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HomeMy WebLinkAboutbocc.con.272.20 - BOCCExhibit C Budget Contractor Name Pitkin County Public Health Budget Period 7/1/2020 - 6/30/2021 Project Name Strengthening PACT to Reduce Drug-Related Health Risks Position Title Description of Work Gross or Annual Salary Fringe Percent of Time on Project Total Amount Requested from CDPHE Project Director/Supervision The Project Director will provide project oversight to include strategic planning and visioning, partnership management, budget oversight and oversight of future implementation strategies of the project. (Fringe benefits include medical, dental, vision, and life insurance, payroll taxes, an annual wellness benefit, and contribution to retirement plan. Paid time off is included in salary.) 85,840.00$ 27,450.00$ 8%9,063.20$ QI Oversight/Deputy Director of PH This position works with the PACT program to improve processes, systems, and work flows in order to continually improve outcomes, as well as partner and participant experience. (Fringe benefits include medical, dental, vision, and life insurance, payroll taxes, an annual wellness benefit, and contribution to retirement plan. Paid time off is included in salary.) 112,783.76$ 32,669.81$ 3%4,363.61$ Mental Health Program Administrator Management and administration of the Co- Responder program. Fringe benefits include: payroll taxes; medical, dental, UI, STD, LTD, AD&D and life insurance; fitness/wellness benefit; retirement. $76,630.00 $46,600.00 20%$24,646.00 Financial Analyst This position provides oversight of funds and contracts through preparing and submitting invoices, and providing guidance as to budget adjustments and revisions. (Fringe benefits include medical, dental, vision, and life insurance, payroll taxes, an annual wellness benefit, and contribution to retirement plan. Paid time off is included in salary.) 66,927.94$ 35,604.17$ 4%4,101.28$ Position Title Description of Work Hourly Wage Hourly Fringe Total # of Hours on Project Total Amount Requested from CDPHE Administrative Specialist This position provides administrative project support (copies, answering phone calls, mailing, scheduling trainings, meetings, purchasing supplies, etc.) ($23.99/hr x 1.6 hours/week for 50 weeks) (Fringe benefits include medical, dental, vision, and life insurance, payroll taxes, an annual wellness benefit, and contribution to retirement plan. Paid time off is included in Salary.) 23.99$ 11.07$ 80.00 2,804.40$ 44,978.49$ Item Rate Quantity Total Amount Requested from CDPHE Total Personal Services (including fringe benefits) Supplies & Operating Expenses Description of Item Contract (CT or PO) Number CT FHLA 2021*0627 Expenditure Categories Personal Services Salaried Employees Personal Services Hourly Employees PREVENTION SERVICES DIVISION- 12 MONTH BUDGET WITH JUSTIFICATION FORM Contract Routing # 2021*0627 Program Contact Name, Title, Phone and Email Jordana Sabella, Planning Prevention & Partnerships Manager (970) 920-5062, jordana.sabella@pitkincounty.com Fiscal Contact Name, Title, Phone and Email Kelly Pazar, Financial Analyst (970) 429- 6190, kelly.pazar@pitkincounty.com Original Contract Number: 2021*0627 Page 1 of 2 DocuSign Envelope ID: 6894C194-CB4D-4B54-A741-7E641FC06AC5 Contract No. 272.2020 Exhibit C Budget Office supplies $ 583.00 1.0 583.00$ Food for partner meetings $ 90.00 4.00 360.00$ 943.00$ Item Rate Quantity Total Amount Requested from CDPHE Mileage $ 0.575 1500 862.50$ Meals $ 57.00 6 342.00$ Lodging $ 195.00 3 585.00$ Parking $ 30.00 6 180.00$ 1,969.50$ Subcontractor Name Rate Quantity Total Amount Requested from CDPHE Aspen Police Department $ 59,059.00 1.0 59,059.00$ Contractor TBD $ 181,260.91 1.0 181,260.91$ TBD $ 20,000.00 1.0 20,000.00$ 260,319.91$ 308,210.90$ Item Total Amount Requested from CDPHE Federally-Negotiated Indirect Cost Rate CDPHE-Negotiated Indirect Cost Rate De minimis Indirect Cost Rate $11,789.10 11,789.10$ 320,000.00$ TOTAL 1 Full time Mental Health Clinician , 1 full time Case Manager, 5% time for Supervisor, full time staff will provide behavioral health services for program participants through the Pitkin Area Co- responder team programs. Full time staff will support program participants, provide referrals and data collection measurements. Data contractor to identify, develop and analyze key program measurements and develop program data collection tools. Total Contractual Description of Item 10% MTDC de minimis rate Total Indirect Contractual Description of Item Law enforcement officer assigned to the Pitkin Area Co- responder team, facilitate trainings for law enforcement, isupport co-responder program and provide coordination among local law enforcement. SUB-TOTAL OF DIRECT COSTS Indirect Overnight stay for 3 for grantee meeting in Denver. Estimate is based on current government per diem rate for Denver. $195/night x 1 nights X 3 staff. Parking for grantee meeting - estimate $30/day x 2 days x 3 staff Total Travel Total Supplies & Operating Travel Description of Item Grantee meeting in Denver. Round trip is approximately 400 miles x 1 round trip X 3 staff = 1200 miles. Local travel between law enforcement agency and community based organizations throughout Pitkin County = 300 miles. 1200+300= 1500 miles. Agency reimbursement rate is $.575/mile. Grantee meeting in Denver. Meal estimate is based on current government per diem rate for Denver: Travel day per diem reimbursement at $57.00 for 2 days X 3 staff. General office supplies: paper, printing, folders, pens, pencils, chart paper, meeting supplies Quarterly partner meetings 5 ppl X $18/pp x 4 meetings, to bring partners and stakeholders together and increase attendance Original Contract Number: 2021*0627 Page 2 of 2 DocuSign Envelope ID: 6894C194-CB4D-4B54-A741-7E641FC06AC5 EXHIBIT D Original Contract Number: 2021*0627 Page 1 of 2 Ver. 13.2.19 OPTION LETTER #: Click here to enter text. State Agency : Colorado Department Of Public Health and Environment 4300 Cherry Creek Dr S Denver, CO 80246 Original Contract # Click here to enter text. Contractor (Name and Address) Click here to enter text. Option Contract Number Click here to enter text. Contract Performance Beginning Date : Click here to enter a date. Current Contract Expiration Date : Click here to enter a date. CONTRACT MAXIMUM AMOUNT TABLE Document Type Contract Routing # Federal Funding Amount* State Funding Amount Other Funding Amount Term (dates) Total OL #1 $ Original $ Current Contract Maximum Amount (YTD) $ 1) OPTIONS A. Option to extend for an Extension Term B. Option to change quantity of goods under the Contract C. Option to change quantity of services under the Contract D. Option to change Contract rates E. Option to initiate next phase of Contract 2) REQUIRED PROVISIONS: A. In accordance with Section(s) Click here to enter text. of the Original Contract referenced above the State hereby exercises its option for an additional term, beginning Click here to enter a date. and ending on the current contract expiration date shown above, at the rates stated in the Original Contract, as amended. B. In accordance with Section(s) Click here to enter text. of the Original Contract referenced above, the State hereby exercises its option to Choose an item. the quantity of Choose an item. at the rates stated in the Original Contract as amended for the following reason: Click here to enter text.. C. In accordance with Section(s) Click here to enter text. of the Original Contract referenced above the State hereby exercises its option to modify the Contract rates specified in Click here to enter text. for the following reason: Click here to enter text.. The Contract rates attached to this Option Letter replace the rates in the Original Contract as of the Option Effective Date of this Option Letter. D. In accordance with Section(s) Click here to enter text. of the Original Contract referenced above, the State hereby exercise its option to initiate Phase Click here to enter text., which shall begin on Click here to enter a date. and end on Click here to enter a date. at the cost/price specified in Section Click here to enter text.. E. The Contract Maximum Amount table is deleted and replace with the Current Contract Maximum Amount 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 Click here to enter a date. whichever is later. DocuSign Envelope ID: 6894C194-CB4D-4B54-A741-7E641FC06AC5 EXHIBIT D Original Contract Number: 2021*0627 Page 2 of 2 Ver. 13.2.19 PROGRAM APPROVAL By:_________________________________________ _ Date:_____________________ STATE OF COLORADO Jared S. Polis, Governor Department of Public Health and Environment Jill Hunsaker Ryan MPH, Executive Director _____________________________________________ _ By: Lisa McGovern, Purchasing & Contracts Section Director, CDPHE 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 CONTROLLER Robert Jaros, CPA, MBA, JD By: ____________________________________ Date: ___________________ DocuSign Envelope ID: 6894C194-CB4D-4B54-A741-7E641FC06AC5 Page 1 of 5 Ver 18.03.20 DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT CONTRACT ROUTING NO. 2021*0627 APPROVED TASK ORDER CONTRACT – WAIVER #1 54 This task order contract is issued pursuant to master contract made on 11/23/2016, with routing number 18 FAA 00041 . STATE: CONTRACTOR: State of Colorado for the use & benefit of the Pitkin County Public Health Agency Department of Public Health and Environment 0405 Castle Creek Road, Suite 202 Prevention Services Division Aspen CO, 81611 VIP/OPD-Harm Reduction 4300 Cherry Creek Drive South. A4 Denver CO, 80246 CONTRACTOR DUNS: 085278844 CONTRACTOR ENTITY TY PE: CONTRACT MADE DATE: 6/24/2020 Political Subdivision BILLING STATEMENTS R ECEIVED: Monthly TERM: STATUTORY AUTHORITY: CRS 25 -1.5-101 This contract shall be effective upon approval by the State Controller, or designee, or on 07/01/2020, CLASSIFICATION: Subrecipient whichever is later. The contract shall end on 06/30/2021. $ CONTRACT PRICE NOT T O EXCEED: $320,000.00 PROCUREMENT METHOD: $ FEDERAL FUNDING DOLLARS: RFA 30089 STATE FUNDING DOLLARS: $320,000.00 BID/RFP/LIST PRICE AGREEMENT NUMBER: OTHER FUNDING DOLLARS: Specify “Other”: MAXIMUM AMOUNT AVAILABLE PER FISCAL YEAR: LAW SPECIFIED VENDOR STATUTE: F Y 0 4 : $ 5 6 5 FY21: $320,000.00 F Y 0 5 : $ 5 5 5 STATE REPRESENTATIVE: Andre s Guerrero VIP/Harm Reduction Colorado Dept of Public Health and Environmen PRICE STRUCTURE: Fixed Price 4300 Cherry Creek Drive South, A4 CONTRACTOR REPRESENTATIVE: Denver CO, 80246 Karen Koenemann Public Health Director 0405 Castle Creek Road, Suite 202 Aspen CO, 81611 PROJECT DESCRIPTION: This project serves to reduce the negative health effects of drug use; improve communication between law enforcement, Pitkin County Public Health, and community-based organizations in Pitkin County; and to develop alternatives to the criminal justice system for those who suffer from substance abuse disorder DocuSign Envelope ID: 6894C194-CB4D-4B54-A741-7E641FC06AC5 Page 2 of 5 Ver 18.03.20 EXHIBITS: The following exhibits are hereby incorporated: Exhibit A - Additional Provisions Exhibit B - Statement of Work Exhibit C - Budget Exhibit D - Sample Option Letter GENERAL PROVISIONS The following clauses apply to this Task Order Contract. These general clauses may have been expanded upon or made more specific in some instances in exhibits to this Task Order Contract. To the extent that other provisions of this Task Order Contract provide more specificity than these general clauses, the more specific provision shall control. 1. This Task Order Contract is being entered into pursuant to the terms and conditions of the Master Contract including, but not limited to, Exhibit One thereto . The total term of this Task Order Contract, including any renewals or extensions, may not exceed five (5) years. The parties intend a nd agree that all work shall be performed according to the standards, terms and conditions set forth in the Master Contract. 2. In accordance with section 24-30-202(1), C.R.S., as amended, this Task Order Contract is not valid until it has been approved by the State Controller, or an authorized delegee thereof. The Contractor is not authorized to, and shall not; commence performance under this Task Order Contract until this Task Order Contract has been approved by the State Controller or delegee. The State shall have no financial obligation to the Contractor whatsoever for any work or services or, any costs or expenses, incurred by the Contractor prior to the effective date of this Task Order Contract. If the State Controller approves this Task Order Contract on or before its proposed effective date, then the Contractor shall commence performance under this Task Order Contract on the proposed effective date. If the State Controller approves this Task Order Contract after its proposed effective date, then the Contractor shall only commence performance under this Task Order Contract on that later date. The initial term of this Task Order Contract shall continue through and including the date specified on page one of this Task Order Contract, unless sooner termi nated by the parties pursuant to the terms and conditions of this Task Order Contract and/or the Master Contract . Contractor’s commencement of performance under this Task Order Contract shall be deemed acceptance of the terms and conditions of this Task Order Contract. 3. The Master Contract and its exhibits and/or attachments are incorporated herein by this reference and made a part hereof as if fully set forth herein. Unless otherwise stated, all exhibits and/or attachments to this Task Order Contract are incorporated herein and made a part of this Task Order Contract. Unless otherwise stated, the terms of this Task Order Contract shall control over any conflicting terms in any of its exhibits. In the event of conflicts or inconsistencies between the Master Contract and this Task Order Contract (including its exhibits DocuSign Envelope ID: 6894C194-CB4D-4B54-A741-7E641FC06AC5 Page 3 of 5 Ver 18.03.20 and/or attachments), or between this Task Order Contract and its exhibits and/or attachments, such conflicts or inconsistencies shall be resolved by reference to the documents in the following order of priority: 1) the Special Provisions of the Master Contract; 2) the Master Contract (other than the Special Provisions) and its exhibits and attachments in the order specified in the Master Contract; 3) this Task Order Contract; 4) the Additional Provisions - Exhibit A, and its attachments if included, to this Task Order Contract; 5) the Scope/Statement of Work - Exhibit B, and its attachments if included, to this Task Order Contract; 6) other exhibits/attachments to this Task Order Contract in their order of appearance. 4. The Contractor, in accordance with the terms and conditions of the Master Contract and this Task Order Contract, shall perform and complete, in a timely and satisfactory manner, all work items described in the Statement of Work and Budget, which are incorporated herein by this reference, made a part hereof and attached hereto as “Exhibit B” and “Exhibit C”. 5. The State, with the concurrence of the Contractor, may, among other things, prospectively rene w or extend the term of this Task Order Contract, subject to the limitations set forth in the Master Contract, increase or decrease the amount payable under this Task Order Contract, or add to, delete from, and/or modify this Task Order Contract’s Statement of Work through a contract amendment. To be effective, the amendment must be signed by the State and the Contractor, and be approved by the State Controller or an authorized delegate thereof. This contract is subject to such modifications as may be required by changes in Federal or State law, or their implementing regulations. Any such required modification shall automatically be incorporated into and be part of this Task Order Contract on the effective date of such change as if fully set forth herein. 6. The conditions, provisions, and terms of any RFP attached hereto, if applicable, establish the minimum standards of performance that the Contractor must meet under this Task Order Contract . If the Contractor's Proposal, if attached hereto, or any attachments or exhibits thereto, or the Scope/Statement of Work - Exhibit B, establishes or creates standards of performance greater than those set forth in the RFP, then the Contractor shall also meet those standards of performance under this Task Order Contract. 7. STATEWIDE CONTRACT MANAGEMENT SYSTEM [This section shall apply when the Effective Date is on or after July 1, 2009 and the maximum amount payable to Contractor hereunder is $100,000 or higher] By entering into this Task Order Contract, Contractor agrees to be governed, and to abide, by the provisions of CRS §24-102-205, §24-102-206, §24-103-601, §24-103.5-101 and §24-105-102 concerning the monitoring of vendor performance on state contracts and inclusion of contract performance information in a statewide contract management system. Contractor’s performance shall be evaluated in accordance with the terms and conditions of this Task Order Contract, State law, including CRS §24-103.5-101, and State Fiscal Rules, Policies and Guidance. Evaluation of Contractor’s performance shall be part of the normal contract administration process and Contractor’s performance will be systematically recorded in the statewide Contract Management Sy stem. Areas of review shall include, but shall not be limited to quality, cost and timeliness. Collection of information relevant to the performance of Contractor’s obligations under this Task Order Contract shall be determined by the specific requirements of such obligations and shall include factors tailored to match the requirements of the Statement of Project of this Task Order Contract. Such performance information shall be entered into the statewide Contract Management System at intervals established in the Statement of Project and a final review and rating shall be rendered within 30 days of the end of the Task Order Contract term. Contractor shall be notified following each performance and shall address or correct any identified problem in a timely manner and maintain work progress. Should the final performance evaluation determine that Contractor demonstrated a gross failure to meet the performance measures established under the Statement of Project, the Executive Director of the Colorado Department of Personnel and Administration (Executive Director), upon request by the Colorado Department of Public Health and Environment and showing of good cause, may debar Contractor and DocuSign Envelope ID: 6894C194-CB4D-4B54-A741-7E641FC06AC5 Page 4 of 5 Ver 18.03.20 prohibit Contractor from bidding on future contracts. Contractor may contes t the final evaluation and result by: (i) filing rebuttal statements, which may result in either removal or correction of the evaluation (CRS §24-105-102(6)), or (ii) under CRS §24-105-102(6), exercising the debarment protest and appeal rights provided in CRS §§24-109-106, 107, 201 or 202, which may result in the reversal of the debarment and reinstatement of Contractor, by the Executive Director, upon showing of good cause. 8. If this Contract involves federal funds or compliance is otherwise federally mandated, the Contractor and its agent(s) shall at all times during the term of this contract strictly adhere to all applicable federal laws, state laws, Executive Orders and implementing regulations as they currently exist and may hereafter be amended. Without limitation, these federal laws and regulations include 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. DocuSign Envelope ID: 6894C194-CB4D-4B54-A741-7E641FC06AC5 Page 5 of 5 Ver 18.03.20 SIGNATURE PAGE Contract Routing Number: 2021*0627 THE PARTIES HERETO HAVE EXECUTED THIS CONTRACT Each person signing this Contract represents and warrants that he or she is duly authorized to execute this Contract and to bind the Party authorizing his or her signature. CONTRACTOR Pitkin County Public Health Agency STATE OF COLORADO Jared S. Polis, Governor Colorado Department of Public Health and Environment Jill Hunsaker Ryan, MPH, Executive Director ______________________________________________ By: Signature ______________________________________________ Name of Person Signing for Contractor ______________________________________________ Title of Person Signing for Contractor Date: _________________________ ______________________________________________ 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 Contract Effective Date:_____________________ -- Signature Page End -- DocuSign Envelope ID: 6894C194-CB4D-4B54-A741-7E641FC06AC5 2020-06-30 Karen Koenemann Karen Koenemann 2020-06-30 Lisa McGovern Procurement & Contracts Section Director Travis Yoder Controller 2020-06-30 EXHIBIT A Page 1 of 2 Original Contract Number 2021*0627 Ver. 01.11.19 ADDITIONAL PROVISIONS To Original Contract Routing Number 2021*0627 These provisions are to be read and interpreted in conjunction with the provisions of the Contract specified above. 1. To receive compensation under the Contract, the Contractor shall submit a signed Monthly, CDPHE Reimbursement Invoice Form. This form is accessible from the CDPHE internet website https://www.colorado.gov/pacific/cdphe/standardized-invoice-form-and-links and is incorporated and made part of this Contract by reference. CDPHE will provide technical assistance in accessing and completing the form. The CDPHE Reimbursement Invoice Form and Expenditure Details page must be submitted no later than forty-five (45) calendar days after the end of the billing period for which services were rendered. Expenditures shall be in accordance with the Statement of Work and Budget. Scan the completed and signed CDPHE Reimbursement Invoice Form into an electronic document. Email the scanned invoice and Expenditure Details page to: Andres Guerrero, Program Manager, (andres.guerrero@state.co.us) Final billings under the Contract must be received by the State within a reasonable time after the expiration or termination of the Contract; but in any event no later than forty-five (45) calendar days from the effective expiration or termination date of the Contract. Unless otherwise provided for in the Contract, “Local Match”, if any, shall be included on all invoices as required by funding source. 2. Time Limit For Acceptance Of Deliverables. a. Evaluation Period. The State shall have fifteen (15) calendar days from the date a deliverable is delivered to the State by the Contractor to evaluate that deliverable, except for those deliverables that have a different time negotiated by the State and the Contractor. b. Notice of Defect. If the State believes in good faith that a deliverable fails to meet the design specifications for that particular deliverable, or is otherwise deficient, then the State shall notify the Contractor of the failure or deficiencies, in writing, within fifteen (15) calendar days of: 1) the date the deliverable is delivered to the State by the Contractor if the State is aware of the failure or deficiency at the time of delivery; or 2) the date the State becomes aware of the failure or deficiency. The above time frame shall apply to all deliverables except for those deliverables that have a different time negotiated by the State and the Contractor in writing pursuant to the State’s fiscal rules. c. Time to Correct Defect. Upon receipt of timely written notice of an objection to a completed deliverable, the Contractor shall have a reasonable period of time, not to exceed fifteen (15) calendar days, to correct the noted deficiencies. 3. Health Insurance Portability and Accountability Act (HIPAA) Business Associate Determination. The State has determined that this Contract does not constitute a Business Associate relationship under HIPAA. 4. This award does not include funds for Research and Development. 5. The State, at its discretion, shall have the option to extend the term under this Contract beyond the Initial Term for a period or for successive periods, of 1 year at the same rates and under the same terms specified in the Contract. In order to exercise this option, the State shall provide written notice to Contractor in a form substantially equivalent to Exhibit D. If exercised, the provisions of the Option Letter shall become DocuSign Envelope ID: 6894C194-CB4D-4B54-A741-7E641FC06AC5 EXHIBIT A Page 2 of 2 Original Contract Number 2021*0627 Ver. 01.11.19 part of and be incorporated in the original contract. The total duration of this contract shall not exceed 5 years. 6. The State, at its discretion, shall have the option to increase or decrease the statewide quantity of Goods and/or Services based upon the rates established in this Contract, and increase the maximum amount payable accordingly. In order to exercise this option, the State shall provide written notice to Contractor in a form substantially equivalent to Exhibit D. Delivery of Goods and/or performance of Services shall continue at the same rates and terms as described in this Contract. 7. All data collected, used or acquired shall be used solely for the purposes of this Contract. The Contractor and its subcontractors agree not to release, divulge, publish, transfer, sell, or otherwise make known any such data to unauthorized persons without the express prior written consent of the State or as otherwise required by law. This includes a prior written request by the Contractor to the State for submission of abstracts or reports to conferences, which utilize data collected under this Contract. Notwithstanding the foregoing, the Contractor shall be entitled to retain a set of any such data collected or work papers necessary to perform its duties under this Contract and in accordance with professional standards. 8. If Contractor indicates full expenditure of funds under this Contract by April 30 of each grant year and the full expenditure does not occur, CDPHE has the option to reduce current or upcoming Contract by said amount or a percent deemed reasonable by CDPHE. CDPHE will notify the Contractor of the potential need to decrease the current or upcoming budget. If the Contractor indicates at a later date than April 30 of each grant year an expectation of surplus of funds or inability to fully expend said funds f or unforeseen circumstances that Contractor had not anticipated by April 30, CDPHE will reallocate unspent funds without any penalties to the Contractor. Upon receipt of timely written notice of an objection by the State for inability to fully expend fun ds, the Contractor shall have a reasonable period of time not to exceed ten (10) calendar days to respond to the action. If no dispute is received by the State within ten (10) calendar days, the State has the option to reduce the current budget for the current year and any upcoming budget for future contractual agreements. 9. Contractor shall request prior approval in writing from the State for all modifications in the Statement of Work/Work Plan or for any modification to the direct costs in excess of twenty-five percent (25%) of the total budget for direct costs shall be submitted to CDPHE at least ninety (90) days prior to the end of the contract period and may require an amendment in accordance with General Provisions, Section 16, Contract Modifications, of this Contract. 10. The State of Colorado, specifically the Colorado Department of Public Health and Environment, shall be the owner of all equipment as defined by Federal Accounting Standards Advisory Board (FASAB) Generally Accepted Accounting Principles (GAAP) purchased under this Contract. At the end of the term of this Contract, the State shall approve the disposition of all equipment. 11. Contractor shall not use funds provided under this Contract for the purpose of lobbying as defined in Colorado Revised Statutes (C.R.S.) 24-6-301(3.5)(a). DocuSign Envelope ID: 6894C194-CB4D-4B54-A741-7E641FC06AC5 EXHIBIT B Page 1 of 4 Original Contract Number: 2021*0627 Ver. 01.11.19 STATEMENT OF WORK To Original Contract Number 2021*0627 These provisions are to be read and interpreted in conjunction with the provisions of the contract specified above. I. Entity Name: Pitkin County Public Health II. Project Description: This project serves to reduce the negative health effects of drug use; improve communication between law enforcement, Pitkin County Public Health, and community-based organizations in Pitkin County; and to develop alternatives to the criminal justice system for those who suffer from substance abuse disorder. This is a health project that will benefit the residents of Pitkin County, Colorado. The goals of the project will be achieved by the creation and expansion of a co-responder health program that will pair law enforcement officers with behavioral health specialists to respond to calls and divert people with substance use disorders to treatment or needed services rather than jail. Services rece ived will help people to access treatment and recovery support for their substance abuse disorder rather than be incarcerated, which will save money for the county and result in improved health for the residents of Pitkin County. This project is necessary and beneficial to the State because there has been an increase in drug overdose deaths, drug related crime and lack of treatment services throughout Pitkin County. III. Definitions: 1. APCHA: Aspen Pitkin County Housing Authority 2. AVH: Aspen Valley Hospital 3. BH: Behavioral health 4. CDPHE: Colorado Department of Public Health and Environment 5. CIT: Crisis Intervention Training 6. FTE: Full-time equivalent 7. LE: Law enforcement 8. PACT: Pitkin Area Co-Responder Team 9. PCPH: Pitkin County Public Health IV. Work Plan: Goal #1: To address health barriers and inequities for those suffering from substance use disorders by providing access to evidence-based, inclusive harm reduction practices in Pitkin County for present and future generations. Objective #1: No later than the expiration date of this contract, reduce adverse health outcomes, health complications and incarceration rates related to injection practices, and overdose injury and death among PWUD in Pitkin County. Primary Activity #1 The Contractor shall build program capacity to deliver harm reduction services. Sub-Activities #1 1. The contractor shall hire two (2) positions for this program: a BH clinician and Co-response BH case manager. 2. The Contractor shall develop referral criteria for the range of behavioral health services provided to participants. 3. The Contractor shall identify behavioral health assessment tools. 4. The Contractor shall develop treatment plans for program participants 5. The Contractor shall provide program participants to commu nity resources. 6. The Contractor shall set up co-responder protocols with LE 7. The Contractor shall develop policy guidance to incorporate referral to PACT. 8. The Contractor shall identify PACT clients with support from APCHA, AVH, Open Space and Trails, and community agencies. 9. The Contractor shall implement referral procedures for PACT participating programs and support agencies. DocuSign Envelope ID: 6894C194-CB4D-4B54-A741-7E641FC06AC5 EXHIBIT B Page 2 of 4 Original Contract Number: 2021*0627 Ver. 01.11.19 Primary Activity #2 The Contractor shall provide harm reduction trainings to reduce recidivism and the harm associated with drug use. Sub-Activities #2 1. The Contractor shall identify evidence based harm reduction trainings. 2. The Contractor shall develop training processes for training participants. 3. The Contractor shall collect training participant data. 4. The Contractor shall track training completion metrics for each identified training. 5. The Contractor shall facilitate a minimum of one (1) advanced CIT trainings for PACT LE and BH. 6. The Contractor shall facilitate a minimum of one (1) mental health first aid trainings for LE and BH staff. Primary Activity #3 The Contractor shall implement data collection practices to identify substance abuse hot spots in Pitkin County. Sub-Activities #3 1. The Contractor shall work with a data consultant to improve data collection measurements. 2. The Contractor shall develop data management procedures. 3. The Contractor shall develop data sharing protocol between law enforcement, behavioral health and harm reduction stakeholders in Pitkin County. 4. The Contractor shall work with a data consultant to develop quality assurance metrics. 5. The Contractor shall inform co-responders on substance abuse data findings to inform local efforts. Primary Activity #4 The Contractor shall mobilize a group of multidisciplinary committee of stakeholders to support project efforts. Sub-Activities #4 1. The Contractor shall coordinate a multidisciplinary committee of stakeholders quarterly. 2. The Contractor shall facilitate meetings of a multidisciplinary committee of stakeholders. 3. The Contractor shall develop a communication plan with input from a multidisciplinary committee of stakeholders. 4. The Contractor shall develop data sharing agreements with the multidisciplinary committee of stakeholders. Primary Activity #5 The Contractor shall develop an evaluation strategy that monitors changes in substance use behaviors and associated health outcomes. Sub-Activities #5 1. The Contractor shall implement data collection measurements to monitor health outcomes. 2. The Contractor shall collect data on program referral efficacy. 3. The Contractor shall conduct quality assurance activities to review services on a quarterly basis. 4. The Contractor shall engage with PWUD to illicit feedback in order to improve service delivery. 5. The Contractor shall use mental health first aid evaluation tools. 6. The Contractor shall use CIT training evaluation tools. 7. The Contractor shall obtain feedback from program participants to guide improvements in service delivery. 8. The Contractor shall disseminate evaluation results to community stakeholders. DocuSign Envelope ID: 6894C194-CB4D-4B54-A741-7E641FC06AC5 EXHIBIT B Page 3 of 4 Original Contract Number: 2021*0627 Ver. 01.11.19 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. The Contractor shall use CDPHE approved reporting template and evaluation plan which shall include: a. project progress summary, b. the most current data available including the number of people participating in interventions, c. the number of people diverted from the criminal justice system, d. the number of people entering substance abuse treatment or diversion programs as a result of programmatic activities, e. documentation of any meetings or collaboration between law enforcement, LPHAs and community-based organizations, f. challenges and successes encountered; g. and any requests for technical assistance or training. 3. The Contractor shall follow information at https://www.colorado.gov/pacific/cdphe/opioid-prevention. This website is incorporated and made part of this contract by reference. 4. The Contractor shall facilitate regular meetings with stakeholders throughout planning and implementation of the approved activities. 5. CDPHE will provide technical assistance to the Contractor regarding selected overdose prevention activities which may include: provider education; community education; community level interventions; targeted naloxone distribution; data; and evaluating local efforts to implement effective strategies. 6. The Contractor shall work with all stakeholders to enhance community capacity to implement approved activities. 7. The Contractor shall attend CDPHE approved trainings and meetings. 8. CDPHE will provide the Contractor with technical assistance for evaluation planning and implementation. 9. CDPHE will provide the Contractor with technical evaluation data collection methodologies and CDPHE-approved tools for the process and outcome evaluation measurements. 10. The Contractor shall submit all deliverables to the Harm Reduction Grant Program Coordinator via email. Expected Results of Activity(s) 1. Reduce health risks associated with drug use for individuals at risk of entering the criminal justice system or individuals in the criminal justice system through implementation of harm reduction strategies. 2. Increase harm reduction efforts between law enforcement agencies, public health agencies, and community-based organizations. Measurement of Expected Results 1. Report on harm reduction implementation efforts and activities between law enforcement, public health, and community-based organizations. 2. Report on the efficacy of all harm reduction related trainings. 3. Tracking number of trainings, number of program participants, and number of referrals for PACT clients. Completion Date Deliverables 1. The Contractor shall submit CDPHE approved progress report. No later than the 15th of each month 2. The Contractor shall submit an evaluation plan using a CDPHE approved template including both process and outcome measures. No later than 180 days from contract execution DocuSign Envelope ID: 6894C194-CB4D-4B54-A741-7E641FC06AC5 EXHIBIT B Page 4 of 4 Original Contract Number: 2021*0627 Ver. 01.11.19 3. The Contractor shall submit a CDPHE approved annual progress report. No later than 6/30 annually V. Monitoring: CDPHE’s monitoring of this contract for compliance with performance requirements will be conducted throughout the contract period by the Harm Reduction Grant Program Coordinator. 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. VI. Resolution of Non-Compliance: The Contractor will be notified in writing within 15 calendar days of discovery of a compliance issue. Within 30 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 requires an extension to the timeline, the Contractor must email a request to the Harm Reduction Grant Program Coordinator and receive approval for a new due date. The State will oversee the completion/implementation of the action(s) to ensure timelines 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 provisions of this contract. DocuSign Envelope ID: 6894C194-CB4D-4B54-A741-7E641FC06AC5