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HomeMy WebLinkAboutC22-224 CDPHE_ImmunizationsDocuSign Envelope ID: EDFEE77D-73C4-4DOD-96FC-9B37C7763FEA CONTRACT AMENDMENT #6 SIGNATURE AND COVER PAGE(S) State Agency: Original Contract Number: Colorado Department Of Public Health and Environment 19 FHHA 108876 4300 Cherry Creek Drive South Denver, Colorado 80246 Contractor: Amendment Contract Number: Board of County Commissioners of Eagle County 2022*3181 Amendment #6 (a political subdivision of the state of Colorado) 500 Broadway Eagle CO 81631-0850 for the use and benefit of the Eagle County Public Health Agency 551 Broadway Eagle CO 81631 Contract Performance Beginning Date: Current Contract Expiration Date: July 1, 2018 June 30, 2023 CONTRACT MAXIMUM AMOUNT TABLE Page 1 of 4 Amendment Contract Number: 2022*3181 Amendment #6 Ver 06.05.20 DocuSign Envelope ID: EDFEE77D-73C4-4DOD-96FC-9B37C7763FEA Document Contract Federal State Funding Type Number Funding Amount Amount Original 19 FHHA $15,248.00 $54,945.00 Contract 108876 GFCL #1 19 FHHA $0.00 $6,365.00 113314 Contract 19 FHHA $6,136.00 $0.00 Amendment #1 126946 Contract 2020*080 $15,372.00 $60,083.00 Amendment #2 Amendment #2 Contract 2020*080 $0.00 $5,738.00 Option Letter Option Letter 41 #1 Contract 2020*080 $1,000.00 $0.00 Amendment #3 Amendment #3 Contract 2020*3402 $15,097.00 $58,662.00 Amendment #4 Amendment #4 Contract 2020*3402 Option Letter #2 $19,114.00 $19,114.00 Option Letter #2 Contract 2021*4108 $15,704.00 $52,705.00 Amendment #5 Amendment #5 Contract 2021 *4108 $0.00 $15,631.00 Option Letter Option Letter #3 #3 Contract 2022*3181 Amendment #6 $19,840.00 $66,392.00 Amendment #6 Other Funding Term (dates) Total Amount $0.00 07/01/2018- $70,193.00 06/30/2019 $0.00 09/17/2018- $6,365.00 06/30/2019 $0.00 03/11/2019- $6,136.00 06/30/2019 $0.00 07/01/2019- $75,455.00 06/30/2020 $0.00 03/01/2020- 06/30/2020 $5,783.00 $0.00 03/01/2020- $1,000.00 06/30/2020 $0.00 07/01/2020- 06/30/2021 $73,759.00 $0.00 08/01/2020- 06/30/2021 $38,228.00 $0.00 07/01 /2021- 06/30/2022 $68,409.00 $0.00 11 /20/2021- 06/30/2022 $15,631.00 $0.00 07/01/2022- 06/30/2023 $86,232.00 Current Contract Maximum $447,191.00 Cumulative Amount Page 2 of 4 Amendment Contract Number: 2022*3181 Amendment #6 Ver 06.05.20 DocuSign Envelope ID: EDFEE77D-73C4-4DOD-96FC-9B37C7763FEA SIGNATURE PAGE 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 ano to bind the Fart 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 DocuSigned by: AtiGr�t,", (,�,�,air CA4AC128F8AA47A... By: Signature FULL NAME Jeanne McQueeney zing nis or ner signature. STATE OF COLORADO Jared S. Polis, Governor Colorado Department of Public Health and Environment Jill Hunsaker Ryan, MPH, Executive Director DocuSigned by: Usa M,c�e�avin, 2EDF870AlA7D4FC... By: Signature Lisa McGovern Name of Executive Director Delegate Procurement & contracts section Director ft Name of Person Signing for Contractor Title of Executive Director Delegate TITLE Chair 2022-05-03 Title of Person Signing for Contractor I Date: 2022-05-03 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 E DoLuSigned by: (LS 11& W+ C48A540EBA79405... By: Signature Justin Weigle Name of State Controller Delegate Health Divisions Controller Title of State Controller Delegate 2022-06-03 Amendment Effective Date: -- Signature and Cover Pages End -- Page 3 of 4 Amendment Contract Number: 2022*3181 Amendment #6 Ver 06.05.20 DocuSign Envelope ID: EDFEE77D-73C4-4DOD-96FC-9B37C7763FEA 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, 2022, whichever is later and shall terminate on the termination of the Contract or June 30, 2023, whichever is earlier. 4. PURPOSE The Parties entered into the agreement to reduce and eliminate vaccine preventable diseases in Colorado by increasing and maintaining immunization coverage. Local public health agencies will provide core immunization services, according to established best practices and standards, to improve the health of individuals and communities. The Parties now desire to renew for an additional term and change current Contract Maximum Total for the following reason: to renew. 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 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 G, Statement of Work of the agreement. Exhibit G, Statement of Work, is deleted and replaced in its entirety with Exhibit G, Statement of Work, attached to this Amendment for the following reason: to update the work plan for the renewal period. D. The Parties now agree to modify Exhibit H, Budget of the agreement. Exhibit H, Budget, is deleted and replaced in its entirety with Exhibit H, Budget, attached to this Amendment for the following reason: to add funds for the renewal period. E. The Parties now agree to modify Exhibit F, Federal Provisions. Exhibit F, Federal Provisions, is deleted and replaced in its entirety with the Exhibit F, Federal Provisions, attached to this Amendment, for the following reason: to reflect changes to the federal award identification information. 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. Page 4 of 4 Amendment Contract Number: 2022*3181 Amendment #6 Ver 06.05.20 DocuSign Envelope ID: EDFEE77D-73C4-4DOD-96FC-9B37C7763FEA EXHIBIT G STATEMENT OF WORK To Original Contract Routing Number 19 FHHA 108876 Amendment Contract Number: 2022*3181 Amendment #6 These provisions are to be read and interpreted in conjunction with the provisions of the contract specified above. Entity Name: Eagle County Public Health Agency II. Project Description: This project serves to maintain immunization awareness, and increase vaccination rates in Colorado. The Colorado Department of Public Health and Environment (CDPHE) is funded by the Centers for Disease Control and Prevention (CDC) to address potentially life -threatening diseases and reduce risk. The project supports Local Public Health Agencies (LPHAs) through the Vaccines for Children (VFC) program, and creates a coordinated infrastructure to align with national immunization standards. The project supplies Section 317 vaccines at no cost to remove the financial barrier for adults without insurance. The project counters anti -vaccination attitudes and beliefs by engaging the community, and delivering education in the service area. The project encourages healthcare providers and school -based settings to use the Colorado Immunization Information System (CIIS), and to contribute to the centralized system by entering data. The project is intended to convene the public and health professionals, reduce mortality and morbidity rates caused by vaccine -preventable diseases, and protect the health of Coloradans. III. Definitions: 1. ACIP: Advisory Committee on Immunization Practices 2. CALPHO Colorado Association of Local Public Health Officials 3. CCC: Child Care Centers as defined by Colorado State Board of Health Rule 6 CCR 1009-2 4. CCR: Code of Colorado Regulations 5. CDC: Centers for Disease Control and Prevention 6. CDPHE: Colorado Department of Public Health and Environment 7. CIB: Colorado Immunization Branch 8. CIIS: Colorado Immunization Information System 9. Core Immunization Services (Core Services): Basic and essential vaccination services provided within the LPHA's jurisdiction. 10. Deputization: The formal extension of authority to provide VFC vaccines to eligible underinsured children from a participating FQHC or RHC to another VFC-enrolled provider; typically a local public health agency. Previously called Delegation of Authority. 11. Evidence -based: Conscientious use of current scientific evidence and clinical expertise. 12. FAQ: Frequently Asked Questions 13. FQHC: Federally Qualified Health Center 14. Insured: A person who is covered by health insurance. 15. Jurisdiction: Power or right of a legal or political agency to exercise its authority over a person, subject matter, or territory. 16. LPHA: Local public health agency 17. MMR Measles, mumps, and rubella vaccine. 18. MOU: Memorandum of Understanding 19. RHC: Rural Health Center 20. School: As defined by the Colorado Board of Health rule 6 CCR 1009-2, all child care facilities licensed by the Colorado Department of Human Services including: child care centers, school -age child care center, preschools, day camps, resident camps, day treatment centers, family child care homes, foster care homes, and head start programs; Page 1 of 7 Amendment Contract Number: 2022*3181 Amendment #6 Ver. 01.11.19 DocuSign Envelope ID: EDFEE77D-73C4-4DOD-96FC-9B37C7763FEA EXHIBIT G public, private, or parochial kindergarten, elementary or secondary schools through grade twelve, or a college or university. 21. Section 317 Vaccine: Vaccine funding used to support infrastructure critical to vaccine program success including vaccine for: uninsured and underinsured adults, outbreak response and preparedness support. 22. VFC: Vaccines for Children 23. VPD: Vaccine -preventable disease 24. WIG: Wildly Important Goal - a current strategic priority of CDPHE IV. Work Plan: Goal #1: Reduce vaccine -preventable diseases in Colorado by increasing or maintaining immunization coverage. Objective #1: No later than the expiration of the contract, provide core immunization services intended to improve the health of individuals and communities. Primary Activity #1 The Contractor shall implement core immunization services within its jurisdiction. Sub -Activities #1 1. The Contractor shall promote within the jurisdiction all ACIP-recommended vaccines available through the following distribution channels: a. VFC vaccines available through the VFC program for the eligible population served. b. Section 317 vaccines available through the Section 317 program for the eligible population served. c. Privately -purchased vaccines available for the eligible insured population served. 2. The Contractor shall analyze the need for provision of immunizations within the jurisdiction. a. According to the analysis, the Contractor shall provide immunizations within the jurisdiction. 3. The Contractor shall screen patients for eligibility to receive publicly funded vaccine. 4. The Contractor shall send immunization data to CIIS for all immunizations administered by the agency within seven (7) days of vaccine administration. 5. The Contractor shall promote use of CIIS to providers in the jurisdiction. 6. The Contractor shall review the county level Immunization Rates Report provided by CIB for the following information: a. Children 19-35 months of age no later than 30 days after distribution by CIB b. Adolescents 13-17 years of age no later than 30 days after distribution by CIB c. Compare to the CDC National Immunization Surveys; Child and Teen and CIIS-generated statewide rates provided by CIB in order to increase awareness of county versus state and national immunization rates within the 30 days that the rates report is distributed by the CIB. 7. The Contractor shall provide immunization subject matter expertise to the following: a. Decision makers b. Policy makers c. Health care providers d. The public Page 2 of 7 Amendment Contract Number: 2022*3181 Amendment #6 Ver. 01.11.19 DocuSign Envelope ID: EDFEE77D-73C4-4DOD-96FC-9B37C7763FEA EXHIBIT G 8. The Contractor shall meet with local stakeholders to implement a minimum of one (1) evidence -based strategy that is culturally and linguistically appropriate to reduce the following: a. immunization disparities by race b. immunization disparities by ethnicity c. immunization disparities by socio-economic status 9. The Contractor shall promote informed vaccine decision making by educating a minimum of one (1) of the following: a. consumers b. health care providers c. staff who administer immunizations d. policy makers 10. The Contractor shall address vaccine hesitancy by educating a minimum of one (1) of the following: a. consumers b. health care providers c. staff who administer immunizations d. policy makers 11. The Contractor shall promote vaccine services availability by educating a minimum of one (1) of the following: a. consumers b. healthcare providers c. staff who administer immunizations d. policy makers 12. The Contractor shall promote seasonal influenza vaccine to improve preparedness in the event of an influenza pandemic according to the following criteria: a. The Contractor shall promote seasonal influenza vaccine with new organizations. b. The Contractor shall continue seasonal influenza vaccine coordination with existing organizations. c. The Contractor shall promote seasonal influenza vaccine with commercial sector organizations. 13. The Contractor shall maintain a deputization MOU with an FQHC/RHC. 14. The Contractor shall deliver information to schools and CCCs about the Colorado State Board of Health Rule 6 CCR 1009-2 annual reporting requirement. a. The Contractor shall follow up with schools who fail to report data. b. The Contractor shall follow up with CCCs who fail to report data. 15. The Contractor shall support a network of VFC providers. a. The Contractor shall perform ongoing recruitment of new VFC providers. b. The Contractor shall educate current VFC providers about the VFC program requirements. 16. The Contractor shall respond to cases of VPD in the jurisdiction in order to implement core immunization services. Page 3 of 7 Amendment Contract Number: 2022*3181 Amendment #6 Ver. 01.11.19 DocuSign Envelope ID: EDFEE77D-73C4-4DOD-96FC-9B37C7763FEA EXHIBIT G 17. The Contractor shall maintain staff readiness for a VPD outbreak. 18. The Contractor shall participate in CIB Immunization calls for up-to-date information. a. The Contractor shall listen to the audio recording of the call provided by the CIB within 30 days when the Contractor does not attend call. 19. The Contractor shall attend a minimum of one (1) immunization -related training or conference. Objective #2: No later than the expiration of the contract, implement evidence -based strategies to improve immunization rates in populations identified as underimmunized. Primary Activity #1 The Contractor shall utilize immunization strategies to address strategic priorities. Sub -Activities #1 1. The Contractor shall utilize immunization strategies to address underimmunization in populations. 2. The Contractor shall review the list of strategies from Strategies to improve Colorado vaccination rates. 3. The Contractor shall plan local activities to use evidence -based strategies that are culturally and linguistically appropriate to increase immunization rates with the following: a. Health care providers b. Pharmacists c. Long-term care facility staff d. Infection control specialists e. School officials f. The 3ublic Standards and 1. The content of electronic documents located on CDPHE and non-CDPHE Requirements 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 use the final results of the CDC National Immunization Surveys; Child and Teen and CIIS-generated statewide rates provided by CIB via email communication in order to increase awareness of county versus state and national immunization rates. 3. The Contractor shall comply with the requirements for entering/submitting immunization data into CIIS as agreed to in the CIISLetter of Agreement found within the online CIIS Resource Center located on the following website, https://www.cophr.com/emr10 ig n asp. The content of this website is incorporated and made part of this contract by reference. 4. The Contractor shall comply with the ACIP recommendations for vaccine administration located on the following website, hitp://www.cdc.,gov/vaccines/acip/index.html. The content of this website is incorporated and made part of this contract by reference. 5. The Contractor shall promote compliance with school immunization rules within the Colorado State Board of Health Rule 6 CCR 1009-2 located on the following website, https://drive.google.com/file/d/IIUWIH39hkuiXaI 4g bcPOp7WoNdEw- T C/view. This document establishes immunization standards and is incorporated and made part of this contract by reference. Page 4 of 7 Amendment Contract Number: 2022*3181 Amendment #6 Ver. 01.11.19 DocuSign Envelope ID: EDFEE77D-73C4-4DOD-96FC-9B37C7763FEA EXHIBIT G 6. The Contractor shall create a login to access the school and childcare immunization data for the Contractor's jurisdiction located on the following website, htWs://www.colorado.gov/pacific/cdphe/school-and-child-care- immunization-data-reportiniz. The content of this website is incorporated and made part of this contract by reference. 7. The Contractor shall maintain a signed VFC recertification agreement when providing VFC vaccines for the jurisdiction. 8. The Contractor shall comply with the requirements for utilizing VFC vaccine agreed to in the VFC recertification agreement packet provided by CIB when providing VFC vaccines for the jurisdiction. 9. The Contractor shall comply with the eligibility requirements for utilizing Section 317 vaccine as provided by CIB via email when providing 317 vaccines for the jurisdiction. 10. The Contractor shall review and use a minimum of one (1) evidence -based strategy to reduce coverage disparities by race, ethnicity and socio-economic status from Strategies to improve Colorado vaccination rates located on the following website, htt2s://docs.google.com/document/d/IgB70i3z4B u4XtSCxGBjOwcOrKvaa m42Fgne8cu64Es/edit . The content of this website is incorporated and made part of this contract by reference. 11. The Contractor shall use deputization MOU guidance as provided by CIB via email. 12. CDPHE will provide programmatic technical assistance, upon request. 13. The Contractor shall complete an electronic quarterly progress report using the FY23 Immunization Core Services Quarterly Progress Report, via the following website, hlt 2s:Hfs9.formsite.com/ColoradoIMMproeram/FY23- CorePro reg ssReport/index.html. The content of this website is incorporated and made part of this contract by reference. 14. The Contractor shall complete the final electronic quarterly progress report as a non -reimbursable deliverable. 15. The Contractor shall provide signed VFC recertification packet and agreements via the following website when providing VFC vaccines for the jurisdiction: https://fs9.fonnsite.com/ColoradoIMMprogram/kxrc63gahx/index.html . The content of this website is incorporated and made part of this contract by reference. 16. The Contractor shall utilize strategies of CALPHO and CDPHE's Colorado Public Health System Transformation: Core Public Health Services Needs Assessment Report. Jan 2020 located on the following website, https://drive..izoo le�com/ale/d/l3ffziCLIXmOlZcFsWfke8W4MiRbxL8r/vie w?uW=sharing. This document establishes immunization standards and is incorporated and made part of this contract by reference. 17. The Contractor shall access the MMR and Flu Dashboard and Report Card via the following website: Page 5 of 7 Amendment Contract Number: 2022*3181 Amendment #6 Ver. 01.11.19 DocuSign Envelope ID: EDFEE77D-73C4-4DOD-96FC-9B37C7763FEA EXHIBIT G https:Hcohealthviz.dphe.state.co.us/#/site/DCEED Public/views/LPHAMM RF1uGoalDashboard/MMRF1uTracking. The content of this website is incorporated and made part of this contract by reference. 18. The Contractor shall strive to meet immunization targets for the jurisdiction set by the CIB to attain a WIG. 19. CDPHE will provide each jurisdiction's immunization targets via email within 90 days of the execution of the contract. 20. The CIB will maintain a LPHA Core Immunization Services FAQ document to address questions regarding this project. The content of this website is incorporated and made part of this contract by reference. 21. The Contractor shall utilize immunization strategies to address underimmunization in populations as defined by CDPHE. 22. The Contractor shall review a list of strategies from Strategies to improve Colorado vaccination rates. The content of this website is incorporated and made part of this contract by reference. Expected Results of 1. Immunizations are offered within the Contractor's jurisdiction. Activity(s) 2. Immunizations are marketed within the Contractor's jurisdiction. 3. Immunizations are administered within the Contractor's jurisdiction. Measurement of Expected 1. Data contained in the Immunization Rates Report. Results 2. Data contained in the CDPHE MMR Dashboard and Report Card. 3. Data contained in quarterly progress re orts. Completion Date Deliverables 1. For Contractors providing VFC vaccines, the No later than 30 Contractor shall electronically submit signed VFC business days recertification packet and agreements. following the receipt of the recertification packet 2. The Contractor shall submit an electronic quarterly No later than 30 progress report using the Immunization Core Services calendar days Quarterly Progress Report. following the last calendar day of September, December, and March 3. The Contractor shall submit the final electronic No later than 15 days quarterly progress report using the Immunization Core after the end term of Services Quarterly Progress Report. the contract 4. The Contractor shall submit immunization data for No later than seven (7) all immunizations administered by the Contractor's days following vaccine agency to CIIS. administration Page 6 of 7 Amendment Contract Number: 2022*3181 Amendment #6 Ver. 01.11.19 DocuSign Envelope ID: EDFEE77D-73C4-4DOD-96FC-9B37C7763FEA EXHIBIT G V. Monitoring: CDPHE's monitoring of this contract for compliance with performance requirements will be conducted throughout the contract period by the CDPHE Contract Monitor. Methods used will include a review of documentation determined by CDPHE to be reflective of performance to include progress reports and other fiscal and programmatic documentation as applicable. The Contractor's performance will be evaluated at set intervals and communicated to the contractor. VI. Resolution of Non -Compliance: The Contractor will be notified in writing within 15 calendar days of discovery of a compliance issue. Within 30 calendar days of discovery, the Contractor and the State will collaborate, when appropriate, to determine the action(s) necessary to rectify the compliance issue and determine when the action(s) must be completed. The action(s) and 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 CDPHE 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. Page 7 of 7 Amendment Contract Number: 2022*3181 Amendment #6 Ver. 01.11.19 DocuSign Envelope ID: EDFEE77D-73C4-4DOD-96FC-9B37C7763FEA EXHIBIT H To Original Contract Routing Number 19 FHHA 108876 Original Budget Immunization Core Activities - Eagle State $66,392.00 Federal $19,840.00 Total Amount $86,232.00 Amendment Contract Number: 2022*3181 Amendment #6 Page 1 of 1 DocuSign Envelope ID: EDFEE77D-73C4-4DOD-96FC-9B37C7763FEA Exhibit F Federal Provisions - CDC-RFA-IP19-1901 Immunization and Vaccines for Children For the purposes of this Exhibit only, Contractor is also identified as "Subrecipient." This Contract has been funded, in whole or in part, with an award of Federal funds. In the event of a conflict between the provisions of these Supplemental Provisions for Federal Awards, the Special Provisions, the Contract or any attachments or exhibits incorporated into and made a part of the Contract, the Supplemental Provisions for Federal Awards shall control. In the event of a conflict between the Supplemental Provisions for Federal Awards and the FFATA Supplemental Provisions (if any), the FFATA Supplemental Provisions shall control. 1) Federal Award Identification. a. Subrecipient: Eagle County Public Health Agency b. Subrecipient DUNS number: 084024447 c. The Federal Award Identification Number (FAIN) is NH231P922600. d. The Federal award date is To Be Determined. e. The subaward period of performance start date is 07/01/2021 and end date is 06/30/2022. f. Federal Funds: Federal Budget Period Total Amount of Federal Funds Awarded Amount of Federal Funds Obligated to CDPHE 7/1/2019 - 6/30/2024 $6,210,954.00 $5,809,059.00 g. Federal award title of project or program: Immunization and Vaccines for Children. h. The name of the Federal awarding agency is: The Department of Health and Human Services — Centers for Disease Control and Prevention and the contact information for the awarding official is Hilary Oliphant, 4770 Buford Highway, Chamblee, GA 30341,770- 433-3973; the name of the pass -through entity is the State of Colorado, Department of Public Health and Environment (CDPHE), and the contact information for the CDPHE official is Patsy Parker, 4300 Cherry Creek Drive South, A-3, Denver, Colorado 80246 303-692- 2669. i. The Catalog of Federal Domestic Assistance (CFDA) number is 93.268 and the grant name is Immunization and Vaccines for Children. j. This award is not for research & development. k. Subrecipient is not required to provide matching funds. In the event the Subrecipient is required to provide matching funds, Section 8 of this Attachment applies. 1. The indirect cost rate for the Federal award (including if the de minimis rate is charged per 2 CFR §200.414 Indirect (F&A) costs) is pre -determined based upon the State of Colorado and CDPHE cost allocation plan. 2) Subrecipient shall at all times during the term of this contract strictly adhere to the requirements under the Federal Award listed above, and all applicable federal laws, Executive Orders, and implementing regulations as they currently exist and may hereafter be amended. Page 1 of 4 Amendment Contract Number: 2022*3181 Amendment #6 Ver. 25.02.20 DocuSign Envelope ID: EDFEE77D-73C4-4DOD-96FC-9B37C7763FEA 3) Any additional requirements that CDPHE imposes on Subrecipient in order for CDPHE to meet its own responsibility to the Federal awarding agency, including identification of any required financial and performance reports, are stated in the Exhibits. 4) Subrecipient's approved indirect cost rate is as stated in the Exhibits. 5) Subrecipient must permit CDPHE and auditors to have access to Subrecipient's records and financial statements as necessary for CDPHE to meet the requirements of 2 CFR §200.331 Requirements for pass - through entities, §§ 200.300 Statutory and National Policy Requirements through §200.309 Period of performance, and Subpart F—Audit Requirements of this Part. 6) The appropriate terms and conditions concerning closeout of the subaward are listed in Section 16 of this Attachment. 7) Performance and Final Status. Subrecipient shall submit all financial, performance, and other reports to CDPHE no later than 45 calendar days after the period of performance end date or sooner termination of this Contract containing an evaluation and review of Subrecipient's performance and the final status of Subrecipient's obligations hereunder. 8) Matching Funds. Subrecipient shall provide matching funds as stated in the Exhibits. Subrecipient shall have raised the full amount of matching funds prior to the Effective Date and shall report to CDPHE regarding the status of such funds upon request. Subrecipient's obligation to pay all or any part of any matching funds, whether direct or contingent, only extends to funds duly and lawfully appropriated for the purposes of this Contract by the authorized representatives of the Subrecipient and paid into the Subrecipient's treasury or bank account. Subrecipient represents to CDPHE that the amount designated as matching funds has been legally appropriated for the purposes of this Contract by its authorized representatives and paid into its treasury or bank account. Subrecipient does not by this Contract irrevocably pledge present cash reserves for payments in future fiscal years, and this Contract is not intended to create a multiple -fiscal year debt of the Subrecipient. Subrecipient shall not pay or be liable for any claimed interest, late charges, fees, taxes or penalties of any nature, except as required by Subrecipient's laws or policies. 9) Record Retention Period. The record retention period previously stated in this Contract is replaced with the record retention period prescribed in 2 CFR §200.333. 10) Single Audit Requirements. If Subrecipient expends $750,000 or more in Federal Awards during Subrecipient's fiscal year, Subrecipient shall procure or arrange for a single or program -specific audit conducted for that year in accordance with the provisions of Subpart F-Audit Requirements of the Uniform Guidance, issued pursuant to the Single Audit Act Amendments of 1996, (31 U.S.C. 7501-7507). 2 CFR §200.501. 11) Contract Provisions. Subrecipient shall comply with and shall include all of the following applicable provisions in all subcontracts entered into by it pursuant to this Contract: a. Office of Management and Budget Circulars and The Common Rule for Uniform Administrative Requirements for Grants and Cooperative Agreements to State and Local Governments, as applicable; b. when required by Federal program legislation, the "Davis -Bacon Act", as amended (40 U.S.C. 3141-3148) as supplemented by Department of Labor Regulations (29 CFR Part 5, "Labor Standards Provisions Applicable to Contracts Covering Federally Financed and Assisted Construction"); when required by Federal program legislation, the Copeland "Anti -Kickback" Act (40 U.S.C. 3145), as supplemented by Department of Labor regulations (29 CFR Part 3, "Contractors and Subcontractors on Public Building of Public Work Financed in Whole or in Part by Loans or Grants from the United States"). Page 2 of 4 Amendment Contract Number: 2022*3181 Amendment #6 Ver. 25.02.20 DocuSign Envelope ID: EDFEE77D-73C4-4DOD-96FC-9B37C7763FEA d. 42 U.S.C. 6101 etSM., 42 U.S.C. 2000d, 29 U.S.C. 794 (regarding discrimination); e. the "Americans with Disabilities Act" (Public Law 101-336; 42 U.S.C. 12101, 12102, 12111 - 12117, 12131 - 12134, 12141 - 12150, 12161 - 12165, 12181 - 12189, 12201 - 12213 and 47 U.S.C. 225 and 47 U.S.C. 611); f. when applicable, the Contractor shall comply with the provisions of the "Uniform Administrative Requirements for Grants and Cooperative Agreements to State and Local Governments" (Common Rule); g. 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. h. Contractor shall comply with the provisions of Section 601 of Title VI of the Civil Rights Act of 1964, as amended. i. Except as otherwise provided under 41 CFR Part 60, all contracts that meet the definition of "federally assisted construction contract" in 41 CFR Part 60-1.3 comply with the equal opportunity clause provided under 41 CFR 60-1.4(b), in accordance with Executive Order 11246, "Equal Employment Opportunity: (30 FR 12319, 12935, 3 CFR Part, 1964-1965 Comp., p. 339), as amended by Executive Order 11375, "Amending Executive Order 11246 Relating to Equal Employment Opportunity," and implementing regulations at 41 CFR part 60, "Office of Federal Contract Compliance Programs, Equal Employment Opportunity, Department of Labor. j. where applicable, Contract Work Hours and Safety Standards Act (40 U.S.C. 3701-3708). k. if the Federal award meets the definition of "funding agreement" under 37 CFR § 401.2 (a) and the recipient or subrecipient wishes to enter into an agreement with a small business firm or nonprofit organization, comply with the requirements of 37 CFR Part 401, "Rights to Inventions Made by Nonprofit Organizations and Small Business Firms Under Government Grants, Contracts and Cooperative Agreements," and any implementing regulations issued by the awarding agency. 1. the Clean Air Act (42 U.S.C. 7401-7671q.) and the Federal Water Pollution Control Act (33 U.S.C. 1251-1387), as amended. m. if applicable, comply with the mandatory standards and policies on energy efficiency contained within the State of Colorado's energy conservation plan issued in compliance with the Energy Policy and Conservation Act, 42 U.S.C. 6201. n. the Contractor and all principals are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any federal department or agency; the Contractor and all principals shall comply with all applicable regulations pursuant to Executive Order 12549 (3 CFR Part 1986 Comp., p. 189) and Executive Order 12689 (3 CFR Part 1989 Comp., p. 235), Debarment and Suspension; and, o. the Contractor shall comply where applicable, the Byrd Anti -Lobbying Amendment (31 U.S.C. 1352). 12) Compliance. Subrecipient shall comply with all applicable provisions of The Office of Management and Budget Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance), including but not limited to these Supplemental Provisions for Federal Awards. Any revisions to such provisions automatically shall become a part of these Supplemental Provisions, without the necessity of either party executing any further instrument. CDPHE may provide Page 3 of 4 Amendment Contract Number: 2022*3181 Amendment #6 Ver. 25.02.20 DocuSign Envelope ID: EDFEE77D-73C4-4DOD-96FC-9B37C7763FEA written notification to Subrecipient of such revisions, but such notice shall not be a condition precedent to the effectiveness of such revisions. 13) Procurement Procedures. Subrecipient shall use its own documented procurement procedures which reflect applicable State, local, and Tribal laws and regulations, provided that the procurements conform to applicable Federal law and the standards identified in the Uniform Guidance, including without limitation, §§200.318 through 200.326 thereof. 14) Certifications. Unless prohibited by Federal statutes or regulations, CDPHE may require Subrecipient to submit certifications and representations required by Federal statutes or regulations on an annual basis (2 CFR §200.208). Submission may be required more frequently if Subrecipient fails to meet a requirement of the Federal award. Subrecipient shall certify in writing to CDPHE at the end of the Contract that the project or activity was completed or the level of effort was expended. 2 CFR §200.201(b)(3). If the required level of activity or effort was not carried out, the amount of the Contract must be adjusted. 15) Event of Default. Failure to comply with the Uniform Guidance or these Supplemental Provisions for Federal Awards shall constitute an event of default under the Contract pursuant to 2 CFR §200.339 and CDPHE may terminate the Contract in accordance with the provisions in the Contract. 16) Close- Out. Subrecipient shall close out this Contract within 45 days after the End Date. Contract close out entails submission to CDPHE by Subrecipient of all documentation defined as a deliverable in this Contract, and Subrecipient's final reimbursement request. If the project has not been closed by the Federal awarding agency within 1 year and 45 days after the End Date due to Subrecipient's failure to submit required documentation that CDPHE has requested from Subrecipient, then Subrecipient may be prohibited from applying for new Federal awards through the State until such documentation has been submitted and accepted. 17) Erroneous Payments. The closeout of a Federal award does not affect the right of the Federal awarding agency or CDPHE to disallow costs and recover funds on the basis of a later audit or other review. Any cost disallowance recovery is to be made within the record retention period. EXHIBIT END Page 4 of 4 Amendment Contract Number: 2022*3181 Amendment #6 Ver. 25.02.20