HomeMy WebLinkAboutR05-084 Application for Tobacco Control and Cessation Program
Commissioner ~ moved adoption of the following resolution:
BOARD OF COUNTY COMMISSIONERS
COUNTY OF EAGLE, STATE OF COLORADO
Resolution No, 2005-
RESOLUTION APPROVING AND AUTHORIZING THE
DIRECTOR OF HEALTH & HUMAN SERVICES TO SUBMIT AN APPLICATION TO
THE COLORADO DEPARTMENT OF PUBLIC HEALTH & ENIVORNMENT
FOR THE TOBACCO CONTROL AND CESSATION PROGRAM
IN THE AMOUNT OF $ 47,438.
WHEREAS, Eagle County, Colorado ("County") is a political subdivision ofthe State of
Colorado ("State"), duly organized and existing pursuant to the laws and the Constitution of the
State; and
WHEREAS, County manages a Tobacco Control and Cessation program and is eligible
to apply for up to $47,438 in funds for the period of October 1, 2005 through June 30, 2006
through the Colorado Department of Public Health & Environment; and
WHEREAS, the Colorado Department of Public Health & Environment requires an
electronic grant application by July 22, 2005 for these funds, and
WHEREAS, the Tobacco Control and Cessation program, a program of Health &
Human Services, desires to apply for funds to assist in programs to accomplishment the
following purposes:
>- Youth empowerment, advocacy, and prevention education: 25 % of budget
y Adult and youth tobacco cessation: 25 % of budget
y Reducing exposure to secondhand smoke: education, development and coordination
of work on clean indoor air/smoke free ordinances, and policy development: 50% of
budget, and
WHEREAS, an application for funds for this purpose is consistent with the mission of
Health and Human services and is also consistent with the goals and objectives of the Board of
County Commissioners,
NOW THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY
COMMISSIONERS OF THE COUNTY OF EAGLE, STATE OF COLORADO:
THAT, the Board of County Commissioners hereby authorizes the Director of Health &
Human Services to submit a grant application to the Colorado Department of Public Health and
Enviromnent for the purposes noted above in compliance with grant requirements and
assurances.
THEREFORE, the Board of County Commissioners finds, determines and declares that
this Resolution is necessary for the public health, safety and welfare of the citizens of the County
of Eagle, State of Colorado.
MOVED, READ and ADOPTED, by the Board of County Commissioners ofthe County of
Eagle, State of Colorado, at its regular meeting held this 12th day of July, 2005.
COUNTY OF EAGLE, STATE OF COLORADO
By hrough its Board of County
ners:
Runyon, COmmissioner
To~e~Sioner
Commissioner ~ secooded adoption ofthe foregoing resolntion. The roll
having been called, the vo e was as follows:
Commissioner Am Menconi
Commissioner Peter Runyon
Commissioner Tom C. Stone
This Resolution passed by vote of the Board of County
Commissioners of the County of Eagle, State of Colorado.
STATE OF COLOMDO
Bill Owens, Governor
Douglas H. Benevento. Executive Director
Dedicated to protecting and improving the health and environment of the people of Colorado
4300 Cherry Creek Dr. S. Laboratory Services Division
Denver, Colorado 80246-1530 8100 Lowry Blvd.
Phone (303) 692-2000 Denver. Colorado 80230-6928
TOO Line (303) 691-7700 (303) 692-3090 Colorado Department
Located in Glendale, Colorado of Public Health
http://www.cdphe.state.co.us and Environment
September 16, 2005
Kathleen Forinash
Eagle County Nursing Service
PO Box 660
Eagle, CO 81623
Dear Ms. Forinash:
Enclosed for your records, is a fully executed copy of the Purchase Order between the Eagle County Nursing
Service and the Colorado Department of Public Health and Environment to conduct the Tobacco Program for the
period October 1,2005 through June 30, 2006. The effective date of the Purchase Order is October 1,2005.
Please feel free to contact me at (303) 692-2579 should you have questions.
David E. Smith, Fiscal/Contract Administrator
State Tobacco Education and
Prevention Partnership
enclosure
J:\Grants and Applications\2005-06 Grants\contracts - fy05-06\letter.tmp\eagle.po.rel.ltr.doc
CO DEPT OF PUBLIC HEALTH/ENV DATE: 09-14-05 PURCHASE
4300 CHERRY CREEK DRIVE SO ORDER
DENVER CO 80246 1530 IMPORTANT
The PO # and Une # must 5T A TE OF COLORADO
Buyer: LUPE QUESADA appear on all invoices,
Phone Number: 303-692-2073 packing slips, cartons OE FLA PPG06000043 Page# 01
Agency Contact DA VI D SMI TH and correspondence
Phone Number: 303 692 2579 ACC: 09-13-05 State Award #
846000762 L Phone: - - Bid #
FEIN
Vendor Contact Invoice in Triplicate
Purchase Requisition #: RX FLA PPG06000064 To: CO PUBLIC HEALTH & ENVIRONMENT
HEALTH PROM TOBACCO-HPDP-CR-A5
V EAGLE COUNTY GOVERNMENT 4300 CHERRY CREEK DRIVE SOUTH
E
N EAGLE COUNTY NURSING SERVICE DENVER, CO 80246-1530
D PO BOX 660
0 EAGLE CO 81631 Payment will be made by this agency
R
Ship CO PUBLIC HEALTH & ENVIRONMENT
INSTRUCTIONS TO VENDOR: To: HEALTH PRO-TOBACCO PPD-A5
1. Iftor any reason. delivery Of this order Is delayed beyond the deliverynn.tallallon dale
shown, please notify the agency contact named at Ihe lop left (Right of cancellatlon Is 4300 CHERRY CREEK DRIVE SOUTH
reserved in instances in which timely delivery is not made,) DENVER, CO 80246-1530
2, All chemicals, equipment and matenals must conform 10 the standards required by OSHA.
3, NOTE: Additional terms and conditions on reverse side, Delivery/Installation Date: 06-30-06
F.O.B.
SPECIAL INSTRUCTIONS:
LINE COMMODITY/ITEM UNIT OF QUANTITY UNIT COST TOTAL ITEM COST
ITEM CODE MEASUREMENT
001 96102000000 $47,438.00
TOBACCO CONTROL ACTIVITIES 10/1/05-06/30/06 PER THE APPROVED
ANNUAL ACTION PLAN INCORPORATED HEREIN BY REFERENCE AND THE
ATTACHED TERMS AND CONDITIONS AND BUDGET
DOCUMENT TOTAL = $47,438.00
THIS PO IS ISSUED IN ACCORDANCE WITH STATE AND FEDERAL REGULATIONS FOR THE STATE OF COLORADO
Ef'SPO FAA ,.,/'?-t.:r )(. O'~
" Authorized Signature
, -
STAy' ~,)B~' " EDUCATION AND PREVENTION
APL ,ATlt... ~tJDGET ANDIOR EXPENDITURE REPORT
FOR THE PERIOD: October 1, 2005 - June 30, 2006
AGENCY: Eagle County Health & Human Services
Nine Month #of HEI Total SOURCE OF FUNDS
Fringe/ Requested I
Salary months Ind Amount Received
Rate Budaet Pct Required OTHER' from CDPHE
PERSONAL SERVICES: -~---~~ -~~-"---- ~_.~~- -- -~
HH?_~I"fL_ .__.__~_~____. _.___~R'l0.00 9 _~OO'O~ ._.... ....____~ll.,Q()~,QQ ~ $8,008.00
-'- --'~~'~- ~'~'-~"-'-~'~ -.--.--.---.- ~.
_.__,_m_ ...- .-.. . -------.------- -..-..--. ---~-~ --~--._~---~.~- f-----~- -~~
---- .~------ -~--~-~~---~-_._..--~ --~--~.- -~ ~- -~~-~--- f------- ----~~
---~.- --- --_....~- -~--~-~~-- ~_._-------------- ~---~. -~--_.- --~-- --_.._~-
~ --'-'-'~'- - ~.----- -~ -----~--_.~--~ --~--~_._-----~~ I--.~.. ---- I----- ..-
-~--"~- 1--.--.- --~~--- -. -~-----
_. ".".__.._""'___'_U_"_"'_ ---"-"'--'~"'--'- 1----.-- -"~- -"---'--"'-'-"'-"'- ___"M_"_.'_~"_"._._,.__._,.,_ -"'"-"'._--,_.,,~"-"'---~"'---,-""-
---~-'''-~~----~--'~--~ I---~-_._.~_.. --.-- ~_._---~.~~ -~---~
'- -,,-_.._.__.~,,--~--,,_._-,,- "'. -~---~~ --_._~ -,,'-,,-'-~",,- ,,-----.. -- -,,"~--~,,--,,~-,,~ -~-------- .~
~--"" ~~"-'" ,,_.~~..,.~._.._--~,,-~~~~-- --_.,~-",~-~~,- "''' .-~-"",- ","--~- --,_._'--~-~- -~--~--~'-'~ ~.'-~~~
~--,,_.-_._.---_.,,-,._~--~_.__._--~~~- ..- _.._-".~- -_.~--~--- ~---_.- --~.~~~
-------"'-- -~ 1-----..-.- -~--~~
~'----~-----'.._--~- -~-,-~"'~,,-~~ ~~---- 1------ ------_.~ I---~ .-
Total Personal Services $8 008.00 $8 008.00
DIR~CT OpERA TI!,,\> EXPENSES -~~---'-~-~---~--- -~~'-~'" --~---
........Erj"!i.ng/Co.P.1i!'.lL___._____~_.___d._~~_ ---------- r~.-~-.-. ~~--~~~
_.Post"g~~.il1\L....___~_~~~_~___.___._~__~ ~.,---_._-~-_..,- ~--------~-~ ---.--.--'.--..
_ f(.'!.ntI\llil~~___~~_~____________._____________~__.__..._.__. ..._ _._,,--"-~'-
_.Iel"p_h"ne. F.a~II1lEJ.-n..et~.<:,,!;S___...___.__.._~._M_ ___'~~__~._____ ~---",-'-""'--"-_._.-- -.- --,,-'-~'--~-,-----~ -~-"'--_._--_._-"'---,,,.~
_.Qffj".'!.i>upplies.____~_ .__M_'_~.___ ._'_.___ ____.__. _..__ ~,,~-.--._--,,--"'~-,--- ~--,~"'-,~~''''--_..~-
_Qffic,,!:(luipl11,,'lL u._.__ _____.____ d_'. _._.__. ""'- -,,----
'. _C-"rnl'uler Eg(Jipment_.._~_.____ ...__.._ _ __M . .____M_~ ___'._'_.' . ..__ . - - ------_.-_-_._----._..~..,,-_.._-- -------".."_.._,,--"'--...._------~-----, ----~."._---,-_.'-------.-
. .. .M_e.etil1g_~f'ef)~_.._._._...___. '._'__'_~ . ._____ - -".-"'-" -,,~---_..._,,-- ... _ . _____.~t500 OQ _.._,,------"'--~...~,-------,,~-- ~______ $6Q().Q0
,_...IA..eQi"j::."I'''.nse (f'.r2gr"m Cos.t}__~. . _~___~________..__.__._ --~- ---~ ___~.H,500oo ,---,-,,--,,--,,--,--,_._--.--,,- ~.____.....11,5~00
._.?~aff.'O...<!.velop<11<>.n.t~..3<l9is.tration!;.. ____.._____~___.__u____. __.__ __.. ,,-~--------,----,-- -~.~",_.,- ~ ~-~_.._-
_Staff .()evt>lop.m...ef1.t..c. .M.efT1l>"r~h.ip~~tJb..sc:ripti9.n!;___
.__Edu.cati()/1~~".teria!S.(F'r9.gr"_mC;<J!;.t) _ ._ .__. '__' -,,---------, -.--- "'------- -~- I- ...
_.r.II'sc<>.U"f1e"lJSS2'l'ens"... ------- -..---.- ----,,_...~..~,,_...._"'-~--- -~...- -","- --- ~--- -
TotalOoeratina $510000 $5 100.00
TRAVEL ,,~ ---_.--,-,_-..
__Ir1.St<ile._.. _......_._.....__.___.~.d_.~_._.__.__..___ _._'. _. _... ..._. __... - - ---~-'---- - -,,-,-"'..---- _ g1_1?c2Q ~--- -",.~.._~-,----".- ~-----" __._ g1170_0
. _Oul"fSt"t<>. ----------_.----""~-----.--~,-_._,_..------.._.._~~---- -------~,-- - ".~,~...~ ---- ,,-- ---- ...-
.-...
Total Travel $2117.00 $2117.00
c:.OJ:rrfiAc;T.lJAJ___ .- -~--~ --- .-------- -,-- -.---..,,~---._...~-
._C;()nsu<<""t..C;()S.!.s______.______.~____._...______._ ~_. _.. d. _._._.___. _____ . ~~2L~()Oc()(J -"'- - -""-~~----- -,-,,-_._-- !-_..__~$lL!J.O<lcQ()
:_. ..c:.Ol1tract Trai"l'~.fSJl.<'aker~_. ___~__'__ ____._...___...._._._..___ ~-,-,--~_._~~---,,~~--- --~.._------_.'----- - --- ~,,---..,,--,,---.~..~"'~._--,-
, _g"t?_C9.II~i<>.fl._ --~ _._,._".~--_.~-----~-~,,-~-~----,--,,-~,--_."""~-~-- ~---,--..._."-------.~....--..,,-,~-,,.. -,-"--~-----~,,
-_.~..._----~~~----- "-~~-_._-~~-~,,-,, "'-~-_._,--~-~"_._----,, "-_..,---"'~._-,..~--,,--.'_.._-,, -,----,"-~'" --_._-,-- -"'--~---- ~- "~------,,
T alai Contractual $27 900.00 $27 900.00
Total Direct CostslPersonal Services+Ooeratina+Travel+Contractuall $43 125.00 $43 125.00
~MIN!STRA liVE iNDIRECT COSTS --~~--,,~.,._--~---,.. Pet --,,---,---- ----_._---~--- 1--------.-
. Indirect Percentage (applied to all direct costs) _._.__._.._._._._. ~.I 1000% .______HL:>13~Q() -~-----,._------ __~,31l.QQ
.J':'.dire"LPercentage {applied to salary and fringe costs. onlll._.__ _.___._. .. ,,-~-_._-'.._-~ ~- -_._-,,-------"'-''''-_...._-
Indirect Percenlaae (applied to salarv costs onlvl I
T otallndirect Costs $4 313.00 $4 313.00
TOTAL PROJECT COST $47 438.00 $47438.00
'''Other'' Funding Sources (Matching Funds). Funds supplementing the STEPP award. This grant does not require Matching Funds.
TOTAL
Kathleen Forinash, Director HHS
Signature of Authorized Representative Date
Rev9n 12005 i\STEPP\Communities of ExceUence\cxspreadsheetsleagle Budget05--OO DSmith
TERMS AND CONDITIONS
The Contractor shall perform and complete, in a timely and satisfactory manner, all items contained in its approved Annual
Action Plan and Budget. This plan and budget, are incorporated herein by this reference.
l. The Contractor shall implement a comprehensive tobacco control program in the county or counties
contained in your application and approved Annual Action Plan designed to prevent and reduce tobacco use.
2, The Contractor's Annual Action Plan and Budget shall contain the projects and activities the Contractor will
complete in any or all of the following areas:
INFRASTRUCTURE
Maintaining the program infrastructure to sustain coalition involvement and staff to lead the
program. Infrastructure includes activities to sustain the program related to coalition building and
maintenance, hiring and training of staff and coalition members, attendance at State meetings and
trainings, reporting to STEPP, revising the local five-year strategic plan to align with the State
Strategic Plan and other basic activities the Contractor will conduct to sustain its program.
CESSA TION
Support and promote the statewide Quitline, QuitNet, and research-based community cessation
services that are already in place.
ELlMINA TING DISPARITIES
Identity and address the disparities related to tobacco prevention and education through specific
activities.
ENFORCEMENT OF LOCAL ORDINANCES
Coordinate with the Colorado Department of Revenue and local law enforcement agencies to
identiry instances of illegal sales of tobacco to minors.
MEDIA ADVOCACY AND PLACEMENT OF PAID MEDIA
Develop media plans and media advocacy activities. Coordinate media plans and activities with
STEPP and neighboring counties and cities as necessary.
POLICY RELATED ACTIVITIES
Consistent with State law and local health agency protocols and practices, focus on policy
interventions within each program goal. Policy development may be a long-term objective
spanning more than one funding period.
SCHOOL-BASED ACTIVITIES
In conducting these activities, the purchase of educational curricula or cessation programs for
public or private schools or the direct funding of staff support for school-based prevention and
cessation programs are not allowed.
TRAINING
Participate in state and regional trainings, statewide and regional youth summits and meetings and
conference calls provided by STEPP.
YOUTH COALITIONS AND YOUTH EMPOWERMENT
Provide support to local "Get R!EAL" youth coalitions through the provision of technical
assistance and resources.
Involve Get R!EAL youth, where appropriate, in local tobacco control efforts.
Attend Get R!EAL regional and statewide summits to support local Get R!EAL coalitions.
Ifa Get R!EAL youth coalition does not exist in the Contractor's service area, then the Contractor
will develop partnerships with youth organizations to collaborate on projects that contribute to
youth empowerment and reduction of tobacco use.
3, The Contractor shall submit all revisions to its approved Annual Action Plan and Budget for approval by
STEPP as necessary during the contract term. Revisions must be submitted and approved at least thirty (30)
calendar days before the Contractor conducts any new activities that were not contained in the previously,
approved Annual Action Plan and Budget. Upon approval by STEPP, the revised Annual Action Plan and
Budget will become the approved Annual Action Plan and Budget.
4. Funds provided under this Purchase Order may not be used to: supplant funding for any existing
programs/models; develop new cessation programs/models or curricula for youth or adults; pay for individual
cessation aids or nicotine replacement therapy; fund capital improvements, substitute funding for events
previously funded by tobacco companies, or fund costs of enforcement of state or local laws and ordinances.
. . - \ r ~C:
LJt> . - )L::jUl. -..
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