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Home My WebLink Aboutbocc.con.264.19 - BOCC CONTRAC' # 0-GY-��-�3oec OPTION LETTER#: 2 State Agency: Original Contract Number Colorado Department Of Public Health and Environment 19 FHLA 108535 Prevention Services Division—Tobacco 4300 Cherry Creek Drive South Option Letter Contract Number Denver,CO 80246 2019*0065 Option Letter#2 Contractor Board of County Commissioners of Pitkin County for the use and benefit of the Pitkin County Public Health Agency 0405 Castle Creek Road,Suite 202 Aspen,Colorado 81611 _ Contract Performance Beginning Date: Current Contract Expiration Date: July 1,2018 June 30,2021 CONTRACT MAXIMUM AMOUNT TABLE Document Contract Number Federal State Funding Other Term(dates) Total Funding Amount Funding Type Amount Amount Original I9 FHLA 108535 $0.00 $133,681.00 $0.00 07/01/2018-06/30/2019 Contract Option Letter#1 19 FHLA 118512 $0.00 ($2,005.00) $0.00 10/30/2018-06/30/2019 $131,676.00 Option Letter#2 2019*0065 OL#2 $0.00 $129,701.00 $0.00 07/01/2019-06/30/2020 $129,701.00 Current Contract Maximum $261,377.00 Cumulative Amount 1) OPTIONS A. Option to change quantity of services under the Contract 2) REQUIRED PROVISIONS: A. In accordance with Section(s)7,Exhibit A,Additional Provisions,of the Original Contract referenced above,the State hereby exercises its option to increase the quantity of services at the rates stated in the Original Contract as amended,Revised Exhibit C,Budget is deleted and replaced in its entirety with Exhibit F,Budget,for the following reason:add FY20 funding. B. The Contract Maximum Amount is deleted and replaced with the Current Contract Maximum Amount table shown above. 3) OPTION EFFECTIVE DATE: A. The effective date of this Option Letter is upon approval of the State Controller or July 1, 2019 whichever is later. Option Letter Contract Number 2019*0065 Option Letter k2 Page 1 of 2 Ver. 13.2.19 PROGRAM APPROV L STATE OF COLORADO ' Jared S.Polis,Governor Or .7( D �tinent of Public Health and Environment e�Jill H nsaker Ryan,MPH,Executive Director Natalya Verscheure,Tobacco Program Manager ( p _-� By:List McGovern,Procurement&Contracts Section 6-8/ Director Date: ( 9 Date: ALL CONTRACTS REQUIRE APPROVAL BY THE STATE CONTROLLER CRS§24-30-202 requires the State Controller to approve all State Contracts.This Contract is not valid until signed and dated below by the State Controller or delegate. Contractor is not authorized to begin performance until such time.If Contractor begins performing prior thereto,the State of Colorado is not obligated to pay Contractor for such performance or for any goods and/or services provided hereunder. STATE C ` - a LER Robert aros, i P• , BA,JD By: A Alia David Norris,Con Tr!PY •'HE Date: r Option Letter Contract Number:2019'0065 Option Letter#2 Page 2 of 2 Ver. 13.2.19 Exhibit F Budget CDPHE COLORADO irk w stiT Department of Public CO Health&Environment PREVENTION SERVICES DIVISION-12 MONTH BUDGET WITH JUSTIFICATION FORM Contract Routing#2019°0065 Option Letter#2 Program Contact Name,Title, Rua Turetsky,Health Promotion Program Pitkin Contractor Name County Public Health Agency Administrator(970)429.3327, Phone and Email risa.turetskytpitkincounty.com Budget Period 7/1/2019-6/30J2020 Fiscal Contact Name,Title, Kelly Pazar,Financial Analyst,(970)429-6190, Phone and Email kelly.pazar@pltkincounty.com Project Name West Mountain Tobacco Program Contract(CT or PO)Number CT FAAA FHLA 201900000065 Expenditure Categories Personal Services Salaried Employees Gross or Percent of Position Title Description of Work Total Amount Requested P Annual Salary Fringe Time an from CDPHE Prosect Provide project oversight to include strategic planning Project Director and visioning,budget oversight and management of S 84,571.22 $ 26,436.00 10% $ 11,100.72 contracts. Provide overall coordination and oversight of the West Mountain Tobacco Program,ensuring continuous Project Coordinator communication between project stakeholders.Provide $ 78,12414 $ 27,522.00 75% $ 79,234.61 technical assistance,education,and support to cessation and policy work In the community. Personal Services Hourly Employees Total#of Total Amount Requested Position Title Description of Work Hourly Wage Hourly Fringe Hours on from CDPHE Project Total Personal Services(including fringe benefits) $ 90,33533 Supplies&Operating Expenses Item Description of Item Total Amount Requested P Rate Quantity from CDPHE Office Supplies General office supplies(pens,notebooks,folders,printer cartridges,etc. estimated at$48/mo x.75 FTEx 12mo=$36/mo=$432/year) $ 36.00 12 $ 432,00 Customized policy education materials not provided on COHealthResources(le:pamphlets,postcards)for public distribution, Printed Materials Svcs policy Menage for buildings and grounds(Interior and exterior).Materials will be used to support local and state Initiatives and will only be $ 600.00 1 $ 600.00 developed or printed when not available from CDPHE or STEPP.(Printing of 121 stickers and signage,$300/bulk batch printing,x2 $600) Page 1 of 3 January 2019 Exhibit F Budget PREVENTION SERVICES DIVISION-12 MONTH BUDGET WITH JUSTIFICATION FORM Contract Routing#2019.0065 Option Letter#2 Program Contact Name,Title, Rise Turetsky,Health Promotion Program Contractor Name Pitkin County Public Health Agency Phone and Email Administrator(970)429-3327, risa,turetsky6pitkincounty.com Fiscal Contact Name,Title, Kelly Pazar,Financial Analyst,(970)429-6190, Budget Period 7/1/2019-6/30/2020 Phone and Email kelly.pazardpitidncounty.com Project Name West Mountain Tobacco Program Contract(CT or PO)Number CT FAAA FHtA 201900000065 Advertising for Colorado Quitllne and other Initiatives for youth coping to support the P119-21 evidence-based program Interventions.West Mountain program will execute comprehensive and culturally appropriate media campaigns targeting low socioeconomic status and disparate Medla/Marketing populations which include earned media,paid media,outreach marketing, $ 1,000.00 1 $ 1,000.00 and/or social media to promote local and/or COPHE recommended media materials whenever applicable.Pitkin will only develop creative materials when not available through COPHE resources,and with the appropriate approvals.(Social media$100/campaign 08 campaigns=$800;Print and other media for health fairs,$100/event x 2 events-$200) Ught breakfast or lunch for TA or education around vaping,retail licensing, or other best practices in tobacco prevention and control for community members.In order to ensure optimal partidpatlon,these educational opportunities will be scheduled before work or during the lunch hour,(4 community education events x$10/person x 15 participants)_$600. Coffee for community partners to educate stakeholders and gain support Food Expenses for Tobacco for community and worksite policy-strengthening initiatives.Discussing $ 864.00 1 $ 864.00 Edutation Opportunities tobacco pokey that would impact a community collaborator's organization can he a sensitive subject and can be more effective Ina neutral location like a coffee shop.(12 meetings x$10=$120).Coffee/refreshments for quarterly school district sharing meetings to discuss progress and challenges towards reaching best practice policies,fora county region ($36/event x 4 events=$144),$600n$120+$144=$864. Monthly cell phone charges for Pitkin Issued phone equipment for business Cell Phone use In conducting tobacco-related project work.Costs calculated at$42 $ 31.50 12.00$ 378.00 per month x approximately 0.75 FTE=3150 per month x 12 months) Total Supplies &Operating $ 3,274.00 • Travel Item Description of item Rate Quantity Total Amount Requested from COPHE • Project Coordinator will attend STEPP-required conferences/training Mileage(Training) related to the objectives of the project.Round trip Is approximately 400 $ 0.58 800$ 464.00 miles x 2 trips=800 miles.Agency reimbursement rate is$,58/mile. Project Coordinator attends meetings throughout region(Aspen to Mileage(routine travel) Parachute and to Eagle as needed).Average trip 100m1 round trip 010 trips $ 0,58 1000$ 580.00 =1000 mites.Agency reimbursement rate Is$.58/mile. Project Coordinator will attend(2)two-(3)three day STEPP-required Meals conferences/training related to the objectives of the project.Meal $ 69.00 6$ 414.00 estimate Is based on current agency reimbursement rate of$69/day. Page 2 of 3 January 2018 Exhibit F Budget PREVENTION SERVICES DIVISION-12 MONTH BUDGET WITH JUSTIFICATION FORM Contract Routing#2019.0065 Option Letter#2 Program Contact Name,Title, Elsa Turetsky,Health Promotion Program Contractor Name Pitkin County Public Health Agency Phone and Email Administrator 1970)429-3327, risa,turetskyl#pltkincounty.com Budget Period 7/1/2019-6/30/2020 Fiscal Contact Name,Title, Kelly Pazar,Financial Analyst,(970)429-6190, Phone and Email kelly.pazar#spitklncounty.cam Project Name West Mountain Tobacco Program Contract(CT or PO)Number CT FAAA FHIA 201900000065 Overnight stay for Project Coordinator to attend STEPP-required conferences/training related to the objectives of the project.Estimate is Lodging based on current government per diem rate for Denver.$180/night for $ 16000 4 S 720.00 four(4)nights=$720. Parkin Parking In downtown Denver for one(1)mandatory training-$10/day for Parking six(6)days $ 10.00 6 $ 60.00 Required or recommended conferences/trainings for staff related to the Conference/fraining objectives of the project.Estimated cost for conference registration:$399. $ 1,099.00 1.00$ 1,099.00 Estimated cost for training registration:$700. 1 $ - Total Travel $ 3,337.00 Contractual Subcontractor Name Description of Item Rate Quantity Total Amount Requested from CDPHE • .2SFTE Health Promotion Coordinator will provide technical assistance, Eagle County Public Health education,and support to cessation and policy work In the Eagle River $ 23,060.04 1 $ 23,060.04 Valley.Will Implement the selected strategies In Eagle County. 1 $ - Totai Contractual $23,060.04 SUB-TOTAL OF DIRECT COSTS $120,006.37 Indirect Item Description of Item Total Amount Requested from CDPHE Federally-Negotiated Indirect Cost Rate CDPHE-Negotiated Indirect Cost Rate De minimis Indirect Cost Pitkin County has never had a federal or CDPHE-negotiated rate.Pitkin County Is electing to use Rate 10%of modified total direct costs. $ 9,694.63 Total Indirect $ 9,694.63 TOTAL($ 129,701.00 Page 3 of 3 January 2018 Exhibit F Budget CDPHE COLORADO IrisV CO, Department of Public Health&Environment • PREVENTION SERVICES DIVISION-12 MONTH BUDGET WITH JUSTIFICATION FORM Contract Routing#2019°0065 Option Letter#2 Program Contact Name,Title, Risa Turetsky,Health Promotion Program Contractor Name Pitkin County Public Health Agency Phone and EmailAdministrator(970)429-3327, risa.turetsky@pitklncounty.com Budget Period 7/1/2019-6/30/2020 Fiscal Contact Name,Title, Kelly Pazar,Financial Analyst,(970)4296190, Phone and Email kelly.pazar$upitkincounty.com Project Name West Mountain Tobacco Program Contract(CT or PO)Number CT FAAA FHLA 201900000065 Expenditure Categories Personal Services Salaried Employees Gross or Percent of Position Title Description of Work Fringe Time on Total Amount Requested Annual Salary from CDPHE Project Provide project oversight to include strategic planning Project Director and visioning,budget oversight and management of $ 84,571.22 $ 26,636.00 10% $ 11,100,72 contracts. Provide overall coordination and oversight of the West Mountain Tobacco Program,ensuring continuous Project Coordinator communication between project stakeholders.Provide $ 78,124.14 $ 27,522.00 75% $ 79,234.61 technical assistance,education,and support to cessation and policy work in the community. Personal Services Hourly Employees Total#of Total Amount Requested Position Title Description of Work Hourly Wage Hourly Fringe Hours on from CDPHE Project Total Personal Services(including fringe benefits) $ 90,335.33 Supplies&Operating Expenses Item Description of Item Rate Quantity Total Amount Requested from CDPHE Office Supplies General office supplies(pens,notebooks,folders,printer cartridges,etc. $ 36.00 12 $ 432.00 estimated at$48/mo x.75 FTE x 12mo=$36/mo=$432/year) Customized policy education materials not provided on COHealthResources(le pamphlets,postcards)for public distribution, Printed Materla(s Svcs policy signage for buildings and grounds(Interior and exterior).Materials will be used to support local and state initiatives and will only be $ 600.00 1 $ 600.00 developed or printed when not available from CONE or ST EPP.(Printing of 721 stickers and signage,$300/bulk batch printing,x2=$600) Page 1 of 3 January 2018 Exhibit F Budget PREVENTION SERVICES DIVISION-12 MONTH BUDGET WITH JUSTIFICATION FORM Contract Routing#2019.0065 Option Letter#2 Program Contact Name,Title, Rise Turetsky,Health Promotion Program Contractor Name Pitkin County Pyblic Health Agency Administrator(970)429-3327, Phone and Email rlsa.turetskyepltkincounly.com Fiscal Contact Name,Title, Kelly Pam,Financial Analyst,(970)429-6190, Budget Period 7/1/2019-6/30/2020 kelt azar�pitkincoun Dore Phone and Email y-P t1'• Project Name West Mountain Tobacco Program Contract(CT or PO)Number CT FAAA FHLA 201900000065 Advertising for Colorado Quitllee and other initiatives for youth vaping to support the FY19-21 evidence-based program interventions.West Mountain program will execute comprehensive and culturally appropriate media campaigns targeting low socioeconomic status and disparate Media/Marketing populations which Include earned media,paid media,outreach marketing, $ 1,000.00 1 $ 1,000.00 and/or social media to promote local and/or CDPHE recommended media materials whenever applicable.Pitkin will only develop creative materials when not available through CDPHE resources,and with the appropriate approvals.(Social media$100/campaign x8 campaigns=$600;Print and other media for health fairs,$100/event x 2 events=$2001 Light breakfast or lunch for TA or education around vaping,retail licensing, or other best practices In tobacco prevention and control for community members.In order to ensure optimal participation,these educational opportunities will be scheduled before work orduring the lunch hour.(4 community education events x$10/person x 15 participants)_$600. Food for Tobacco Coffee for community partners to educate stakeholders and gain support Food Expensesksn Opportunities forllties for community and worksite poltcy-strengthening Initiatives.Discussing $ 864.00 1 $ 864.00 Eductobacco policy that would impact a community collaborator's organization can be a sensitive subject and can be more effective In a neutral location like a coffee shop.(12 meetings x$10=$120).Coffee/refreshments for quarterly school district sharing meetings to discuss progress and challenges towards reaching best practice policies,fora county region ($36/event x 4 events=$144).$000'r$120+$144=$864. Monthly cell phone charges for Pitkin Issued phone equipment for business Cell Phone use be conducting tobacco-related project work.Costs calculated at$42 $ 31.50 12.00 $ 37800 per month x approximately 0.75 FTE:31.50 per month s 12 months) Total Supplies&Operating $ 3,274,00 Travel Item Description of Item Rate Quantity Total Amount Requested from CDPHE Project Coordinator will attend STEPP-required conferences/training Mileage(Training) related to the objectives of the pro)ect.Round trip is approximately 400 $ 0.58 800$ 464.00 miles x 2 trips=900 relies.Agency reimbursement rate is$.58/mile. Project Coordinator attends meetings throughout region(Aspen to Mileage(routine travel) Parachute and to Eagle as needed).Average trip SOOmi round trip x10 trips $ 0.58 1000$ 580.00 1000 mges.Agency reimbursement rate is$.58/mile. Project Coordinator will attend(2)two-(3)three day STEPP-required Meals conferences/training related to the objectives of the project.Meal $ 69.00 6 $ 414.00 estimate Is based on current agency reimbursement rate of$69/day. Page 2 of 3 January 2018 Exhibit F Budget PREVENTION SERVICES DIVISION-12 MONTH BUDGET WITH JUSTIFICATION FORM Contract Routing 9 2019.0065 Option Letter 02 Program Contact Name,Title, Rise Turetsky,Health Promotion Program Contractor Name Pitkin County Public Health Agency Phone and Email Administrator(970)479-3377, Hsa.turetsky@pltklncounty.com Fiscal Contact Name.Title, Kelly Pater,Financial Analyst,(970)429-6190, Budget Period 7/1/2019-6/3012020 Phone and Email kety.patar@pRklncounty.com Project Name West Mountain Tobacco Program Contract(CT or PO)Number Cf FAAA FHLA 201900000065 Overnight stay for Project Coordinator to attend STEPP-required Lodging conferences/training related to the objectives of the project.Estimate is $ 180.00 4 $ 720.00 • based on current government per diem rate for Denver.$190/night for lour(4)nights=$720. Parking In downtown Denver for one(1)mandatory training-S10/day for Parkingsix(6)days $ 10.00 6$ 60.00 Required or recommended conferences/wafflings for stall related to the Conference/Training objectives of the pro)ect.Estimated cost for conference registration:$399. $ 1,099.00 1.00$ 1,099.00 Estimated cost for training registration:$700. $ Total Travel $ 3,337.00 Contractual Subcontractor Name Description of Item Rate Quantity Total Amount Requested from CDPHE .25FTE Health Promotion Coordinator will provide technical assistance, Eagle County Public Health education,and support to cessation and policy work In the Eagle River $ 23,060.04 1 $ 23,060.04 Valley.Wit Implement the selected strategies In Eagle County. Total Contractual $23,060.04 SUB-TOTAL OF DIRECT COSTS $120,006.37 Indirect Item Description of Item Total Amount Requested from CDPHE Federally-Negotiated Indirect Cost Rate CDPHE-Negotiated Indirect Cost Rate De minimis indirect Cost Pitkin County has never had a federal or CDPHE-negotiated rate.Pilkln County Is electing to use 9,694,63 Rate 10%of modified total direct costs. Total Indirect $ 9,694.63 TOTAL $ 129,701.00 Page 3 of 3 January 2018