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HomeMy WebLinkAboutC23-298 High Rockies Harm Reduction_first amendment FIRST AMENDMENT TO AGREEMENT BETWEEN EAGLE COUNTY, COLORADO AND HIGH ROCKIES HARM REDUCTION THIS FIRST AMENDMENT (“First Amendment”) is effective as of ________________ by and between High Rockies Harm Reduction (hereinafter “Consultant” or “Contractor”) and Eagle County, Colorado, a body corporate and politic (hereinafter “County”). RECITALS WHEREAS, County and Consultant entered into an agreement dated the 6th day of June, 2023, C23-191, for certain Services (the “Original Agreement”); and WHEREAS, the Original Agreement contemplated that the Consultant would receive quarterly payments in equal amounts; and WHEREAS, County and Consultant desire by this First Amendment to revise the payment structure set forth in the Original Agreement. FIRST AMENDMENT NOW THEREFORE, in consideration of the foregoing and the mutual rights and obligations as set forth below, the parties agree as follows: 1. The Original Agreement shall be amended to revise the payment structure by replacing Exhibit A of the Original Agreement with Exhibit A1, which is attached hereto and incorporated herein by reference. 2. Capitalized terms in this First Amendment will have the same meaning as in the Original Agreement. To the extent that the terms and provisions of the First Amendment conflict with, modify or supplement portions of the Original Agreement, the terms and provisions contained in this First Amendment shall govern and control the rights and obligations of the parties. 3. Except as expressly altered, modified and changed in this First Amendment, all terms and provisions of the Original Agreement shall remain in full force and effect, and are hereby ratified and confirmed in all respects as of the date hereof. 4. This First Amendment shall be binding on the parties hereto, their heirs, executors, successors, and assigns. IN WITNESS WHEREOF, the parties hereto have executed this First Amendment to the Original Agreement the day and year first above written. DocuSign Envelope ID: D9C67E02-B660-483E-85FC-E1888A11BAA0 9/7/2023 2 Eagle County Am Scope and Comp Final 4/28/2022 COUNTY OF EAGLE, STATE OF COLORADO, By and Through Its COUNTY MANAGER By: ______________________________ Jeff Shroll, County Manager CONSULTANT High Rockies Harm Reduction By: _____________________________________ Print Name: ______________________________ Title: ___________________________________ DocuSign Envelope ID: D9C67E02-B660-483E-85FC-E1888A11BAA0 President MELINDA HIGGS AGREEMENT FOR PROFESSIONAL SERVICES BETWEEN EAGLE COUNTY GOVERNMENT AND HIGH ROCKIES HARM REDUCTION EXHIBIT A1 Scope of Work: Terms of Funding, Deliverables, and Deadlines These provisions are to be read and interpreted in conjunction with the provisions of the Contract specified above. I. Entity Name: High Rockies Harm Reduction II. Project Description: Fatal overdose is preventable through harm reduction services. The Region 5 Opioid Abatement Council (the “Council”) aims to increase access, availability and transparency of tools and resources that are proven to reduce deaths due to opioid overdose. This project serves to increase the availability of overdose prevention tools and services, Specifically, this project aims to reduce overdose deaths and prevent the spread of infectious diseases through the expansion of evidence-based harm reduction programming and peer support services within counties of the Region 5 Opioid Abatement Council (Eagle, Summit, Lake, Pitkin and Garfield Counties). III. Definitions: Harm Reduction- Services which emphasize engaging directly with people who use drugs to prevent overdose and infectious disease transmission. Harm Reduction Work Group (“Work Group”)- A committee of representatives from each county within the Region 5 Opioid Abatement Council available as a liaison between the contractor and the rest of the council to provide feedback and support as needed. Syringe Services- Syringe services as outlined in the contract encompasses and is inclusive of the distribution of Naloxone, fentanyl test strips, sterile use equipment, wound care supplies, education, and hygiene products as well as safe syringe disposal services. Staffing roles within High Rockies Harm Reduction Employment with High Rockies Harm Reduction is based on a four-tiered volunteer-to- employment track with upward movement being the goal. Different tiers are related to different levels of training and different roles being able to be performed. There is also a correlation to the individual's own comfort level. Volunteer- Volunteers are paid “incentives” for their time. They may or may not be on the employment track depending on their level of interest in advancement within the organization. Peer Candidate- A peer candidate is a volunteer on the track to employment. They have varying levels of training and experience, but the long-term plan is to move them into full or DocuSign Envelope ID: D9C67E02-B660-483E-85FC-E1888A11BAA0 2 Eagle County-Region 5 Harm Reduction Services part-time work status. Peer Support Specialist- A peer support specialist is either a paid staff member or an incentivized peer candidate or volunteer on their way to full or part-time employment. IV. Payment Structure: The total allotment of funding for this project is $100,000 to be distributed over 2 years. The contractor will submit invoices at the start of each quarter outlining anticipated use of funds. In order to front-load capital for this project the contractor will receive an initial payment of $25,000. Payments thereafter will occur following receipt of the quarterly invoice, in smaller increments with the total sum of distributions not exceeding $100,000. V. Work Plan Goal: In crease rural availability of Harm Reduction services in each of the five (5) counties within the Region 5 Opioid Abatement Council, consisting of Eagle, Summit, Lake, Pitkin, and Garfield Counties. Objective: In order to expand harm reduction services across all five counties, and to increase the frequency of existing services, operational costs will include but are not limited to the acquisition of materials, vehicles, staffing, mileage reimbursement, incentives, and maintenance costs. Deliverables Deadlines 1. The contractor will identify and procure a vehicle suitable for the transportation of HRHR staff and supplies, and the provision of harm reduction services across the rural, mountainous area of the Region 5 Opioid Abatement Council. No later than the end of October of 2023. 2. The contractor will meet with the Harm Reduction Work Group, representative of all 5 counties of the Region 5 Opioid Abatement Council, at minimum, on a quarterly basis. A minimum of quarterly, beginning in October of 2023 and every three months thereafter as scheduled by the Work Group. Additional meetings may be requested, as needed, by the Work Group. 3. The contractor will identify and conduct 1 volunteer training opportunity per county. Annually, per county, for the contract period, with scheduled training dates reported to the Work Group no later than February of 2024. Training of candidates to take place within three months of volunteer start date. 4. The contractor will identify and train 1-2 peer candidates per county. Identification of candidates no later than February of 2024 and DocuSign Envelope ID: D9C67E02-B660-483E-85FC-E1888A11BAA0 3 Eagle County-Region 5 Harm Reduction Services information shared with Work Group. Training of new peers no later than August of 2024. 5. The contractor will train 1-2 full-time/part-time Harm Reduction Peer Support Specialists, or advance them from volunteer status, in each county to be the primary service provider of harm reduction services on behalf of HRHR. Within 3 months following an offer for employment. Goal: Expand provision and increase frequency of harm reduction services, including, but not limited to: syringe services, HIV/HCV testing, drug checking, distribution of preventative supplies, education and training, peer outreach, etc, in all 5 counties identified within the Region 5 Opioid Abatement Council. Objective: In order to increase access to harm reduction services within the Region 5 Opioid Abatement Council, the contractor will ensure that all 5 counties have regular and ongoing availability of Harm Reduction and Peer Support services. Deliverables Deadlines 1. The contractor will expand to providing monthly harm reduction (syringe services, HIV/HCV testing, and drug checking) services in select parts of each county via peer support specialists and trained volunteers. Monthly service provision, per county, with the initial schedule reported to Work Group no later than February of 2024, or sooner, as established. Monthly service provision to begin no later than three months following Work Group schedule approval. 2. The contractor will expand to providing weekly harm reduction (syringe services, HIV/HCV testing, and drug checking) services in select parts of each county. Weekly service provision for identified locations of high need, with the initial schedule reported to Work Group no later than May of 2024, or sooner, as established. Monthly service provision to begin no later than three months following Work Group schedule approval. Goal: Increase the number of people who are seeking help for a Substance Use Disorder, either for themselves or someone else, across the 5 counties of the Region 5 Opioid Abatement Council. Objective: In order to measure the effectiveness and scope of harm reduction services, data will be collected monthly, and shared in a format and frequency determined by the Council. DocuSign Envelope ID: D9C67E02-B660-483E-85FC-E1888A11BAA0 4 Eagle County-Region 5 Harm Reduction Services Deliverables Deadlines 1. The contractor will collect data via participant surveys, and quantities of resources distributed. Monthly reports will be submitted to the Work Group within the first 15 days of the subsequent month. 2. In order to collect clear data that is consistent with the data collection and transparency goals of the Region 5 Opioid Abatement Council, the High Rockies Harm Reduction participant survey will be finalized and approved by the Harm Reduction Work Group. No later than December 31, 2023 VI. Monitoring: The Region 5 Opioid Abatement Council and Eagle County Government, in its capacity as fiscal agent for the Council, will monitor this Contract for compliance with performance requirements throughout the Contract period. Methods used will include a review of documentation determined by CDPHE to be reflective of performance including 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. Contractor will meet with the Council or a Council representative quarterly to evaluate progress across Region 5, and to allow each individual county to address any outstanding issues related to Contractor’s performance in their jurisdictions. VII. Resolution of Non-Compliance: The Contractor will be notified in writing within 15 calendar days of the discovery of a compliance issue. Within 30 calendar days of discovery, the Contractor and Eagle County Government as fiscal agent for the Region 5 Opioid Abatement Council, 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 at any time the other counties have concerns about compliance with the contract or are not satisfied with the provision of services in their area they can communicate this to the Harm Reduction workgroup as well as the Contractor via their liaison person identified within Goal 1, Deliverable 1 of this contract to come to a fair and equitable solution. DocuSign Envelope ID: D9C67E02-B660-483E-85FC-E1888A11BAA0