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Home My WebLink AboutC23-237 CDPHE_emergency preparednessDocuSign Envelope ID: 194E3EB4-B99C-47D8-9715-81406A1EC73D Page 1 of 4 Amendment Contract Number: 2024*0083 Amendment #5 Ver 06.05.20 CONTRACT AMENDMENT #5 SIGNATURE AND COVER PAGE(S) State Agency: Colorado Department Of Public Health and Environment 4300 Cherry Creek Drive South Denver, Colorado 80246 Original Contract Number: 2020*0243 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: 2024*0083 Amendment #5 Contract Performance Beginning Date: July 1, 2019 Current Contract Expiration Date: June 30, 2024 CONTRACT MAXIMUM AMOUNT TABLE Document Type Contract Number Federal Funding Amount State Funding Amount Other Funding Amount Term (dates) Total Original Contract 2020*0243 $39,407.00 $0.00 $0.00 07/01/2019- 06/30/2020 $39,407.00 Contract Amendment #1 2020*0243 Amendment #1 $0.00 $0.00 $0.00 07/01/2019- 06/30/2020 $0.00 Contract Amendment #2 2020*0243 Amendment #2 $37,615.00 $0.00 $0.00 07/01/2020- 06/30/2021 $37,615.00 Contract Amendment #3 2022*0096 Amendment #3 $128,216.00 $0.00 $0.00 07/01/2021- 06/30/2022 $128,217.00 Contract Amendment #4 2023*0151 Amendment #4 $125,895.00 $0.00 $0.00 07/01/2022- 06/30/2023 $125,895.00 Contract Amendment #5 2024*0083 Amendment #5 $74,885.00 $0.00 $0.00 07/01/2023- 06/30/2024 $74,885.00 Current Contract Maximum Cumulative Amount $406,019.00 DocuSign Envelope ID: 194E3EB4-B99C-47D8-9715-81406A1EC73D Page 2 of 4 Amendment Contract Number: 2024*0083 Amendment #5 Ver. 06.05.20 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 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 -- $' ""' " %$' ## " # &" " %"$ $"$#$ "$ "$ " $$"! Page 3 of 4 Amendment Contract Number: 2024*0083 Amendment #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, 2023, whichever is later, and shall terminate on the termination of the Contract or June 30, 2024, whichever is earlier. 4. PURPOSE The Parties entered into the agreement to upgrade the public health departments ability to effectively respond to a range of public health threats, including infectious diseases, natural disasters, and biological, chemical, nuclear, and radiological events. The Parties now desire to renew for an additional term and change current Contract Maximum Total for the following reason: To update the contract documents and requirements for fiscal year 2024. 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 C, Budget, of the agreement. Exhibit C, Budget, is deleted and replaced in its entirety with Exhibit C, Budget, attached to this Amendment for the following reason: To issue the fiscal year 2024 Budget. D. The Parties now agree to modify Exhibit E, Statement of Work, of the agreement. Exhibit E, Statement of Work, is deleted and replaced in its entirety with Exhibit E, Statement of DocuSign Envelope ID: 194E3EB4-B99C-47D8-9715-81406A1EC73D Page 4 of 4 Amendment Contract Number: 2024*0083 Amendment #5 Ver 27.01.20 Work, attached to this Amendment for the following reason: To issue the fiscal year 2024 Statement of Work. E. The Parties now agree to modify Exhibit F, Federal Provisions. Exhibit F, Federal Provisions, is deleted and replaced in its entirety with Exhibit F, Federal Provisions, attached to this Amendment, for the following reason: To reflect changes to the federal award identification information. F. The Parties now agree to delete Exhibit H, Statement of Work, for the following reason: To remove the Regional Statement of Work requirements for this contract period. 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. DocuSign Envelope ID: 194E3EB4-B99C-47D8-9715-81406A1EC73D Exhibit C 12‐MO BUDGET Project Name Public Health Emergency Preparedness Program (PHEP) Position Title Gross or Annual Salary Fringe Percent of Time on Project In Kind Total Amount Requested EPR Coordinator 76,806.00$ 32,771.00$ 70% 70,503.00$ Nurse Supervisor 100,727.00$ 22,770.00$ 10% 12,349.70$ ‐$ Epidemiologist/Deputy PH Director 147,914.00$ 42,662.00$ 5% 9,528.80$ ‐$ Program Support & Vital Records Registrar 70,474.00$ 26,060.00$ 5% 4,826.70$ ‐$ Nurse Supervisor 98,709.00$ 35,429.00$ 5% 6,706.90$ ‐$ Position Title Hourly Wage Hourly Fringe Total # of Hours on Project Total Amount Requested Clinical Assistant/EPI 34.33$ 15.07$ 100 4,940.00$ ‐$ Clinical Assistant/EPI 2 34.03$ 12.54$ 100 4,657.00$ ‐$ $ 43,009.10 70,503.00$ Item Rate Units Total Amount Requested Cell Phones $ 59.00 12 708.00$ Cell Phone $ 52.00 6 312.00$ Cell Phone $ 72.00 6 432.00$ Radio $ 580.00 1 580.00$ Secure Fax $ 60.00 1 60.00$ Operating Supplies $ 100.00 1 100.00$ 2,192.00$ Item Rate Units Total Amount Requested Local EPR Coordinator Travel 0.66$ 2000 1,310.00$ Per Diem for EPR Coordinator Lodging for 1 staff for 4 nights at $150 per night plus per diem for 4 days 220.00$ 4 880.00$ 2,190.00$ 74,885.00$ 74,885.00$ Indirect Cost Rate Percentage Total Amount Requested Federally‐Negotiated Rate $ ‐ CDPHE‐Negotiated Rate ‐$ 10% De Minimis Rate ‐$ ‐$ 74,885.00$ $ 43,009.10 Travel to EOC, Meetings or Trainings Total Travel TOTAL DIRECT COSTS for indirect calc Indirect Costs Description of Item Total Indirect TOTAL Amount Requested from CDPHE COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT (CDPHE) DISEASE CONTROL AND PUBLIC HEALTH RESPONSE (DCPHR) Agency Name Eagle County Public Health Agency Agency Contact Name, Title Megan Vilece, EPR Coordinator 970‐471‐5735Phone Email Budget Period FY24 Fiscal Contract Name, Title Phone Email megan.vilece@eaglecounty.us Danielle Magargle 970‐328‐2607 danielle.magargle@eaglecounty.us Date Completed All budget numbers are estimates. Budget Total for this contract will not exceed $74,885. Description of Work Coordinates EPR activities for agency, as well as ESF8 lead for County. Will also serve as EPI support during surge or staff shortages since Regional support is decreasing. Any remaining time not budgeted will be recorded as IN KIND Oversees the EPR/PHEP program and supervises coordinator, also EPI (IN KIND) 4/17/2023 Oversees entire department, lead EPI and SME for disease prevention team (IN KIND) Coordinates fiscal activities in agency (IN KIND) Other nurse on the EPI Team (IN KIND) Personnel Services / Hourly Employees Description of Work HAN Coordinator, and Back‐up CVM Administrator (IN KIND) EPI Team (IN KIND) Total Personnel Services (including fringe benefits) Supplies & Operating Expenses Total Supplies & Operating Expenses Travel Description of Item Monthly Cell with Hot Spot for Epidemiologist 800 MhZ Radio Annual User Fee Secure Fax service for EPR/EPI team Office Supplies for EPR Coordinator Total In‐Kind Description of Item Monthly Cell for EPR Coordinator Monthly Cell for Public Health Nurse Supervisor TOTAL DIRECT COSTS (TDC) Amendment COntract Number: 2024*0083 Amendment #5 Page 1 of 1 DocuSign Envelope ID: 194E3EB4-B99C-47D8-9715-81406A1EC73D EXHIBIT E Amendment Contract Number: 2024*0083 Amendment #5 Page 1 of 9 STATEMENT OF WORK To Original Contract Number: 2020*0243 These provisions are to be read and interpreted in conjunction with the provisions of the contract specified above. I. Project Description: This project serves to improve medical and public health care preparedness, response, recovery and epidemiological capabilities at the federal, state, and local levels. Public health systems are essential in preparing communities to respond to and recover from emergencies and threats. Centers for Disease Control and Prevention (CDC) established the PHEP program to build public health emergency response capabilities both nationally and locally. The Public Health Emergency Preparedness (PHEP) cooperative agreement provides technical assistance and resources to support state, local, Tribal, and territorial public health departments, along with Healthcare Coalitions (HCCs) and health care organizations, throughout Colorado to show measurable and sustainable progress towards achieving the preparedness and response capabilities that promote prepared and resilient communities through planning, training, and exercises. II. Definitions: 1. AFN-Access and Functional Needs 2. CDC-Centers for Disease Control and Prevention 3. CEDRS-Colorado Electronic Disease Reporting System, will be replaced by EpiTrax in the Winter of 2023 4. CDPHE-Colorado Department of Public Health and Environment 5. CO-SHARE-Colorado State Health and Readiness Exchange 6. CVM-Colorado Volunteer Mobilizer 7. DHSEM-Division of Homeland Security and Emergency Management 8. DOC-Department Operations Center 9. EpiTrax- Disease reporting and surveillance system to be implemented replacing CEDRS in the Winter of 2023 10. EPR-Emergency Preparedness and Response 11. HAN-Health Alert Network 12. HCC-Healthcare Coalition 13. IPP-Integrated Preparedness Plan 14. LPHA-Local Public Health Agency 15. LTP-Local Transfer Point 16. Mission Drills-Emergency response drills for medical and public health professionals 17. NORS-National Outbreak Reporting System 18. OEPR-Office of Emergency Preparedness and Response 19. PHEP-Public Health Emergency Preparedness 20. POD-Point of Dispensing 21. RSS-Regional Stage and Storage 22. RTP-Regional Transfer Point DocuSign Envelope ID: 194E3EB4-B99C-47D8-9715-81406A1EC73D EXHIBIT E Amendment Contract Number: 2024*0083 Amendment #5 Page 2 of 9 III. Work Plan: Goal #1: To increase capacity for preparedness and epidemiology response and recovery within the Jurisdiction. Objective #1: No later than the expiration date of the Contract, provide public health preparedness, response, and recovery surveillance response activities, to maintain public health surveillance and epidemiological response capacity in the Jurisdiction through planning, training, exercises and real events. Primary Activity #1 The Contractor shall conduct timely, complete disease and outbreak investigations to implement appropriate disease control and mitigation activities. Sub-Activity #1 1. The Contractor shall create a plan to maintain access to the following trained personnel. Plans currently in use, do not need to be recreated but can be updated. Plans must include the following items: a. Staff who monitor routine jurisdictional public health disease surveillance system; Colorado Electronic Disease Reporting System (CEDRS/EpiTrax). b. Staff who are trained to conduct routine disease investigations. c. Staff who can support surge requirements in response to disease-related events. d. Staff who can respond to emergencies that threaten public health. Sub-Activity #2 1. The Contractor shall maintain complete, accurate disease outbreak investigation data. a. The Contractor shall enter information from the Local Public Health Agency (LPHA)-conducted disease and outbreak investigations into the designated statewide surveillance system (CEDRS/EpiTrax). i. Data entry shall be completed within three business days of investigation or interview. Sub-Activity #3 1. The Contractor shall assess disease investigation metrics reports. a. The Contractor shall resolve any issues identified in the reports. b. The Contractor shall record each disease investigation metrics issue resolution in the Grant Reporting Spreadsheet. Sub-Activity #4 1. The Contractor shall submit timely, complete Outbreak Reports for LPHA led outbreaks for the following reports: a. Initial Outbreak report. b. Final Outbreak report. Sub-Activity #5 1. The Contractor shall submit timely, complete National Outbreak Reporting System (NORS) forms for the following outbreaks led by the LPHA: a. Waterborne and foodborne disease outbreaks. b. Enteric disease outbreaks which transmission methods include: i. contact with environmental sources, ii. through infected people or animals, iii. an indeterminate/unknown mode. Sub-Activity #6 1. The Contractor shall respond to incidents with public health implications within the jurisdiction to implement appropriate disease control and mitigation activities. Primary Activity #2 The Contractor shall assess specific public health surveillance data to assist with the prompt identification of potentially hazardous health situations to enable rapid decision making and information sharing for the protection of community health. DocuSign Envelope ID: 194E3EB4-B99C-47D8-9715-81406A1EC73D EXHIBIT E Amendment Contract Number: 2024*0083 Amendment #5 Page 3 of 9 Sub-Activity #1 1. The Contractor shall maintain awareness of communicable disease trends and threats in their jurisdiction. a. The Contractor shall regularly assess surveillance data for their jurisdiction. b. The Contractor shall regularly review surveillance data for their jurisdiction. c. The Contractor shall attend statewide Communicable Disease calls. d. The Contractor shall meet at least quarterly with the Field Epidemiologist assigned to their region. Sub-Activity #2 1. The Contractor shall present public health surveillance data to include: a. Reports. b. Concepts. 2. The Contractor shall share data with community organizations, at a minimum of every six (6) months. Examples of topics include, but are not limited to: a. Public health surveillance data through a newsletter b. Public health surveillance data through a website. c. Discussing the agency’s regional epidemiological response plan. d. Reviewing an outbreak investigation. e. Reviewing the role of epidemiology in emergency preparedness and response. f. Sharing epidemiological tools that can be used in emergency preparedness and response. g. Training for HCCs to address identified gaps in communicable disease response. 3. The Contractor shall submit reports to the Grant Reporting Spreadsheet to include the following: a. The date of the presentation. b. A Brief Topic Synopsis. Primary Activity #3 The Contractor shall support disease prevention and response among people at higher risk of communicable disease infections. Sub Activity #1 1. The Contractor shall coordinate with community stakeholders that shall include agencies such as: a. Organizations supporting people experiencing homelessness. b. Correctional facilities. c. Organizations supporting populations >65 years. d. Organizations supporting food security. e. Schools. f. Childcare agencies. g. Organizations supporting seasonal workers. h. Organizations supporting migrant workers. i. Organizations supporting people with disabilities. j. Organizations supporting people with chronic conditions. Goal #2: To increase capacity for preparedness, response, and recovery during public health emergencies. Objective #1: No later than the expiration date of the Contract, improve public health preparedness, response, and recovery activities through planning. Primary Activity #1 The Contractor shall participate in the development or update of the Regional All-Hazards Integrated Preparedness Plan (IPP) to include four years of progressive exercise planning. Sub-Activity #1 1. The Contractor shall complete one of the following: a. The contractor shall update their existing plan. b. The contractor shall develop a new plan. Primary Activity #2 The Contractor shall develop or update the Distribution Plan. DocuSign Envelope ID: 194E3EB4-B99C-47D8-9715-81406A1EC73D EXHIBIT E Amendment Contract Number: 2024*0083 Amendment #5 Page 4 of 9 Sub-Activity #1 1. Updates to the plan shall include the following: a. Ordering process, b. Transportation methods, c. Storage details, d. Supply management, e. Point of contact(s), f. Facility address. Primary Activity #3 The Contractor shall meet with the local Emergency Manager to discuss planning and Public Health/Emergency Management coordination during responses at least once per quarter. Primary Activity #4 The Contractor shall assure collaboration with at least one (1) of the following: a. Fatality management partners in their jurisdiction. b. Mass care partners in the jurisdiction. Sub-Activity #1 1. The Contractor shall participate in one of the following events: a. Attend an existing meeting with these partners to confer about information sharing, coordination and key response roles. b. Hold a meeting with these partners to confer about information sharing, coordination and key response roles. Objective #2: No later than the expiration date of the Contract, improve public health preparedness, response, and recovery activities through training. Primary Activity #1 The Contractor shall participate in public health preparedness, response, or recovery related conferences at the discretion of the Contractor. Primary Activity #2 The Contractor shall identify staff who have been trained as primary and alternate Colorado Volunteer Mobilizer (CVM) administrator. Primary Activity #3 The Contractor shall participate in an “Ordering and Receiving” CDPHE Developed webinar once per fiscal year. Primary Activity #4 The Contractor shall participate in at least one training event or informational meeting offered by the Division of Homeland Security and Emergency Management (DHSEM) Access and Functional Needs (AFN) Team. Primary Activity #5 The Contractor shall develop an ESF 8 resilience plan. Sub-Activity #1 1. The Contractor shall implement a one (1) day consultation with the CO-CARES team at CDPHE to learn about ways to strengthen individual, team and system resilience. Objective #3: No later than the expiration date of the Contract, improve public health preparedness, response, and recovery activities through exercises. Primary Activity #1 The contractor shall respond to quarterly redundant communication drills. Sub Activity #1 1. Responses to the Office of Emergency Preparedness and Response (OEPR) drills may be made by one or more of the following methods: a. Email. b. Phone. c. SMS Text. d. Radio. DocuSign Envelope ID: 194E3EB4-B99C-47D8-9715-81406A1EC73D EXHIBIT E Amendment Contract Number: 2024*0083 Amendment #5 Page 5 of 9 2. Responses to the Communicable Disease drills may be made by one or more of the following methods: a. Email. b. Phone. c. SMS Text. d. Radio. Primary Activity #2 The Contractor shall update the LPHA Contact List in the Colorado State Health and Readiness Exchange (CO-SHARE). Sub Activity #1 1. The Contractor shall update the contact list a minimum of two (2) times per year or when: a. Contact information changes. b. New Emergency Preparedness and Response (EPR) staff are added. c. Primary Communicable Disease staff change. Primary Activity #3 The Contractor shall participate in quarterly redundant 800 MgHz radio communication drills conducted by CDPHE. Primary Activity #4 The Contractor shall update and maintain jurisdictional contact lists for communication with local partners. Sub Activity #1 1. Redundant communication system contact lists shall be kept up-to date. Systems may include but not be limited to: a. The Health Alert Network (HAN) message system, b. Exercise and drills spreadsheets, c. Other jurisdictional tracking systems. Sub-Activity #2 1. The Contractor shall utilize contact lists to receive and distribute relevant public health and epidemiological information. Sub-Activity #3 1. The Contractor shall submit HAN reports twice per year. Primary Activity #5 The Contractor shall conduct semi-annual drills to test redundant forms of communication among its partners. Primary Activity #6 The Contractor shall utilize the Colorado Volunteer Mobilizer (CVM) system for disaster drills and events. Sub Activity #1 1. The Contractor shall conduct a minimum of two (2) of the following events that include all the Volunteers under the Administrator: a. Mission drills b. Real events 2. The Contractor shall use the CVM system for scheduling mission drills. 3. The Contractor shall use the CVM system for real disaster events. Primary Activity #7 The Contractor shall conduct a distribution Tabletop exercise utilizing CDPHE guidance document. DocuSign Envelope ID: 194E3EB4-B99C-47D8-9715-81406A1EC73D EXHIBIT E Amendment Contract Number: 2024*0083 Amendment #5 Page 6 of 9 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. CDPHE will provide a location to access the Grant Reporting Spreadsheet. 3. The Contractor shall comply with primary disease case investigation responsibilities for local or state public health agencies and the public health response timelines outlined in the CDPHE Communicable Disease Manual (https://cdphe.colorado.gov/communicable- disease-manual) in the “CDPHE Guidance on Diseases Needing Case Investigation” (https://docs.google.com/document/d/1AHrfRPtAowOlhHud5oRWzmf3MC5vEohN9W07 1QxMOPM/edit). This document and website are incorporated and made part of the contract by reference and are available on the following website: https://cdphe.colorado.gov/communicable-disease-manual 4. The Contractor shall use statewide guidance and best practice in investigation of disease and outbreak. Guidance for many conditions can be found in the CDPHE Communicable Disease Manual (https://cdphe.colorado.gov/communicable-disease-manual). Guidance may evolve and be adapted for changing responses or new pathogens. This website is incorporated and made part of the contract by reference. a. CDPHE CDB will provide the most up to date guidance as needed. 5. The Contractor shall comply with CDPHE requirements in the use of CEDRS and EpiTrax for data reporting including complete data entry for required fields. 6. The Contractor shall comply with reporting requirements when completing the Center for Disease Control and Prevention (CDC) National Outbreak Reporting System (NORS) forms and Outbreak Reports. This information is incorporated and made part of this contract by reference and is located on the CDPHE website: https://cdphe.colorado.gov/infectious-disease-guidelines/outbreak-investigation-guidelines 7. The Contractor shall complete disease and outbreak investigations with primary reporting responsibilities using established guidance and best practices. 8. The contractor shall not distribute public health surveillance data for counties outside of their jurisdiction without prior written approval from the jurisdiction whose data is requested. Approval will allow the following: a. The extraction of data from another jurisdiction. b. Downloading another jurisdictions Data. c. The analysis of Data obtained from another jurisdiction. d. Interpreting another jurisdictions data. 9. The Contractor shall attend a minimum of 80% of the bi-monthly epidemiologist conference calls. 10. CDPHE will record and monitor attendance of the bi-monthly epidemiologist conference calls. 11. CDPHE will supply disease reporting and investigation metrics reports in August 2023 and February 2024. 12. The Contractor shall comply with CDPHE requirement for outbreak reporting. DocuSign Envelope ID: 194E3EB4-B99C-47D8-9715-81406A1EC73D EXHIBIT E Amendment Contract Number: 2024*0083 Amendment #5 Page 7 of 9 13. The Contractor shall demonstrate participation in the Regional All-Hazards Integrated Preparedness Plan (IPP) by one of the following: a. Retaining sign-in sheets, b. Providing meeting minutes, c. Sharing an email. 14. CDPHE shall provide a guidance document for quarterly meetings between Public Health and Emergency Management partners. 15. The Contractor CVM administrators, both primary and alternate shall: a. Have completed CVM Administrator training within the past 24 months. b. Signed the yearly confidentiality agreement. c. Be recognized by CDPHE as a CVM Administrator. 16. CPDHE will provide quarterly CVM Administrator training for LPHA’s. 17. CDPHE will provide ESF 8 development guidance by July 31st 2023. 18. A minimum of one (1) EPR Coordinator per agency must respond to the quarterly redundant communication drills conducted by CDPHE. a. Redundant Communication Drills (radios) will focus on the following: b. Information sharing between the state and local department operations centers (DOC). c. Communication between the Regional Stage and Storage (RSS), Regional Transfer Point (RTP) and Local Transfer Point (LTP)s. 19. CDPHE will provide access to the Communication Drill Reporting Spreadsheet via COSHARE. 20. Local operational sites include the following: a. DOC b. Open Point of Dispensing (POD) c. Closed POD d. RTP e. LTP f. HCC member agencies 21. CDPHE will provide guidance for Tabletop exercises by September 30th, 2023. Expected Results of Activity(s) Colorado public health agencies will improve their ability to respond to public health emergencies and related events to which a public health response is necessitated. Measurement of Expected Results 1. NORS forms are complete. 2. Outbreak Summary Reports are complete. 3. Disease investigations conducted by the Contractor are timely and complete. 4. Grant Reporting spreadsheet is complete for all deliverables. 5. Updated Regional All-Hazards Integrated Preparedness Plan (IPP). 6. Improved collaboration between public health and emergency management. 7. Participation in Emergency Preparedness drills and exercises. 8. Updated Distribution Plan. DocuSign Envelope ID: 194E3EB4-B99C-47D8-9715-81406A1EC73D EXHIBIT E Amendment Contract Number: 2024*0083 Amendment #5 Page 8 of 9 Completion Date Deliverables 1. The Contractor shall submit the meeting minutes from quarterly meetings via CO-SHARE. No later than Sept. 30, 2023 for first submission, Dec. 31, 2023 for second submission, March 31, 2024 for third submission, and June 15, 2024 for the fourth submission 2. The Contractor shall submit their personnel plan identifying how they will maintain access to trained personnel to the CDPHE Contractor via CO-SHARE. No later than September 30, 2023 3. The Contractor shall submit all agency- initiated drill report information in the Communications Drill Reporting Spreadsheet via CO-SHARE. No later than Dec. 31, 2023 for the first submission and June 15, 2024 for the second submission 4. The Contractor shall submit documentation of participation in the development of the Regional All- Hazards Integrated Preparedness Plan (IPP) via CO- SHARE. No later than June 15, 2024 5. The Contractor shall submit the Distribution Plan via CO-SHARE. No later than June 15, 2024 6. The Contractor shall submit an agenda and meeting minutes for collaboration sessions with partners via CO- SHARE. No later than June 15, 2024 7. The Contractor shall submit copies of CVM administrator training certificates with confidentiality agreements for their primary and alternate administrators via CO-SHARE. No later than June 15, 2024 8. The Contractor shall submit the date and time of the CDPHE webinar completed into the Grant Deliverable Tracker. No later than June 15, 2024 9. The Contractor shall submit the sign in sheet(s) for the DHSEM AFN training events or informational meetings via CO-SHARE. No later than June 15, 2024 10. The Contractor shall submit all contact list(s) via CO- SHARE. No later than June 15, 2024 11. The Contractor shall submit a draft ESF8 resilience plan via CO-SHARE. No later than June 15, 2024 12. The Contractor shall submit CVM reports for two (2) completed mission drills or real events via CO-SHARE. No later than June 15, 2024 13. The Contractor shall submit an exercise plan, participant list, and after action report via CO-SHARE. No later than June 15. 2024 14. The Contractor shall resolve issues related to missing data in CEDRS or Epi Trax for conditions investigated by the LPHA. No later than two (2) weeks after receiving a missing data report 15. The Contractor shall submit NORS forms for outbreak reporting via CO-SHARE. No later than two months from first illness onset DocuSign Envelope ID: 194E3EB4-B99C-47D8-9715-81406A1EC73D EXHIBIT E Amendment Contract Number: 2024*0083 Amendment #5 Page 9 of 9 16. The Contractor shall submit outbreak summary reports for LPHA led outbreaks via CO-SHARE. No later than six (6) months from first illness onset 17. The Contractor shall report outbreaks identified in their jurisdiction to CDPHE via CO-SHARE. No later than one (1) business day from identification 18. The Contractor shall resolve issues related to timely and complete submission of NORS forms and outbreak reports via CO-SHARE. No later than two (2) weeks from notification of missing or incomplete reports from CDPHE 19. The Contractor shall submit documentation of any issues identified in the disease investigation metrics reports and resolution via the Grant Reporting Spreadsheet. No later than one (1) month after receiving the report 20. The Contractor shall submit the name of the public health or community organization to which a surveillance or epidemiologic topic was presented between July 1, 2023 and December 31, 2023, via the Grant Reporting spreadsheet. No later than Feb. 28, 2024 21. The Contractor shall submit the name of the public health or community organization to which a surveillance or epidemiologic topic was presented between January 1, 2024 and June 30, 2024 via the Grant Reporting spreadsheet. No later than the contract end date 22. The Contractor shall submit a brief summary of their role in disease prevention and response efforts among people of higher risk of communicable disease infection via the Grant Reporting spreadsheet. No later than the contract end date IV. Monitoring: CDPHE’s monitoring of this contract for compliance with performance requirements will be conducted throughout the contract period by the program 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. A Final Contractor Performance Evaluation will be conducted at the end of the life of the contract. V. Resolution of Non-Compliance: The Contractor will be notified in writing within 30 calendar days of discovery of a compliance issue. Within 10 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 require an extension to the time line, the Contractor must email a request to the Public Health Emergency Preparedness (PHEP) Program Manager or designee and receive approval for a new due date. The State will oversee the completion/implementation of the action(s) to ensure time lines are met and the issue(s) is resolved. If the Contractor demonstrates inaction or disregard for the agreed upon compliance resolution plan, the State may exercise its rights under the Terms and Conditions of this contract. DocuSign Envelope ID: 194E3EB4-B99C-47D8-9715-81406A1EC73D Page 1 of 4 Amendment Contract Number: 2024*0083 Amendment #5 Ver. 25.02.20 Exhibit F Federal Provisions – Public Health Emergency Preparedness 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 Unique Entity Identification Number:  SAM Unique Entity ID (UEI): GDB1EPFH8JR9 c. The Federal Award Identification Number (FAIN) is NU90TP922028 d. The Federal award date is 6/22/2022 e. The subaward period of performance start date is 7/01/2019 and end date is 6/30/2024. f. Federal Funds: Federal Budget Period Total Amount of Federal Funds Awarded Amount of Federal Funds Obligated to CDPHE 07/21/2022 - 06/30/2023 $46,763,580.00 TBD g. Federal award title of project or program: Public Health Emergency Preparedness. h. The name of the Federal awarding agency is: DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention and the contact information for the awarding official is Daniele Ngantou, Public Health Advisor ywz0@cdc.gov; 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 Amanda Hettinger, amanda.hettinger@state.co.us, Project Director. i. The Catalog of Federal Domestic Assistance (CFDA) number is 93.069 and the grant name is Public Health Emergency Preparedness. 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. l. 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. DocuSign Envelope ID: 194E3EB4-B99C-47D8-9715-81406A1EC73D Page 2 of 4 Amendment Contract Number: 2024*0083 Amendment #5 Ver. 25.02.20 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. 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”); DocuSign Envelope ID: 194E3EB4-B99C-47D8-9715-81406A1EC73D Page 3 of 4 Amendment Contract Number: 2024*0083 Amendment #5 Ver. 25.02.20 c. 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”). d. 42 U.S.C. 6101 et seq., 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. l. 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). DocuSign Envelope ID: 194E3EB4-B99C-47D8-9715-81406A1EC73D Page 4 of 4 Amendment Contract Number: 2024*0083 Amendment #5 Ver. 25.02.20 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 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 DocuSign Envelope ID: 194E3EB4-B99C-47D8-9715-81406A1EC73D