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HomeMy WebLinkAboutC17-076 Colorado Department of Public Health and Environment for Immunization ServicesDEPARTMENT OR AGENCY NAME
COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
DCEED-IMM
DEPARTMENT OR AGENCY NUMBER
FAAA
TASK ORDER AMENDMENT ROUTING NUMBER
17 FHHA 96746
To Original Task Order Routing Number
15 FHHA 74623
TASK ORDER AMENDMENT #4
This Task Order Amendment is made this 30`x' day of January, 2017, 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, 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 FHHA2015000000000129, and task order contract routing number
15 FHHA 74623 hereafter referred to 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 Eighty Eight Thousand One
Hundred One Dollars, ($88,101.00) for the renewal term of One year and 3 months, ending on June 301h, 2018,
in exchange for the promise of the Contractor to perform the increased specifications to the 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 Task Order Amendment to the Original Task Order Contract consists of the
payments and services that shall be made pursuant to this Task Order Amendment, and promises and
agreements herein set forth.
It is expressly agreed to by the parties that this Task Order Amendment is supplemental to the Original
Task Order Contract, contract routing number 15 FHHA 74623; as amended by Task Order Amendment
#1, routing number 16 FHHA 85597; Grant Funding Change Letter #1, routing number 16 FHHA
88455; Task Order Amendment #2, routing number 16 FHHA 90411; Task Order Amendment #3,
routing number 17 FHHA 94983 collectively referred to herein as the Original Task Order Contract,
which is by this reference incorporated herein. All terms, conditions, and provisions thereof, unless
specifically modified herein, are to apply to this Task Order Amendment as though they were expressly
rewritten, incorporated, and included herein.
AMD#4 17 96746.docx
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C17-076
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:
A. This Task Order Amendment is issued pursuant to paragraph 5 of the Original Task Order Contract. This
Task Order Amendment is for the renewal term of April V, 2017, through and including June 30'h, 2018.
The maximum amount payable by the State for the work to be performed by the Contractor during this
renewal term is Eightv Eight Thousand One Hundred One Dollars, ($88,101.00) for an amended total
contract financial obligation of the State of Two Hundred Twenty Four Thousand One Hundred Eighty
Eight Dollars, ($224,188.00). This is an increase of Eighty Eight Thousand One Hundred One Dollars,
($88,101.00) of the amount payable from the previous term. Of the maximum amount for this renewal
term Sixtv Nine Thousand Fortv One Dollars, ($69,041.00) are attributable to a funding source of the
State of Colorado and Nineteen Thousand Sixty Dollars, ($19,060.00) are attributable to a fimding 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 One Hundred Seventy One
Thousand Fifty Six Dollars, ($171,056.00) are attributable to a funding source of the State of Colorado
and Fiftv Three Thousand One Hundred Thirty Two Dollars, ($53,132.00) are attributable to a fimding
source of the United States Government. The revised specifications to the original Statement of Work and
revised Budget, if any, for this renewal term are incorporated herein by this reference and identified as
"Exhibit H" and "Exhibit I".
B. The following provision shall replace #7 of Exhibit A, Additional Provisions, of the Original Contract:
For each billing quarter, the Contractor shall invoice for one-fifth (1/5) of the total approved budget
amount.
The Original Task Order Contract is modified accordingly. All other terms and conditions of the Original
Task Order Contract are reaffirmed.
The Effective Date of this Task Order Amendment is April 11% 2017, or upon approval of the State
Controller, or an authorized delegate thereof, whichever is later.
Except for the General Provisions and Special Provisions of the Original Task Order Contract, in the event
of any conflict, inconsistency, variance, or contradiction between the terms and provisions of this Task
Order Amendment and any of the terms and provisions of the Original Task Order Contract, the terms and
provisions of this Task Order Amendment shall in all respects supersede, govern, and control. The Special
Provisions shall always control over other provisions of the Original Task Order Contract or any
subsequent Task Order Amendments thereto. The representations in the Special Provisions to the Original
Task Order Contract concerning the absence of personal interest of state of Colorado employees 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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AMD#4 17 96746.docx
IN WITNESS WHEREOF, the parties hereto have executed this Task Order 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 u 'c Health ge
ignat%ure of Authorize Officer
.�e,
Date
Print Name of Authorized Officer
e t -b4 .(L-
Print Title of Authorized Officer
STATE:
STATE OF COLORADO
John W. Hickenlooper, Governor
By: ry�,— nblc�
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.
STATE CONTROLLER
Rober,f Jaros, CPA, MBA, JD
By:
Date: �/�-L ``
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AMD#4 17 96746.docx
EXHIBIT H
STATEMENT OF WORK
To Original Contract Routing Number 15 FHHA 74623
Contract Amendment #4 Routing Number 17 FHHA 96746
These provisions are to be read and interpreted in conjunction with the provisions of the contract
specified above.
I. Entity Name: Eagle County
Term: April 1, 2017 through June 30, 2018
II. 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.
III. Definitions:
ACIP: Advisory Committee on Immunization Practices
CCC: Child Care Centers as defined by Colorado State Board of Health Rule 6 CCR 1009-2
CCR: Code of Colorado Regulations
CDC: Center for Disease Control and Prevention
CDPHE: Colorado Department of Public Health and Environment
CIIS: Colorado Immunization Information System
CIB: Colorado Immunization Branch
Deputization: The formal extension of authority to provide VFC vaccines to eligible underinsured
children from a participating FQHC or RHC to another VFC-enrolled provider;
typically a local public health agency. Previously called Delegation of Authority.
FQHC: Federally Qualified Health Center
LPHA: Local Public Health Agency
MOU: Memorandum of Understanding
RHC: Rural Health Center
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.
VFC: Vaccines for Children
IV. Work Plan:
Goal #1: Reduce vaccine preventable diseases in Colorado by increasing or maintaining immunization coverage.
Objective #1: No later than the expiration date of the contract, the Contractor 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.
Page 1 of 4
Contract—SOW—Exhibit B December 2015.doc
EXHIBIT H
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Contract—SOW—Exhibit B December 2015.doc
1. The Contractor shall vaccinate children eligible for VFC vaccine per ACIP
recommendations.
2. The Contractor shall vaccinate persons eligible for Section 317 vaccine per ACIP
recommendations.
3. The Contractor shall enter and submit immunization data into CIIS within thirty
(30) days of vaccine administration.
4. The Contractor shall review the county level Immunization Rates Report for
children 19-35 months of age and adolescents 13-17 years of age no later than
thirty (3 0) days after distribution by CIB and compare to the CDC National
Immunization Surveys; Child and Teen and CIIS-generated statewide rates
provided by CIB in order to increase awareness of county versus state and national
immunization rates.
5. The Contractor shall implement a minimum of one (1) evidence based strategy,
such as CIIS reminder/recall, to reduce or eliminate coverage disparities by race,
ethnicity and socio-economic status.
Sub -Activities 41
6. The Contractor shall promote informed vaccine decision making for consumers,
healthcare providers, staff who administer immunizations, 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.
10. The Contractor shall provide information to schools and CCCs about the Colorado
State Board of Health Rude 6 CCR 1009-2 annual reporting deadline of December
l; respond to questions from schools and CCCs to assist in their preparation for
reporting compliance; and follow up with schools and CCCs who fail to report
their data.
Primary Activity #2
The Contractor shall increase or maintain staff immunization expertise.
1. The Contractor shall participate in the monthly CIB Immunization Update call or
listen to the CIB provided audio recording of the call within thirty (30) days.
Sub -Activities #2
2. The Contractor shall participate in a minimum of one (1) immunization related
training or conference.
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Contract—SOW—Exhibit B December 2015.doc
EXHIBIT H
1. The Contractor shall utilize the final results of the CDC National Immunization
Surveys; Child and Teen and CIIS-generated statewide rates provided by CIB via
email communication in order to increase awareness of county versus state and
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 on the following website
https://www.ciisresources.com. The content of this website is incorporated and
made part of this task order by reference.
The Contractor shall comply with the ACIP recommendations for vaccine
administration located on the following website
http://www.cdc.gov/vaccines/acip/index.html. The content of this website is
incorporated and made part of this task order by reference.
4. The Contractor shall promote compliance with school immunization rules within
the Colorado State Board of Health Rule 6 CCR 1009-2 located on the following
website
http://www.sos.state.co.us/CCR/GenerateRu]ePdf.do?ruieVersionId=6316. This
document establishes immunization standards and is incorporated and made part
of this task order by reference.
Standards and 5. The Contractor shall comply with the requirements for utilizing VFC vaccine
Requirements 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 to
eliminate coverage disparities by race, ethnicity and socio-economic status located
on the following website www.thecommunity tgt ide.org. The content of this
website is incorporated and made part of this task order by reference.
8. The Contractor shall utilize deputization MOU guidance as provided by CIB via
email communication.
9. CIB will provide programmatic technical assistance upon request.
10. 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.
11. Information on enrollment resources, referral locations, LEP and outreach and
promotional materials are located on the following website
https://www.colorado.gov/pacific/cdphe-lpha/administration-and-governance and
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Contract—SOW—Exhibit B December 2015.doc
EXHIBIT H
V. Monitoring:
CDPHE's monitoring of this contract for compliance with performance requirements will be conducted
throughout the contract period by the CDPHE 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.
VI. Resolution of Non -Compliance:
The Contractor will be notified in writing within 15 calendar 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 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 CDPHE 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.
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Contract—SOW—Exhibit BDecember 2015.doc
are incorporated and made a part of this task order by reference.
12. 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.
Expected Results of
Immunizations are provided, promoted and administered within the contractor's
Activity(s)
jurisdiction.
Measurement of
1. Data contained in Immunization Rates Report
Expected Results
2. Data contained in quarterly progress reports
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®vfc2state.co.us,
following the
receipt of the
enrollment packet
2. The Contractor shall submit an electronic quarterly progress
No later than 30
report via the following website
calendar days
https:Hfs9.foriiisite.com/Coloi-adolMMpi-ogi-ai-n/2017CorePi-o
following the last
gress-Report/index.html. The content of this website is
day of: March,
incorporated and made part of this task order by reference.
June, September
and December,
annually
V. Monitoring:
CDPHE's monitoring of this contract for compliance with performance requirements will be conducted
throughout the contract period by the CDPHE 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.
VI. Resolution of Non -Compliance:
The Contractor will be notified in writing within 15 calendar 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 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 CDPHE 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.
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Contract—SOW—Exhibit BDecember 2015.doc
EXHIBIT I
BUDGET
Contract Routing Number 17 FHHA 96746
Original Budget
Immunization Core Service Activities -Eagle
Federal (FY17-18)
Federal 317 funds (April 1, 2017 -June 30, 2018)
$19,060
State (FY17)
State FY17 Tobacco Tax funds (April 1, 2017 -June 30, 2017)
$9,556
State FY17 MSA funds (April 1, 2017 -June 30, 2017)
$2,500
State FY17 GFND funds (April 1, 2017 -June 30, 2017)
$2,040
State (FY18)
State FY18 Tobacco Tax funds (July 1, 2017 -June 30, 2018)
$46,375
State FY18 MSA funds (July 1, 2017 -June 30, 2018)
$8,570
TOTAL AMOUNT: '
$88,101
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