HomeMy WebLinkAboutC18-164 Colorado Department of Human ServicesCONTRACT AMENDMENT #1
SIGNATIIRF. ANT) CnVF.R PA(:F.
State Agency
Original Contract Number
Colorado Department of Human Services
18 IHIA 102322
Office of Early Childhood
1575 Sherman Street, 1 S` Floor
Denver, CO 80203
Contractor
Amendment Contract Number
Eagle County Government
191HIA 110252
PO Box 660
Eagle, CO 81631
Current Contract Maximum Amount
Contract Performance Beginning Date
Initial Term
August 28, 2017
State Fiscal Year 2018 $180,000
Extension Terms
Current Contract Expiration Date
State Fiscal Year 2019 $180,000
June, 30, 2019
Total for All State Fiscal Years 5360,000
THE PARTIES HERETO HAVE EXECUTED THIS AMENDMENT
Each person signing this Amendment represents and warrants that he or she is duly authorized to execute this Amendment
and to bind the Party auth izinR his or her signature.
CONTRACTOR STATE OF COLORADO
Eagle County Government John W. Hickenlooper, Governor
J i I Ret?eic Bicha
Date: 61�z��g
In accordance with §24-30-202 C.R.S.
ve
Office of Early Childhood
Date: �0"A�e/
this Amendment is not valid until signed and dated bclow by the State Controller or an
authorized delegate,
STATE CONTROLLER
Robert Jaros P
By: , NIBA, JD
�,. ��
Clint Woodruff/ Tra ' Yodcr 1 Andrea Eurich
Amendment Effective Date: J.'Ae- �-S1 1' It
Amendment Contract Number 19 1111A 110252 Page I of 3
1. PARTIES
This Amendment (the "Amendment") to the Original Contract shown on the Signature and Cover
Page for this Amendment (the "Contract") is entered into by and between the Contractor, and the
State.
z. TERMINOLOGY
Except as specifically modified by this Amendment, all terms used in this Amendment that are
defined in the Contract shall be construed and interpreted in accordance with the Contract.
3. AMENDMENT EFFECTIVE DATE AND TERM
A. Amendment Effective Date
This Amendment shall not be valid or enforceable until the Amendment Effective Date
shown on the Signavure and Cover Page for this Amendment. The State shall not be bound
by any provision of this Amendment before that Amendment Effective Date, and shall have
no obligation to pay Contractor for any Work performed or expense incurred under this
Amendment either before or after of the Amendment term shown in §3.B of this
Amendment.
B. Amendment Term
The Parties' respective performances under this Amendment and the changes to the
Contract contained herein shall commence on the Amendment Effective Date shown on the
Signature and Cover Page for this Amendment or July 1, 2018, whichever is later and shall
terminate on the termination of the Contract.
a. PURPOSE
The Colorado Community Response (CCR) Program is designed and implemented to help
families become more sustainable as a unit. This work includes guidance and support
surrounding financial education, health, safety, parent education, goal setting and achievement.
Through this work, residents will learn the importance of creating goals, achieving them, and
supporting one another in an effort to create a more sustainable community and future for our
youth and families. This amendment shall extend the contract term for FY19, increase funds for
services to be provided in FY 19, and amends Exhibits A, B, and D.
5. MODIFICATIONS
The Contract and all prior amendments thereto, (Original CMS 18 IHIA 102322), are modified as
follows:
A. Extend Contract Expiration Date from June 30, 2018 to June 30, 2019.
The Contract Initial Contract Expiration Date on the Contract's Signature and Cover Page
is hereby deleted and replaced with the Current Contract Expiration Date shown on the
Signature and Cover Page for this Amendment.
B. Increase Contract Maximum Autotint by $180,000 for services in FY19 and increase the
Total for All State Fiscal Years from $180,000 to $360,000.
The Contract Maximum Amount table on the Contract's Signature and Cover Page is
hereby deleted and replaced with the Current Contract Maximum Amount table shown on
the Signature and Cover Page for this Amendment.
Amendment Contract Number: 19 111[A 110252 Page 2 of 3
C. Exhibit A — Statement of Work
Exhibit A — Amendment #1, which is attached and incorporated into this Amendment, is
hereby added to Exhibit A of the Original Contract.
D. Exhibit B — Budget
Exhibit B — Amendment #l, which is attached and incorporated into this Amendment, is
hereby added to Exhibit B of the Original Contract.
E. Exhibit D —Additional Provisions
Exhibit D — Amendment #1, which is attached and incorporated into this Amendment,
hereby replaces Exhibit D of the Original Contract.
+b. LIMITS OF EFFECT AND ORDER OF PRECEDENCE
This Amendment is incorporated by reference into the Contract, and the Contract and all prior
amendments or other modifications to the Contract, if any, remain in full force and effect except
as specifically modified in this Amendment. Except for the Special Provisions contained in the
Contract, in the event of any conflict, inconsistency, variance, or contradiction between the
provisions of this Amendment and any of the provisions of the Contract or any prior modification
to the Contract, the provisions of this Amendment shall in all respects supersede, govern, and
control. The provisions of this Amendment shall only supersede, govern, and control over the
Special Provisions contained in the Contract to the extent that this Amendment specifically
modifies those Special Provisions.
Amendment Contracl Numbcr: 19 1111A 110252 Page 3 of 3
EXHIBIT A — Amendment #1
STATEMENT OF WORK (SOW)
EAGLE COUNTY GOVERNMENT
DEPARTMENT OF HUMAN SERVICES
P.O. Box 660
EAGLE, COLORADO 81631
JULY 1, 2018 - JUNE 30, 2019
C >'
•' v c0 ??U p ¢moi ,x s v
N y •C o yLn
a, y 3 > -v
, G �." .� i •ca W
�-. n by
U Cp y O F. .� 0..� O
Cd
v v C�s >� ��� -tea C O a� c� o r>'p C
N a U O
fi Cp U I., y 0. y 6U1cm C) '� Z7 b by c3 .ca.
g4 w O '-' O C >> .a cy C� y C
Q. o U 04 y -a r �; �, 3 C b cs
w � lr�U L) y o c
U CA 'b N
C C
cz
-0 ccz C
y Q4 U. U1. C U U b4 U
rS vi 'O C U •y t+. C C/] O 0. cSto
y Y U •O 4, O Cq to t, o U ❑ O
E 5 Oto —, O G "fl C 'O CO .� N CS N C p
U +� n. U _
L) C3
73
•No q j �rq 3 •� i ci.
~ _
Cl U L .� 'fl CS 4I • G U - f. a� G1 CL
c6 C > Q. bA 'G C ..
U O y y cz C
U ^p
O 0 C y y C 4� O IFR U V]
-O U' y U U U U =' DA ca c3 U = 4, bA U
bo
.- 3 U U U U
CCS ; �••� U rte+ � tU 'b ^1 C C, cz C y •-- i cS �
L
C'
++ DR U C cS C
� v � •`�' � � O Cp i° v ;� � � � �cz
, 3 al
a,
•C � Cl, tom, C "p C C �'y En a O ai � C cC9 O ai
a CJ U c'S U U C ,fir U
a o _En
o
cz
o 'a en
cs U o y � �' a cz C o m ; o cs ; s � o
> U U y C C a C
G U U �" ❑ �' •+ y SC ,= s Com. y cs .� U a U
w o a. o aGi a ami c. c u o o y En3 a>i
CCS Y U C%� C y �' «� V L� [ a R. r��S
O y t,� °� Y•' ^'� �+ y L. CZ U K3. • U Cj U cz w y..
N a y cl U 3 a 0.4 eCs Ls. v o aai U E
,� a o4 y = 0. > W U
ta
to tu to CA 0
sr CA C3 0 CL
CS 0. U Ca on sem, e..., e,.. e. E-- e3 w � H 3 0.`o 0 V] H v H
d
U
U
U
U
o
L
°
U 4
U 4
U U
U
` y u
p
U�
C
O
C q •v 4
_
G n ,G •�
C e1 •� ci
C
n. �-
O 'ti C
.�.
p •U
a
m
M. U3 rn0
r. rn tn0
cs. a c
a. vJ v]O
y c
-En
UY
t
2
G
4j
z
6"
•E
a
py
a o
.C.1
rs
'Gj
n E
.0
n
•y
�
�.
N
u Vim, y
�'
04 o
G✓
aUUm
U
U
UW
U
o
S,
to
tj
o
4�j
o—p
A 3
O y O
U
L.r_
ri
U E
{) cj
w
v: q
n O
Ln O C
U ==
•�
y
6j u vs E
a
p u 0
p
u
r
m
c^ C u G�s
o
py
��
a v ��,
v c
�a u
e.-
v y E
4 v"
u C.
�
y w n
v E�
o U E
o. cj a
p w E
p rn
. U n E
.j
Lr
CLO 0
21 bh .d
U
C. E y
\ E
a EZ c s y U r
U j FE-
00 °u .5
000 Ou o f r°ao
.--a o
C�
ci
rs
v.>
O
0
p
u
•O
C
c�•j Q.
.�.�
y y
C cCJ v
v T01
O
u
cz
�
•��
nom—
—•3 �.
.��
w o
� —
t- o
= a
c�
�..
S
U cGi
> r Q E
= L
C u C
U
y h E
'�
Q �'
w
,�
•�
¢4"i
u
v v
� X
� U G
u ?� y
G O' • �
7 n
.U. h
n
in p
U y S
c�S
'�
�• C/] y
V1
4.
o
Z,
'^"
ca
4J.. .g 0 Cji
a n W a.
H c
U G
G C.p
E E— o
n aJ 4. Y
acz
❑C4
u
Ec4U
n
U v �' w
¢` o> a
5U
F
�
m
W
�
C
a
a�
�=
a00
°C%
�o
�c
�a
0o
z
U
p N
p N
p N
O N
p N
E
J
N
.L"
Zjcu
,..� M
M
M
M
•� M
i
C. C
ai
o E
A
�G
u y
utj
�
Q ��
C. fjj
'u N x
U p V G
•V O
J
•v G❑ O
f/1
W
a
3-
� �'
6 ej E
L1 -a
U E U°
y
v,
� �n
a
C G U w u
ato
n r3
�s
Cj u
!J O
D:E
u
4=Es
a:sya
G w"
c'GEF
OF 4
'.0
Q
n' L O
U aj :-,
�" to °' 2
U ., ¢
U o Cl v
b
u •°
-- o ej
cv =
M c
"U
w c
x
a
U E r
u Y
U �
U �
u
L7G
73v'
p _= O
b
p C O
�.
O _ O
i y
O G O
V
u vi C
G = vs
= vi G
v vi C
Lnri
rs
c
PC
y •U Q. yU,.
U O. t
O 'G C. �-
O U C
O 'u C i•'
U2 L)�L�Eno
In Ln
r- V) Eo
V
a
CS
R
R
R
c3
y
C
C
C
C
C
fA
6.
co
U U
A.{
U
U
U
U
G
u
=
CN
� C
y
C•
O cs O
cs O v,
G u y
rs
L)
eGr
O VC
G 9
U]
C
4-3T�
w cxi G U
=
v u- O
� ..
Cd U
_
o v
C3 Q
`n 3 Z °O
w
CJ
N 6J
r
OC u l0 O `•C
U a En
a
L
U cs :.
C.
'G
C/)
'C
vUi
C
e�
V
C
tn
EnY
"u
E
`�"
vR`"�
_
���: o
` Ems_
L
•� �—
r •�
_
;O C y
U
C
r O
=
�✓ rJ
v c
r 'O �. V
'.3
.�. ...
G
�+ea
C..!2
s
°
ca
c.
u
u a,
=
C =
__
U Y C
id
v
c�
tin Ln
V)
cz C4
R
u
G UC
U
C U C O
U a
U O v
V
i
O
L
CL
H
V
p T
O�
O G1
p C1
O G�
.E
Loc
O
LNC
p N
O N
riC
G
rl�
O
N�
C N
rlC
•--� M
M
.--� HY
.-. M
... 7'•1
UC7
T C
7•, C
V
CS
O •S7 C�
LA
� C sJi r.
y
U • �
G �
TE
_�
C�
G. w U cz
C O O G v— cn
V v
�« C G C U
O Cis
CJ
U
En
C'i`. •? C cz
0-' v •_ V y
I.V.
2
'«.. C
[3
U y O..r
U = ^c c 'n =
-E L� C^,
Q V C
,u..0
N C O R p __ C
�, c/1
b O v R
rYi
Ln w r F
Wcn .�
W [/] W
m LUm
p +=
� O
CU.Q W y C
� R �
O
G
CA
o � o
0 0
YJ
O > i
p'oa'�a
03 V
N
'C 4,0
U
V5 rrD
ca
tj
4.. 47 G •Ol U
ca
y ? 3
O w U GOp U
L QJ
0
tu
��3Ub
3 41 G W ai
V3
czL
Ea H
cis cz
c3 cz
�.
rA v�
U � cz � O
LZ
a-�s c ase
0O 0 3
,U O W 0 .�
F. to
oU
U
U
y
L
L
L
V
C]
h
47
C �3
C r3
C C3
C U
C U
v,
O U
.n
C
G�
cu,rn
r—rn
Q�
m
.0
'v
4:
CL
m•
c
cz
CVi m
u
6.
u 0
Q
V3
c
wl
x CL
a
a
a,
U v
U ri
U ri
O
e
a�E�
.. O A
O
5
y
F. O.cd
G
h L U vi
v7 u
A
y
G
cu
c u o 0
a r?
C
.cl tj
tO n r!
V
r 0 �_
c3
rn p
u c
u 3 C
= e o
.G.
r
•U u U
'U r e3
-�
.a
.�
U
4i
c.
ri
D A C E
VI C V 4:
R F Uw
W` A G
}]
O En
• r
U��
U 'n
�— m
O L
Q•0 C
�4U
�Lcr'
a
i
a
n
oc,
o
oo
ao
00
a,
po
rq
op
pN
A
L
td
L
ri
P-4
>,
o
.�
U
ezen
v
E
u E c
O C
O o
�+E E
N
U
U •*'
-C cp rn
v
nl C
M p
ri v C
� O
CU.Q W y C
� R �
O
G
CA
o � o
0 0
YJ
O > i
p'oa'�a
03 V
N
'C 4,0
U
V5 rrD
ca
tj
4.. 47 G •Ol U
ca
y ? 3
O w U GOp U
L QJ
0
tu
��3Ub
3 41 G W ai
V3
czL
Ea H
cis cz
c3 cz
�.
rA v�
U � cz � O
LZ
a-�s c ase
0O 0 3
,U O W 0 .�
F. to
C3
b
C �
W
L
3
CG1 G cG
U �
w. c3
u
� � G
0.. C. o
E
o b
c
3 3 0
U
U U G
cai G
U U -a
0 0 �
til U �
n
E
r �
N y
tn
CA G
" y L U
o
cz L t
O O O
U 3 U Ln
4 tli 1.6
n
K Al
�
�
y
b
b
j
cz
p
L
b
3
�
C
QJ
U
O
�
Wj
�
O
c�
C
O
y
a
fV
U
tq
�
�
r
Uto
?1
v
E
CL
v
en
e�
cz
U
cz
U
U
U
�
U
O.
o
G
U
R
2
�
Q
o
cc
Q
U
E
00
� U
v:b
�--�
�
Q
W
_E
ri
L
_
m
t�
w
el
L
L
L
i
C
F
en
vUU9
�
L
Q
L
Q
L
fl
G
Com]
U r
U
C3
C3
U
U
U
t` i
tri
o �
V �
c3
y U
= C7
Q L
U -0
a-. c
C3
b
C �
W
L
3
CG1 G cG
U �
w. c3
u
� � G
0.. C. o
E
o b
c
3 3 0
U
U U G
cai G
U U -a
0 0 �
til U �
n
E
r �
N y
tn
CA G
" y L U
o
cz L t
O O O
U 3 U Ln
4 tli 1.6
n
K Al
A&VICOE.ORADO
Office of Early Childhood
nmmn�„d seaman sewkes
Colorado Department of Human Services
Office of Early Childhood
BUDGET WITH JUSTIFICATION FORM
Contractor Name
Eagle C"nty Department of Human Services
Budget Period
July 1, 2018 - June 30, 2019
Project Name
Colorado Community Response Program iCCR)
Exhibit 8 - Amendment #1
Program Contact Name, Title
Kendra Kleinschmidt, LCSW
FY 2018-2019
Deputy Director, Division of Children, Family & Adult
Phone
Services
970-328-8827
Email
kendra.klelnschmldt@eaglecounty.us
Fiscal Contact Name, Title
R to woods - D rector, Division of Fiscal Support
Phone
Services
970328.8817
Email
r ta.woods@eaglecounty.us
Expenditure Categories
Personnel Services - Salaried Employees
FY 2018-2019
Description of Work and fringe includes: Health Insurance,
Retirement, Workman's Comp, wellness, FICA, and Life
Position Title/
Insurance
Gross or Annual
Percent of Time on
Total Amount
Employee Name
Salary
Fringe
Project
Requested from CDHS
CCR Specialist
Provides direct service to CCR families: outreach / engage
Families and Provide Voluntary Services
I $50,539
$32,008
1 1D0%
$82,547
CCR Specialist
Provides direct service to CCR families: outreach / engage
Families and Provide Voluntary Services
$48,900
$32,009
100%
580,909
Total Personnel Se ices (including fringe benefits)
$163,456
Contractors/Consultants (payments to third parties or entities)
FY 2018-2019
Tota Amount
Name Description of Item
Requested from CDHS
Subscription lFinanical Health Instititue Annual Basic Package
$11895
Total Contractors/Consultants
$1,895
Travel
FY 2018-2019
oto Amount
Item
Description of Item
Requested from CDHS
Mileage
Mileage reimbursement for CCR Specialists travel to/from client homes/community meetings/trainings. Mileage
reimbursement shall not exceed the State Mileage Rate of $0.49/mile. Rates can be found at
https://www,colorado.gov/pacific/osc/travel-fiscal-rule.
S100Q
Conference
CCR Specialists & Supervisor mileage, meals, and lodging for Strengthening Colorado Families & Communities.
Mileage reimbursement shall not exceed the State Mileage Rate of $0.49/mile. Rates can be found at
https://www.colorado.gov/pacific/osc/travel•fiscal-rule. Per Diem shall be calculated using the CONUS Per Diem rates
for the area of travel. Rates can be found at https://www.colorado.gov/pacific/osc/travel-fiscal-rule in Appendices Al
and A2. Lodging shall not exceed the conference rate.
$150
Total Travel
$].,150
Supplies & Operating Expenses
iY 2018-2019
Total Amount
Item
Description of Item
Requested from CDHS
Flex Funding
One time flexible funds to address concrete economic need for families to meet a need that if left unmet may result in
child maltreatment (gas cards, visa cards for groceries, child care supplies, and non-perishable items)
$11,999
Cell Phones
Cell phones for 2 full time CCR Specialists
$1,500
Total Supplies & Operating Expenses
$13,499
Training and Technical Assistance
FY 2018-2019
Tota Amount
Item
Description of Item
Requested from CDH5
P
No costs in this category will be reimbursed by CDH5.
$o
- Total Training and Technical Assistancel
to
Page 1 of 2
Exhibit B - Amendment #1
MODIFIED TOTAL DIRECT COSTS (MTDC)
Uniform Guidance § 200.68 - MTDC means all direct salaries and wages, applicable fringe benefits, materials and supplies, services, travel,
and up to the first $25,000 of each subaward. MTDC excludes equipment, capital expenditures, charges for patient care, rental costs, tuition
remission, scholarships and fellowships, participant support casts and the portion of each subaward in excess of $25,000.
$180,000
Indirect Costs
[not to exceed 10% unless Negotiated Federal Indirect Cost rate or Negotiated State Indirect Cost rate Is attached)
FY 2018-2019
Total Amount
Item
Description of Item
Requested from CDHS
No costs in this category will be reimbursed by CDHS.
$0
Total indirect
$0
TOTAL
$180,000
Page 2 of 2
Exhibit D — Amendment #1
ADDITIONAL PROVISIONS
1. SERVICE PROVISIONS
The Contractor shall provide the services according to the plans submitted in the "Statement of Work", attached
and incorporated herein by this reference as EXHIBIT A. In all cases, the descriptions, plans, timetables, tasks,
duties, and responsibilities of the Contractor as described in the Statement of Work, shall be adhered to in the
performance of the requirements of this contract. In the event of a conflict, the terms and conditions of this
contract shall control over the Statement of Work. Any significant changes to the Statement of Work (SOW)
require an amendment to the contract.
2. GOALS AND OBJECTIVES
The Contractor shall be responsible for the achievement of any goals and objectives as specified within the
Statement of Work (EXHIBIT A) of this contract unless written notice of any modifications are furnished by
the State to the Contractor allowing adequate time for compliance during the term of this contract.
3. COPY OF SUBCONTRACT
The Contractor shall provide to the State a copy of any executed subcontract between the Contractor and any
provider of services to fulfill any requirements of this contract. Subcontracts shall be emailed to the Contract
Representative upon execution.
4. PAYMENT
In consideration of the provision of services and reporting and subject to all payment and price provisions and
further subject to verification by the State of full and satisfactory compliance with the terms of this contract, the
State shall pay to the Contractor an amount -not to exceed the amount specified in the Budget (EXHIBIT B), of
this contract.
A. The Contractor shall submit requests for payment to CDI IS OEC _lnv_oicing a,state.co.us no less than
monthly on forms prescribed and provided by the State.
B. Payment shall be made on a cost reimbursement basis for services rendered.
C. Timely Invoicing - Invoices shall be submitted no later than 45 days following the last day of the month.
End of State Fiscal Year invoices are on a compressed timeframe. Invoices for all services provided prior
to June 30th shall be invoiced by July 3rd. Contractors who are unable to provide the invoice by July 3rd
shall notify the state of the amount to be booked as accounts payable by July 13th by sending an email to
CDHS_OEC _Invoicing a.state.co.us. Final invoices for services prior to June 30th shall be submitted by
September 14th. Invoices received after September 14th may not be paid.
D. The Contractor shall maintain source documentation to support all payment requested pursuant to this
contract. All source documentation shall be provided to the State by the Contractor upon request.
E. It is understood that the State reserves the right to offset funds pursuant to this contract based on the
discovery of overpayment or improper use of funds by the Contractor. Overpayment or improper use of
funds is interpreted to apply to specific terms of prior year contracts, and includes without limitation
requirements of the Generally Accepted Accounting Principles (GAAP) issued by the American Institute
of Certified Public Accountants, and applicable sections of the Colorado Revised Statutes.
5. PARTICIPATION
The Contractor representative(s) is required to participate in any Office of Early Childhood sponsored meetings
related to this contract.
Page 1 of 2 Revision Date April 260 2018
Exhibit D — Amendment #1
6. SUPPLANTING
Payments made to the Contractor under this contract will supplement and not supplant other state, local or
federal expenditures for services associated with this contract.
7. BUDGET CHANGES
Contractor may request in writing adjustments to the direct costs in the current year budget (EXHIBIT B) not
to exceed 10% of the total budget. Requests shall be made in the form of a written budget revision request to
the appropriate program staff. Written approval for the budget revision shall be required prior to any changes to
the budget related to the budget revision request. The total dollar amount of the contract budget cannot be
changed as a result of the budget revision request. Any change to the "Gross or Annual Salary" on the Budget
shall be considered a rate change and shall require a formal amendment. Budget adjustment requests over 10%'
and/or changes to the total dollar amount of the budget require a formal amendment. No adjustments to the
Indirect Costs portion of the budget are allowable without a formal amendment.
8. CRITICAL INCIDENT REPORTING
Within 48 hours of the occurrence of a critical incident involving any child or family and/or an on duty agency
staff member of any family support program staff funded through the Office of Early Childhood (OEC), the
agency must report in writing the details of the critical incident to the OEC Program Manager for the involved
family support program. Critical incidents may include, but are not limited to, awareness of an egregious
incident of abuse and/or neglect, near fatality, or fatality of any child currently enrolled in a family support
program; involuntary termination of a program staff s employment; criminal allegations involving program staff
and related to hiAer employnient; negative media attention about the family support program; any major injury
or threat to the security of an agency staff member while on duty and visiting an enrolled child or family.
9. MANDATED REPORTING
A. All program staff are required by law to report suspected child abuse and neglect. Mandatory reporters
must report suspected child abuse and neglect to the local county child welfare agency, the local law
enforcement agency, or by calling the child abuse reporting hotline system at 1-844-CO-4KIDS (1-844-
264-5437).
B. All program staff are required to take the online mandatory reporter training on the CDHS Child Welfare
Training System: Iittps:/..'www.coloradocwts.comrmandared- ret)orter_trainina.
Page 2 of 2 Revision Date April 26, 2018