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HomeMy WebLinkAboutC19-211 Colorado Department of Public Health and Environment - NOT FULLY EXECUTEDCONTRACTAMENDMENT#2SIGNATUREANDCOVERPAGE(S)StateAgency:OriginalContractNumberColoradoDepartmentOfPublicHealthandEnvironment19FHHA1083764300CherryCreekDrive SouthDenver,CO80246Contractor:AmendmentContractNumberBoardofCountyCommissionersofEagleCounty2020*080Amendment#2500BroadwayEagle,Colorado81631-0850FortheuseandbenefitoftheEagleCountyPublicHealthAgency551BroadwayEagle,Colorado$1631ContractPerformanceBeginningDate:CurrentContractExpirationDate:ThelateroftheEffectivedateorJuly1,201$June30,2020CONTRACTMAXIMUMAMOUNTTABLEDocumentContractFederalStateFundingOther FundingTerm(dates)TotalNumberFundingAmountAmountTypeAmountOriginal19FHHA$15,248.00$54,945.00$0.0007/01/2018-$7019’00Contract10887606/30/2019‘GFCL#119FRI-IA$0.00$6,365.00$0.0009/17/2018-$11331406/30/20196,36.00Contract19FHHA$6,136.00$0.00$0.0003/11/2019-$613600Amendment#112694606/30/2019Contract2020*080$15,372.00$60,083.00$0.0007/01/2019-$7545500Amendment#2Amendment#206/30/2020CurrentContractMaximum$158,149.00CumulativeAmountTHEPARTIESHERETOHAVEEXECUTEDTHIS AMENDMENTEachperson signingthisAmendmentrepresentsandwarrantsthathe orsheisdulyauthorizedtoexecutethisAmendmentandtobindthePartyauthorizinghis orhersignature.CONTRACTORSTATEOFCOLORADOBoardofCountyCommissionersofEagleCountyfortheuseJaredSPolis,Governorandbenefitofthe EagleCountyPublic HealthAgencyColoradoDepartmentOfPublicHealthandEnvironmentJillHunsakerRyan,MPHExecutiveDirector.fll(-fr,izBy:_Print_Name_&_TitleAmendmentRoutingNumber:2020*080Amendment#2Page1of3version31.1.19C19-211 By:LisaMcGovern,ProcurementandContractsSectionDate:Director,CDPHEDate:PROGRAMAPPROVALInaccordancewith§24-30-202C.R.S.,thisAmendmentisColoradoDepartmentofPublicHealthandEnvironmentnotvaliduntilsignedanddatedbelowbytheStateControlleroranauthorizeddelegate.By:STATECONTROLLERSignatureofAuthorizedCDPHEProgramApproverRobertJaros,CPA,MBA,JDBy:______________________________________DavidNorris,Controller,CDPHEDate:________________________AmendmentEffectiveDate:_______________________PARTIESThisAmendment(the“Amendment”)totheOriginalContractshownontheSignatureandCoverPageforthisAmendment(the“Contract”)isenteredintobyandbetweentheContractor,andtheState.2.TERMINOLOGYExceptasspecificallymodifiedbythisAmendment,alltermsusedinthisAmendmentthataredefinedintheContractshallbeconstruedandinterpretedinaccordancewiththeContract.3.AMENDMENTEFFECTIVEDATEANDTERMA.AmendmentEffectiveDateThisAmendmentshallnotbevalidorenforceableuntiltheAmendmentEffectiveDateshownundertheStateControllerSignature.TheStateshallnotbeboundbyanyprovisionofthisAmendmentbeforethatAmendmentEffectiveDate,andshallhavenoobligationtopayContractorforanyWorkperformedorexpenseincurredunderthisAmendmenteitherbeforeorafteroftheAmendmenttermshownin§3.BofthisAmendment.B.AmendmentTermTheParties’respectiveperformancesunderthisAmendmentandthechangestotheContractcontainedhereinshallcommenceontheAmendmentEffectiveDateshownundertheStateControllerSignatureorJuly1,2019,whicheverislaterandshallterminateontheterminationoftheContractorJune30,2020,whicheverisearlier.4.PURPOSEThePartiesenteredintotheagreementtoreduceandeliminatevaccinepreventablediseasesinColoradobyincreasingandmaintainingimmunizationcoverage.Localpublichealthagencieswillprovidecoreimmunizationservices,accordingtoestablishedbestpracticesandstandards,toimprovethehealthofindividualsandcommunities.ThePartiesnowdesiretoincreasefundingandchangeStatementofWorkforthefollowingreason:torenew.AmendmentRoutingNumber:2020*080Amendment#2Page2of3version31.1.19 5.MODIFICATIONSTheContractandallprioramendmentsthereto,ifany,aremodifiedasfollows:A.TheContractMaximumAmountisdeletedandreplacedwiththeCurrentContractMaximumAmountshownontheSignatureandCoverPageforthisAmendment.B.TheAmendmentandallprioramendmentsthereto,ifany,aremodifiedasfollows:TheContractInitialContractExpirationDateontheContractor’sSignatureandCoverPageisherebydeletedandreplacedwiththeCurrentContractExpirationDateshownontheSignatureandCoverPageforthisAmendment.C.TheAmendmentandallprioramendmentsthereto,ifany,aremodifiedasfollows:i.ThePartiesnowagreetomodifyRevisedExhibitBoftheagreement.RevisedExhibitBisdeletedandreplacedinitsentiretywithExhibitGtorenew.ii.ThePartiesnowagreetomodifyExhibitFoftheagreement.ExhibitFisdeletedandreplacedinExhibitHtorenew.6.LIMITSOFEFFECTANDORDEROFPRECEDENCEThisAmendmentisincorporatedbyreferenceintotheContract,andtheContractandallprioramendmentsorothermodificationstotheContract,ifany,remaininfullforceandeffectexceptasspecificallymodifiedinthisAmendment.ExceptfortheSpecialProvisionscontainedintheContract,intheeventofanyconflict,inconsistency,variance,orcontradictionbetweentheprovisionsofthisAmendmentandanyoftheprovisionsoftheContractoranypriormodificationtotheContract,theprovisionsofthisAmendmentshallinallrespectssupersede,govern,andcontrol.TheprovisionsofthisAmendmentshallonlysupersede,govern,andcontrolovertheSpecialProvisionscontainedintheContracttotheextentthatthisAmendmentspecificallymodifiesthoseSpecialProvisions.AmendmentRoutingNumber:2020*080Amendment#2Page3of3version31.1.19 EXHIBITGSTATEMENTOFWORKToOriginalContractRoutingNumber:19FHHA108876ContractAmendmentRoutingNumber:2020*080Amendment#2Theseprovisionsaretobereadandinterpretedinconjunctionwiththeprovisionsofthecontractspecifiedabove.EntityName:EagleCountyPublicHealthAgencyII.ProjectDescription:Thisprojectservestoreduceandeliminatevaccine-preventablediseasesinColoradobyincreasingandmaintainingimmunizationcoverage.Localpublichealthagencieswillprovidecoreimmunizationservices,accordingtoestablishedbestpracticesandstandards,toimprovethehealthofindividualsandcommunities.III.Definitions:1.ACIP:AdvisoryCommitteeonImmunizationPractices2.CCC:ChildCareCentersasdefinedbyColoradoStateBoardofHealthRttle6CCR1009-23.CCR:CodeofColoradoRegulations4.CDC:CentersforDiseaseControlandPrevention5.CDPHE:ColoradoDepartmentofPublicHealthandEnvironment6.CIB:ColoradoImmunizationBranch7.CIIS:ColoradoImmunizationInformationSystem8.CIISreminder/recall:Reminder/recallinvolvesidentifyingpatientswhoarecomingdue(reminder)oroverdue(recall)forimmunizationsandcontactingthemtoscheduleanappointment.9.Coreimmunizationservices:AsdefinedbytheColoradoStateBoardofHealth:assureaccesstoimmunizationsusingestablishedstandards,and,incollaborationwithCDPHE,monitorcommunityimmunizationlevels.10.Deputization:TheformalextensionofauthoritytoprovideVFCvaccinestoeligibleunderinsuredchildrenfromaparticipatingFQHCorRHCtoanotherVFC-enrolledprovider;typicallyalocalpublichealthagency.PreviouslycalledDelegationofAuthority.11.Evidence-based:Conscientioususeofcurrentscientificevidenceandclinicalexpertise.12.FQHC:FederallyQualifiedHealthCenter13.Insured:Apersonwhoiscoveredbyhealthinsurance.14.Jurisdiction:Powerorrightofalegalorpoliticalagencytoexerciseitsauthorityoveraperson,subjectmatter,orterritory.15.LPHA:LocalPublicHealthAgency16.MOU:MemorandumofUnderstanding17.RHC:RuralHealthCenter18.School:AsdefinedbytheColoradoStateBoardofHealth:allchildcarefacilitieslicensedbytheColoradoDepartmentofHumanServicesincluding:childcarecenters,school-agechildcarecenter,preschools,daycamps,residentcamps,daytreatmentcenters,familychildcarehomes,fostercarehomes,andheadstartprograms;public,private,orparochialkindergarten,elementaryorsecondaryschoolsthroughgradetwelve,oracollegeoruniversity.Page1of6 EXHIBITG19.Section317Vaccine:Vaccinefundingusedtosupportinfrastructurecriticaltovaccineprogramsuccessincludingvaccinefor:uninsuredandunderinsuredadults,outbreakresponseandpreparednesssupport.20.VfC:VaccinesforChildren21.VPD:Vaccine-preventablediseaseIV.WorkPlan:Goal#1:Reducevaccine-preventablediseasesinColoradobyincreasingormaintainingimmunizationcoverage.Objective#1:Nolaterthantheexpirationofthecontract,theContractorshallprovidecoreimmunizationservicesintendedtoimprovethehealthofindividualsandcommunities.PrimaryActivity#1TheContractorshallimplementimmunizationserviceswithinitsjurisdiction.1.TheContractorshallmaintaininventoryofallACIP-recommendedVFCvaccinesavailablethroughtheVFCprogramforthepopulationserved.2.TheContractorshallscreenandvaccinatechildreneligibleforVFCvaccineperACIPrecommendations.3.TheContractorshallmaintaininventoryofallACIP-recommendedSection317vaccinesavailablethroughtheSection317programforthepopulationserved.4.TheContractorshallscreenandvaccinatepersonseligibleforSection317vaccineperACIPrecommendations.5.TheContractorshallmaintaininventoryofallACIP-recommendedprivatevaccinesfortheinsuredpopulationserved.6.TheContractorshallscreenandvaccinatepersonseligibleforprivatevaccineperACIPrecommendations.Sub-Activities#17.TheContractorshallenterimmunizationdataintoCIISwithin14daysofvaccineadministration.8.TheContractorshallreviewthecountylevelImmunizationRatesReportforthefollowinginformation:a.children19-35monthsofagenolaterthan30daysafterdistributionbyCIBb.adolescents13-17yearsofagenolaterthan30daysafierdistributionbyCIBc.comparetotheCDCNationalImmunizationSurveys;ChildandTeenandCIIS-generatedstatewideratesprovidedbyCIBinordertoincreaseawarenessofcountyversusstateandnationalimmunizationrateswithinthe30daysthattheratesreportisdistributedbytheCIB9.TheContractorshallimplementaminimumofone(1)evidencebasedstrategy,suchasCIISreminder/recall,toreduceoreliminatecoveragedisparitiesbyrace,ethnicityandsocio-economicstatus.10.TheContractorshallpromoteinformedvaccinedecisionmakingbyeducatingaminimumofone(1)ofthefollowing:a.consumersPage2of6 EXHIBITCb.healthcareprovidersc.staffwhoadministerimmunizationsd.policymakers11.TheContractorshallpromotevaccineavailabilityservicesbyeducatingaminimumofone(1)ofthefollowing:a.consumersb.healthcareprovidersc.staffwhoadministerimmunizationsd.policymakers12.TheContractorshallpromoteseasonalinfluenzavaccinetoimprovepreparednessintheeventofaninfluenzapandemicaccordingtothefollowingcriteria:a.TheContractorshallpromoteseasonalinfluenzavaccinewithneworganizations.b.TheContractorshallcontinueseasonalinfluenzavaccinecoordinationwithexistingorganizations.c.TheContractorshallpromoteseasonalinfluenzavaccinewithcommercialsectororganizations.13.TheContractorshallmaintainadeputizationMOUwithanFQHC/RHC.14.TheContractorshalldeliverinformationtoschoolsandCCCsabouttheColoradoStateBoardofHealthRule6CCR1009-2annualreportingrequirement.a.TheContractorshallfollowupwithschoolswhofailtoreportdata.b.TheContractorshallfollowupwithCCCswhofailtoreportdata.15.TheContractorshallsupportanetworkofVFCproviders.a.TheContractorshallperfonnongoingrecruitmentofnewVFCproviders.b.TheContractorshalleducatecurrentVFCprovidersabouttheVFCprogramrequirements.16.TheContractorshallperformdutiesasrequestedbytheCIBrelatedtoidentifiedimmunizationneeds,andVPDandHepatitisBcasesurveillance.a.TheContractorshallpromotediseasepreventionactivitiesamongpopulationsexperiencinghomelessnessandotherat-riskpopulationstoreduceHepatitisAandotherVPDrisk.1.TheContractorshallparticipateinthemonthlyCIBImmunizationUpdatecall.2.Ifthemonthlycallismissed,theContractorshalllistentotheaudiorecordingofthecallprovidedbytheCIBwithin30days.3.TheContractorshallattendaminimumofone(1)immunization-relatedtrainingorconference.Sub-Activities#2PrimaryActivity#2TheContractorshallmaintainstaffimmunizationexpertise.Page3of6 EXHIBITC1.TheContractorshallusethefinalresultsoftheCDCNationalImmunizationSurveys;ChildandTeenandCIIS-generatedstatewideratesprovidedbyCIBviaemailcommunicationinordertoincreaseatvarenessofcountyversusstateandnationalimmunizationrates.2.TheContractorshallcomplywiththerequirementsforentering/submittingimmunizationdataintoCIISasagreedtointheCIISLetterofAgreementfoundwithintheonlineCIISResourceCenterlocatedonthefollowingwebsite,https://www.ciisresources.corn.Thecontentofthiswebsiteisincorporatedandmadepartofthistaskorderbyreference.3.TheContractorshallcomplywiththeACIPrecommendationsforvaccineadministrationlocatedonthefollowingwebsite,http://www.cdc.gov/vaccines/acip/index.htrnl.Thecontentofthiswebsiteisincorporatedandmadepartofthistaskorderbyreference.4.TheContractorshallpromotecompliancewithschoolimmunizationruleswithintheColoradoStateBoardofHealthRide6CCR1009-2locatedonthefollowingwebsite,https://www.sos.state.co.us/CCRlGenerateRulePdf.do?ruleVersionld=7698&fileName=6%20CCR%201009-2.Thisdocumentestablishesimmunizationstandardsandisincorporatedandmadepartofthistaskorderbyreference.5.TheContractorshallcreateaLogintoaccesstheschoolandchildcareStandardsand..immunizationdatafortheirjunsdictionlocatedonthefollowingwebsiteRequirements..https://www.colorado.gov/pacific/cdphe/school-and-child-care-immurnzationdata-reporting.Thecontentofthiswebsiteisincorporatedandmadepartofthistaskorderbyreference.6.TheContractorshallmaintainasignedVFCrecertificationagreement.7.TheContractorshallcomplywiththerequirementsforutilizingVFCvaccineagreedtointheVfCrecertificationagreementpacketprovidedbyCIB.8.TheContractorshallcomplywiththeeligibilityrequirementsforutilizingSection317vaccineasprovidedbyCIBviaemailcommunication.9.TheContractorshalluseaminimumofone(1)evidencebasedstrategytoeliminatecoveragedisparitiesbyrace,ethnicityandsocio-economicstatuslocatedonthefollowingwebsite,www.thecoimnunityguide.org.Thecontentofthiswebsiteisincorporatedandmadepartofthistaskorderbyreference.10.TheContractorshallusedeputizationMOUguidanceasprovidedbyCIBviaemailcommunication.11.ContractorsthatserveasaFQHCoraRHCdonotrequireadeputizationMOU.12.CDPHEwillprovideprogrammatictechnicalassistanceuponrequest.Page4of6 EXHIBITC13.TheContractorshallcompleteanelectronicquarterlyprogressreportusingtheFY20ImmunizationCoreServicesQuarterlyProgressReport,viathefollowingwebsite,https://fs9.formsite.corn/ColoradolMMprogramlFY20Core-Progress-Report/index.htrnl.Thecontentofthiswebsiteisincorporatedandmadepartofthistaskorderbyreference.a.TheContractorshallcompletethefinalelectronicquarterlyprogressreportasanon-reimbursabLedeliverable.14.TheContractorshallprovidesignedVFCrecertificationpacketandagreementsviathefollowingwebsite:https://fs9.fonnsite.comlColoradolMMprograrnl6dttiug6dt/index.htrnl.Thecontentofthiswebsiteisincorporatedandmadepartofthistaskorderbyreference.15.ThecontentofelectronicdocumentslocatedonCDPHEandnon-CDPHEwebsitesandinformationcontainedonCDPHFandnon-CDPHEwebsitesmaybeupdatedperiodicallyduringthecontracttenmThecontractorshallmonitordocumentsandwebsitecontentforupdatesandcomplywithallupdates.1.ImmunizationsareofferedwithintheContractor’sjurisdiction.ExpectedResultsof2.ImmunizationsaremarketedwithintheContractor’sjurisdiction.Activity(s)3.ImmunizationsareadministeredwithintheContractor’sjurisdiction.1.DatacontainedinImmunizationRatesReportMeasurementofExpectedResults2.DatacontainedinquarterlyprogressreportsCompletionDateDeliverables1.TheContractorshallelectronicallysubmitsignedVFCNolaterthan30recertificationpacketandagreements.businessdaysfollowingthereceiptoftherecertificationpacket2.TheContractorshallsubmitanelectronicquarterlyprogressNolaterthan30reportusingtheFY20ImmunizationCoreServicesQuarterlycalendardaysProgressReport.followingthelastcalendardayofSeptember,December,andMarch3.TheContractorshallsubmitthefinalelectronicquarterlyNolaterthanprogressreportusingtheFY20ImmunizationCoreServices07/15/2020QuarterlyProgressReport.4.TheContractorshallsubmitimmunizationdatatoCIIS.Nolaterthan14daysfollowingvaccineadministrationPage5of6 EXHIBITGV.Monitoring:CDPHE’smonitoringofthiscontractforcompliancewithperformancerequirementswillbeconductedthroughoutthecontractperiodbytheCDPHEContractMonitor.MethodsusedwillincludeareviewofdocumentationdeterminedbyCDPHEtobereflectiveofperformancetoincludeprogressreportsandotherfiscalandprogrammaticdocumentationasapplicable.TheContractor’sperformancewillbeevaluatedatsetintervalsandcommunicatedtothecontractor.VI.ResolutionofNon-Compliance:TheContractorwillbenotifiedinwritingwithin15calendardaysofdiscoveryofacomplianceissue.Within30calendardaysofdiscovery,theContractorandtheStatewillcollaborate,whenappropriate,todeterminetheaction(s)necessarytorectifythecomplianceissueanddeterminewhentheaction(s)mustbecompleted.Theaction(s)andtimelineforcompletionwillbedocumentedinwritingandagreedtobybothparties.Ifextenuatingcircumstancesarisethatrequiresanextensiontothetimeline,theContractormustemailarequesttotheCDPHEContractMonitorandreceiveapprovalforanewduedate.TheStatewilloverseethecompletion/implementationoftheaction(s)toensuretimelinesaremetandtheissue(s)isresolved.IftheContractordemonstratesinactionordisregardfortheagreeduponcomplianceresolutionplan,theStatemayexerciseitsrightsundertheprovisionsofthiscontract.Page6of6 EXHIBITHFederalfunds$15,372State(FY20)Tobaccolaxftinds$43,299MSAfunds$16,784TOTALAMOUNT:$75,455BUDGETToOriginalContractRoutingNumber:19FHHA108876ContractAmendmentRoutingNumber:2020*080Amendment#2Federal(FY20)ImmunizationCoreServiceActivities-EaelePage1ofI