HomeMy WebLinkAboutbocc.con.024.268/30/2021 CDD
Contract Information
Contract Number
Project Name
Contractor
Budget Line Item 11437373.531000.10073
Procurement Method:
Type:
Contract Start Date
Contract End Date
Contract Type
Retainage
If this is a new contractor, please enter the New Vendor information into Munis for workflow approval.
Contact Information:
Department
County Representative Jordana Sabella County Representative
Phone (970) 920-5062
Provide a brief description of the Contract or Change Order:
Contract Value Summary:
$ 60,564.00
$ 60,564.00
024.26
Pitkin County
Procurement Cover Sheet
Please complete the Contract Cover Sheet when the contract/task order is complete and fully executed.
Return all Contract Cover Sheets and Contracts/Change Orders/Amendments/Task Orders to Procurement
No
Family Planning Services
Community Health Services
$ 60,564.00
Additional Budget Line
Item(s)
(Please fully allocate New Contract Total)
$ -
$ -
$ -
$ 60,564.00
Sole Source
Services/Maintenance
1/1/2026
12/31/2026
New Contract
Public Health
Contract to provide Family Planning Services for Pitkin County residents.
Original Contract Amount
Previous Change Order/Amendment Amount
This Change order/Amendment amount
Contract Total
Rev 2023.12.15 CDD
1
PITKIN COUNTY
SOLE SOURCE PROCUREMENT
JUSTIFICATION REQUEST
TO: County Manager
DATE: December 10, 2025
FROM: Kurt Dahl, Environmental Health Manager Proposed Contractor: Community Health Services (CHS) Product/Service: Family Planning Services
Estimated expenditure for the above Product/Service: $ 60,564
This form is required in documenting a Sole Source exception from an otherwise competitive bidding process when sufficient competition does not exist, a single vendor represents a clear and best value to Pitkin County,
or other factors are present that preclude other vendors from being able to provide the product(s), service(s),
and/or construction. This purchase is clearly and legitimately limited to a Single or Sole Source. (Examples: original manufacturer, no regional distributor, standardization etc): Explain:
Pitkin County Public Health (PCPH) is a local public health agency that provides public and
environmental health services to residents and visitors of Pitkin County, all municipalities within Pitkin
County, and to the regional commuting workforce. Colorado Revised Statutes, CRS, 25-1-506(3)(b)(III)
requires all Local Public Health Agencies (PCPH) to provide or arrange for the provision of quality public
health services deemed essential by the State Board of Health. Family planning services are included as
an essential service of a local public health agency. Prior to the formation of PCPH, Community Health
Services (CHS) functioned as the public health agency for Pitkin County for over 40 years and provided
public health services to the community, including family planning services. When PCPH was formed in
2017, it was decided that CHS would act as the clinical arm of PCPH, which includes family planning
services. This relationship has continued since that time, and PCPH wishes to renew our contracts with
CHS, including the Family Planning Contract. There are no competitors due to their upvalley location
with the ability to bill Medicare and Medicaid, and the fact that CHS currently has a contract with the
Colorado Department of Public Health and Environment (CDPHE) to deliver family planning services.
These factors, along with the long history of delivering public health services to the community, make for
a strong argument to utilize them as a provider. Funding for this contract will come from the PCPH Public
Health Fund which, in part, receives monies from the Pitkin County Healthy Community Fund to support
family planning services. CHS also has a contract with
Rev 2023.12.15 CDD
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The undersigned requests that Pitkin County waive other procurement requirements and recognize this transaction as a sole source exception to the Pitkin County Procurement Code. Department Representative Department Director
!#COUNTY REPRESENTATIVE#! Date !#SECTION LEADER#!
Date
County Manager Reason for Denial:
________________________________________
!#COUNTY MANAGER SOLE#! Date
Dec-19-2025
Public Health Director
Jordana Sabella
Kara Silbernagel
Jan-13-2026
Interim County Manager
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PITKIN COUNTY CONTRACT FOR PROVISION OF SERVICES
THIS CONTRACT, made December 18, 2025 by and between the Board of County
Commissioners of Pitkin County, Colorado, 530 E. Main St., Suite #302, Aspen, CO 81611,
(hereinafter called the “County”) and Community Health Services, 0405 Castle Creek Road, Suite
201, Aspen, CO 81611 (hereinafter called the “Contractor”) to perform the following work: Family
Planning Services (“Project”).
I. Term of Contract: The term of this Contract is from January 1, 2026 to December 31,
2026. At the expiration of the initial term, the contract may be extended for five (5)
additional terms of one (1) year by the express written consent of both parties.
II. Contractor’s Obligations. Contractor shall provide Family Planning Services to the
residents of Pitkin County in accordance with the Contractor Scope of Work attached
hereto and incorporated by reference as (“Attachment A”), including all duties,
timelines, reporting requirements, and deliverables set forth therein.
III. Compensation and Expenses, Invoicing, Payment and Offset. The County shall
compensate Contractor for its services in accordance with the Project Budget and
Schedule set out in Paragraph II. It is expressly understood and agreed that in no event
will the total compensation and reimbursement to be paid hereunder exceed the sum of
Sixty Thousand Five Hundred Sixty-Four dollars and Zero cents ($60,564.00) for all
services rendered. By contract or amendment, the County and Contractor may
reallocate the budget among project tasks if the total budget amount remains
unchanged. Contractor shall invoice Quarterly, with invoice(s) emailed to Pitkin
County Public Health no later than the 15th of April, July, October, and January 2027
and shall include, at minimum, an outline of direct costs for quarterly services. The
indirect rate for this contract is 10%.
Payment should be expected within thirty (30) days of invoice. Any payment by the
County may be offset by any amount the Contractor owes the County for any reason.
Pitkin County will not release any payment to Contractor prior to receipt of a complete
and valid W9. Contractor’s address and the as-filed, legal entity name provided within
this Contract must match the information provided with the submitted W9. Doing
Business As (“DBA”) entity titles, as applicable, must be preceded by Contractors
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legally filed business name. Failure to provide a complete and valid W9 may result in
delayed and/or past due payment from the County to Contractor and will in no event
obligate the County to recognize or pay penalties for any past due balances withheld as
a result of such. Contractor may submit completed W9 forms electronically by
emailing pdf copies to AP@PitkinCounty.com with the County Project Contact listed
within this Contract in copy.
IV. County’s Exclusive Ownership of Work Product. Drawings, specifications,
guidelines and other documents prepared by Contractor in connection with this
Contract shall be the property of the County. However, Contractor shall have the right
to utilize such documents in the course of its marketing, professional presentations, and
for other business purposes. Contractor assigns to County the copyrights to all work
prepared, developed, or created pursuant to this Contract, including the right to: 1)
reproduce the work; 2) prepare derivative works; 3) distribute copies to the public; 4)
perform the works publicly; and 5) to display the work publicly. Contractor shall have
right to use materials produced in the course of this Contract for marketing purposes
and professional presentations, articles, speeches and other business purposes.
V. Pitkin County’s Obligations. Pitkin County shall administer this Contract through
a County Representative. Jordana Sabella, Public Health Director will manage the
project as the County’s Representative. In the event that Jordana Sabella is not
available, an alternate County representative will be appointed who shall assume the
County Representative’s duties. The services provided and products delivered by the
Contractor under this Contract will be subject to review by the County’s
Representatives, or a designee, for compliance with Contractor’s obligations prior to
final payment.
VI. Termination Prior to Expiration of Contract Term. The County has the right to
terminate this Contract, with or without cause, by giving written notice to the
Contractor of such termination and specifying the effective date thereof. Such notice
shall be given at least ten (10) days before the effective date of such termination. In
such event all finished or unfinished documents, data, studies and reports prepared by
the Contractor pursuant to this Contract shall become the County’s property. Contractor
shall be entitled to receive compensation in accordance with the Contract for any
satisfactory work completed pursuant to the terms of this Contract prior to the date of
termination. Notwithstanding the above, Contractor shall not be relieved of liability to
the County for damages sustained by the County by virtue of any breach of the Contract
by the Contractor.
VII. Independent Contractor Status.
A. The parties to this Contract intend that the relationship between them contemplated
by the Contract is that of independent contractor. Contractor, and any agent,
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employee, or servant of Contractor shall not be deemed to be an employee, agent,
or servant of Pitkin County.
B. Contractor is not required to offer his services exclusively to Pitkin County under
this Contract. Contractor may choose to work for other individuals or entities
during the term of this Contract, provided that the basic services and deliverable
products required under this Contract are submitted in the manner and on the
schedule defined under this Contract.
C. Contractor warrants that all work produced will conform to all applicable industry
standard of care, skill and diligence in the performance of Contractor’s obligations
under this Contract.
D. Contractor shall not attempt to oversee or supervise the work or actions of any
Pitkin County employee, servant or agent in the course of completing work under
this Contract.
E. Contractor is not entitled to any Workers’ Compensation benefits through Pitkin
County and is responsible for payment of any federal, state, FICA and other income
taxes.
VIII. Assignability. This Contract is not assignable by either party. Any use of
subcontractors by the Contractor for performance of this Contract must be accepted in
writing by the County.
IX. Severability. In the event that any provision of this Contract shall be held to be invalid
or unenforceable, the remaining provisions of this Contract shall remain valid and
binding upon the parties hereto.
X. Integration and Modification.
A. This Contract represents the entire and integrated Contract between the County and
the Contractor and supersedes all prior negotiations, representations, or contract,
either written or oral. This Contract may be amended only by written contract
signed by both the County and the Contractor.
B. The County may, from time to time, request changes in the scope of services of the
Contractor to be performed hereunder. Such changes, including the increase or
decrease in the amount of the Contractor’s compensation, which are mutually
agreed upon between the County and the Contractor, shall be in writing and upon
execution shall become part of this Contract.
XI. Indemnity.
A. The Contractor agrees to indemnify, hold harmless and, not excluding the County's
right to participate, defend the County, its subsidiary, parent, associated and/or
affiliated entities, successors, or assigns, its elected officials, trustees, employees,
agents, volunteers, and any jurisdiction or agency issuing permits for any work
included in the project, hereinafter referred to as indemnitee, from all suits and
claims, including attorney's fees and cost of litigation, actions, loss, damage,
Contract # 024.26 Revision: 2024.10.08 iso8601 CDD iso 8601
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expense, cost or claims of any character or any nature arising out of the work done
in fulfillment of the terms of this Contract or on account of any act, claim or amount
arising or recovered under workers' compensation law or arising out of the failure
of the Contractor to conform to any statutes, ordinances, regulation, law or court
decree. It is agreed that the Contractor will be responsible for primary loss
investigation, defense and judgment costs where this Contract of indemnity applies.
In consideration of the award of this Contract, the Contractor agrees to waive all
rights of subrogation against the County its subsidiary, parent, associated and/or
affiliated entities, successors, or assigns, its elected officials, trustees, employees,
agents, and volunteers for losses arising from the work performed by the Contractor
for the County.
B. The Contractor further shall investigate, process, respond to, adjust, provide
defense for and defend, pay or settle all claims, demands, or lawsuits related hereto
at its sole expense and shall bear all other costs and expenses related thereto, even
if the claim, demand or lawsuit is groundless, false or fraudulent.
C. Accessibility Indemnification
Contractor shall indemnify, save, and hold harmless the Indemnified Parties,
against any and all costs, expenses, claims, damages, liabilities, court awards and
other amounts (including attorneys’ fees and related costs) incurred by any of the
Indemnified Parties in relation to Contractor’s failure to comply with §§24-85-
101, et seq., C.R.S., or the Accessibility Standards for Individuals with a
Disability as established by OIT pursuant to Section §24-85-103 (2.5), C.R.S.
XII. Accessibility.
i. Contractor shall comply with and the Work Product provided under this Contract
shall be in compliance with all applicable provisions of §§24-85-101, et seq., C.R.S.,
and the Accessibility Standards for Individuals with a Disability, as established by
OIT pursuant to Section §24-85-103 (2.5), C.R.S. Contractor shall also comply with
all State of Colorado technology standards related to technology accessibility and
with Level AA of the most current version of the Web Content Accessibility
Guidelines (WCAG), incorporated in the State of Colorado technology standards.
The State may require Contractor’s compliance to the State’s Accessibility Standards
to be determined by a third party selected by the State to attest to Contractor’s Work
Product and software is in compliance with §§24-85-101, et seq., C.R.S., and the
Accessibility Standards for Individuals with a Disability as established by OIT
pursuant to Section §24-85-103 (2.5), C.R.S.
XIII. Insurance. Contractor and subcontractors shall procure and maintain until all of their
obligations have been discharged, including any warranty periods under this Contract
are satisfied, insurance against claims for injury to persons or damage to property which
may arise from or in connection with the performance of the work hereunder by the
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Contractor, its agents, representatives, employees or subcontractors.
The insurance requirements herein are minimum requirements for this Contract and in
no way limit the indemnity covenants contained in this Contract. The policies shall
include, or be endorsed to include, the following provision: On insurance policies
where the County is named as an additional insured, the County shall be an additional
insured to the full limits of liability purchased by the Contractor even if those limits of
liability are in excess of those required by this Contract.
The County in no way warrants that the minimum limits contained herein are sufficient
to protect the Contractor from liabilities that might arise out of the performance of the
work under this Contract by the Contractor, its agents, representatives, employees, or
subcontractors. The Contractor shall assess its own risks and if it deems appropriate
and/or prudent, maintain higher limits and/or broader coverages. The Contractor is not
relieved of any liability or other obligations assumed or pursuant to the Contract by
reason of its failure to obtain or maintain insurance in sufficient amounts, duration, or
types. Commercial General Liability Completed Operations coverage must be kept in
effect for up to three (3) years after completion of the project.
A. Coverage and Limits of Insurance. Contractor shall provide coverage with limits
of liability requirements provided that the coverage is written on a “following form”
basis.
1) Statutory Workers’ Compensation: Colorado statutory minimums
a. Policy shall contain a waiver of subrogation against the County.
b. This requirement shall not apply when a contractor or subcontractor
is exempt under Colorado Workers’ Compensation Act AND when
such contractor or subcontractor executes the appropriate sole
proprietor waiver form.
Minimum Limits:
Coverage A (Workers’ Compensation) Statutory
Coverage B (Employers Liability) $ 500,000
$ 500,000
$ 500,000
2) Commercial General Liability – ISO 1CG 0001 form or equivalent.
(With County named as an additional insured)
Minimum Limits:
General Aggregate $ 2,000,000
Products/Completed Operations Aggregate $ 2,000,000
Each Occurrence Limit $ 1,000,000
Personal/Advertising Injury $ 1,000,000
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Fire Damage (Any One Fire) $ 50,000
Medical Payments (Any One Person) $ 5,000
Coverage to include:
• Premises and Operations
• Explosions, Collapse and Underground Hazards
• Personal / Advertising Injury
• Products / Completed Operations
• Liability assumed under an Insured Contract (including defense costs assumed under
contract)
• Independent Contractors
• Designated Construction Project(s) General Aggregate Limit, ISO CG 2503 (1997
Edition or equivalent)
• Additional Insured—Owners, Lessees or Contractors Endorsement, ISO Form 2010
(2004 Edition or equivalent)
• Additional Insured—Owners, Lessees or Contractors Endorsement, ISO CG 2037
(2004 Edition or equivalent)
• The policy shall be endorsed to include the following additional insured language
on the Additional Insured Endorsements specified above: “County, its subsidiary,
parent, associated and/or affiliated entities, successors, or assigns, its elected
officials, trustees, employees, agents, and volunteers named as an additional insured
with respect to liability and defense of suits arising out of the activities performed
by, or on behalf of the Contractor, including completed operations”.
3) Auto Liability: Bodily injury and property damage for any owned,
hired and non-owned vehicles used in the performance of this Contract.
Minimum Limits: Statutory
Coverage Bodily/Property Damage (Each Accident) $ 1,000,000
4) Special Coverages (check as appropriate and insert amount):
a. ☐ Performance Bond $
b. ☐ Professional Errors and Omissions
c. ☐ Aircraft Liability
d. ☐ Owner’s Protective
e. ☐ Builder’s Risk
f. ☐ Boiler and Machinery
g. ☐ Loss of Use Insurance
h. ☐ Pollution Liability
i. ☐ Crime, including Employee Dishonesty Coverage, or Fidelity
Bond
B. Proof of Insurance:
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1) Each insurance policy required by the insurance provisions of this
Contract shall provide the required coverage and shall not be suspended,
voided or canceled except after thirty (30) days prior written notice has been
given to the County, except when cancellation is for non-payment of
premium, then ten (10) days prior notice may be given. Such notice shall
be emailed directly to Procurement@pitkincounty.com. If the insurance
carrier will not provide the required notice, the Consultant/Contractor and
or its insurance broker shall notify the County of any cancellation, or
reduction in coverage or limits of any insurance within seven (7) days of
receipt of insurers’ notification to that effect. Simultaneously with the
Certificates of Insurance, the Contractor shall file with the Project Lead a
certified statement as to claims pending against the required coverages,
reserves established on account of such claims, defense costs expended and
amounts remaining on policy limits.
2) In addition, these Certificates of Insurance shall contain the following
clauses:
a. The contractor’s insurance shall be primary and non-contributory with
any insurance or self-insurance purchased by the County.
b. The insurance companies issuing the policy or policies hereunder shall
have no recourse against the County of Pitkin for payment of any
premiums or for assessments under any form of policy.
c. Any and all deductibles or self-insured retentions in the above-
described insurance policies shall be assumed by and be for the
amount of, and at the sole expense of the Contractor.
d. Location of operations shall be: “all operations and locations at which
work for the referenced Project is being done.”
3) Certificates of Insurance for all renewal policies shall be delivered to
the County’s Representative at least fifteen (15) days prior to a policy’s
expiration date except for any policy expiring on the expiration date of this
Contract or thereafter.
4) The County reserves the right to request and receive a copy of any
policy and any policy endorsement at any time during the term of this
Contract.
XIV. Exemptions and Preferences. All purchases of construction or building or any other
materials for this Contract shall not include Federal Excise Taxes or Colorado State or
local sales or use taxes. Pitkin County is exempt from such taxes under registration
numbers 98-02624 and 84-78000-5k.
XV. Records. The Contractor shall maintain comprehensive, complete and accurate
books, records, and documents concerning its performance relating to this Contract for
a period of three (3) years after final payment under the Contract and the County shall
have the right within the three (3) year period to inspect and audit these books, records
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and documents, upon demand, in a reasonable manner and at reasonable times, for the
purpose of determining, by accepted accounting and auditing standards, compliance
with all provisions of the Contract and applicable law.
XVI. Contract Made in Colorado. The parties agree that this Contract was made in
accordance with the laws of the State of Colorado and shall be so construed. Venue is
agreed to be exclusively in the courts of Pitkin County, Colorado.
XVII. Attorney’s Fees. In the event that legal action is necessary to enforce any of the
provisions of this Contract, the substantially prevailing party shall be entitled to its costs
and reasonable attorney’s fees.
XVIII. Governmental Immunity. Contractor agrees and understands that Pitkin County is
relying on and does not waive, by any provision of this Contract, the monetary
limitations or terms (presently $150,000 per person and $600,000 per occurrence) or
any other rights, immunities, and protections provided by the Colorado Governmental
Immunity Act, 24-10-101, et seq., C.R.S., as from time to time amended, or otherwise
available to Pitkin County or any of its officers, agents or employees. Further, nothing
in this Contract shall be construed or interpreted to require or provide for indemnification
of the Contractor by the County for any injury to any person or any property damage
whatsoever which is caused by the negligence or other misconduct of the County or its
agent or employees.
XIX. Current Year Obligations. The parties acknowledge and agree that any payments
provided for hereunder or requirements for future appropriations shall constitute only
currently budgeted expenditures of Pitkin County. Pitkin County’s obligations under
this Contract are subject to Pitkin County’s annual right to budget and appropriate the
sums necessary to provide the services set forth herein. No provisions of the Contract
shall constitute a mandatory charge or requirement in any ensuing fiscal year beyond
the then current fiscal year of Pitkin County. No provision of the Contract shall be
construed or interpreted as creating a multiple-fiscal year direct or indirect debt or other
financial obligation of Pitkin County within the meaning of any constitutional or
statutory debt limitation. This Contract shall not directly or indirectly obligate Pitkin
County to make any payments beyond those appropriated for Pitkin County’s then
current fiscal year. No provisions of this Contract shall be construed to pledge or create
a lien on any class or source of Pitkin County’s moneys, nor shall any provision of this
Contract restrict the future issuance of Pitkin County’s bonds or any obligations
payable from any class or source of Pitkin County’s money.
XX. Notice. Any notice required or permitted under this Agreement shall be in writing
and shall be provided by electronic delivery to the e-mail addresses set forth below and
by one of the following methods 1) hand-delivery or 2) registered or certified mail,
postage pre-paid to the mailing addresses set forth below. Each party by notice sent
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under this paragraph may change the address to which future notices should be sent.
Electronic delivery of notices shall be considered delivered upon receipt of
confirmation of delivery on the part of the sender. Nothing contained herein shall be
construed to preclude personal service of any notice in the manner prescribed for
personal service of a summons or other legal process.
To Pitkin County:
Jordana Sabella Street Address City, ST ZIP Email: Jordana.Sabella@pitkincounty.com
with copies to:
Pitkin County Attorney’s Office 530 E. Main St., Suite #301 Aspen, Colorado 81611 Email: Attorney@pitkincounty.com
To Contractor: Community Health Services 0405 Castle Creek Road, Suite 201 Aspen, CO 81611
Phone: ( ) -
Email: logan.hood@aspencommunityhealth.org
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IN WITNESS WHEREOF, the parties have executed this Contract as of the date first set out herein above.
COMMUNITY HEALTH SERVICES ________________________________________________ !#VENDOR SIGNATURE#! Date
PITKIN COUNTY, COLORADO RECOMMENDED FOR APPROVAL:
_________________________________________________ !#DEPARTMENT REPRESENTATIVE#! Date
COUNTY MANAGER APPROVAL: ________________________________________________
!#COUNTY MANAGER#! Date
Jordana Sabella
Public Health Director
Dec-19-2025
Executive Director
Dec-28-2025
Logan Hood
Jan-13-2026
Kara Silbernagel
Interim County Manager
2026 Family Planning Services Scope of Work
Duties and Responsibilities: Community Health Services (CHS) shall provide the following
services to Pitkin County Public Health (PCPH):
1. CHS shall perform all activities in the period required in the attached Statement of Work
from the Colorado Department of Public Health and Environment (CDPHE).
a. Attachment A: CDPHE Family Planning SOW 2026*292
b. Attachment B: Budget
2. Data
a. CHS shall collect data related to its Family Planning work as outlined in Attachment C.
b. CHS shall do an annual presentation by March 31st each year for the previous year’s
data. The presentation will be to the PCPH staff, the Board of Health, or other entities
and will be based on the data collected. The purpose of the presentation is for PCPH
staff to understand the work CHS does each year on Family Planning services.
3. CHS shall complete the quarterly invoice template provided by PCPH, which outlines the
direct cost for quarterly services. Any questions regarding the template should be directed to
the PCPH Accounting Analyst.
Accountability: A designated representative from CHS will participate in quarterly meetings, or
more frequently as reasonably needed or requested, with Pitkin County Public Health’s CHS
Contract Manager, or designee. The meetings will be a forum to provide updates and discuss
accomplishments, challenges, and barriers.
Compensation: The indirect rate for this contract is 10%. The total compensation under this
Agreement shall not exceed $60,564 for the term ending December 31, 2026. Quarterly
Invoices are to be emailed to PCPHno later than the 15th of April, July, October 2026, and
January 2027. Additional funding for family planning services from Eagle and Garfield Counties
is pending. Please notify PCPH of any additional grant awards or changes to services required
by Colorado or the Federal Government for the 2026 budget year within 30 days of
acknowledgment of the award.
Attachment A
Attachment A
STATEMENT OF WORK
To Original Contract Number: 2026*0292
These provisions are to be read and interpreted in conjunction with the provisions of the contract specified
above.
I. Entity Name: Community Health Services, Inc.
II. Project Description:
his health project serves to provide access to sexual and reproductive health (SRH) services to
l Coloradans. The Colorado Department of Public Health and Environment (CDPHE) Family
lanning Program (FPP) receives Federal Title X grant funding as well as State funding to
mprove equitable access to SRH care by contracting with a network of health care providers
round the state, such as the Contractor. All subrecipients of CDPHE FPP’s Title X funding must
omply with the associated federal regulations as well as requirements. Priority is given to
atients with incomes that are at or below 250% of the Federal Poverty Level (FPL). During the
roject term, the Contractor will provide high-quality, confidential, patient-centered SRH services
sing a sliding fee sca le for self-pay patients. SRH services include, but not limited to
ontraceptive services, preventative health counseling and education services, reproductive
ealth related testing, and screening and referrals.
he direct beneficiary of the project will be Coloradans in need of affordable SRH services, such
s those provided by the Contractor. To achieve the goals of this project, the Contractor will
articipate in training, technical assistance, data reporting, quality assurance and quality
mprovement activities, and community engagement and outreach. The project will be ongoing
ntil the end of this contract’s term.
Attachment A
III. Definitions:
1. CDPHE – Colorado Department of Public Health and Environment
2. FPL – Federal Poverty Level
3. FPP – CDPHE’s Family Planning Program
4. HIPAA – Health Insurance Portability and Accountability Act
5. iCare – FPP data system used to collect encounter-level data
6. I&E – Information and Education committee that reviews and approves print
and electronic informational and educational materials developed or made
available under the project
7. IUD – intrauterine device
8. LEP – Limited English Proficiency
9. QFP – Quality Family Planning Recommendations
10. SRH – Sexual and Reproductive Health
11. Title X – refers to the federal Title X Family Planning Services Grant funding
and requirements
IV. Work Plan
Goal #1:
Improve the health, well-being and equity of all people in Coloradans through health
promotion, prevention and access to healthcare.
Objective #1:
No later than the expiration date of this contact, improve access to affordable,
high-quality, patient-centered sexual and reproductive health (SRH) services with priority
for patients experiencing greater barriers to accessing care.
Primary Activity #1:
The Contractor shall provide ongoing clinical SRH services to patients.
Attachment A
Sub-Activity #1:
1. The Contractor shall provide clinical SRH services in accordance with the
most recent CDPHE FPP Clinical Manual, the Quality Family Planning
Recommendations (QFP) and recognized national standards of care including:
a. Contraceptive counseling, education, supplies, and services
b. Pregnancy testing and nondirective options counseling with patient-led
referral
c. Services related to achieving pregnancy
d. Basic infertility services
e. Preconception health services
f. Sexually transmitted infection screening, testing, treatment, referral, and
education and counseling
g. Related preventative reproductive health services and referrals,
including cervical cancer screening and referral to mammography
2. The Contractor shall provide clinical follow-up and referrals, as appropriate
3. The Contractor shall use a qualified laboratory to provide the services outlined
in the CDPHE FPP Clinical Manual, which cannot be performed by the Contractor.
4. The Contractor shall provide a broad range of acceptable and effective
contraceptive methods and services, including the full range of FDA-approved
contraceptive products and fertility awareness-based methods, on-site (or by
prescription if the patient prefers). This range shall include, at a minimum, the
following options:
a. One (1) hormonal intrauterine device (IUD)
b. One (1) non-hormonal IUD
c. One (1) contraceptive implant
d. Three (3) types of combined oral contraceptive pills
e. One (1) progestin only contraceptive pill
f. One (1) contraceptive injection
Attachment A
g. One (1) hormonal non-pill method such as the contraceptive patch or
vaginal ring
h. Condoms
i. Fertility-awareness based method education provided by staff specifically
trained in providing this education
5. The Contractor shall provide referrals to SRH patients to other social and
medical services, as needed, including:
a. Primary care providers
b. Mental health providers
c. Medicaid enrollment assistance
d. Social and financial support programs such as Women’s Infants and
Children (WIC), Temporary Assistance for Needy Families (TANF),
Supplemental Nutrition Assistance Program (SNAP), etc.
e. Local agencies offering services related to intimate partner violence,
housing, employment, or other patient needs.
6. The Contractor shall develop steps to ensure access for priority populations
experiencing greater barriers to accessing care including patients who are
adolescents, low-income, uninsured, underinsured, LEP, and/or in need of
confidential services, such as:
a. Providing adolescent-friendly services to young people, which are
accessible, acceptable, equitable, appropriate, and effective.
b. Never requiring the consent or notification of parents or guardians for
minors who wish to seek services independently. Family participation must be
encouraged but never required.
c. Counseling adolescents clients to resist sexual coercion, and
documenting this counseling.
d. Providing meaningful access to patients with LEP by offering printed
materials in multiple languages and engaging qualified services (through a
language line service or bilingual staff) for medical interpretation, and
supporting this work through specific written policies.
Attachment A
e. Identifying patients with confidentiality concerns related to
communications or billing and taking steps to protect patient confidentiality, as
described in the CDPHE FPP Administrative Manual.
7. The Contractor shall develop documented clinical policies, procedures and
protocols in accordance with the FPP Clinical Manual, the QFP and nationally
recognized standards of care, including contraceptive method specific protocols, an
adolescent care policy, and policies regarding pregnancy testing, nondirective options
counseling and the prohibition of abortion.
Primary Activity #2:
The Contractor shall implement fiscal practices that meet Title X requirements for billing
and collections.
Attachment A
Sub-Activity #2:
1. The Contractor shall comply with the requirement to not deny services based
on a patient’s inability to pay or create barriers to accessing care through fiscal
practices.
a. The Contractor shall develop policies and procedures in accordance
with the FPP Administrative Manual that address income verification, charges,
billing, and collections of patient fees without burdening patients or creating
barriers to access, including a process for waiving and/or writing off fees.
2. The Contractor shall use a Sliding Fee Scale to charge patients for SRH
services, in accordance with Title X requirements.
a. The Contractor shall use a reasonable cost-setting methodology to
develop a Fee Schedule for SRH services designed to recover the reasonable
cost of providing services.
i. CDPHE shall periodically offer
technical assistance to support the Contractor in updating their fee
schedule.
b. The Contractor shall create and update a Schedule of Discounts to be
applied to the Fee Schedule using the most recent Federal Poverty
Guidelines, such that:
i. Patients with incomes at or below
100% FPL, as defined by the Department of Health & Human
Services (HHS), shall not be charged for SRH services.
ii. Patients with family incomes between
101 to 250% FPL will be charged in accordance with a schedule of
discounts based on ability to pay.
iii. Patients with family income greater
than 250% FPL will be charged the full fee.
3. The Contractor shall conduct reasonable efforts to obtain third-party payment
from government or other payers who are authorized or legally obligated to pay for
services without jeopardizing patient confidentiality.
a. The Contractor shall bill and receive reimbursement from Colorado
Medicaid, unless a written waiver of this requirement is received from
CDPHE.
Attachment A
b. The Contractor shall work toward, if not currently, generating income
through billing and reimbursement from other third-party payers, such as
commercial insurance plans.
Primary Activity #3:
The Contractor shall hire appropriate, trained personnel to meet the requirements of the
CDPHE Family Planning Program (FPP) and this contract.
Attachment A
Sub-Activity #3:
1. The Contractor shall hire and train adequate staffing to deliver the clinical
services outlined in this agreement. All professional health care providers must be in
compliance with State and Federal licensing requirements and regulations.
2. The Contractor shall hire and train adequate staffing to meet the personnel
requirements specified in the most recent CDPHE FPP Administrative Manual.
3. The Contractor shall comply with the requirement that the staff person(s)
responsible for program coordination and fiscal functions to review the CDPHE
Post-Award communications within thirty (30) days of the execution of this contract if
the Cost-Reimbursement Reimbursement Mechanism is selected. If the Advance
Payment Reimbursement Mechanism is selected the review will occur within fourteen
(14) days.
a. Throughout the remainder of this agreement, any new coordinator or
fiscal staff responsible for FPP activities shall be required to participate in a
program and fiscal orientation with CDPHE within sixty (60) days of
employment.
4. The Contractor shall schedule all new staff working with the Title X program in
any capacity to complete Title X orientation within (60) days of hire (or beginning to
work on FPP), including clinical, administrative, fiscal, operations, data, or other staff.
5. The Contractor shall document that staff complete the FPP’s Annual Training
Plan, as appropriate given role and tenure, in accordance with the requirements of
each year’s plan.
6. The Contractor shall require relevant staff to review key Title X requirements
(as outlined in the Staff Annual Title X Acknowledgement Form ), the CDPHE
Administrative Manual, and the CDPHE Clinical Manual annually.
7. The Contractor shall document records of staff training.
8. The Contractor shall attend three virtual CDPHE FPP meetings to review and
discuss issues related to FPP program compliance such as data management,
community engagement, policies and procedures, adolescent services, etc. At a
minimum, the Contractor will attend 2 of the 3 virtual meetings.
9. The Contractor shall attend Post Award Meeting(s) (to include program and fiscal
orientation) as announced and scheduled by CDPHE FPP.".
Primary Activity #4:
The Contractor shall conduct community engagement and outreach.
Attachment A
Sub-Activity #4:
1. The Contractor shall conduct at least one (1) outreach activity annually to
promote the availability of services.
2. The Contractor shall facilitate community engagement in reviewing and
approving informational and educational materials, prior to their distribution, to assure
that the materials are suitable for the population or community by hosting an
Information & Education (I&E) Committee at least one (1) time per year, in
accordance with the guidance provided in the CDPHE FPP Administrative Manual.
3. The Contractor shall use one option for how they will meet this requirement
after the Post Awards Meeting (PAM) or Post Awards communication. The contractor
shall seek approval in writing from CDPHE to change their I&E Committee selection.
a. Maintain an I&E Committee exclusive to their own organization (this
provides full autonomy to the Contractor for their own informational and
educational materials), or
b. Join a regional I&E Committee to jointly review and approve informational
and educational materials (Contractors in similar communities to share I&E
Committee responsibilities and materials).
Primary Activity #5:
The Contractor shall perform quality assurance and quality improvement activities.
Sub-Activity #5:
1. The Contractor shall conduct at least one (1) patient satisfaction survey of SRH
patients annually to inform clinical services and quality improvement projects.
2. The Contractor shall attend one (1) quality assurance activity annually with
CDPHE, completing one of the following each year in rotation:
a. Administrative & Fiscal Site Visit
b. Clinical Site Visit
c. Self-Audit of Patient Charts
Primary Activity #6:
The Contractor shall report appropriate data regarding work performed under this
agreement.
Attachment A
Sub-Activity #6:
1. The Contractor shall complete progress reports to submit by the last business
day of July and January. Report due dates will be shared with the Contractor via
newsletter and email reminders.
2. The Contractor shall upload encounter-level data on the SRH services
provided to iCare on a quarterly basis, or more frequently if requested, in accordance
with the reporting guidance provided by CDPHE.
a. The Contractor shall request access for iCare users in writing,
submitted to cdphe_familyplanning@state.co.us .
3. The Contractor shall provide other necessary data required for federal
reporting, collected by CDPHE through a supplementary survey annually.
4. The Contractor shall update the Contractor’s contact information in the Agency
Management System (AMS).
a. This includes staff identified for roles such Project Coordinator, Fiscal
Contact, Signature Authority, etc.
5. The Contractor shall report Expenditure and Revenue data, in accordance with
the template and guidance provided by CDPHE, on a monthly basis with its invoice.
6. The Contractor shall comply with other data collection and/or state-level
evaluation efforts, as appropriate.
Attachment A
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 comply with the requirement to not subcontract any of the
required services as outlined in the CDPHE FPP Administrative Manual without prior
written approval from CDPHE.
a. The Contractor shall be responsible for monitoring any subcontracted
providers of Title X services for compliance with all State and Federal
requirements.
3. The Contractor shall comply with guidelines and requirements described in the
CDPHE FPP Administrative Manual and CDPHE FPP Clinical Manual. The services
provided by the Contractor to the patients it serves shall be performed pursuant to
law and in accordance with prevailing medical standards of care for the same or
similar medical, nursing and professional services. The services provided shall also
comply with applicable:
a. CDPHE FPP Administrative Manual and Clinical Manual at
https://cdphe.colorado.gov/fpp/subrecipient-resources/manuals-and-guides
b. Any applicable fiscal or administrative policies, laws, and regulations of
the State or Federal government, incorporated and made part of this contract
by reference, available at
https://cdphe.colorado.gov/fpp/subrecipient-resources .
4. The Contractor shall comply with applicable State and Federal laws and
regulations related to patient confidentiality in providing SRH services:
a. The Contractor shall document compliance with the Health Insurance
Portability and Accountability Act (HIPAA) and other relevant state and federal
statutes protecting privacy and confidentiality of patient health information and
medical records.
b. The Contractor shall document that all information as to personal facts
and circumstances about patients obtained by the project staff is held
confidential and not disclosed without the individual’s documented consent.
Contractor shall develop and adhere to appropriate safeguards for
confidentiality, including prohibiting providers from releasing a patient’s
individual information unless the provider has written authorization for the
Attachment A
release, the release is necessary to provide services to the patient, or the
state or federal law requires the release.
5. The Contractor shall comply with all applicable Colorado State and Federal
Title X regulations when using contract funds contained in this Contract to fulfill the
Statement of Work. Services provided shall comply with applicable:
a. Title X statute, regulations, and legislative mandates incorporated and
made part of this contract by reference, available at
https://opa.hhs.gov/grant-programs/title-x-service-grants/title-x-statutes-regula
tions-and-legislative-mandates .
b. The Contractor shall comply with the Colorado State regulation (Colo.
Rev. Stat. § 13-22- 105) that all adolescents, regardless of age must be
allowed services and may consent for their own visits. Service provision
cannot be conditioned on parental consent or notification.
c. The Contractor shall comply with the requirement that any
subcontractors are fulfilling Title X requirements by embedding the Title X
regulations and requirements into the subcontractor Memorandum of
Understanding (MOU), contracts, and/or interagency agreements.
6. The Federal and/or State family planning funding provided by CDPHE cannot
be the sole funder of the Contractor’s SRH services or program. The Contractor shall
show a financial contribution of other funds from local, regional, grant, patient,
Medicaid, or other third party revenue sources.
7. The Contractor shall use program income generated by billing and
reimbursement for SRH services (patient fees, donations, and third-party billing) for
the purposes of supporting the program and further delivery of SRH services.
8. The Contractor shall develop written policies, procedures, and protocols as
required by Title X regulations and family planning program guidelines. The
Contractor may adapt templates provided by the FPP for this requirement, or use
their own policies and procedures.
9. The Contractor shall review , share and act, when appropriate, on the
information provided in the FPP’s biweekly newsletter, which is the primary mode of
communicating important FPP information and updates, emailed from CDPHE to the
contractors. The Contractor shall stay informed of changes in policy, updates to
program reporting, and programmatic changes.
10. The Contractor shall provide fiscal oversight and shall be solely responsible for
compliance with all provisions and deliverables under this Contract.
Attachment A
11. The Contractor shall submit communications to the FPP inbox via email
( cdphe_familyplanning@state.co.us ).
12. The Contractor shall comply with FPP email communications, such as requests
for information, data and/or meetings, etc., within five (5) business days.
Expected Results of Activity(s):
1. Increased number of people getting their SRH needs met with high-quality
clinical services, through increased access and improved equity.
Measurement of Expected Results:
1. Qualitative and quantitative data collected from required activities and
deliverables compared to historical data.
Deliverables:
Description Completion Date
1. The Contractor shall submit a record of required staff
training completed for:
i. New staff orientation
ii. Annual Training Plan
iii. Staff Acknowledgement of Title X
Requirements
iv. CDPHE FPP Administrative & Clinical
Manuals Review
No later than 6/30
annually
2. The Contractor shall submit documentation of the outreach
activity conducted.
No later than 6/30
annually
3. The Contractor shall submit documentation of the I&E
Committee hosted.
No later than 6/30
annually
4. The Contractor shall submit documentation of the client
satisfaction survey conducted.
No later than 6/30
annually
5. The Contractor shall submit documentation as requested
for the applicable quality assurance activity (administrative and
fiscal site visit, clinical site visit, or chart review).
No later than the deadline
provided by CDPHE FPP
Staff.
6. The Contractor shall submit bi-annual progress reports. No later than 1/31 and
7/15 annually.
Attachment A
7. The Contractor shall submit encounter-level data on
services provided to all SRH patients through iCare
( https://www.healthinformatics.dphe.state.co.us ), in accordance
with the specifications provided by the FPP.
No later than the 15th of
he month for each quarter
October 15, January 15,
pril 15, and July 15, or by
deadline provided by
CDPHE FPP Staff
8. The Contractor shall update organization contact
information in the Agency Management System (AMS).
No later than 30 days of
contact information
change
9. The Contractor shall submit Expenditure and Revenue
Report data through the monthly invoice process.
No later than forty-five
45) days after the last day
of each month
10. The Contractor shall submit any subcontract or any
memorandum of understanding pertaining to this contract to
CDPHE for prior approval.
o later than 30 days prior
o the intended start date
f the subcontract or MOU
V. Monitoring
CDPHE’s monitoring of this contract for compliance with performance requirements will
be conducted throughout the contract period by the CDPHE Family Planning Program
Team (i.e. Program Manager, Medical Director, Program Coordinator, and Program
Assistant). Methods used will include a review of documentation determined by CDPHE
to be reflective of performance to include progress reports and data 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.
Attachment A
VI. Resolution of Non-Compliance
The Contractor will be notified in writing within thirty ( 30 ) calendar days of discovery of a
compliance issue. Within forty-five ( 45 ) 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 require an extension to the timeline, the
Contractor must email a request to the CDPHE Family Planning Program Team (i.e
Program Manager, Medical Director, Program Coordinator, and Program Assistant) 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.
Attachment A
Attachment B
Community Health Services
2026 Family Planning Budget
Expenses
Personnel
Salaries $295,000.00 5% increase for FP staff
Fringe Benefits $73,000.00 3%
Total Personnel $368,000.00
Operating
Program Expenses/Supplies $75,000.00
Program Services $10,000.00
Total Operating $85,000.00
Total Expenses $453,000.00
Less Revenues: grants, fees, other income $(290,764.00)
Total Expenses over (under) Revenues $162,236.00
Revenues:
Pitkin County PH Contract $60,564.00
Program Fees (insurance income) $50,000.00
Other funding/grant support $178,000.00 2026 Less Title X funds 20%
Donations $2,200.00
Total $290,764.00
Attachment A
Attachment C
CHS Family Planning Data Points
- Prenatal Care
- Ketelcheck Index
- Kessner Index
- Payment Form
- Flat fee
- Insured
- Emergency Medicaid
- Regular Medicaid
- Demographic
- Gender (Female, Nonbinary, Trans)
- Age (DOB)
- Race/Ethnicity
- County of Residence
- Reason for Visit
- Family Planning
- Prenatal (gonorrhea, chlamydia and genital syphilis)
- Birth Control options and education (LARC/IUD, pills, injections
- Pregnancy Testing
- Pregnancy intention
- Birth Spacing counseling
- Infertility consultation and referrals
- STI Testing/Treatment
- STI testing - Rapid HIV/Sysphilis, HIV/AIDS, Herpes, Hep C (new),
Gonorrhea, HPV, Chlamydia, Oral HPV (new)
- Treatment for STIs (antibiotics)
- Diagnostic Care
- Pap smears
- Breast exams
- HPV abnormalities
- Referrals for mammography (ages 40-64)
Attachment A
Certificate Of Completion
Envelope Id: 179FEB2E-4514-4366-AA7D-959586D85A63 Status: Completed
Subject: Community Health Services | Pitkin County Contract 024.26 for Review & Signature
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Pitkin County Colorado
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