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Home My WebLink Aboutbocc.con.263.20 - BOCCExhibit F Budget Contractor Name Pitkin County Public Health Agency Budget Period 7/1/2020-6/30/2021 Project Name West Mountain Tobacco Program Position Title Description of Work Gross or Annual Salary Fringe Percent of Time on Project Total Amount Requested from CDPHE Project Director Provide project oversight to include strategic planning and visioning, budget oversight and management of contracts. 85,840.00$ 27,450.00$ 9%10,196.10$ Project Coordinator Provide overall coordination and oversight of the West Mountain Tobacco Program, ensuring continuous communication between project stakeholders. Provide technical assistance, education, and support to cessation and policy work in the community. 76,630.00$ 30,260.00$ 75%80,167.50$ Financial Analyst Provide budget planning, monitoring & is responsible for invoicing 66,000.00$ 34,500.00$ 2%2,010.00$ Position Title Description of Work Hourly Wage Hourly Fringe Total # of Hours on Project Total Amount Requested from CDPHE -$ 92,373.60$ Item Rate Quantity Total Amount Requested from CDPHE Cell phone $ 42.50 12 510.00$ Office supplies $ 14.98 12 179.76$ Printed Materials $ 262.00 1 262.00$ Total Personal Services (including fringe benefits) Supplies & Operating Expenses Description of Item Monthly cell-phone expense for Project Coordinator 42.50 x 12 General office supplies (pens, notebooks, folders, printer cartridges, etc. estimated at $14.98/mo Customized policy education materials not provided on COHealthResources (ie: pamphlets, postcards) for public distribution, policy signage for buildings and grounds (interior and exterior). Materials will be used to support local initiatives and will only be developed or printed when not available from CDPHE or STEPP. (Printing of stickers and signage, $262/bulk batch printing, x1 = $262) Contract (CT or PO) Number CT 2021*0240 formerly CT 2019*065 Expenditure Categories Personal Services | Salaried Employees Personal Services | Hourly Employees Program Contact Name, Title, Phone and Email Diana Andrews, Health Promotion Program Administrator 970-429-3327 diana.andrews@pitkincounty.c om Fiscal Contact Name, Title, Phone and Email Kelly Pazar, Financial Analyst, 970.429.6190, kelly.pazar@comcast.net PREVENTION SERVICES DIVISION- 12 MONTH BUDGET WITH JUSTIFICATION FORM Option Letter Contract Number: 2019*0065 Option Letter #3 Page 1 DocuSign Envelope ID: 89855E5C-A9D8-43B3-B3BB-8FF310282097 Contract No. 263-2020 Exhibit F Budget Media/Marketing $ 500.00 1 500.00$ Food Expenses for Tobacco Education Opportunities $ 854.00 1 854.00$ 2,305.76$ Item Rate Quantity Total Amount Requested from CDPHE Mileage (Training & Routine Travel) $ 0.575 1735 997.63$ Meals $ 190.00 1 190.00$ Lodging $ 180.00 2 360.00$ Conference/Training $ 700.00 1 700.00$ Parking $ 10.00 2 20.00$ 2,267.63$ Total Travel Parking in downtown Denver for two (2) mandatory training- $10/day for two (2) days Description of Item Project Coordinator will attend STEPP-required conferences/training related to the objectives of the project. Round trip is approximately 367.5 miles x 2 trips =735 miles. Project Coordinator attends meetings throughout region (Aspen to Parachute and to Eagle as needed). Average trip 100mi round trip x 10 trips = 1000 miles. Agency reimbursement rate is $.575/mile. Project Coordinator will attend one (1) 2-day STEPP-required conferences/training related to the objectives of the project. Estimate is based on current government per diem rate of $76/day for Denver for one day, plus $76 x 75% for two travel days. Overnight stay for Project Coordinator to attend STEPP-required conferences/training related to the objectives of the project. Estimate is based on current government per diem rate for Denver. $180/night for two (2) nights = $360. STEPP-approved conferences for staff related to the objectives of the project. Costs based on historic conference rates. Total Supplies & Operating Travel Advertising for Colorado Quitline 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 populations which include earned media, paid media, outreach marketing, 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 $50/campaign x6 campaigns=$300; Print and other media for health fairs, $100/event x 2 events = $200) Light breakfast or lunch for technical assistance or education around vaping, retail licensing, or other best practices for community members. In order to ensure optimal participation, 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 for community and worksite policy-strengthening initiatives. (11 meetings x $10 = $110). Coffee/refreshments for quarterly school district sharing meetings to discuss progress and challenges towards reaching best practice policies, for 3 county region ($36/event x 4 events = $144). $600+$110+$144 = $854. Option Letter Contract Number: 2019*0065 Option Letter #3 Page 2 DocuSign Envelope ID: 89855E5C-A9D8-43B3-B3BB-8FF310282097 Exhibit F Budget Subcontractor Name Rate Quantity Total Amount Requested from CDPHE Eagle County Public Health $23,060.00 1 23,060.00$ 23,060.00$ 120,006.99$ Item Total Amount Requested from CDPHE Federally-Negotiated Indirect Cost Rate CDPHE-Negotiated Indirect Cost Rate De minimis Indirect Cost Rate $ 9,694.02 9,694.02$ 129,701.00$ Contractual Description of Item .25 FTE Health Promotion Coordinator will provide technical assistance, education, and support to cessation and policy work in the Eagle River Valley. Will implement tobacco control strategies in Eagle County. Total Indirect TOTAL Total Contractual SUB-TOTAL OF DIRECT COSTS Indirect Description of Item 10% de minimis [Pitkin elects to take less than the 10% di minimis.] Option Letter Contract Number: 2019*0065 Option Letter #3 Page 3 DocuSign Envelope ID: 89855E5C-A9D8-43B3-B3BB-8FF310282097 Page 1 of 2 Option Letter Contract Number: 2019*0065 Option Letter #3 Ver. 27.01.20 OPTION LETTER #: 3 State Agency: Colorado Department Of Public Health and Environment Prevention Services Division – Tobacco 4300 Cherry Creek Drive South Denver, CO 80246 Original Contract Number: 19 FHLA 108535 Option Letter Contract Number: 2019*0065 Option Letter #3 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: July 1, 2018 Current Contract Expiration Date: June 30, 2021 CONTRACT MAXIMUM AMOUNT TABLE Document Type Contract Number Federal Funding Amount State Funding Amount Other Funding Amount Term (dates) Total Original Contract 19 FHLA 108535 $0.00 $133,681.00 $0.00 07/01/2018- 06/30/2019 $133,681.00 Option Letter #1 19 FHLA 118512 $0.00 ($2,005.00) $0.00 10/30/2018- 06/30/2019 ($2,005.00) Option Letter #2 2019*0065 Option Letter # 2 $0.00 $129,701.00 $0.00 07/01/2019- 06/30/2020 $129,701.00 Option Letter #3 2019*0065 Option Letter # 3 $0.00 $129,701.00 $0.00 07/01/2020- 06/30/2021 $129,701.00 Current Contract Maximum Cumulative Amount $391,078.00 1) OPTIONS A. Option to change quantity of services under the Contract 2) REQUIRED PROVISIONS: A. In accordance with Section(s) 7 of 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. Exhibit F, Budget, is deleted and replaced in its entirety with Exhibit F, Budget, attached to this Option Letter, for the following reason: add funding for State Fiscal Year 2021. B. The Contract Maximum Amount table 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, 2020 , whichever is later. DocuSign Envelope ID: 89855E5C-A9D8-43B3-B3BB-8FF310282097 Page 2 of 2 Option Letter Contract Number: 2019*0065 Option Letter #3 Ver. 03.01.20 SIGNATURE PAGE 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 Option 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 Option Effective Date: _________________________ -- Signature Page End -- DocuSign Envelope ID: 89855E5C-A9D8-43B3-B3BB-8FF310282097 Lisa McGovern Procurement & Contracts Section Director 2020-05-13 2020-05-13 Controller Travis Yoder