HomeMy WebLinkAboutC21-218 Colorado Department of Public Health and EnvironmentCONTRACT AMENDMENT 2019*0442 Amendment #5
State Agency:
Colorado Department Of Public Health and Environment
4300 Cherry Creek Drive South
Denver, Colorado 80246
Original Contract Number:
18 FAAA 97454
Contractor:
Board of County Commissioners of Eagle County
(a political subdivision of the state of Colorado)
500 Broadway
Eagle, Colorado 81631-0850
for the use and benefit of the
Eagle County Public Health Agency
551 Broadway
Eagle, Colorado 81631
Amendment Contract Number:
2019*0442 Amendment #5
Contract Performance Beginning Date:
The later of the Effective date or July 10, 2017
Current Contract Expiration Date:
June 30, 2022
CONTRACT MAXIMUM AMOUNT TABLE
Document
Type
Contract Number Federal Funding
Amount
State Funding
Amount
Other Funding
Amount
Term (dates) Total
Original Contract 18 FAAA 97454 $53,210.00 $120,233.14 $0.00 07/10/2017 -
06/30/2018
$173,443.14
Amendment #1 19 FAAA 107396 $53,210.00 $120,321.00 $0.00 07/01/2018 -
06/30/2019
$173,531.00
Amendment #2 2019*0442
Amendment #2
$53,210.00 $121,297.00 $0.00 07/1/2019 -
06/30/2020
$174,507.00
Amendment #3 2019*0442
Amendment #3
$0.00 $15,242.05 $0.00 11/1/2019 -
06/30/2020
$15,242.05
Amendment #4 2019*0442
Amendment #4
$53,210.00 $119,656.00 $0.00 07/01/2020 -
06/30/2021
$172,866.00
Amendment #5 2019*0442
Amendment #5
$53,210.00 $89,104.00 $0.00 07/01/2021 -
06/30/2022
$142,314.00
Current Contract Maximum
Cumulative Amount
$851,903.19
Page 1 of 4
Amendment Contract Number: 2019*0442 Amendment #5 Ver 06.05.20
DocuSign Envelope ID: 5B6B75CF-E83C-4BDF-BED4-EEBDCDB4AE7C
C21-218
Page 2 of 4
Amendment Contract Number: 2019*0442 Amd #5 Ver. 06.05.20
SIGNATURE PAGE
Contract Routing Number: 2019*0442 Amd #5
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 authorizing his or her signature.
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 Public Health Agency
______________________________________________
By: Signature
______________________________________________
Name of Person Signing for Contractor
______________________________________________
Title of Person Signing for Contractor
Date: _________________________
STATE OF COLORADO
Jared S. Polis, Governor
Colorado Department of Public Health and Environment
Jill Hunsaker Ryan, MPH, Executive Director
______________________________________________
By: Signature
______________________________________________
Name of Executive Director Delegate
______________________________________________
Title of Executive Director Delegate
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: Signature
__________________________________________
Name of State Controller Delegate
__________________________________________
Title of State Controller Delegate
Amendment Effective Date:_____________________
-- Signature and Cover Pages End --
DocuSign Envelope ID: 5B6B75CF-E83C-4BDF-BED4-EEBDCDB4AE7C
Chair, Board of County Commissioners
2021-06-15
Matt Scherr Procurement & Contracts Section Director ft
Lisa McGovern
2021-06-15
Controller
2021-06-22
Travis Yoder
Page 3 of 4
Amendment Contract Number: 2019*0442 Amd #5 Ver 27.01.20
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.
2. 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 under the State Controller Signature. 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 under the State
Controller Signature or July 1, 2021, whichever is later, and shall terminate on the
termination of the Contract or June 30, 2022, whichever is earlier.
4. PURPOSE
The Parties entered into the agreement to 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 effort at the state, regional, and local level
facilitated by the Office of Public Health Practice, Planning, and Local Partnerships (formerly the
Office of Planning, Partnerships, and Improvement). These efforts shall include maintaining and
improving local capacity to provide services as established by the State Board of Health.
The Parties now desire to renew for an additional term and change current Contract Maximum
Total for the following reason: To remove the Child Fatality and Division of Environment Health and
Sustainability sections from the Statement of Work, work plan, and budget..
5. MODIFICATIONS
The Contract and all prior amendments thereto, if any, are modified as follows:
A. The Contract Maximum Amount table is deleted and replaced with the Current Contract
Maximum Amount table shown on the Signature and Cover Page for this Amendment.
B. 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.
C. The Parties now agree to modify Exhibit I, Statement of Work, of the agreement. Exhibit,
I, is deleted and replaced in its entirety with Exhibit, I, attached to this Amendment for the
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Amendment Contract Number: 2019*0442 Amd #5 Ver 27.01.20
following reason: To remove Child Fatality and Division of Environmental Health and
Sustainability sections from the Statement of Work.
D. The Parties now agree to modify Exhibit J, Budget, of the agreement. Exhibit, J, is deleted
and replaced in its entirety with Exhibit, J, attached to this Amendment for the following
reason: To remove Child Fatality Prevention funding from the Budget amounts.
6. 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.
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EXHIBIT I
Page 1 of 4
Amendment Number: 2019*0442 Amendment #5
Ver. 06.01.20
STATEMENT OF WORK
These provisions are to be read and interpreted in conjunction with 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 b ased on community needs, priorities, funding and
capacity. The Office of Public Health Practice, Planning, and Local Partnerships and the local public health agency
are accountable in assuring state moneys are being used effectively to provide Core Public Health Services.
II. Definitions:
1. CDPHE: Colorado Department of Public Health and Environment
2. CDS: CYSHCN Data System
3. CYSHCN: Children and Youth with Special Health Care Needs
4. HCP: Program for Children and Youth with Special Health Care Needs
5. MCH: Maternal and Child Health
6. OPHP: Office of Public Health Practice, Planning, and Local Partnerships
III. Work Plan:
A. Local Core Public Health Services
Goal #1: Strengthen Colorado’s public health system by ensuring core 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
Services.
Primary Activity #1
The Contractor shall provide or assure the provision Core Public Health Services within their
jurisdiction.
Sub-Activities #1
1. The Contractor shall comply with the Core Public Health Services Rule 6 CCR 1014-7.
These documents are incorporated and made part of this contract by reference and are
available on the following website http://www.sos.state.co.us/CCR/NumericalDeptList.do.
Primary Activity #2 The Contractor shall prepare reports.
Sub-Activities #2
1. The Contractor shall prepare at least four (4) compliance progress summaries.
2. The Contractor shall prepare an annual report.
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 participate in assessment and planning efforts at the state, regional and
local level facilitated by OPHP. The Contractor shall utilize the Colorado Health Assessment
and Planning System (CHAPS) guidance as a technical assistance resource for all activities.
These efforts shall assist in defining the core services delivery appropriate to meet local
needs and in identifying strategies to improve local health outcomes. This information is
located on the CDPHE local public health and environmental resources website
https://www.colorado.gov/cdphe-lpha and is incorporated and made part of this contract by
reference.
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EXHIBIT I
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Amendment Number: 2019*0442 Amendment #5
Ver. 06.01.20
3. The Contractor shall be guided by Colorado Minimum Quality Standards for Public Health
Services 6 CCR 1014-9. 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.
4. The Contractor shall contribute funding for its local health services as determined necessary
by the Contractor to meet their local health needs.
5. CDPHE will compile data that has been provided by the Contractor to other CDPHE
programs to verify services provided or assured.
Expected Results of
Activity(s)
Increase or maintain core public health services within the Contractor’s jurisdiction to meet local
needs.
Measurement of
Expected Results
1. Data provided in the Contractor annual report provides evidence of the services provided or
assured through another local public health agency and how these core services are funded.
Additional data is provided at the program level to CDPHE.
Completion Date
Deliverables
1. The Contractor shall submit an annual report electronically to
the Administrative Manager in a format provided by OPHP.
No later than April 30
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 maternal and child health.
Sub-Activities #1
1. The Contractor shall select one or more of the identified MCH priorities on which to focus.
2. The Contractor shall complete the electronic MCH and HCP Annual Report and Planning
Form, including identification of selected priority(ies) and strategy(ies) to be implemented.
3. The Contractor shall meet with internal partners to identify ongoing areas of alignment
between MCH and local public health improvement plan strategies, with the goal of
accelerating the achievement of mutual objectives.
4. The Contractor shall implement activities to impact the MCH priority indicated on the
electronic MCH and HCP Annual Report and Planning Form.
5. Contractors receiving less than $40,000 in MCH funding shall participate in a minimum of
two progress check in calls with their MCH Consultant. Contractors receiving more than
$40,000 in MCH funding shall participate in a minimum of two progress check in calls and
participate in an additional consultation opportunity with their MCH consultant.
6. The Contractor shall complete the MCH Annual Report.
Primary Activity #2
The Contractors receiving less than $40,000 and selecting HCP on their electronic MCH and
HCP Annual Report and Planning Form, or Contractors receiving greater than $40,000 in MCH
Block Grant Funding, shall implement HCP, a Program for Children and Youth with Special
Health Care Needs, within their agreed upon jurisdiction.
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EXHIBIT I
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Amendment Number: 2019*0442 Amendment #5
Ver. 06.01.20
Sub-Activities #2
1. The Contractor shall conduct outreach to community organizations to establish connections
and strengthen referral systems with HCP.
2. The Contractor shall provide the HCP model of care coordination as outlined in the HCP
policies and guidelines
3. Contractors receiving greater than $40,000 in MCH funding shall participate in HCP
statewide meetings via webinar every other month as scheduled.
4. The Contractor shall participate in a progress check-in call with their HCP consultant to
review their annual electronic MCH and HCP Annual Report and Planning Form..
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’s work shall be guided by the MCH priority local action plans that
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.
3. The Contractor shall comply with HCP policies and guidelines, if HCP is selected on the
electronic MCH and HCP Annual Report and Planning Form. 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 electronic MCH and HCP Annual Report and Planning Form
provided the MCH program.
Expected Results of
Activity(s)
Improve the health status and address the needs of the maternal and child health population
within the Contractor’s jurisdiction.
Measurement of
Expected Results
The expected results will be measured based on selections made to the electronic MCH and HCP
Annual Report and Planning Form. All listed expected results may not apply.
1. Performance toward MCH objectives (Objective 1) shall be measured through completion of
the MCH electronic annual report.
2. The Contractor meets at least 75% of their information and resource target as calculated in
their electronic MCH and HCP Annual Report and Planning Form.
3. The Contractor meets at least 75% of their care coordination target as calculated in their
electronic MCH and HCP Annual Report and Planning Form.
4. Data contained in CDS provides evidence of the children and/or youth provided with HCP
care coordination services.
Completion Date
Deliverables 1. The Contractor shall complete and submit the electronic MCH and
HCP Annual Report and Planning Form for the next contract period.
No later than
June 1
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EXHIBIT I
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Amendment Number: 2019*0442 Amendment #5
Ver. 06.01.20
C. Monitoring:
CDPHE’s monitoring of this contract for compliance with performance requirements will be conducted throughout
the contract period by the Office of Public Health Practice, Planning, and Local Partnerships’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 communic ated to the contractor. A Final
Contractor Performance Evaluation will be conducted at the end of the life of the contract.
D. 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
timeline for completion will be documented in writing and agreed to by both parties. If extenuating circumstances
arise that requires an extension to the timeline, 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
timelines 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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Exhibit J
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Amendment Number: 2019*0442 Amendment #5 Ver. 06.01.20
BUDGET
I. Entity Name: Eagle County Public Health Agency
II. Budget:
Quarter
Local Planning and
Support Amount
Maternal Child
Health Amount TOTAL Payment
July 1 through September 30, 2021 $22,276.00 $13,302.50 $35,578.50
October 1 through December 31, 2021 $22,276.00 $13,302.50 $35,578.50
January 1 through March 31, 2022 $22,276.00 $13,302.50 $35,578.50
April 1 through June 30, 2022 $22,276.00 $13,302.50 $35,578.50
Total $89,104.00 $53,210.00 $142,314.00
DocuSign Envelope ID: 5B6B75CF-E83C-4BDF-BED4-EEBDCDB4AE7C
