HomeMy WebLinkAboutC17-220 Colorado Department of Public Health and EnvironmentDEPARTMENT OF PUBLIC HEALTH AND
ENVIRONMENT
CMS ROUTING NO. CURRENT CMS#
18 FAA 97454
APPROVED TASK ORDER CONTRACT — WAIVER #154
This task order contract is issued pursuant to master contract made on 11/23/2016, with routing number 18 FAA 00016.
STATE: CONTRACTOR:
State of Colorado for the use & benefit of the Board of County Conunissioners of Eagle County
Department of Public Health and Environment (a political subdivision of the state of Colorado)
Office of Planning, Partnerships and Improvement for the use and benefit of the
4300 Cherry Creek Drive South Eagle County Public Health Agency
Denver, Colorado 80246 551 Broadway
CONTRACT MADE DATE: MAY 4, 2017 Eagle, CO 81631
CORE ENCUMBRANCE NUMBER: CONTRACTOR ENTITY TYPE:
CT FAAA 2018250 Political Subdivision Colorado
TERM:
This contract shall be effective upon approval by
the State Controller, or designee, or on 7/01/2017,
whichever is later. The contract shall end on 6/30/2018.
Exempt
BID/RFP/LIST PRICE AGREEMENT NUMBER:
Not Applicable
LAW SPECIFIED VENDOR STATUTE:
Not Applicable
STATE REPRESENTATIVE:
Heather Weir
Department of Public Health and Environment
Office of Planning, Partnerships and Improvement
4300 Cherry Creek Drive South
Denver, CO 80246
t27MMC110093WGIN121@ci a
BILLING STATEMENTS RECEIVED:
Quarterly
STATUTORY AUTHORITY: Not Applicable
CLASSIFICATION:
Subrecipient
CONTRACT PRICE NOT TO EXCEED:
$173,443.14
FEDERAL FUNDING DOLLARS:
$53,210.00
STATE FUNDING DOLLARS:
$120,233.14
OTHER FUNDING DOLLARS:
Specify "Other":
MAXIMUM AMOUNT AVAILABLE PER FISCAL
YEAR:
FY 18:
PRICE STRUCTURE:
$173,443.14
Fixed Price
CONTRACTOR REPRESENTATIVE:
Denise Matthews, Fiscal and Operations Manager
Eagle County Public Health Agency
551 Broadway
Eagle, CO 81631
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.
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C17-220
EXHIBITS:
The following exhibits are hereby incorporated:
Exhibit A - Additional Provisions (and any of its Attachments; e.g., A-1, A-2, etc.)
Exhibit B - Statement of Work (and any of its Attachments; e.g., B-1, B-2, etc.)
Exhibit C - Budget (and any of its Attachments; e.g., C-1, C-2, etc.)
Exhibit D - Option Letter
Exhibit E - Grant Funding Change Letter
GENERAL PROVISIONS
The following clauses apply to this Task Order Contract. These general clauses may have been expanded upon or made
more specific in some instances in exhibits to this Task Order Contract. To the extent that other provisions of this Task
Order Contract provide more specificity than these general clauses, the more specific provision shall control.
This Task Order Contract is being entered into pursuant to the terms and conditions of the Master Contract
including, but not limited to, Exhibit One thereto. The total term of this Task Order Contract, including any
renewals or extensions, may not exceed five (5) years. The parties intend and agree that all work shall be
performed according to the standards, terms and conditions set forth in the Master Contract.
2. In accordance with section 24-30-202(1), C.R.S., as amended, this Task Order Contract is not valid until it has
been approved by the State Controller, or an authorized delegee thereof. The Contractor is not authorized to,
and shall not; commence performance under this Task Order Contract until this Task Order Contract has been
approved by the State Controller or delegee. The State shall have no financial obligation to the Contractor
whatsoever for any work or services or, any costs or expenses, incurred by the Contractor prior to the effective
date of this Task Order Contract. If the State Controller approves this Task Order Contract on or before its
proposed effective date, then the Contractor shall commence performance under this Task Order Contract on
the proposed effective date. If the State Controller approves this Task Order Contract after its proposed
effective date, then the Contractor shall only continence performance under this Task Order Contract on that
later date. The initial term of this Task Order Contract shall continue through and including the date specified
on page one of this Task Order Contract, unless sooner terminated by the parties pursuant to the terms and
conditions of this Task Order Contract and/or the Master Contract. Contractor's conunencement of
performance under this Task Order Contract shall be deemed acceptance of the terms and conditions of this
Task Order Contract.
The Master Contract and its exhibits and/or attachments are incorporated herein by this reference and made a
part hereof as if fully set forth herein. Unless otherwise stated, all exhibits and/or attachments to this Task Order
Contract are incorporated herein and made a part of this Task Order Contract. Unless otherwise stated, the terns of
this Task Order Contract shall control over any conflicting terms in any of its exhibits. In the event of conflicts or
inconsistencies between the Master Contract and this Task Order Contract (including its exhibits and/or
attachments), or between this Task Order Contract and its exhibits and/or attachments, such conflicts or
inconsistencies shall be resolved by reference to the documents in the following order of priority: 1) the
Special Provisions of the Master Contract; 2) the Master Contract (other than the Special Provisions) and its
exhibits and attachments in the order specified in the Master Contract; 3) this Task Order Contract; 4) the
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Additional Provisions — Exhibit A, and its attachments if included, to this Task Order Contract; 5) the
Scope/Statement of Work — Exhibit B, and its attachments if included, to this Task Order Contract; 6) other
exhibits/attachments to this Task Order Contract in their order of appearance.
4. The Contractor, in accordance with the terms and conditions of the Master Contract and this Task Order
Contract, shall perform and complete, in a timely and satisfactory manner, all work items described in the
Statement of Work and Budget, which are incorporated herein by this reference, made a part hereof and
attached hereto as "Exhibit B" and "Exhibit C".
The State, with the concurrence of the Contractor, may, among other things, prospectively renew or extend the
term of this Task Order Contract, subject to the limitations set forth in the Master Contract, increase or
decrease the amount payable under this Task Order Contract, or add to, delete from, and/or modify this Task
Order Contract's Statement of Work through a contract amendment. To be effective, the amendment must be
signed by the State and the Contractor, and be approved by the State Controller or an authorized delegate
thereof. This contract is subject to such modifications as may be required by changes in Federal or State law,
or their implementing regulations. Any such required modification shall automatically be incorporated into and
be part of this Task Order Contract on the effective date of such change as if fully set forth herein.
6. The conditions, provisions, and terms of any RFP attached hereto, if applicable, establish the minimum
standards of performance that the Contractor must meet under this Task Order Contract. If the Contractor's
Proposal, if attached hereto, or any attachments or exhibits thereto, or the Scope/Statement of Work — Exhibit
B, establishes or creates standards of performance greater than those set forth in the RFP, then the Contractor
shall also meet those standards of performance under this Task Order Contract.
7. STATEWIDE CONTRACT MANAGEMENT SYSTEM [This section shall apply when the Effective Date
is on or after July 1, 2009 and the maxinnun amount payable to Contractor hereunder is $100,000 or higher]
By entering into this Task Order Contract, Contractor agrees to be governed, and to abide, by the provisions of
CRS §24-102-205, §24-102-206, §24-103-601, §24-103.5-101 and §24-105-102 concerning the monitoring of
vendor performance on state contracts and inclusion of contract performance information in a statewide
contract management system.
Contractor's performance shall be evaluated in accordance with the terms and conditions of this Task Order
Contract, State law, including CRS §24-103.5-101, and State Fiscal Rules, Policies and Guidance. Evaluation
of Contractor's performance shall be part of the normal contract administration process and Contractor's
performance will be systematically recorded in the statewide Contract Management System. Areas of review
shall include, but shall not be limited to quality, cost and timeliness. Collection of information relevant to the
performance of Contractor's obligations under this Task Order Contract shall be determined by the specific
requirements of such obligations and shall include factors tailored to match the requirements of the Statement
of Project of this Task Order Contract. Such performance information shall be entered into the statewide
Contract Management System at intervals established in the Statement of Project and a final review and rating
shall be rendered within 30 days of the end of the Task Order Contract term. Contractor shall be notified
following each performance and shall address or correct any identified problem in a timely manner and
maintain work progress.
Should the final performance evaluation determine that Contractor demonstrated a gross failure to meet the
performance measures established under the Statement of Project, the Executive Director of the Colorado
Department of Personnel and Administration (Executive Director), upon request by the Colorado Department
of Public Health and Environment and showing of good cause, may debar Contractor and
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prohibit Contractor from bidding on future contracts. Contractor may contest the final evaluation and result by:
(i) filing rebuttal statements, which may result in either removal or correction of the evaluation (CRS §24-105-
102(6)), or (ii) under CRS §24-105-102(6), exercising the debarment protest and appeal rights provided in
CRS §§24-109-106, 107, 201 or 202, which may result in the reversal of the debarment and reinstatement of
Contractor, by the Executive Director, upon showing of good cause.
8. If this Contract involves federal fiords or compliance is otherwise federally mandated, the Contractor and its
agent(s) shall at all times during the term of this contract strictly adhere to all applicable federal laws, state
laws, Executive Orders and implementing regulations as they currently exist and may hereafter be amended.
Without limitation, these federal laws and regulations include the Federal Funding Accountability and
Transparency Act of 2006 (Public Law 109-282), as amended by §6062 of Public Law 110-252, including
without limitation all data reporting requirements required there under. This Act is also referred to as FFATA.
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SIGNATURE PAGE
Contract Routing Number: 18 FAA 97454.
THE PARTIES HERETO HAVE EXECUTED THIS CONTRACT
Each person signing this Contract represents and warrants that he or she is duly authorized to execute this Contract and to bind the party authorizing his or her
signature.
CONTRACTOR
Board of County Commissioners of Eagle County
for the use and benefit of the
Eagle County Public Health Agency
Political Subdivision
Jillian H. Ryan
Print Name of Authorized Individual
Chair
PROGRAM APPROVAL
Colorado Department of Public Health and Environment
By: &1&16
Signature of Authorized CDPHE Program Approver
Date
STATE OF COLORADO
John W. Hickenlooper, Governor
Colorado Department of Public Health and
Environment
Larry Wolk, MD, MSPH, Executive Director and
Chief Medical Officer
By:
Lisa McGovern
Purchasing and Contracting Section Director, CDPRE
Date
In accordance with §24-30-202 C.R.S., this Contract is not valid until signed and dated below by the State Controller or an
authorized delegate.
STATE CONTROLLER
Obert Jaros, ,MBA, JD
By:
Effective Date: -711
L)//
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Exhibit A
ADDITIONAL PROVISIONS
To Task Order Contract Dated 05/04/2017 CMS Task Order Routing Number 18 FAA 97454
These provisions are to be read and interpreted in conjunction Nvith the provisions of the Task Order Contract specified above.
This Task Order Contract contains state funds and federal funds (see Catalog of Federal Domestic
Assistance (CFDA) number 93.994).
2. The United States Department of Health and Human Services ("USHHS"), through the Health Resources
and Services Administration ("HRSA") has awarded as of 10/01/2016 anticipated federal funds of
S 1,417,917.00 under Notice of Cooperative Agreement Award, hereinafter "NCAA", number
B04MC30601-01-00, to perform the following — Maternal and Child Health Services.
If the underlying Award authorizes the State to pay all allowable and allocable expenses of a Contractor as
of the Effective Date of that Award, then the State shall reimburse the Contractor for any allowable and
allocable expenses of the Contractor that have been incurred by the Contractor since the proposed Effective
Date of this Task Order Contract. If the underlying Award does not authorize the State to pay all allowable
and allocable expenses of a Contractor as of the Effective Date of that Award, then the State shall only
reimburse the Contractor for those allowable and allocable expenses of the Contractor that are incurred by
the Contractor on or after the Effective Date of this Task Order Contract, with such effective date being the
later of the date specified in this Task Order Contract or the date the Task Order Contract is signed by the
State Controller or delegee.
Time Limit For Acceptance Of Deliverables.
a. Evaluati n Period. The State shall have thirty (30) calendar days from the d to a deliverable is
delivered to the State by the Contractor to evaluate that deliverable, except fbr those deliverables
that have a different time negotiated by the State and the Contractor.
b. Notice of Defect. If the State believes in good faith that a deliverable fails to meet the design
specifications for that particular deliverable, or is otherwise deficient, then the State shall notify
the Contractor of the failure or deficiencies, in writing, within thirty (30) calendar days of. 1) the
date the deliverable is delivered to the State by the Contractor if the State is aware of the failure or
deficien y at the time of delivery; or 2) the date the State becomes aware of the failure or
deficien y. The above time frame shall apply to all deliverables except forthose deliverables that
have a d fferent time negotiated by the State and the Contractor in writing pursuant to the State's
fiscal rules.
C. Time to Correct Defect. Upon receipt of timely written notice of an objection to a completed
deliverable, the Contractor shall have a reasonable period of time, not to exceed thirty (30)
calendar days, to correct the noted deficiencies. If the Contractor fails to correct such deficiencies
within thirty (30) calendar days, the Contractor shall be in default of its obligations under this
Task Order Contract and the State, at its option, may elect to terminate this Task Order Contract or
the Master Contract and all Task Order Contracts entered into pursuant to the Master Contract.
Health Insurance Portability and Accountability Act (HIPAA) Business Associate Determination.
The State has determined that this Contract does noti constitute a Business Associate relationship under
HIPAA.
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Exhibit A
This award does not include funds for Research and Development.
6. The State may require continued performance for a period of 4 terms at the same rates and same terms specified
in the Contract. If the State exercises the option, it will provide written notice to Contractor at least 30 days prior to
the end of the current contract term in a form substantially equivalent to Exhibit D. If exercised, the provisions of
the Option Letter shall become part of and be incorporated into the original contract. The total duration of this Task
Order, including the exercise of any options under this clause, shall not exceed 5 years.
7. The State may increase or decrease the quantity of goods/services described in Exhibit B based upon the rates
established in the task order. If the State exercises the option, it will provide written notice to Contractor at least 30
days prior to the end of the current contract term in a form substantially equivalent to Exhibit D.
Delivery/performance of the goods/service shall continue at the same rates and terms. If exercised, the provisions of
the Option Letter shall become part of and be incorporated into the original task order.
8. The State, at its discretion, may unilaterally increase or decrease the total fiords available under this Grant, the
fiords available under the Grant during any State fiscal Year or the fiords available for any specific line items
described in this Grant. In order to exercise this right, the State shall provide written notice to Grantee in a form
substantially equivalent to Exhibit E. The exercise of this right shall not be valid until it has been approved by the
contractor.
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Exhibit B
STATEMENT OF WORK
To Original Contract Routing Number 18 FAA 97454
These provisions are to be read and interpreted in conjunction Reith the provisions of the contract specified above.
I. Project Description:
Local public health agencies are essential to the provision of quality and comprehensive public health services
throughout the state and are critical partners with the Colorado Department of Public Health and Environment
in maintaining a strong public health system. 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 may differ across agencies based on community needs, priorities,
funding and capacity. The Office of Planning, Partnerships and Improvement and the local public health
agency are accountable in assuring state moneys are being used effectively to provide Core Public Health
Services.
U. Definitions:
1. CDPHE: Colorado Department of Public Health and
Environment
2. CDS: CYSHCN Data System
3. CFPS: Child Fatality Prevention System
4. CYSHCN: Children and Youth with Special Health Care Needs
5. HCP: Program for Children and Youth with Special Health Care Needs
6. MCH: Maternal and Child Health
III. Work Plan:
A. Local Planning and Support
Goal #1: Strengthen Colorado's public health system by ensuring corse public health services are available statewide.
Objective #1: No later than the expiration of the contract, the Contractor shall provide support for Core Public Health
Sery'ces.
Primary Activity #1
The Contractor shall provide or assure the provision Core Public Health Services within their
jurisdiction.
1. The Contractor shall participate in assessment and planning efforts at the state, regional and
local level facilitated by the Office of Planning, Partnerships and Improvement.
Sub -Activities #1
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 comply with the Core Public Health Services Rule 6 CCR 1014-7.
Standards and
This document is incorporated and made part of this contract by reference and is available
Requirements
on the following website: http://www.sos.state.co.us/CCR/Welcome.do.
3. The Contractor shall utilize the Colorado Health Assessment and Planning System
(CHAPS) guidance as a technical assistance resource for all activities. This information is
located on the CDPHE local public health and environmental resources website
h"s://www.colorado. og v/cdphe-lpha and is incorporated and made port of this contract by
reference.
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Exhibit B
B. Maternal and Child Health Services
Goal #1: Optimize the health and well-being of mothers and children by employing primary prevention and early
4. The Contractor shall be guided by Colorado Minimum Quality Standards for Public Health
Objective #1: No later than the expiration of the contract, the Contractor shall identify and address maternal and child health
Services 6CCR 1014-9. This document is incorporated and made part of this contract by
Primary Activity #1
reference and is available on the following website:
and child
hqp://www.sos.state.co.us/CCR/Welcome.do.
health.
5. The Contractor shall contribute funding for its local health services as determined
necessary by the Contractor to meet their local health needs.
6. CDPHE will compile data that has been provided by the Contractor to other CDPHE
programs to verify services provided or assured.
3. The Contractor shall meet with internal partners to identify ongoin� areas of alignment
Expected Results of
Increase or maintain core public health services within the Contractor's jurisdiction to meet
local needs.
Activity(s)
accelerating the achievement of mutual objectives.
Sub -Activities #1
Data provided in the Contractor yearly report provides evidence of the services provided or
Measurement of
assured through another local public health agency and how these services are funded.
Expected Results
Additional data is provided at the program level to CDPHE.
Completion Date
The Contractor shall submit a yearly report electronically to the
No later than April
Deliverables
Administrative Manager in a format provided the Office of Planning,
30, 2018
Primary Activity #2
Partnerships and Improvement.
B. Maternal and Child Health Services
Goal #1: Optimize the health and well-being of mothers and children by employing primary prevention and early
intervention public health strategies.
Objective #1: No later than the expiration of the contract, the Contractor shall identify and address maternal and child health
needs within their county jurisdiction to improve the health and well-being of mothers and children.
Primary Activity #1
The Contractor shall implement evidence -based strategies to improve 7aternal
and child
health.
1. The Contractor shall select one or more of the identified MCH priorities on which to focus.
2. The Contractor shall complete the Maternal and Child Health Electronic Planning Form,
including identification of selected priority(ies) and strategy(ies) to be implemented.
3. The Contractor shall meet with internal partners to identify ongoin� areas of alignment
between MCH and local public health improvement plan strategies, with the goal of
accelerating the achievement of mutual objectives.
Sub -Activities #1
4. The Contractor shall implement activities to impact the MCH priority indicated on the
Maternal and Child Health Electronic Planning Form.
5. The Contractor shall participate in a minimum of two progress check-in calls with their
MCH consultant.
6. The Contractor shall complete the MCH portion of the Office of Planning, Partnerships,
and Improvement's Local Planning and Support Yearly Report.
Primary Activity #2
The Contractor shall implement HCP, a Program for Children and Youth with Special Health
jurisdiction.
Care Needs within their agreed upon
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Exhibit B
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1. The Contractor shall provide information and resources for community partners and families
of children and/or youth with special health care needs.
2. The Contractor shall conduct outreach to community organizations to establish connections
and strengthen referral systems with HCP.
3. The Contractor shall provide the HCP model of care coordination as outlined in the HCP
policies and guidelines.
Sub -Activities #2
4. The Contractor shall participate in HCP statewide meetings via webinar every other month
as scheduled.
5. The Contractor shall complete the HCP Electronic Planning Form.
6. The Contractor shall participate in a progress check-in call with their HCP consultant to
review their annual HCP Electronic Planning Form.
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's work shall be guided by the MCH priority local action plans that
Standards and
correspond with their selected priorities. This information is located on the MCH website
www.mchcolorado.org and incorporated and made part of this contract by reference.
Requirements
3. The Contractor shall comply with HCP policies and guidelines. This information is located
on the HCP website http://www.hcpcolorado.org and incorporated and made part of this
contract by reference.
4. The Contractor shall use the MCH and HCP Electronic Planning Form provided by the
Office of Planning, Partnerships and Improvement.
Increase or mainta�
the health status and needs of the maternal and child population within the
Expected Results of
Contractor's jurisdiction.
Activity(s)
1. Performance toward MCH objectives (Objective 1) shall be measured through completion
of the MCH portion of the Office of Planning, Partnerships, and Improvement's Local
Planning and Support Contract electronic annual report.
Measurement of
2. The ContractoT meets at least 75% of their information and resource target in thei annual
Expected Results
HCP Electron c Planning Form.
3. The Contractor meets at least 75% of their care coordination target during the current
contract period in their annual HCP Electronic Planning Form.
4. Data contained in CDS provides evidence of the children and/or youth provided with care
coordination services.
Completion Date
1. The Contractor shall submit the MCH and HCP Planning Form for
No later than
the next contract period to the CDPHE Public Health Nurse
June 1, 2018
Deliverables
Consultant electronically.
2. The Contractor shall submit the HCP Annual Report provided by
No later than
CDPHE to the HCP Consultant electronically.
June 30, 2018
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Exhibit B
C. Child Fatality Prevention System
Goal #1: Reduce the number of child deaths in Colorado due to the following causes: undetermined, unintentional injury,
violence, motor vehicle incidents, child abuse and neglect, sudden unexpected infant deaths, and suicide.
Objective #1: The Contractor shall conduct individual, case -specific, multidisciplinary reviews of child fatalities assigned to
the local child fatality prevention review team.
The Contractor shall conduct individual, case -specific, multidisciplinary reviews of child
Primary Activity #1
fatalities assigned to the local child fatality prevention review team based on coroner's
jurisdiction.
1. The Contractor shall access the Death Certificate File Transfer Protocol (FTP) Website on
a monthly basis to obtain death certificates for each child fatality assigned to the local
child fatality review team.
2. The Contractor shall gather case records from the coroner's office, law enforcement
agencies, department of human services, hospitals, and other agencies for each child
fatality assigned to the local child fatality review team.
3. The Contractor shall abstract critical data from case records and enter the data into the
National Center Data Collection Website for each child fatality assigned to the local child
fatality review team.
Sub -Activities #1
4. The Contractor shall develop case summaries for the purpose of completing the
"Narrative" section (Section M) of the National Center Data Collection Website for each
child fatality assigned to the local child fatality review team.
5. The Contractor shall coordinate and facilitate local child fatality review team meetings
with multidisciplinary local child fatality review team members to conduct individual,
case -specific reviews of child fatalities for the purpose of discussing and identifying
prevention recommendations in the "Review Meeting Process" section (Section L) of the
National Center Data Collection Website.
6. No later two months after reviewing a child fatality, the Contractor shall complete data
entry for Sections A -N and click "Data entry completed" of the National Center Data
Collection Website for each child fatality assigned to the local child fatality review team.
Objective #2: No later than the expiration date of this contract, the Contractor shall participate in statewide efforts to
implement the Colorado Child Fatality Prevention System (CFPS).
Primary Activity #1
The Contractor shall promote evidence -based injury and violence prevention strategies.
1. The Contractor shall provide input and vote on state -level prevention recommendations to
be prioritized by the CFPS State Review Team for the CFPS annual legislative report.
2. The Contractor shall apply a public health approach to identify trends and patterns of child
fatalities using local child fatality prevention review team data reports.
3. The Contractor shall apply a public health approach to identify prevention strategies and
Sub -Activities #1
systems improvements to implement at the local level.
4. The Contractor shall implement evidence -based child fatality prevention strategies and
system improvements at the local level.
5. The Contractor shall complete the Prevention Strategies Tracking Form for any
prevention strategies and system improvements that are promoted and implemented at the
local level.
Primary Activity #2
The Contractor shall participate in training opportunities facilitated by CFPS support staff at
CDPHE.
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Exhibit B
1. The Contractor shall attend the annual local coordinator training hosted by CFPS support
staff at CDPHE.
Sub -Activities #2
2. The Contractor shall participate in web -based trainings facilitated by CFPS support staff
at CDPHE.
Primary Activity #3 The Contractor shall participate in statewide evaluation of the Colorado CFPS and complete
state -level data collection tools and surveys.
1. The Contractor shall complete and submit the Local CFPS Annual Survey on an annual
Sub -Activities #3 basis.
l
Standards and
Requirements
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 comply with the Child Fatality Prevention Act C.R.S. 25-20.5-404-
409. This document is incorporated and made part of this contract by reference and is
available on the following website http://www.sos.state.co.us/CCR/Welcome.do.
3. The Contractor shall adhere to processes and policies outlined in the Colorado Child
Fatality Prevention System (CFPS) Operations Manual to conduct individual, case -
specific review of fatalities; identify prevention recommendations; and enter information
regarding the child fatality into the National Center Data Collection Website. This
document is incorporated and made part of this contract by reference and is available on
the following website http://www.cochildfatalityprevention.com/p/cfps-operations-
manual.html.
4. Reviewable child fatalities include one or more of the following causes: undetermined
causes, unintentional injury, violence, motor vehicle incidents, child abuse/neglect,
sudden unexpected infant death (SUID), and suicide.
5. The Contractor shall maintain access and ensure the Local Child Fatality Prevention
Review Team Coordinator has login credentials to the Death Certificate File Transfer
Protocol (FTP) Website and the National Center Data Collection Website
https://www.cdrdata.org/auth/login.
6. CDPHE will assign child fatalities for review to the Contractor based on the coroner's
jurisdiction using the Death Certificate File Transfer Protocol (FTP) Website on a
monthly basis. This website content is incorporated and made part of this contract by
reference and is accessible at https:Hsecft2.dphe.state.co.us/thinclient/Login.aspx.
7. The Contractor shall complete individual, case -specific, multidisciplinary reviews and
data entry of child fatalities.
8. CDPHE will conduct quality assurance checks as defined on the Colorado Child Fatality
Prevention website on the data entered into the National Center Data Collection Website
for child fatalities reviewed by the Contractor. This information is incorporated and made
part of this contract by reference and is available on the following website
http://www.cochildfatalityprevention.com/.
Eagle—task order—FY 18. docx ver 24.5.17
The Contractor shall request technical assistance and training from the CFPS support staff
at CDPHE by completing and submitting an online form. This form is incorporated and
made part of this contract by reference and is available on the following website
http://www.cochildfatalityprevention.com/p/contact-cfps-staff html.
Page 13 of 20
Exhibit B
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10. CDPHE will analyze and aggregate child fatality data and disseminate this data to the
Contractor in local child fatality prevention review team data reports. In addition, CDPHE
will provide information and resources for evidence -based injury and violence prevention
strategies and will make this information available on the Colorado Child Fatality
Prevention website. This information is incorporated and made part of this contract by
reference and is accessible at http://www.cochildfatalityprevention.com/p/prevention-
efforts.html.
11. The Contractor shall incorporate information from the Colorado Child Fatality Prevention
website on acceptable and approved uses of funding for child fatality, injury, and violence
prevention strategies when implementing local prevention strategies. This website content
is incorporated and made part of this contract by reference and is accessible at
http://www.cochiIdfatalityprevention.comp/prevention-efforts.htni1.
12. The Contractor shall use the electronic Prevention Strategies Tracking Form located on
the Colorado Child Fatality Prevention website when tracking prevention strategies and
system improvements. This information is incorporated and made part of this contract by
reference and is available on the following website
http://www.cochildfatalityprevention.com/.
13. The Contractor shall notify CFPS support staff at CDPHE within thirty (30) calendar days
of a change of the Local Child Fatality Prevention Review Team Coordinator responsible
for the performance of services provided under this contract.
14. Travel may be required from time to time by CDPHE.
15. The contractor shall attend meetings as requested by CDPHE.
1. Improved understanding of child fatality data in Colorado including circumstances, risk
and protective factors, trends, and patterns surrounding the child deaths
Expected Results of
Activity(s)
2. Identification of evidence -based prevention recommendations to prevent fixture child
fatalities from occurring in Colorado.
3. Im lemented and evaluated child fatality prevention strategies at the state and local levels.
1. Sections A -N of the National Center Data Collection Website will be completed for 100%
of child fatalities that occurred in Colorado and meets CFPS's review criteria within the
Measurement of
local child fatality prevention review team's jurisdiction.
Expected Results
2. Increased number of prevention strategies implemented at the state and local levels as
documented in the CFPS annual report, the Local CFPS Annual Survey, and the
Prevention Strategies Tracking Form.
Completion Date
1. The Contractor shall complete entry of child fatality data into the
No later than two
National Center Data Collection Website for each child fatality
months after
assigned to the local child fatality review team.
conducting the child
fatality review
Deliverables
meeting.
2. The Contractor shall submit the web -based Local CFPS Annual
No later than
Survey provided by CDPHE electronically.
August 31, 2017
3. The Contractor shall provide input and vote on state -level
No later than
prevention recommendations via a web -based survey provided by
April 15, 2018
CDPHE electronically.
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Exhibit B
4. The Contractor shall submit the online Prevention Strategies No later than
Tracking Form for any prevention strategies that are promoted and September 30,2017,
implemented at the local level. January 31, 2018,
and Mav 31. 2018
D. DEHS Child Care and School Work Plan
Goal #1: Provide environmental health services to achieve the uniform statewide administration, implementation and
enforcement of standards and rules established by the CDPHE for child care facilities and schools.
Objective #l: The Contractor shall assure compliance with the Rules and Regulations Governing the Health and Sanitation
of Child Care Facilities and all other regulations, interpretive memoranda, and documents issued by DEHS
which are used to clarify interpretation of the law, rules and regulations.
Primary Activity #1
The Contractor shall conduct regulatory inspections and assure regulatory compliance for child
care facilities in accordance with state laws, regulations and standards.
1. The Contractor shall inspect each child care facility once every two years or on a risk-
based inspection frequency at least once every two years.
2. The Contractor shall enter inspection, intervention and compliance data into the
Contractor's digital database or the State's digital database no later than five working
days after the last day of each month.
3. The Contractor shall implement performance measures to assure that employees
Sub -Activities #1
correctly apply the governing regulations and ensure critical violations are corrected.
4. The Contractor shall use the State inspection form established marking guidance, or a
form approved by the State, and mark the compliance status options for all critical
violations as in compliance (In), out of compliance (Out), not applicable (NA), or not
observed (NO) during each inspection.
5. The Contractor shall participate in individual and statewide trainings, joint inspections
and standardizations offered by DEHS for the child care program.
Objective #2: The Contractor shall assure compliance with the Core Public Health Services regulations, the Rules and
Regulations Governing Schools and all other documents issued by DEHS which are used to clarify
interpretation of the law, rules and regulations.
Primary Activity #2
The Contractor shall conduct regulatory inspections and assure regulatory compliance for
schools in accordance with state laws, regulations and standards.
1. The Contractor shall inspect each school that contains a laboratory or wood shop or
vocational program (high-risk school) once per year.
2. The contractor shall inspect each school that does not contain a laboratory or wood shop
or vocational program (low-risk school) at least once every three years.
Sub -Activities #2
3. The Contractor shall participate in local, regional or statewide self -certification
inspections in coordination with DEHS to assess compliance at schools.
4. The Contractor shall use the State inspection form established marking guidance, or a
form approved by the State, and mark the compliance status options for all critical
violations as in compliance (In), out of compliance (Out), not applicable (NA), or not
observed (NO) during each inspection.
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Exhibit B
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Eagle task order—FY 18. doex ver 24.5.17
5. The Contractor shall enter inspection, intervention and compliance data into the
Contractor's digital database or the State's digital database (DHD) no later than five
working days after the last day of each month.
6. The Contractor shall participate in individual and statewide trainings offered by DEHS
for the school program or supporting data system(s).
1. The Contractor shall comply with the Colorado State Board of Health Rules 6 CCR
1010-7, 6 CCR 1010-6. These documents are incorporated and made part of this contract
by reference and is available on the following website
http://m,ww.sos.state.co.us/CCR/NumericaiDeptList.do.
2. The Contractor shall provide inspections and assure compliance to establish and enforce
sanitary standards for the operation and maintenance of schools and child care facilities.
a. In accordance with Section 5 of 6 CCR 1014-7, Core Public Health Services, when
sufficient appropriations are absent, the contractor shall set priorities for completing
Standards and
the required child care and school inspections, and include the list of priorities in its
Requirements
local public health plan submitted pursuant to section 25-1-505, C.R.S.
3. The Contractor shall maintain adequate inspection and compliance records for child care
facilities and schools in a digital database in order for DEHS to determine:
a. An accurate and complete inventory of existing child care facilities;
b. The number of inspections conducted;
c. The number of critical item violations cited during child care facility and school
inspections, and whether critical items identified on inspections were corrected;
d. Completion rates for required inspections; and,
e. Whether the required inspection frequency was met.
Expected Results of
Complete inspections and assure regulatory compliance in child care facilities and schools in
Activity(s)
proportion with the resources and funding available to each of these programs.
1. The number of child care facilities inspections required to be completed by the
CoQntractor during the State fiscal year and the number of child care f�cility inspections
adtually completed;
2. The number of critical item violations cited during child care facility inspections, and
whether critical items identified on inspections were corrected;
Measurement of
3. The number of high-risk school inspections required to be completed by the Contractor
Expected Results
during the State fiscal year and the number of high-risk school inspections actually
completed;
4. The number of low-risk school inspection required to be completed by the Contractor
during the State fiscal year and the number of low-risk school inspections actually
completed; and,
5. The number of critical item violations cited during school inspections, and whether
critical items identified on inspections were corrected.
Com letion Date
No later than
Deliverables
1. If not using the State's digital database, the Contractor shall
October 31, 2017,
submit a quarterly inspection data and compliance progress
January 31, 2018,
summary via email in a format provided by DEHS.
April 30, 2018, and
June 30, 2018
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Eagle task order—FY 18. doex ver 24.5.17
Exhibit B
E. Monitoring:
CDPHE's monitoring ofthis contract for compliance with performance requirements will be conducted throughout
the contract period by the Office of Planning, Partnerships and Improvement's Contract Monitor. Methods used will
include a review of documentation determined by CDPHE to be reflective of performance to include progress
reports, site visits 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.
F. Resolution of Non -Compliance:
The Contractor will be notified in writing within (7) 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 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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Eagle—task order—FY I 8.docx ver 06.7.17
BUDGET
To Task Order - Contract Routing Number 18 FAA 97454
Budget:
Exhibit C
Quarter
Local Planning and
Support Amount
Maternal Child
Health Amount
Child Fatality
Prevention Amount
TOTAL Payment
July 1 through September 30, 2017
$29,183.29
$13,302.50
$875.00
$43,360.79
October I through December 31, 2017
$29,183.29
$13,302.50
$875.00
$43,360.79
January I through March 31, 2018
$29,183.28
$13,302.50
$875.00
$43,360.78
April 1 through June 30, 2018
$29,183.28
$13,302.50
$875.00
$43,360.78
Total
$116,733.14
$53,210.00
$3,500.00
$173,443.14
Page 18 of 20
Eagle task order FY18.docx ver 06.7.17
Lin
Exhibit D
OPTION LETTER
Date: State Fiscal Year: Option Letter No. CMS Routing #
CORE Encumbrance #
1) OPTIONS: Choose all applicable options listed in §1 and in §2 and delete the rest.
a. Option to renew only (for an additional term)
b. Change in the amount of goods within current term
c. Change in amount of goods in conjunction with renewal for additional term
d. Level of service change within current term
e. Level of service change in conjunction with renewal for additional term
f. Option to initiate next phase of a contract
2) REQUIRED PROVISIONS. All Option Letters shall contain the appropriate provisions set forth below:
a. For use with Options 1(a -e): In accordance with Section(s) of the Original Contract
routing number between the State of Colorado, Insert Name of Department or Higher Ed
Institution , and Contractor's Name, the State hereby exercises its option for an additional term
beginning Insert start date and ending on Insert ending date at a cost/price specified in Section
, AND/OR an increase/decrease in the amount of goods/services at the same rate(s) as
specified in Identify the Section, Schedule, Attachment, Exhibit etc.
b. For use with Option 1(f), please use the following: In accordance with Section(s) of the
Original Contract routing number between the State of Colorado, Insert Name of
Department or Higher Ed Institution , and Contractor's Name, the State hereby exercises its option
to initiate Phase indicate which Phase: 2, 3, 4, etc for the term beginning Insert start date and
ending on Insert ending date at the cost/price specified in Section
c. For use with all Options 1(a -f): The amount of the current Fiscal Year contract value is
increased/decreased by $ amount of change to a new contract value of Insert New $ Amt to as
consideration for services/goods ordered under the contract for the current fiscal year indicate
Fiscal Year. The first sentence in Section is hereby modified accordingly. The total contract
value including all previous amendments, option letters, etc. is Insert New $ Amt.
3) Effective Date. The effective date of this Option Letter is upon approval of the State Controller or
whichever is later.
STATE OF COLORADO PROGRAM APPROVAL
John W. Hickenlooper, Governor Colorado Department of Public Health and
Department of Public Health and Environment Environment !.
By:
Lisa McGovern Heather Weir
Purchasing and Contracting Section Director, CDPHE Director, Office of Planning, Partnerships & Improvement
Date Date
In accordance with §24-30-202 C.R.S., this Contract is not valid until signed and dated below by the State Controller or an authorized
delegate.
STATE CONTROLLER
Robert Jaros, CPA, MBA, JD
By:
Effective Date:
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Exhibit E
GRANT FUNDING CHANGE LETTER
Date:
State Fiscal Year:
Grant Funding
Change
Letter (GFCL) #
CMS Routing #
CORE Encumbrance #
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 words here if previous amendment(s),
renewal(s) have been processed] between the State of Colorado, Department of Public Health and Environment and
<insert contractor name> beginning <insert start date of original contract> and ending on
<insert ending date of current contract amendment>, the undersigned commits the following funds to the Grant:
The amount of (federal, state, other) grant funds available and specified in Section of <insertprevious
contract modification number and routing number>- is ❑ increased or ❑ decreased by $ amount of change to
new total funds for the period <date to date> of $ <insert new period cumulative total> for the
following reason: Section is hereby modified accordingly. The revised Budget is incorporated herein
by this reference and identified as Revised Exhibit *. (if budget attached; delete sentence if no budget included.)
Complete the table below; insert/delete rows as needed.
The table below reflects the original budget and all modifications to the total since the effective date of the Original
Contract.
SUMMARY OF CHANGES
CMS Routing Funding Source
Document Type # (federal, state, other) Period
Dollar
Amount
Period
Total
Original Contract
$
$
$
$
$
$
Contract Cumulative Grand Total
$
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 <insert projected effective date>,
whichever is later.
STATE OF COLORADO PROGRAM APPROVAL
John W. Hickenlooper, Governor Colorado Department of Public Health and
Department of Public Health and Environment Environment
M
Lisa McGovern
Purchasing and Contracting Section Director, CDPHE
Date
Heather Weir
Director, Office of Planning, Partnerships & Improvement
Date
In accordance with §24-30-202 C.R.S., this Contract is not valid until signed and dated below by the State Controller or an authorized
delegate.
STATE CONTROLLER
Robert Jaros, CPA, MBA, JD
By:
Name of Agency Delegate -Please delete if contract will be routed to OSC for approval.
JEffective Date:
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