970-328-8816,
Total Personal Services
(including fringe benefits)
Expenditure Categories
Personal Services
Salaried Employees
Description of Item
REVISED EXHIBIT C
Page 1 of 3
Contractor Name Eagle County Government
Budget Period 7/1/15-6/30/16
Project Name West Mountain Tobacco Program
PREVENTION SERVICES DIVISION- BUDGET WITH JUSTIFICATION FORM
Contract Routing # 17 FHLA 91614
Program Contact Name,
Title, Phone and Email
Fiscal Contact Name, Title,
Phone and Email
Mandy Ivanov, Project
Coordinator, 970-328-8808,
dlDenise Matthews, Fiscal Lead
Specialist, 970-328-8816,
Food Expenses - 7300 Yes $ 600.00 1 $600.00
Media/Marketing - 6540 Yes $ 11,522.00 1 $11,522.00
Printing/Copying - 6559 Yes $ 460.00 1 $460.00
Office Supplies - 7102 Yes $ 120.00 1 $120.00
Training - 5430 Yes $ 375.00 1 $375.00
Operating- 7100 Yes $ 120.00 1 $120.00
$13,197.00
Item
Budget Item
Supports SOW
(Yes/No)Rate Quantity
Total Amount
Requested from
CDPHE
Mileage - 6580 Yes $ 0.54 3000 $1,620.00
Meals - 6580 Yes $ 241.50 2 $483.00
Lodging - 6580 Yes $ 172.00 6 $1,032.00
Parking - 6580 Yes $ 10.00 6 $60.00
$3,195.00
Total Supplies
& Operating Expenses
Educational materials for Multi-unit housing, County Facilities-approved
Signage for each building ($30 x 6 buildings = $180) and for the property
grounds ($30 x 6 = $180); paper for community assessments and trainings
($100)
Contractual
Description of Item
Coordinator will attend two mandatory trainings in Denver. Round trip is
approximately 300 miles x 2 trips = 600 miles. Reimbursement at county rate
of $.54/mile. Coordinator will be driving 200 miles per month to support
activities with Health Care Providers, housing authority, and county public
health agencies.
Coordinator will attend two mandatory trainings in Denver, each two days in
duration. Meal estimate is based on current county government per diem
reimbursement: Travel day per diem reimbursement at $51.75 and full day
reimbursement at $69.00. $241.50/trip x 2= $483
Overnight stay for Coordinator to attend two mandatory meetings in Denver.
Estimate is based on current federal government per diem rate for Denver.
$172/night x 3 nights x 2 trainings
Parking downtown Denver for two mandatory meetings - $10/day x 6 days.
standing mat for desk
Refreshments for MUH task force meetings ($5 person x 10 participants x 4
meetings) = $200; Light breakfast or lunch for TA and AAR/5As trainings at
healthcare providers (4 trainings x $10/person x 10 participants) = $400
Advertising for Colorado Quitline: Great American SmokeOut; New Year's &
Through with Chew Week; World No Tobacco Day. Bus shelter ads (3
placements (rotating) x 4 cycles x $170/cycle = $2040); interior bus ads RFTA
(80 buses - production and run mid-Nov - mid-May = $4500); radio stations
($17.00/spot x 200 times=$3400); and social media ($1582).
Travel
Total Travel
General office supplies (pens, notebooks, folders, printer cartridges; estimated
at $10/mo x 12mo. = $120)
Facilitator training (1x) for individual to lead cessation groups at community
sites.
REVISED EXHIBIT C
Page 2 of 3
Contractor Name Eagle County Government
Budget Period 7/1/15-6/30/16
Project Name West Mountain Tobacco Program
PREVENTION SERVICES DIVISION- BUDGET WITH JUSTIFICATION FORM
Contract Routing # 17 FHLA 91614
Program Contact Name,
Title, Phone and Email
Fiscal Contact Name, Title,
Phone and Email
Mandy Ivanov, Project
Coordinator, 970-328-8808,
dlDenise Matthews, Fiscal Lead
Specialist, 970-328-8816,
Subcontractor Name
Budget Item
Supports SOW
(Yes/No)Rate Quantity
Total Amount
Requested from
CDPHE
Aspen to Parachute Dental
Health Alliance - 6142 Yes $ 3,470.00 1 $3,470.00
$3,470.00
$108,485.08
Item
Total Amount
Requested from
CDPHE
Negotiated Indirect cost
rate (Federal, State, or
CDPHE)
Indirect rate (other):
Indirect (modified or
additional base)$8,862.00
$8,862.00
$117,347.00
Total Contractual
SUB-TOTAL BEFORE INDIRECT
Total Indirect
Description of Item
Eagle County does not currently have a negotiated Federal or CDPHE indirect rate agreement. Eagle County is
electing to use 10% of personnel costs for this budget, 10% DeMinimis rate.
Indirect
TOTAL
Dental health educator will reach out to dental offices and provide technical
assistance to support tobacco cessation and Quitline Resources and referral.
(100 hrs x $32.00 =$3200 staff hours; 500 miles x.54/mile = $270 Total =
$3470)
Description of Item
REVISED EXHIBIT C
Page 3 of 3
