PROWERS COUNTY, COLORADO BOARD OF COMMISSIONERS SEPTEMBER 26, 2023 COMMISSIONERS BOARD ROOM, 2nd FLOOR OF COURTHOUSE 301 S. MAIN STREET, LAMAR, CO 81052 Board of Human Services, Lanie Meyers-Mireles Board of Health, Meagan Hillman 8:00 a.m. 8:30a.m. WORK SESSION 9:00a.m. 9:30a.m. 10:00a.m. Charity Markus, SETran Mobility Manager (Call-in) CDLThird Party Testing Site Conversation Thomas Dunagan, Prowers County Coroner VertiQ Software Proposal Rosana Reyes, Ph.D., Lamar Community College President LCC Update 10:30a.m. Faron Williams, Prowers County Maintenance Director Update 11:00a.m. 11:30a.m. 11:45a.m. Gene Sobczak, High Plains Community Health Center Interim CEO Update Update Karen Bryant, Prowers Medical Center CEO Judy Wittman, Prowers County Treasurer Financial Update MEETING AGENDA Invocation Pledge of Allegiance Call Meeting to Order 1:00 p.m. 1 Roll Call CONSENT AGENDA ACTION ITEMS: 1. Consider Approval of Adoption of Agenda 2. Consider Approval of Payment of Bills Presented and of Voiding Checks, ifany 3. Consider Approval of September 12, 2023 Meeting Minutes PUBLIC APPEARANCES Anyone wishing to address the BOCC may do: sO at the discretion of the Board and subject to a three-minute limitation. Mark Westhoff Rose Pugliese, Esq. County Administrator Update County Attorney Update Michelle Nelson.AgriTech Consultant Update Koeller 1041 Report and Tri-State 1041 Dry Up Parcels Report EXECUTIVE SESSION Executive Session pursuant to C.R.S. $24-6-402(4)b) Conference with the attorney for the purposes of receiving legal advice on specific legal questions for matters related to the following: Part I-Tri-State's Application for Findings of Reasonable Diligence, PartlI-Three Mile Agreement, and Part III-County Investments. ACTION ITEMS: 1. Consider ratifying 9-7-2023 email poll approval of a second Letter of Support sent to Elizabeth O'Rear in the Colorado Tourism Office regarding Prowers County's support oft the Lodging Tax 2. Consider approval of Laboratory Services Agreement between Prowers County Department of Human Services and Laboratory Corporation of America Holdings for parentage testing services to be administered by the Protective Services Nurse Consultant and authorizing Director of Human Service, Lanie Meyers-Mireles to execute the agreement. Tourism Panel's application for CTO Marketing Grant. 2 3. Consider approval of Family Facilitator Coordinator Agreement between Crowley County Department of Human Services and Prowers County Department of Human Services fori the provision of Facilitated Family Meetings from September 1, 2023 through. June 30, 2024 and authorizing Lanie Meyers-Mireles, Director of Human Services to execute the agreement. 4. Consider approval of Request for ELC Enhancing Detection COVID-19 Supplemental Funds (Round 2.1) to LPHAS Statement of Work, project period August 1,2023 through April 30,2024 and authorizing Public Health Director, Megan Hillman to execute the document. 5. Consider approval of Subdivision Exemption Application by Quality Feeds, LLC, ini the SEY Section 19, Township 22, Range 47. The request is to subdivide the existing 31.79 acres into two tracts, Tract 1 approximately 9 acres and Tract 2 approximately 22 acres. The property is located in an I-1 Industrial zoning district. This will be an Amended First Subdivision. The application was approved by the Planning Commission on September 13, 2023. 6. Consider approval of Subdivision Exemption Application by Tri-State Generation and Transmission Association, Inc., in the SYSWY4SW % of Section 17, Township 22, Range 42. The request is to subdivide approximately 10 acres from the existing property of 320 acres. The property is located in A-1 Irrigated. Agriculture zoning district. This will be a First Subdivision. The application was approved by the Planning Commission on September 13, 2023. 7. Consider approval of Final Subdivision Exemption Plat Mapi for S Bar Ranches, Inc. Application request was approved on May 24, 2023 by the Planning Commission and on. June 13, 2023 by the BOCC. Minor Subdivision, for a First Subdivision, in Indian Claim No. 26 in the SEYSE% of Section 19, Township 22, Range 46 and the SWYSWY of Section 20, Township 22 South, Range 46 west, of the 6th P.M.,, subdividing a total of 3.59 acres into three tracts Tract A-1.07 acres, Tract B-.83, Tract C-1.69 acres, and to be recorded in the County Clerk's Office. 8. Consider ratifying 9-11-2023 email poll approval for County Finance Director/Budget Officer, Paula Gonzales to transfer $69,040.00 from the Withholding Account No. 36695 to County 9. Consider approval of 2023-2024 LEAP Outreach Incentive Program Agreement between Prowers County Department of Human Services and' The Cornerstone Resource Center in the amount of up to $15,000 and authorizing Department of Human Services Director, Lanie 10. Consider approval of CTSI 2024 County Health Pool Employer Insurance Options and Rates. 11. Consider approval of an MOU for Colorado Case Management Redesign, Change Management Funding Allocation effective September 15, 2023 through July 31, 2024, and authorizing Public Health Director, Meagan Hillman to execute the document. 12. Consider approval of 2024-2026 CSBG Grant Application ini the amount of $26,994.00 and authorizing PATS Director, Darren Glover to submit the application electronically. General Account No. 10225. Meyers-Mireles to execute the agreement. 3 13. Consider approval of a Memorandum of Understanding for Control of Confidential Data from the Colorado Department of Revenue and Appointing Jana Coen, Prowers County Clerk to receive the Confidential Data Information for September 2023 September 2024 regarding 14. Consider approval of a Memorandum of Understanding for Control of Confidential Data from the Colorado Department of Revenue and Appointing Jana Coen, Prowers County Clerk to receive the Confidential Data Information for September 2023- September 2024 regarding 15.Consider approval of Notice of Participation ini the Lower Arkansas Valley Area Agency on Aging Programming for the year. January 1, 2023 through December 31, 2023 and Prowers 16. Consider ratifying 9-20-2023 email poll approval of an Intergovernmental Agreement between Prowers County, Colorado and Lower Arkansas Valley' Water Conservancy Districtt to file a joint opposition statement to Tri-State Generation's Petition ini the water court, effective 17. Consider ratifying 9-20-2023 email poll approval of a Memorandum of Agreement between Prowers County, Colorado and Lower Arkansas Valley' Water Conservancy District for intent to file aj joint statement of opposition concerning Case No. 23CW2036 (Tri-State), Application of Tri-State Generation and Transmission Association, Inc. for Findings of Reasonable Diligence in 18. Consider approval of a 90-day Temporary Liquor License Permit to expire on December 26, 2023 for Lamar Stop LLC, Liquor License Type: Retail Fermented Malt Beverage Off Premises (County), who is in the process of applying for al Liquor License Transfer of Ownership from KP Enterprise Inc., dba Ports to Plains Truck Plaza to Lamar Stop LLC, (Convenience Store), 19. Consider approval of a 90-day Temporary Liquor License Permit to expire on December 26, 2023 for Lamar Stop LLC, Liquor License Type: Beer and Win (County), who is in the process of applying for a Liquor License Transfer of Ownership from KP Enterprise Inc., dba Ports to Plains Truck Plaza to Lamar Stop LLC, (Restaurant), located at 33110 County Rd 7, Lamar, 20. Consider approval of proposal from D.V. Douglass Roofing Inc. to complete re-roofing project on Prowers County District Attorney Office, 110 East Oak Street, Lamar, CO, totaling $115,788 plus shipping costs and authorizing BOCC Chair Ron Cook to execute the document. 21. Consider approval of Contract Amendment #2, 24 QAAA 185647 to Original Contract No. 22 IHIA 17453 total amount $300,000.00, contract to expire September 29, 2024 and authorizing Public Health Director, Meagan Hillman to execute the document electronically. 22. Consider ratifying 9/7/2023 email poll approval of. Joint Business Incentive Application between Prowers County, Prowers Economic Prosperity, and the City of Lamar. County Lodging Tax Collections. County Sales/Use Tax Collections. County's contribution amount of $4,984.00. September 19, 2023. Prowers and Bent Counties, effective September 19, 2023. located at 33110 County Rd7 7, Lamar, Colorado. Colorado. 4 23. Consider approval of VertiQ Hosted Software (Saas) Subscription Agreement between VertiQ Software LLC and Prowers County effective 9/13/2023 and renewing annually until 9/13/2028, totaling $5960 for the first year and $1200 for each remaining year, and authorizing Prowers County Coroner Thomas Dunagan to execute the document. 24. Consider ratifying 9/14/2023 email poll approval of Grant Eligibility Confirmation form for SIPA Micro-Grant totaling $6500 to be spent before. June 30, 2024, to aid the Prowers County website conversion, and authorizing BOCC Chair Ron Cook to execute the document. 25. Consider approval of appointing a Commissioner Designee and Alternate to the CCI Legislative Committee to vote on 2024 CCI Legislative Priorities and authorizing BOCC Chair Ron Cook to 26. Consider ratifying 9/20/2023 email poll approval for Prowers County to sponsor the livestock 27. Consider ratifying 9-14-2023 email poll approval for Payment of Bills and' Voided Checks, if any, presented in the amount of $268,391.07 County General Fund, $54,137.04 DHS and H3C certify the appointment. auction at the 2023 Holly Gateway Fair for a total of $300. with a certification date of September 19, 2023. PREVIOUSLY TABLED ACTION ITEMS: 1. NOTE: This Agenda is provided. fori informational, purposes only. Action may be taken on any or all oft the items. All times are approximate. Ifany given item is finished earlier than anticipated, the Commissioners may move on to the next item. The only exceptions are, public hearings on items which have had published notices of a If you need assistance in participating in this meeting due to a disability as defined under the Americans with Disabilities Act, please call 719-336-8030 at least three days prior to the scheduled meeting to request an specific hearing time; those items will not begin until the specific time or after. accommodation. 5 PROWERS COUNTY APPROVE TO PAY APPROVE PAYMENTS AS HEREIN SET FORTH. CHECK NUMBERS AS LISTED BELOW ARE ALL INCLUSIVE, ARE SET OPPOSITE THEIR NAMES, AND TOTALING THE SUM OF: $122,714.45 DRAWN ON COUNTY GENERAL FUNDS. DATED ASOF: September 26, 2023 # A/P $ 86,271.74 $ $ $ $ $ $ $ $ $ $ $ $ $ PAYROLL FRINGES COUNTY GENERAL FUND ARPA FUND FSA ACCOUNT BOOKING FEES ACCOUNT PUBLIC HEALTH. AGENCY ROAD & BRIDGE FUND SALES & USE TAXI FUND CONSERVATION TRUST FUND CAPITAL FUND OTHER AGENCIES FUND LODGING TAXI FUND CRMC FUND OPC FUND 6,381.72 3,838.86 14,000.00 7,071.05 5,151.08 122,714.45 $ Totals DATE: September 26, 2023 DATE: September 26, 2023 DATE: September 26, 2023 DATE: September 26, 2023 BOCC CHAIRMAN COMMISSIONER COMMISSIONER CLERK TO THE BOARD Total Paid. Approve To Pay AP + Fringes Total Pd Certification Payroll Total Payroll + Fringes $ $ $ $ 122,714.45 122,714.45 122,714.45 STATE OF COLORADO) COUNTY OF PROWERS) 4415 Ending Check No. Beginning Check No. Total Number of Checks: 70182 70147 1 36 jss: PROWERS COUNTY APPROVE TO PAY APPROVE PAYMENTS AS HEREIN SET FORTH. CHECK NUMBERS AS LISTED BELOW ARE. ALL INCLUSIVE, ARE SET OPPOSITE THEIR NAMES, AND TOTALING THE SUM OF: $122.714.45 DRAWN ON COUNTY GENERAL FUNDS. DATED. ASOF: September 26, 2023 # A/P $ 86,271.74 $ $ $ $ $ $ $ $ $ $ $ $ $ PAYROLL FRINGES COUNTY GENERAL FUND ARPA FUND FSA ACCOUNT BOOKING FEES ACCOUNT PUBLIC HEALTH AGENCY ROAD & BRIDGE FUND SALES & USE TAX FUND CONSERVATION TRUST FUND CAPITAL FUND OTHER AGENCIES FUND LODGING TAXI FUND CRMC FUND OPC FUND 6,381.72 3,838.86 14,000.00 7,071.05 5,151.08 122,714.45 Totals DATE; September 26, 2023 DATE: September 26, 2023 DATE: September 26, 2023 DATE: September 26, 2023 BOCC CHAIRMAN COMMISSIONER COMMISSIONER CLERK TO THE BOARD Total Paid Approve To Pay AP + Fringes Total Pd Certification Payroll Total Payroll + Fringes $ $ $ $ 122,714.45 122,714.45 122,714.45 STATE OF COLORADO) COUNTY OF PROWERS) Prowerg Ending Check No. Beginning Check No. Total Number of Checks: 70182 70147 1 36 jss: Ofice Afl PROWERS COUNTY TREASURER CERTIFICATION COUNTY GENERAL! FUND:01. 70147-70182 0010 $ 86,271.74 September 26, 2023 Lost Check- Void /Cancelled 69978 $ (2,454.08) Payroll $ Fringes $ 0018 2023 $ Payroll $ Fringes_ $ 0020 2023$ 3,838.86 Payroll $ Fringes $ 0552. 2023 $ 0675, 9 Payroll $ 0900 2023 $ 0130 2023 $ 0100 2023 $ 2023 $ 0014 2023 $ 14,000.00 $ Payroll $ Fringes_s 0676 2023_ 6,381.72 Payroll $ Fringes_s 0016 2023 $ 7,071.05 $ Payroll! $ Fringes_ $ 0017 2023_s 5,151.08 Payroll $ Fringes $ Totals 83,817.66 ARPA-02. Total $ ROAD & BRIDGE! FUND.-02_ Total $ Total_s Total Totals Totals Total_s Total_s 3,838.86 FSA (Cafeteria)552. Sheriff's. Booking! Fees SALESUSEI TAX FUND-.03. CONSERVATION: TRUST FUND_-. 06. CAPITALFUND-07. OTHERA9ENCESFUND LODGING TAX-09 Totals 14,000.00 FURUCHFATHASENCY.I. Total $ Total $ 6,381.72 7,071.05 CRMC. PC. Total $ GRAND TOTAL_s 5,151.08 120,260.37 aulà Gonzales, Finance gtrector BB PROWERS COUNTY APPROVE TO PAY APPROVE PAYMENTS AS HEREIN SET FORTH. CHECK NUMBERS AS LISTED BELOW. ARE ALL INCLUSIVE, ARE SET OPPOSITE THEIR NAMES, AND TOTALING THE SUM OF: $122,714.45 DRAWN ON COUNTY GENERAL FUNDS. DATEDASOF: September 26, 2023 # AIP $ 86,271.74 $ $ $ $ $ $ $ $ $ $ $ $ $ PAYROLL FRINGES COUNTY GENERAL FUND ARPA FUND FSA ACCOUNT BOOKING FEES ACCOUNT PUBLIC HEALTH AGENCY ROAD & BRIDGE FUND SALES & USE TAX FUND CONSERVATION TRUST FUND CAPITAL FUND OTHER AGENCIES FUND LODGING TAXF FUND CRMC FUND OPC FUND 6,381.72 3,838.86 14,000.00 7,071.05 5,151.08 122,714.45 $ Totals DATE: September 26, 2023 DATE: September 26, 2023 DATE: September 26, 2023 DATE: September 26, 2023 BOCC CHAIRMAN COMMISSIONER COMMISSIONER CLERK TO THE BOARD Total Paid Approve To Pay AP +F Fringes Total Pd Certification- Payroll Total Payroll + Fringes $ $ $ $ 122,714.45 122,714.45 122,714.45 STATE OF COLORADO) COUNTY OF PROWERS) Ending Check No. Beginning Check No. Total Number of Checks: 70182 70147 1 36 )ss: Prowers County Treasurer's Office 8 00 € 0 4 a 0 a a 2 a 2 a N o 2 2 3 3 a : a 2 2 ? a 2 4 2 2 4 d o 4 2 2 3 a V 2 I a PROWERS COUNTY TREASURER CERTIFICATION OF EXPENDITURES JATE: September 26, 2023 Prepared by: Mindy Maestas ROWERS COUNTY DEPARTMENT OF HUMAN SERVICES FUND SALARY FRINGE OPERATING 100768-100810 66947-66960 97,917.65 80,555.67 36,590.47 66934-66946 & 66961-66963 WHCSALARY WHCI FRINGE WHC OPERATING 54576-54595 8599-8609 8597-8598 & 8613 31,551.34 22,026.14 456.81 TOTAL:$ 269,098.08 Information Only VOIDED CHECKS #'s: 8610-8612 hy L'anie Mireles, Director PROWERS COUNTY TREASURER CERTIFICATION OF EXPENDITURES DATE: September 26, 2023 Prepared by: Mindy Maestas HOTLINE COUNTY CONNECTION CENTER FUND H3CSALARY H3CI FRINGE H3C OPERATING 31156-31184 3841-3851 3839-3840 & 3852 66,725.25 46,506.84 648.32 TOTAL:$ 113,880.41 Information Only VOIDED CHECKS#'s: Lanie Kicngalala PROWERS COUNTY AGENDA ITEM REQUEST FORM Hearing Date Requested: 9-26-2023 Submitter: Administration Office Submitted to the County Administration Office on: email poll 9-7-2023 Return Originals to: Jana Coen & Administration Office Number of originals to return to Submitter: 1 Contract Due Date: Item Itle/Recommended Board Action: Consider ratifying 9-7-2023 email poll approval of a second Letter of Support sent to Elizabeth O'Rear in the Colorado Tourism Office regarding Prowers County's support of the Lodging Tax Tourism Panel's application for CTO Marketing Grant. Justification or Background: Fiscal Impact: This item is budgeted in the following account code: County: $_ Federal: $_ - State: Other: $_ $_ Approved by the County Attorney on: Additional Approvals (if required): Board of County Commissioners Prowers County 301 South Main, Suite 215 Lamar, Colorado 81052-2857 CLORAD THOMAS GRASMICK FIRST DISTRICT (719)336-8025 RONCOOK SECONDDISTRICT FAX(719)336-2255 WENDY BUXTON-ANDRADE THIDDISTRICT September7,2023 Colorado Tourism Office 1600 Broadway Suite 2500 Denver, CO 80202 Re: 2024 CTO Marketing Grant Application. To Ms. Elizabeth O'Rear: The Board of County Commissioners for Prowers County, Colorado, is pleased to submit this letter of support for the Prowers County Lodging Tax Tourism Panel and their application for the Tourism is vital to Prowers County's economic health, SO we actively support the Lodging Tax Tourism Panel however possible, including attending meetings and assisting with the annual The Lodging Tax Tourism Panel has seen impressive results promoting birding in Prowers County. Their birding social media campaigns on Facebook and Instagram have created record-setting engagement numbers. They will build on this success by inviting several birding influencers to Prowers County to take over these social media pages and promote our new digital birding guide We continue to establish the Great High Prairie as a tourist destination, and to promote tourism asavital part of Prowers County'sgrowing economy. For all oft these reasons, the Board of County Commissioners for Prowers County, Colorado, strongly supports the Lodging Tax Tourism Panel's 2024 CTO Marketing Grant. budget. to their massive social media followings. grant application and we hope that you will consider funding their proposal. Sincerely, Board of County Commissioners for Prowers County, Colorado d Kwf Ron Cook, Chair Wbbdnlad a Wendy Buxton-Andrade, Vice-Chair Owhil Thomas Grasmick, Commissioner PROWERS COUNTY AGENDA ITEM REQUEST FORM Hearing Date Requested: 9/26 Submitter: Department ofl Human Services Submitted to the County Administration Office on: 9/12/23 Return Originals to: Department ofl Human Services Number of originals to return to Submitter: 1 Contract Due Date: ASAP Item Tite/Recommended Board Action: "Consider approval ofLaboratory Services Agreement between Prowers County Department of Human Services and Laboratory Corporation of America Holdings for parentage testing services to be administered by thel Protective Services Nurse Consultant and authorize Lanie Meyers- Mireles, Director ofHuman Services, to sign the agreement with handwritten signature." Justification or Background: Fiscal Impact: County: Federal: $ State: Other: $ Approved by the County Attorney on: Additional Approvals (if required): PLEASE ATTACH THIS SHEET TO ALL. AGENDA ITEMS WHEN SUBMITTING TO COUNTY ADMINISTRATION. THANK YOU! LABORATORY SERVICES AGREEMENT AGREEMENT MADE, by and between Prowers County Department of Human Services (hereinafter called "CLIENT") and Laboratory Corporation of America Holdings, (hereinafter called WHEREAS, LABORATORY is engaged in the business of providing parentage testing services; and WHEREAS, CLIENT desires to contract with LABORATORY to provide parentage testing services for LABORATORY). CLIENT, and LABORATORY desires toj provide the services described herein, ITI IS THEREFORE, AGREED ASI FOLLOWS: 1. TERM. AND TERMINATION This Agreement shall be in effect from September 154, 2023 to September 14t, 2025 for a term of two (2) years. This Agreement may be terminated by either party at any time by giving the other party thirty (30) days prior written notice tot the address set forth in Section 10. LABORATORY agrees toj perform such genetic parentage testing services for the CLIENT as are ordered by CLIENT during the term. Such services shall include genetic marker testing as described in Exhibit 1 (attached hereto), as the same may be modified from time to time by 2. TESTINGSERVICES LABORATORY, and such additional services as the parties may agree. 3. ADDIIONALSERVICES A. SPECIMENCOLIECTION agreed upon by both parties. B. SUPPLIES LABORATORY will provide buccal swab specimen collections at locations and times LABORATORY will provide, at no additional charge, all supplies necessary for the collection, preparation and preservation of all specimens to be submitted to the LABORATORY staff shall be available to consult with CLIENT by telephone during normal LABORATORY working hours to discuss LABORATORY procedures and to LABORATORY for testing. C.CONSULTATION explain test results. 4. FEES LABORATORY agrees to charge, and CLIENT agrees to pay (to the extent responsible for payment), for all laboratory testing and other services provided under this Agreement, in the LABORATORY will submit to CLIENT on or about the FIFTEENTH (15th) of each month an itemized statement of services rendered to CLIENT by LABORATORY for the prior month, and CLIENT agrees to remit payment to thel LABORATORY upon receipt of said statement. Failure to remit payment within thirty (30) days ofreceipt of statement may result, among other remedies available to LABORATORY, in the loss or reduction of the CLIENT's special prices on future manner and int the amounts set forth in Exhibit 2 (attached hereto). 5. BILLING services or discontinuation of service. If, a as a result of such non-payment, LABORATORY removes special prices, the terms and prices contained inj LABORATORY's current Fee Schedule shall be incorporated by reference into this Agreement. LABORATORY may, at its option, reinstate special prices on business referred tol LABORATORY after CLIENTI brings its balances current. Nothing in the foregoing provision shall serve to waive any rights or remedies available Testing performed hereunder shall be performed at LABORATORY's parentage testing facility located in Burlington, North Carolina. The facility is and shall remain a duly licensed clinical laboratory under applicable federal, state and municipal law. Current accreditation's and licenses The terms of this Agreement are intended to be in compliance with all applicable federal, state and local statutes, regulations and ordinances applicable on the date the Agreement takes effect including but not limited to, the Program Fraud Civil Remedies Act of 1986, the Deficit Reduction Act of 2005, the related Federal Civil False Claims Act and State False Claims Acts, and associated whistleblower protections. LABORATORY has written policies and procedures for detecting and preventing fraud, waste, and abuse and expects that test orders, serviçes, supplies or materials provided tol LABORATORY are in accordance with the requirements oft the Should either party reasonably conclude that any portion of this Agreement is or may be in violation of such requirements or any other legal requirements or subsequent modifications by federal, state or local authorities, ori if any such change or proposed change would materially alter the amount or method of compensating LABORATORY for Services performed for CLIENT or for any other party under this Agreement, or would materially increase the cost of LABORATORY's performance hereunder, the parties agree to negotiate written modifications to this Agreement as may be necessary to establish compliance with such authorities and/or to reflect applicable changes in compensation necessitated by such legal requirements. This Agreement shall not be assigned, delegated, or transferred by either party without the written consent of the other party. A merger or corporate reorganization shall not be considered as Any notice required to be given pursuant to the terms and provisions hereof shall be in writing tOLABORATORY with respect to its providing ofs services to CLIENT. 6. ACCREDITATION OFTESTINGSITES fort the facility are available upon request, PREVENTIONI OFI FRAUD, WASTE AND ABUSE 7. applicable federal and statel laws. CHANGE INLAWORI REGULATION 8. 9. NON-ASSIGNABLITY assignment requiring written consent. 10. NOTICES and shall be: sent by certified or registered mail tol LABORATORY at: Laboratory Corporation of America Holdings DNA Identification Testing Division 1440 York Court Burlington, NC 27215 Attn: Contracts Department 2 with a copy to: Laboratory Corporation of America Holdings 531 South Spring Street Burlington, NC 27215 Attn: Lawl Department 1001 S. Main Lamar, CO 81052 and to CLIENTa at: Prowers County Department of Human Services 11. INDEPENDENT RELATIONSHIP None oft the provisions oft this Agreement are intended to create, nor shall be deemed or construed to create, any relationship between the CLIENT and LABORATORY other than that of independent entities contracting with each other hereunder solely for the purpose of effecting the provisions of this Agreement. Neither oft thej parties hereto, nor any oft their respective employees Neither LABORATORY nor CLIENT shall be liable for any failure or inability to perform their respective obligations under this Agreement due to any cause beyond the reasonable control of the non-performing party, including but not limited to acts of God, regulations or laws of any government or agency (including government or agency mandated restriction or redistribution of supplies and/or personal protective equipment ("PPE")), acts of war or terrorism, acts of civil or military authority, fires, floods, accidents, pandemics (including supply, PPE and labor shortages caused therefrom or as a result thereof), quarantine restrictions, unusually severe weather, explosions, earthquakes, strikes, labor disputes, loss or interruption of electrical power or other public utility, freight embargoes or delays in transportation, or any similar or dissimilar cause beyond its reasonable control (collectively, a "Force Majeure Event"). If a party's non- performance under this section extends for fourteen (14) days or longer, the party affected by such non-performance may terminate this Agreement by providing written notice thereof to the LABORATORY WARRANTS TO CLIENT THAT ALL SERVICES PROVIDED HEREUNDER SHALL BE PERFORMED IN ACCORDANCE WITH ESTABLISHED AND RECOGNIZED IDENTITY TESTING PROCEDURES AND WITH REASONABLE CARE. IN ACCORDANCE WITH APPLICABLE FEDERAL, STATE, AND LOCAL LAWS. NO OTHER WARRANTIES ARE MADE BY LABORATORY. INI NO EVENT SHALL EITHER PARTY BE HELD RESPONSIBLE FOR PUNITIVE DAMAGES, OR CONSEQUENTIAL, INCIDENTAL, OR SPECIAL DAMAGES (INCLUDING LOST PROFITS OR REVENUE) This Agreement is intended to inure only to the benefit of LABORATORY and CLIENT. This Agreement is not intended to create, nor shall be deemed or construed to create, any rights in any shall be construed to be the agent, employer or representative ofthe other. 12. FORCEI MAJEURE other party 13. WARRANTY INCURRED BY THE OTHER: PARTY OR OF ANYT THIRD PARTY. 14. BENEFIT third parties. 3 15. NONDISCRMNATION All services provided by LABORATORY hereunder shall be in compliance with all applicable Federal and State laws prohibiting discrimination on the basis of race, color, religion, sex, The headings appearing in this Agreement are for convenience and reference only, and are not intended to, and shall not, define or limit the scope of the provisions to which they relate. The invalidity or unenforceability of any terms or provisions hereto in any jurisdiction shall ini no way affect the validity or enforceability ofa any of the other terms or provisions in thatj jurisdiction This instrument is intended by the parties as a final expression of their agreement and as a complete statement of the terms thereof, and shall supersede all previous understandings and agreements. The parties shall not be bound by any representation, promise or inducement made by either party or agent of either party that is not set forth in this Agreement. If the terms or conditions contained in any exhibit or attachment to this Agreement or any document incorporated by reference is in conflict with the terms and conditions set forth in the body oft the No course or dealing between CLIENT and LABORATORY or any delay on the part of LABORATORY in exercising any rights it may have under this Agreement shall operate as a waiver ofa any oft the rights of] LABORATORY hereunder, and no express waiver shall affect any condition, covenant, rule or regulations other than the one specified in such waiver and that one IFLABORATORY should be deemed a subcontractor subject to the disclosure requirements of 42 U.S.C. 1395x (v) (1) (I), LABORATORY shall until expiration of four (4) years make available, upon written request to the Secretary of Health and Human Services, or upon request to the Comptroller General, or any of their duly authorized representatives, a copy of this Agreement and the books, documents and records of LABORATORY that are necessary to certify the nature and extent of the costs incurred under this Agreement through a subcontractor with a value or cost of $10,000.00 or more over a twelve (12) month period. With a third party, such subcontractor shall contain a clause to the effect that, should the third party be deemed a related organization, until the expiration of four (4) years after the: furishing of services pursuant to such subcontract, the third party shall make available upon written request to the Secretary of Health and Human Services, or upon request to the Comptroller General, or any of their duly authorized representatives, a copy of the subcontract, and the books, documents and records of such third party that are necessary to verify the nature and extent of the costs incurred under this This Agreement shall not be effective until it is signed by an authorized representative of LABORATORY and an Acceptance Date is assigned by the DNA Identification Testing national origin, handicap or veteran status. 16. HEADINGS 17. ENFORCEABILITY/SEVERANCE CLAUSE orofthe entire Agreement in any other jurisdiction. 18. INTEGRATION Agreement, thet terms and conditions in the Agreement shall control. 19. WAIVER only for the time andi ini the manner specifically stated. 20. ACCESS TOI BOOKSAND RECORDS Agreement. 21. EFFECTIVE DATE Division, Contracts Department. 4 22, MODIFICATION This Agreement may not be modified except in writing signed by authorized representatives of both parties. All modifications must also be accepted in writing by LABORATORY's DNA Identification Testing Division, Contracts Department Any purchase order or other document issued by the CLIENT with respect tot thes subject matter oft this Agreement shall be subject to and governed by the terms and conditions hereof, and the terms and conditions of this Agreement shall supersede any conflicting, different or additional terms and conditions of such purchase order or other document whether or1 nott they would materially alter this Agreement. IN WITNESS WHEREOF, thej parties have caused this Agreement tol be executed in their names as their official acts by their respective representatives, each ofwhom is duly authorized to execute thes same. CLIENT- Prowers County Department of] Human Services By:. Name: Title: Date: Laboratory Corporation of America Holdings By:, Name: Gina P. Tumer Title: Contract Administrator Division: DNA Identification Testing Division Date: 5 EXHIBIT1 SPECIFICATIONS OF WORKTO! BE PERFORMED SERVICES: LABORATORY will provide genetic parentage testing services for CLIENT. LABORATORY will provide specimen collection services at a mutually agreed upon location(s). All specimens for genetic parentage testing will be handled by standard chain-of-custody procedures. All supplies required for specimen collection, party identification, specimen packaging and transportation GENETIC MARKER TESTING: LABORATORY has an extensive array of genetic marker tests from LabCorp's testing provides an average cumulative power of exclusion ofg greater than 99.9999%. LabCorp's median combined paternity index for non-excluded men is currently greater than one billion to one (1,000,000,000 to 1) (equivalent to aj probability of paternity of 99.999999%). If appropriate, LabCorp has the ability to test additional genetic systems. Ifani individual is excluded, the results will REPORTING OF RESULTS: Upon completion of the test battery ordered, an evaluation of the test results will be performed by a Director. The case will be finalized and a final report issued if (1) the alleged father is excluded from paternity in at least two independent genetic marker systems, or (2) the alleged father is not excluded from paternity and the probability of paternity is equal to or greater than 99.5%. Ifneither oft these conditions is realized, additional testing will be performed until one of these conditions is met. There will be no additional charge for such extended testing. Original reports oft test results and evaluation will be mailed to the account, which ordered the testing. Copies of the report will be mailed to those entities designated by the initiating account. In addition, the original Client Authorization/Chain of Custody Form with attached photographs will accompany the original report. EXPERT WITNESS: LABORATORY will, at the request of CLIENT, provide testimonial and witness services with respect to specimens tested under the Agreement. LABORATORY shall receive a two- willl bej provided by! LABORATORY. which to construct test batteries that willj provide atl least: typically reflect inconsistencies in at least four (4) independent test systems week notice byt the CLIENT for scheduling an expert to appear. 6 EXHIBIT2 FEE SCHEDULE DNA Collection Services (Staff Collect) DNA Collection Services (Lab Collect). $38.00 per person $48.00 per person 7 PROWERS COUNTY AGENDA ITEM REQUEST FORM Hearing Date Requested: 9/26 Submitter: Department ofHuman Services Submitted to the County Administration Office on: 9/6/23 Return Originals to: Department of1 Human Services Number of originals to return to Submitter: 1 Contract Due Date: ASAP Item Tite/Recommended Board Action: "Consider approval of Family Facilitator Coordinator Agreement between Crowley County Department ofHuman Services and Prowers County Department of] Human Services for the provision of Facilitated Family Meetings from September 1,2023 through June 30, 2024 and authorize Lanie Meyers-Mireles, Director ofl Human Services, to sign the agreement with handwritten signature." Justification or Background: Fiscal Impact: County: Federal: $ State: Other: $ Approved by the County Attorney on: Additional Approvals (if required): PLEASE. ATTACH THIS SHEET TO ALL. AGENDA ITEMS WHIEN SUBMITTINGTO COUNTY ADMINISTRATION. THANK YOU! FAMILY FACILITATOR COORDINATOR AGREEMENT This agreement made and entered into on the 1st day of September, 2023 by and between the Crowley County Department of Human Services (CCDHS) and the Prowers County Department of Human Services (PCDHS); WHEREAS, C.R.S. $29-1-203, allows political subdivisions within the State to contract with one another to WHEREAS, Article XIV, $18(2)(a) and (b) of the Colorado Constitution permits and encourages governments to make the most efficient and effective use of their powers and responsibilities by cooperating and contracting with WHEREAS, PCDHS is in need of Family Engagement Services, and is desirous of entering into a contract with CCDHS whereby the CCDHS Family Engagement Coordinator (FEC) will provide services on behalf of PCDHS, all NOW, THEREFORE, IN CONSIDERATION: of the promises and conditions expressed or implied in, or inherent to, this contract, andi in consideration of the mutual detriments to be sustained by each party ini the performance ofthis provide certain functions and services, and other governments; and as more fully set forth in this agreement; contract, the parties contract: as follows: 1. The CCDHS FEC shall provide the following services on behalf of thel PCDHS: a. Provide adequate dates and times to hold family engagement meetings, b. Facilitate family engagement meetings as a neutral party within Prowers County, or at a C. Develop next steps and case plans with thei family and the caseworkers. d. Provide written reports to the family and the caseworkers. e Schedule future meetings with family and caseworkers. E Enter all family engagement information into the TRAILS system. location chosen by the famly/caseworker. 2. The FEC shall act as an agent of CCDHS, and would be under the direct supervision of CCDHS when fulfilling the above services. PCDHS will not be responsible for the FEC when the FEC is providing services 3. PCDHS shall pay CCDHS af fee for service of 65.00 per hour per each FEM: and. 50 per mile per each trip, for the period of September 1, 2023 to. June 30, 2024. PCDHS willl have access to the FEC during regular business hours, minus approved leave time and CCDHS Holidays, during the year. Payment for services shall be billed within 45 days of service and payment shall be made within 45 days of billing receipt. The FEC will ber required to fill out a CCDHS time sheet that PCDHS will have access to, should they request it. 4. The term of this contract shall be from September 1, 20231 to. June 30, 2024. Either party may cancel this contract by providing 14 days written notice of their intenti tot terminate given to the other party. The federal and state income tax withholding, workman's comp and any other benefits to which thel FEC is entitled. CCDHS and PCDHS agree to perform the services hereunder as independent contractors with through PCDHS. maximum billable to PCDHS will be 7000.00. 5 At all times the FEC shall remain an employee of CCDHS and shall be responsible for all discretion and control over thei furnishing of serviçes provided fori in where such discretion and control is not otherwise pre-empted by terms oft this Agreement. In no event shall any officers, or agents or employees ofa party be deemedi to be an officer, agent or employee oft the other party. DIRECTOR, PCDHS GhsAdhue DIRECTOR, CCDHS 9-1-23 DATE DATE PROWERS COUNTY AGENDA ITEM REQUEST FORM Hearing Date Requested: September 19, 2023 Submitter: Meagan Hillman Submitted to the County Administration Office on: 09/08/2023 Return Originals to: Meagan Hillman, PCPHE Number of originals to return to Submitter:1 Contract Due Date: upon approval Item Tite/Recommended Board Action: Consider approval of] Request for ELC Enhancing Detection COVID-19 Supplemental Funds (Round 2.1) to LPHAS Statement of Work, project period August 1,2023 through April 30,2024 and authorizing Public Health Director, Megan Hillman to execute the document. Justification or Background: Funding for COVID related activities effective August 1,2023 to April 30, 2024 County: $ Fiscal Impact: This item is budgeted ini the following account code: Federal: $ State: $ Other: $ Approved by the County Attorney on: submitted to BOCC Agenda group 9/8 Additional Approvals (ifr required): Prowers County Public Health & Environment 1001 S. Main Street Lamar, CO 81052 Phonei (719)336-8721 Fax: (719)336-9763 PublicHealth Prevent Promote Provect www.powescounynet ELC Enhancing Detection COVID-19 Supplemental Funds (Round 2.1) to LPHAS: Statement of Work Project Period: August 01, 2023 - April 30, 2024 Project Description: This project serves to support the transition from COVID-19 pandemic response to routine operation, incorporating COVID-19 surveillance and investigations into routine local public health agency (LPHA) activities. The project will support disease surveillance, community education, disease control, priority The project benefits Coloradans by providing transitional funding support to LPHAS who opt in to receiving the funding. The project comprises new contracts that cover activities starting on August 1, 2023, through April 30, 2024. The funding for this effort is provided by the Centers for Disease Control and Prevention (CDC) Epidemiology and Laboratory Capacity (ELC) cooperative agreement titled "Enhancing Detection Through Coronavirus Response and Relief Supplemental Funds"; activities outlined in this statement of work are in line with guidance CDC provided with the funding source, and are subject to federal allowability requirements. These funds may only be utilized for outbreak response, and testing activities for SARS-CoV-2. COVID-19 related activities. II. Definitions: 1. CDC - Centers for Disease Control and Prevention 2. CDPHE - Colorado Department of Public Health and Environment 3. CEDRS - Colorado Electronic Disease Reporting System 4. EpiTrax - new statewide disease reporting system to be implemented 5. Colorado COVID-19 Case and Outbreak Definitions - Can be found at the during the winter of 2023-2024 following website and will be updated as needed: nttps://d0C5.g00gle.com/document/d/1e- 6. LPHA - Local Public Health Agency MIZINGAZAZPONGWFASGANGaass.nclee.-l4leditsp.sharins 7. Priority populations and settings - Populations and settings that are at higher risk for outbreaks and adverse outcomes due to COVID-19 8. SARS-CoV-2 - The virus that causes COVID-19 9. SOW - Statement of Work Page 1 of11 Prowers County Public Health & Environment 1001 S, Main Street Lamar, CO 81052 Phone.0919336-8721 Fax (719)336-9763 PublicHealth Prevent Promate Protect wwpONeounyTe 10.Surge - A situation where there is an increase in COVID-19 cases or outbreaks that exceeds the Contractor's baseline ability to respond 11.Targeted priority CI/CT Targeted individual case interviews and contact tracing designed to prevent or understand unusual disease transmission in high-risk settings or in cases with unusual severity or illness presentation. III. Work Plan: Goal #1: Integrate COVID-19 surveillance, investigation, and education into routine public health work. Objective #1: No later than the expiration date of the contract, support public health personnel conducting epidemiological activities for COVID-19 as part of routine public health practice. Primary Activity #1 The Contractor shall hire or sustain staff to conduct COVID-19 epidemiological activities. Sub-Activities #1 1. The Contractor shall update and implement a Program Plan outlining how the LPHA will conduct COVID-19 epidemiological activities in the jurisdiction during the funding period. This document shall also include a Surge Plan to address rapid increases in targeted prioritized COVID-19 cases and outbreaks, a Testing Plan that identifies testing options for outbreak investigation response and promotes access to testing for the general public in the local jurisdiction, and a Transition Plan describing the transition to incorporating COVID-19 investigation activities into routine public health work after 2. The Contractor shall conduct targeted priority case interviews and contact tracing (CI/CT) as necessary. a. The contractor shall enter information from targeted priority interviews in CEDRS, and EpiTrax the funding period. once EpiTrax is in service. Pane ? nf11 Prowers County Public Health & Environment 10015. Main Street Lamar, CO 81052 Phone: (719)336-8721 Faxi (719)336-9763 PublicHealth Prevent. Promote Protect KPONEISunNYTE 3. The Contractor shall identify, report, and monitor COVID-19 a. The Contractor shall investigate all outbreaks in priority settings that are not investigated by CDPHE (CDPHE investigates outbreaks that occur in state run facilities and residential healthcare facilities). b. The Contractor shall investigate outbreaks in non- priority settings that have unusual transmission or severity characteristics or require public health intervention for disease control. The Contractor shall provide initial outbreak reports toCDPHE for all investigated outbreaks. d. The Contractor shall provide outbreak final reports to CDPHE for all investigated outbreaks. e. The Contractor shall enter outbreak related investigation information in CEDRS, and EpiTrax f. The Contractor shall follow CDPHE setting-specific guidance for disease control during COVID-19 outbreaks. once EpiTrax is in service. outbreak investigations. 4. The Contractor shall ensure targeted dissemination of COVID-19 disease control and mitigation recommendations and educational messaging in formats that are responsive to community needs, and exposure notification guidance to priority populations and settings that aligns with statewide a. Educational messaging shall include information that promotes the general public in self-managing testing, prevention, and mitigation of COVID-19, and shall be made available in English and other guidelines and best practices. languages as appropriate. Primary Activity #2 The Contractor shall complete a funding acknowledgement letter on agency letterhead for this opportunity. Sub Activities #2 1. The Contractor shall notify CDPHE in a timely manner of budgeted funds that they will not be able to utilizè. Prowers County Public Health & Environment 1001 S MainStreet Lamar, CO 81052 Phone: (719)336-8721 PublicHealth Promote Protect Fax.(719/336-9763 www.proweraownty.net 2. The Contractor shall notify CDPHE in a timely manner of the need for budget modifications. Primary Activity #3 The Contractor shall report progress toward activities and deliverables outlined in this SOW to CDPHE, and shall remain in regular contact with CDPHE via established communication mechanisms. Sub Activities #3 1. The Contractor shall complete a monthly online survey on COVID-19 epidemiological activities being performed. 2. The Contractor shall have a staff member attend, or watch the recording of, the Statewide Epidemiology Response 3. The Contractor shall have at least one fiscal staff representative and at least one program staff representative attend the required to-De-scheduled CDPHE training on federal allowability parameters for this funding 4. The Contractor shall attend meetings scheduled by the assigned CDPHE Epi Team to discuss challenges in achieving epidemiologica. activities and/or planning for integration of COVID-19 investigation activities into routine communicable 5. The Contractor shall attend meetings scheduled by the assigned CDPHE Contract Monitoring Team. 6. The Contractor shall attend a CDPHE-provided training on Coordination webinars. stream. disease work. EpiTrax. Primary Activity #4 The Contractor shall identify and promote access to testing for the general public in the local jurisdiction. Sub Activities #4 1. The Contractor shall refer individuals to available testing services, especially populations with more limited access to testing resources. nann 1f44 Prowers County Public, Health & Environment 1001.5, Main Street Lamar, CO 81052 Phone.(719/336-8721 Fax: PublicHealth Prevent Promote Peoteet (719)336-9763 AMRPORESOVNVATE 2. The Contractor shall maintain updated information for the public on how to access testing services and at-home antigen test kits in the jurisdiction on the Contractor's 3. - The Contractor shall publicize the Contractor's website as a resource for testing information to communities in the 4. The Contractor shall re-assess availability of testing options 5. The Contractor shall support testing in priority outbreak or 6. The Contractor shall communicate challenges encountered around access to community and provider-based testing to website. jurisdiction. int the jurisdiction at least monthly. urgent response situations. CDPHE in a timely manner. 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 2. Funded positions must directly support COVID-19 disease surveillance, community education, disease control activities, targeted priority CI/CT, priority outbreak response (not including residential care facility outbreaks that CDPHE investigates), sustainment of public testing availability for SARS-CoV-2 through the duration of this contract, and transition planning around moving from COVID-19 response to routine activities. This funding cannot be used for non-COVID-19 disease control 3. The Contractor shall comply with allowability of expenditures as listed in the CDPHE COVID-19 ELC Enhancing Detection Expansion funding opportunity. a. Allowable costs for this funding source can be found ttps://sites.googoogle.com/state.co.us/covid- 9tiscaltresponse/elc-enhancing-detection- expansion. The content of this website is Standards and Requirements with all updates. activities. on the following website: Prowers County Public Health & Environment 1001S. Main Street Lamar, CO 81052 Phone: (719) 336-8721 PublicHealth Prevent. Promote Protect. Fax:(719)336-9763 www.prowerscounty.net incorporated and made part of this contract by b. Administering vaccine and most other vaccine- related activities are not allowable under this SOW. AlL plans to commit funds to vaccine services must be submitted to the CDPHE Contract Monitor for review prior to committing said funds. reference. 4. CDPHE Contract Monitors will provide an example template upon request for the Program Plan, which includes a Surge Plan, Testing Plan, and Transition Plan. 5. Contractors shall perform targeted prioritized CI/CT and outbreak investigation activities in alignment with standardized case and outbreak definitions and Colorado minimum investigation guidance. Case and outbreak definitions available at the following website: ttps://d0cs.,00gle.com/document/d/1e- MAENGAIEPONGEASGEAGaesw.mcfeder. 4/edit/usp-snaring. Minimum investigation guidance is available at the following website: ntps//docs.google.com/dacumentd/ixH1ZF47F16r DMONAPSNMPDnRabm.dihop-a: Outbreak investigation guidance is available at the PlEsPEcNsCneINONREN AoIcOmENAGHSIZAEAdihapswins 6. The Contractor shall use the "COVID-19 outbreak report form" found in this Google folder for initial and final tslcnescwiacm.anelademiLmue. 9IIVA0R/08P'RZV Additional outbreak resources and tools can be found in this folder. This folder is incorporated and made part of this contract by reference. 7. Educational messaging may include, but is not limited to, print and online resources in English and other languages as appropriate, community informational sessions, and virtual live and pre-recorded content that aligns with State disease 8. The Contractor shall reference the Google Map of CDPHE COVID-19 Epi Teams to determine the team assigned to the Contractor's jurisdiction. Outbreak initial reports and final reports shall be submitted to the appropriate Epi Team email address. This Google Map is incorporated and made a following website: outbreak reports: control guidance. nann a f14 Prowers County Public Health & Environment 1001 S. Main Street Lamar, CO 81052 Phone 719)336-8721 Fax.(219/36-9763 PublicHealth venl Promase Protect wMPOMEsOnyne part of this contract by reference and is available at the Nttps://Www.go0gle.com/maps/d/u/O/Vewer/l-39.681381 104.85441898z-88mid-iwSE7ORlaCb7FPn2D89xC- 9. The Contractor shall utilize CDPHE infection prevention guidance if support is provided to Residential Care Facilities within their jurisdiction. The Contractor shall not impose limitations that are more restrictive than CDPHE guidance. ttps/COVdI9.Colorado.gov/tct. The Contractor shall refer reports they receive about Residential Care Facility COVID-19 cases or outbreaks to the CDPHE Infection 10. The Contractor shall maintain staff who have access to and are trained on how to use CEDRS, EpiTrax, or other CDPHE- designated systems for COVID-19 investigations. 11. The Contractor shall report cases meeting the probable and confirmed case definition into CEDRS, EpiTrax, or other CDPHE-designated system within four (4) working days of Contractor knowledge of the case. This case definition document is incorporated and made a part of this contract by reference and is available at the following website: nttps://docs.go0le.com/document/d/le- WLtZJNCgI/9ZPONGVEASG9S85WuBmcToc9ev. following website: 69999999692C- 2CXfbAbTw CDPHE guidance can be found at: Prevention team immediately. 4/edit/usp-sharing 12. The Contractor shall utilize CEDRS, EpiTrax, or other CDPHE designated systems to report COVID-19 cases and prioritized contacts identified outside of their jurisdiction to CDPHE within four (4) working days of identification. 13. The Contractor shall utilize CEDRS, EpiTrax, or other CDPHE-designated systems to record COVID-19 targeted priority case and contact investigation data within three (3) working days of interview completion. 14. The Contractor shall notify CDPHE of staffing changes resulting in changes in access to CDPHE managed systems (such as CEDRS and EpiTrax) within one week in order to assist CDPHE in maintaining access control to secure data 15. Funding may be used to train staff specifically on transitioning COVID-19 investigation activities into routine systems. Donn 7 nf11 Prowers County Public Health & Environment 1001 S. Main Street Lamar, CO 81052 Phone: (719) 336-8721 Fax:(719/336-9763 PublicHealth Promate www. prowerscountyner public health work with prior CDPHE approval. Requests for training activities must be submitted to CDPHE for review and approval via email to the CDPHE Contract Monitor. 16. The Contractor shall use the CDPHE budget template for revisions to the approved project budget. Revised budgets must be fully approved by CDPHE prior to implementation by the Contractor. The Contractor shall submit all requests for budget revisions to the CDPHE Contract Monitor. 17.The Contractor shall participate in CDPHE-led post-award meeting(s) and other meetings on an as-needed basis. 18. The Contractor shall ensure all funding requirements, including Federal allowability parameters, are met with all expenses, including supcontractorrelated expenses. 19, The Contractor shall ensure that project invoicing is paced throughout the full term of the contract. 20. The Contractor shall report unobligated funds balance for this project upon request from CDPHE. 21. The Contractor shall respond to identified performance improvements and needs that may arise in activities, reporting, deliverables, and budget pacing. 22. Equipment purchases with a cost of $5,000 or more are not 23. Pre-award costs may be allowable with CDPHE prior- approval. CDPHE will provide approval of pre-award costs in writing to the Contractor within thirty (30) days of written 24. Per the Terms and Conditions of Federal Assistance Number 93.323 and official memo from the Office of Grants Services at CDC dated January 6, 2022, retroactive billing with a start date of August 1, 2023 is allowable with prior written allowable under this SOW. request from the Contractor. approval from CDPHE. Expected Results of Activity(s) 1. Activities will contribute to the transition of COVID-19 investigation activities into routine public health practice. 2. The Contractor will provide high-quality public health - surveillance and epidemiological investigation of COVID-19 cases, contacts, and outbreaks in line with state and federal requirements and best practices. Dann o f14 Prowers County Public Health & Environment 1001 S. Main Street Lamar, CO 81052 Phone: (719)336-8721 Fax: (719)336-9763 PublicHealth revent Proiote Protect MPORESOuNt-DE 3. The Contractor shall maintain satisfactory performance outlined in the SOW. Measurement of Expected Results 1. CDPHE will tabulate data in CEDRS, EpiTrax, or other CDPHE-designated systems, on a regular basis, to track the Contractor's progress toward achieving the COVID-19 investigation activities outlined in this Statement of Work. 2. CDPHE will evaluate Contractor performance on a monthly basis at minimum. Completion Date No later than 45 days after the execution of 1. The Contractor shall submit the Program Plan (including Surge, email to the CDPHE Contract Deliverables Testing, and Transition Plans) via the contract Monitor. 2. The Contractor shall report COVID- Within 1 working day 19 outbreaks prioritized for investigation to the respective CDPHE COVID-19 Epi Team via encrypted email, secure drive transfer, or secure database entry. outbreak report forms to the Team via encrypted email, secure drive transfer, or secure database 4. The Contractor shall submit a of identifying the outbreak or as defined in updated CDPHE guidance 3. The Contractor shall submit final Within 2 weeks of the appropriate CDPHE COVID-19 Epi closure criteria outbreak meeting entry. No later than 15 days signed funding acknowledgement after the execution of letter, using the CDPHE-provided the contract template, via email to the CDPHE Contract Monitor. Prowers County Public Health & Environment 1001 S. Main Street Lamar, CO 81052 Phone.719/336-5721 PublicHealth Preent Fax: (719)336-9763 wwww. prowerscounty.net At any time during the request from CDPHE. 5. The Contractor shall notify the of unobligated funds. CDPHE Contract Monitor via email contract period upon 6.1 The Contractor shall respond to a No later than 45 days monthly survey to report progress after each reporting activities outlined in this SOW, via with monthly toward achieving response email from CDPHE. month, to coincide submission of invoices IV. ADDITIONAL PROVISIONS Payment Structure Toreceive compensation under the Purchase Order, the Contractor shall submit a signed Monthly Invoice Form. AlL contracts must use the Standard Invoice Reimbursement Form below for all reimbursement requests submitted to CDPHE. Please contact your CDPHE tpslIdive.oste.com!flearoHLmasaTANSAIReSCINARfgoMiewhupsharing: the form is incorporated and made part of this statement of work by reference. The Invoice Form must be submitted via email to the CDPHE Communicable Disease Branch Contract Monitoring email inbox cdphe.dphr.dbcontractsestate.co.us) 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 Reimbursement and Invoice form and the Expenditure Details form into an electronic document. Email all pages of the Reimbursement Invoice form and Expenditures Details form to your Contract Monitor. Supporting documentation must be maintained and may be requested to verify compliance is met with funding requirements. Unless otherwise provided for in the Purchase Order, "Local Match", if any, shall be included The Contractor shall not use federal funds to satisfy federal cost sharing and matching requirements unless approved in writing by the appropriate federal agency. Final billings under the Purchase Order must be received by the State within a reasonable time after the expiration or termination of the Purchase Order; but in any event no later than forty-five (45) calendar days from the effective expiration or termination date of the program representative with questions about how to use this form. on all invoices as required by the funding source. Purchase Order. Prowers County Public Health & Environment 1001 5. Main Street Lamar CO 81052 Phone:(719)336-8721 Fax: (719)335-9763 Publicl Health Prevent Promete Protect VI. Monitoring: wwW prowerscounty.net CDPHE's monitoring of this contract for compliance with performance requirements will be conducted throughout the contract period by the Contract Monitor. Methods used will include ar review of documentation determined by CDPHE to be reflective of performance to include progress reports and other fiscal and programmatic documentation as applicable. VII. Resolution of Non-Compliance: The Contractor will be notified in writing within (10) calendar days of discovery of a compliance issue. Within (5) 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 Contract Monitor 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 CDPHE monitoring findings of non-performance, inadequate performance, or excessive unobligated funds without an adequate spenddown plan may result in a revision to this Statement of Work and a reduction or termination of ELC COVID funding. provisions of this contract. VII. Attestation: The Vendor agrees to perform services in accordance with the terms and conditions of the Purchase Order to include Statement of Work and Budget. Contractor Name (Print) and Title Contractor Signature Date Pade 11 of11 Prowers County Public Health & Environment 10015. Main Street Lamar, CO 81052 Phonel (719)336-8721 Fax:(19)336-9763 PublicHealth Prevenk. Promote Protect WwW. prowerscounty.ner Federal Provisions Epidemiology and Laboratory Capacity for Infectious Diseases (ELC) For the purposes of this Exhibit only, Contractor is alsoi identified as "Subrecipient." This Contract has been funded, in whole or in part, with an award of Federal funds. In the event ofa conflict between the provisions of these Supplemental Provisions for Federal Awards, the Special Provisions, the Contract or any attachments or exhibits incorporated into and made aj part oft the Contract, the Supplemental Provisions for Federal Awards shall control. In the event ofa conflict between the Supplemental Provisions for Federal Awards and the FFATA Supplemental Provisions (ifany), the FFATA Supplemental Provisions shall control. Federal Award Identification. a. Subrecipient: Prowers County Public Health b. Subrecipient UE:: Y8C4HSXY95M6 d. Thel Federal award datei is 8/1/2019, The Federal Award Identification Number (FAIN) is NU50CK000552 Thes subaward period of performance start date is 8/1/2023 and end date is 4/30/2024 - Federal Funds: Federal Budget Period 81/2019-731/2024 Total Amount of Federal Funds Awarded $126,768.79 Amount of Federal Funds Obligated to CDPHE $16,683,089.00 Federal award title of project or program: Epidemiology and Laboratory Capacity for h. The name of the Federal awarding agency is: Department of Health and Human Services for Disease Control and Prevention and the contact information for the awarding official is Mrs. Janice Downing, (404) 639-7808; the name of the pass-through entity is the State of Colorado, Department of Public Health and Environment (CDPHE), and the contact The Catalog of Federal Domestic. Assistance (CFDA) number is 93.323 and the grant name is Epidemiology and Laboratory Capacity for Infectious Diseases (ELC). k. Subrecipient is not required to provide matching funds. In the event the Subrecipient is required to provide matching funds, Section 8 of this Attachment applies. : The indirect cost rate fort the Federal award (including ift the de minimis rate is charged per 2 CFR $200.414 Indirect (F&A) costs) is pre-determined based upon the State of Colorado and Infectious Diseases (ELC) information for the CDPHE official is Ms. Nicole Comstock. This award is not for research & development. CDPHE cost allocation plan. 2) Subrecipient shall at all times during the term oft this contract strictly adhere to the requirements under the Federal Award listed above, and all applicable federal laws, Executive Orders, and implementing regulations as they currently exist and may hereafter be amended. Page Lof4 Original Purchasc Order: PO: 2024*2811 Ver. 23.03.20 Prowers County Public Health & Environment 1001 S: Main Street Lamar, CO 81052 Phone:(719.336-8721 Fax:( (19)336-9763 PublicHealth Prevent Promute Proicet MpOMEOuntV-TE 3) Any additional requirements that CDPHE imposes on Subrecipient in order for CDPHE to meet its own responsibility to the Federal awarding agency, including identification of any required financial and 5) Subrecipient must permit CDPHE and auditors to have access to Subrecipient'si records and financial statements as necessary for CDPHE to meet the requirements of2 CFR $200.331 Requirements for pass- through entities, SS 200.300 Statutory andl National Policy Requirements through $200.309 Period of 6) The appropriate terms and conditions concerning closeout oft the subaward are listed in Section 16of 7) Performance and Final Status. Subrecipient shall submit all financial, performance, and other reports to CDPHE no later than 45 calendar days after the period of performance end date or sooner termination oft this Contract containing an evaluation and review of Subrecipient's performance and the 8) Matching Funds. Subrecipient shall provide matching funds as stated in the Exhibits. Subrecipient shall have raised the full amount of matching funds prior to the Effective Date and shall report to CDPHE regarding the status ofs such funds upon request. Subrecipient's obligation to pay all or any part ofa any matching funds, whether direct or contingent, only extends to funds duly and lawfully appropriated for the purposes of this Contract by the authorized representatives of the Subrecipient and paid into the Subrecipient's treasury or bank account. Subrecipient represents to CDPHE that the amount designated as matching funds has been legally appropriated for the purposes of this Contract by its authorized representatives andj paid into its treasury or bank account. Subrecipient does not by this Contract irrevocably pledge present cash reserves for payments in future fiscal years, and this Contract is not intended to create a multiple-fiscal year debt oft the Subrecipient. Subrecipient shall not pay or be liable for any claimed interest, late charges, fees, taxes or penalties of any nature, except as required by 9) Record Retention Period. The record retention period previously stated in this Contract is replaced 10) Single Audit Requirements. IfSubrecipient expends $750,000 or more in Federal Awards during Subrecipient's fiscal year, Subrecipient shall procure or arrange for as single or program-specific audit conducted for that year in accordance with the provisions of Subpart F-Audit Requirements oft the Uniform Guidance, issued pursuant to the Single Audit Act Amendments of1 1996, (31 U.S.C. 7501-7507). 2CFR 11) Contract Provisions. Subrecipient shall comply with and shall include all oft the following applicable a. Office of Management and Budget Circulars and The Common Rule for Uniform Administrative Requirements for Grants and Cooperative Agreements to State and Local b. when required by Federal program legislation, the Davis-Bacon Act", as amended (40 U.S.C.3141-3148) as supplemented by Department ofLabor Regulations (29 CFR Part 5, "Labor Standards Provisions Applicable to Contracts Covering Federally Financed and C. when required by Federal program legislation, the copeland-Ant-kickbac Act (40 U.S.C. 3145), as supplemented by Department ofLabor regulations (29 CFR Part 3, "Contractors and Subcontractors on Public Building of Public Work Financed in Whole or in Part by Loans performance reports, are: stated in the Exhibits. 4) Subrecipient's: approved indirect costi rate is as stated in the. Exhibits. performance, and Subpart F-Audit Requirements oft this Part. this Attachment. final status of Subrecipient's obligations hereunder. Subrecipient's laws or policies. with the record retention period prescribed in 2 CFR $200.333. $200.501. provisions in all subcontracts entered into by it pursuant to this Contract: Governments, as applicable; Assisted Construction"); or Grants from the United States"). Page 2of4 Original Purchase Order: PO: 2024*2811 Ver.23.03.20 Prowers County Public Health & Environment 10015. Main Street Lamar, CO 81052 (719)336-8721 Fax:(719)336-9763 Phone, PublicHealth Prevent Promove Protecr www.prowerscounty.net d-42U.C610T7 et seq., 42 U.S.C. 2000d, 291 USC. 794 (regarding discrimination); e. the "Americans with Disabilities Act" (Public Law 101-336; 42 U.S.C. 12101, 12102, 12111 12117,12131- -1 12134, 12141 - 12150, 12161 -1 12165, 12181 - 12189, 12201 - 12213 and 47 when applicable, the Contractor shall comply with the provisions of the "Uniform Administrative Requirements for Grants and Cooperative Agreements to State and Local The Federal Funding Accountability and' Transparency Act of2006 (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. h. Contractor shall comply with the provisions of Section 601 ofTitle VI oft the Civil Rights Act Except as otherwise provided under 41 CFR Part 60, all contracts that meet the definition of "federally assisted construction contract" in 41 CFR Part 60-1.3 comply with the equal opportunity clause provided under 41 CFR 60-1.4(b), in accordance with Executive Order 11246, "Equal Employment Opportunity: (30 FR 12319, 12935, 3 CFR Part, 1964-1965 Comp., p. 339), as amended by Executive Order 11375, "Amending Executive Order 11246 Relating to Equal Employment Opportunity," and implementing regulations at 41 CFR part 60, "Office of Federal Contract Compliance Programs, Equal Employment Opportunity, where applicable, Contract Work Hours and Safety Standards Act (401 U.S.C. 3701-3708). ifthe Federal award meets the definition of "funding agreement" under 37 CFR $ 401.2(a) and the recipient or subrecipient wishes to enteri into an agreement with a small business firm or nonprofit organization, comply with the requirements of37 CFR Part 401, "Rights to Inventions Made by Nonprofit Organizations and Small Business Firms Under Government Grants, Contracts and Cooperative Agreements," and any implementing regulations issued by the Clean Air Act (42 U.S.C. 7401-7671q.) and the Federal Water Pollution Control Act (33 m. ifapplicable, comply with the mandatory standards and policies on energy efficiency contained within the State of Colorado's energy conservation plan issued in compliance with n. the Contractor and all principals are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any federal department or agency; the Contractor and all principals shall comply with all applicable regulations pursuant to Executive Order 12549 (3 CFR Part 1986 Comp., p. 189) and Executive Order 12689 (3 CFR Part 1989 Comp., p. 235), Debarment and Suspension; 0. the Contractor shall comply where applicable, the Byrd Anti-Lobbying Amendment (31 U.S.C. 225 and 47 U.S.C.611); Governments" (Common Rule); of1 1964, as amended. Department ofLabor. the awarding agency. U.S.C. 1251-1387), as amended. thel Energy Policy and Conservation Act, 42 U.S.C. 6201. and, U.S.C. 1352). 12) Compliance. Subrecipient shall comply with all applicable provisions ofThe Office of Management and Budget Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance), including but not limited to these Supplemental Provisions for Federal Awards. Any revisions to such provisions automatically shall become aj part oft these Supplemental Provisions, without the necessity of either party executing any further instrument. CDPHE may provide Page 3of4 Original Purchase Order: PO: 2024*2811 Ver. 23.03.20 Prowers County Public Health & Environment 1001 S. Main Street Lamar, CO 81052 Phone: (719)336-8721 Fax: PublicHealth Prevent Promote Protect (719)336-9763 www prowerscounty.net written notification to Subrecipient ofs such revisions, but such notice shall not be a condition precedent to 13) Procurement Procedures. Subrecipient shall use its own documented procurement procedures which reflect applicable State, local, and' Tribal laws and regulations, provided that the procurements conform to applicable Federal law and the standards identified in the Uniform Guidance, including without limitation, 14) Certifications. Unless prohibited by Federal statutes or regulations, CDPHE may require Subrecipient to submit certifications and representations required by Federal statutes or regulations on an annual basis (2 CFR $200.208). Submission may be required more frequently if Subrecipient fails to meet arequirement oft the Federal award. Subrecipient shall certify in writing to CDPHE at the end of the Contract that thej project or activity was completed or the level ofe effort was expended. 2 CFR 9200.201(b)(3). Ift the required level of activity or effort was not carried out, the amount oft the Contract 15) Event of Default. Failure to comply with thel Uniform Guidance or these Supplemental Provisions for Federal Awards shall constitute an event of default under the Contract pursuant to 2 CFR $200.339and CDPHE may terminate the Contract in accordance with the provisions in the Contract. 16) Close- Out. Subrecipient shall close out this Contract within 45 days after the End Date. Contract close out entails submission to CDPHE by Subrecipient of all documentation defined as a deliverable in this Contract, and Subrecipient's final reimbursement request. Ift the project has not been closed by the Federal awarding agency within 1 year and 45 days after the End Date due to Subrecipient's failure to submit required documentation that CDPHE has requested from Subrecipient, then Subrecipient may be prohibited from applying for new Federal awards through the State until such documentation has been 17) Erroneous Payments. The closeout ofal Federal award does not affect the right oft the Federal awarding agency or CDPHE to disallow costs and recover: funds on the basis ofa al later audit or other review. Any cost disallowance recovery is to be made within the record retention period. the effectiveness ofs such revisions. $$200.318 through 200.326 thereof. must be adjusted. submitted and accepted. EXHIBIT END Page4 4 of4 Original Purchase Order: PO: 2024*2811 Ver.23.03.20 Prowers County Public Health & Environment 1001 S. Main Street Lamar, CO 81052 Phone:(7491335-8721 Fax: 719)336-9763 PublicHealth Prevent. Promote Prntect. wwwpowecounynet ELC2.1- Enhancing DetectionE Expansion 08/01/2023- -04/30/2024 Namec ofPerson Submitting COLORADO Department of Public Health 81 Environment COVID-19 Budget Template Agency Name: (Selectf from Dropdown tot the Right) Prowers County Public Health Date Award: (Selectf fromD Dropdownt tot theR Right) AwardA Amount: Purchase Order: BUDGETTABLE Salary. Cap Information Director urse Attend update calls, Assistant- ELC2.1-E Enhancing DetectionE Expansion 08/01/2023- 04/30/2024 $126.76879reudgets Does Not Utilizel 100%0 ofA Award, pleaser report UnobligatedF FundsB Below PO2 2024-2811 workt Personais the Services willbec (liste eachp conducted positions one separately: each budgeti listingp positiont titlesisa acceptable; includea brief narrative describing the Director Oversee Operations, strategic direction, HR, Interagency relationships, manaies stalf line). COCH hasa an salarys capafs $212,1 100.0 cobatedo on FTE. Annuals Salary Fringe XofElfort 105.055.9 92 20,478.72 54.600.0 14,967.84 69.638.40 17,019.72 31.248.00 9,061.48 33.217.00 12,460.44 36,420.00 12,738.00 TotatA Amount 9.005 24,100.44 9.005 9.00 32,496.80 2,609.37 9.00 9.00 17,814.1 2.953.76 9.00 33,181.65 113,156,11 Total Coordinatess staffa ands strategica Management to COVID 25.0002K 5.00114 50.0000X 9.76983 51.9997X 90.0000X and givet basic guidance to allers "Unit Cost Total TravelCosts (include brief narrative one each budget line describing why travel andi thes soW) Rate of Miles Total otal year 2023rate 113.156.12 12.033 TotalA 13,612.6 11,412.68 126,768.79 TotalProject Cost *lfyoun needa additionallinesp pleaser righte clicka andin inserta arow, **Pleases submitt toy your ContractN Monitoria inExcelorG Googles Sheets Budgetd does notu utilizef ulla warda amount, reparta anyu unobligated here PROWERS COUNTY AGENDA ITEM REQUEST FORM Hearing Date Requested: 09/26/2023 Submitter: Michelle Hiigel, Land Use Submitted to the County Administration Office on: 09/13/2023 Return Originals to: Michelle Hiigel, Land Use Number of originals to return to Submitter: 1 Contract Due Date: N/A Item Tite/Reommended Board Action: Consider to approve of Subdivision Exemption. Application by Quality Feeds, LLC, in the SEY4 Section 19, Township 22, Range 47. The request is to subdivide the existing 31.79 acres into two tracts, Tract 1 approximately 9 acres and Tract 2 approximately 22 acres. The property is located in an I-1 Industrial zoning district. This will be an Amended First Subdivision. The application was approved by the Planning Commission on September 13,2023. Justification or Background: Applicant wants to subdivide property in two tracts. The 9 acre tract will be sold to Dustin Randle for a business. Applicant will retain the remaining 22 acres for al business. Fiscal Impact: N/A Approved by the County Attorney on: Additional Approvals (ifrequired): PLEASE ATTACH THIS SHEETTO ALL. AGENDA ITEMS WHEN SUBMITTINGTO COUNTY ADMINISTRATION. THANK YOU! Subdivision Exemption No. SUBDIVISION APPLICATION AND SUMMARY FORM PLEASEI READI NOTE ANDS SIGN BELOW: THE SUBMITTED APPLICATIONI PACKAGE REQUIRES SPECIFIC APORTS/INFORMATION BE ADEQUATE, ASI DETERMINED THROUGH THEI REVIEW PROCESS. REQUIRED. ALSO, THE ACCEPTANCE OF THE APPLICATIONI PACKAGE: ADDITIONALI INFORMATION MAYBE INFORMATION) HAS BEEN APPROVED ANDI INI FINALFORM. REVISIONS DOES NOT MEAN THE: SPECIFIC REPORTS MAY BE REQUIRED. REQUESTSFOR WAIVERS OF ANYOFTHESE! TO: THE INFORMATION. AND/OR ACCOMPANIEDI BYALETTEROE JUSTIFICATION. THE PROWERS COUNTY REQUIREMENTSI MUSTBE WILLI HEAR THE WAIVERI REQUEST CONCURRENTLY WITH THE APPLICATION. PLANNING DENIAL COMMISSIONERS SUBMITTAL ACCEPTANCEI DATE ANDI REVIEW PERIOD. YOURS SIGNATURE BELOWI THE REQUIREMENTI FORANEW WHICH MAYNOT REQUEST SHALL. RENDER THIS APPLICATIONI INCOMPLETE. ANDI RESULTI IN OF THE WAIVER INDICATES e Signature acti in the owner's behalf ACCEPTANCE OF THESE CONDITIONS. Date: 8/10/23 must be! Included. AKES ASE els Ifother than owner's signature, al letter of consent authorizing thc pplcanvrepresentative: applcunt's? Representativ@s. to Property Owner: Quality Feeds LLC-F Ron Peterson - Darrell Roth Address: PO box 732 Lamar, CO 81052 Telephone Number: 719-688-3668 Applicant's Representative: Ron Peterson Address: PO box 732 Lamar, CO 81052 Email: Premumpalstlie@gmalcom Telephone Numbers: Surveyor or Engineer: Email: emumpaleate@pmatcon Telephone: Location of Subdivision: Subdivision (1",2nd, etc.), 1st Cumunded ISH Suboliwisin S/E Quarter Section 19 Lot Township 22 Block Range 47 Subdivision or >>>>>>>>>>Attach Copy of Deedk<<<<<<<<< Tax parcel number of! property (County Assessor's Records), 0500065577 Current land classification as per Assessor's Records Industrial Cormecial Ifirrigated, will watcr shares be allocated to the subdivided parcel? Is thcre al Deed of Conservation Easement attached to this property? Yes X YcsX No No IfYES, attach copy Proposed Use ofl Land Industrial manufacturing Proposed Water Source May Valley Proposed. Means of Sewage Disposal Septic Proposed Road. Access Frontage Roaol Proposed Lot Size apx 9 acres Sacti; apy aaacres Jhactz The Prowers County Planning Commission recommends approval of this request for subdivision exemption. Prowers Gounty Flanning Commission, Chair ahs Dated this BH dayo of Spphaher ,2083 The Prowers County Board of County Commissioners grants approval oft this for subdivision exemption. request Prowers County Board of County Commissioners, Chair Dated this day of 20 PROWERS COUNTY AGENDA ITEM REQUEST FORM Hearing Date Requested: 09/26/2023 Submitter: Michelle Hiigel, Land Use Submitted to the County Administration Office on: 09/13/2023 Return Originals to: Michelle Hiigel, Land Use Number of originals to return to Submitter: 1 Contract Due Date: N/A Item Tite/Recommended Board Action: Consider to approve of Subdivision Exemption Application by Tri-State Generation and' Transmission Association, Inc., in the SYSWY4SW Y4 of Section 17, Township 22, Range 42. The request is to subdivide approximately 10 acres from the existing property of320 acres. The property is located in A-1 Irrigated Agriculture zoning district. This will be a First Subdivision. The application was approved by the Planning Commission on September 13,2023. Justification or Background: Applicant wants to subdivide off 10 acres to: sell to Amity Mutual Irrigation Company forarock quarry to mine rock that will be used by the Amity Mutual Irrigation Company. Fiscal Impact: N/A Approved by the County Attorney on: Additional Approvals (if required): PLEASE ATTACH THIS SHEETTO ALL AGENDA ITEMS WHEN SUBMITTING TO COUNTY ADMINISTRATION. THANK YOU! DocuSign Envelope ID: AVBBUOACO9SAICFAS6F-1F3A87C926F4 Subdivision Exemption No. SUBDIVISION APPLICATION AND SUMMARY FORM TIF SUAMITTFD, APPIICATIONI PACKAGE REQUIRES SPECIFIC REPORTS INFORMATION WIICITMAYNOT BE/ ADEQUATE. ASI DITAVNEDTIOCGITIE: RFVIEW' PROCESS. ADDITIONAL INFOAMATIONMAYHE: REQUIRED. ALSO, TIIF ACCEPTANCF OF TIE. APPLICATIONI PACKAGF DOES NOT MEAN TIIF SPECIFIC INFORMATIONI HAS BFEN. APPROVED, ANDI IN FINAI FORM. REMISIO) INS TOT THE INFORMATIONANDOR REPORTSI MAY BE REQLIRED). KFQUESTSFOR WAIVERSOF/ ANY OF THESI REOUIRPNINTISMISTNE ACCOMIANIEDEY/ ALETTIROEN STIEICATION, THEI PROWERS COUNTY PLAMKINECONDISINERS WTI,1. HEAR THE WAIVER REQUEST CONCURRENTLY) WITH THE. APPLICATION. DENTALOF THE WAIVER REOLESTSHALL. RENDER THIS APPLICATION INCOMPI FTH ANDI RESUITINTHF AIQCIRPMINTFORANRY LAMITALACITAXCEDAT: ANDREVIEW PFRIOD, YOUR: SIGNATUREBEIOW: INDICATES PLEASE RIAD NOTF AND: SIGNT BII.OW: ACCETANCEOFTHICONDITIONS. -Docusignedby: bary ( luypli DCSBGiCBAGBA4S8 8/8/2023 Date: must bei included. lfothert than owner's signature. al letter ofconsent nuthorizing the: pplisantrepneenimine pplicant's) Represcntahes. to: acti ini the owner's Siynatture bchalf Properly Owner: Tri-State Generation and Transmission Association Inc. Address: 1100West 116th Avenue. Westminster. CO 80234 Telephone umber.003452-611 Email: Applicant's Representativer. Barry W. Ingold. ChiefOperating Officer Address: I0.aulahAism.Maumini.CONDN Telephone Numbers: Email: Surveyor or Engineer: Lance Brundage Location of Subdivision: SW Quarter SI:2W1/4SW1/4 Section 17 Lot Telephone: (719)383-4627 Subdivision (It, 2nd, etc.). stSubdwuion Township. 22 Block Range_42 Subdivision or >>>>>>>>>>Attach Copy of Deci<<<<<<<<< Tax parcel number of properly (County Assessor's Records) 800060914 Current land classification as per Assessor's 's Records Irrigation. Grazing. Swamp. Iirrigated, will water shares be allocated lo the subdivided parcel? Is there: a Deed ofConservation' Eusement attached to this properly? Yes_X No Yes XN No ICYES. attach copy Revised Jily. 22.2021 Docusign Envelope ID: EA9BB0O.COB-4TCFAS6F-1F3AB7C928F4 Proposed UscofLand Rock Quary for Use by Amity Mutual Irrigation Co for Amity Canal Proposed Water Source N/A Proposed Mcans ofSewage Disposal_N/A Proposed Road Access County RoadI LL Proposed Lot Size_ Approximately 10 Acres. The Prowers County Planning Commission recommends approval of this request fors subdivision exemption. 7TF Dated this Bth day of Septenburz23 The Prowers County Board of County Commissioners grants approval oft this request fors subdivision exemption. Prowers County Board of County Commissioners, Chair Dated this day of 20_ RevigJul 22.2021 PROWERS COUNTY AGENDA ITEM REQUEST FORM Hearing Date Requested: 09/26/2023 Submitter: Michelle Hiigel, Land Use Submitted to the County Administration Office on: 09/13/2023 Return Originals to: Michelle Hiigel, Land Use Number of originals to return to Submitter: 0 Contract Due Date: N/A Item Title/Recommended Board Action: Consider approval of Final Subdivision Exemption Plat Mapi for S Bar Ranches, Inc.. Application request was approved on May 24, 2023 by the Planning Commission and on June 13,2023 by the BOCC. Minor Subdivision, for a First Subdivision, inl Indian Claim No. 26 in the SEY4SEY4 of Section 19, Township 22, Range 46 and the SWY4SW4 of Section 20, Township 22 South, Range 46 west, oft the 6th P.M.,, subdividing a total of3.59 acres into three tracts Tract. A-1.07 acres, Tract B-.83, Tract C-1.69 acres and tol be recorded int the County Clerk's Office. Justification or Background: S Bar Ranches, Inc., would like to subdivide property into three tracts. Tract A and' Tract B have existing homes, Tract C is vacant, but applicant may build al home on the property in the future. Existing homes are on May Valley Water and North Lamar Sanitation, applicant has obtained approval for water and sewer services from May Valley Water and North Lamar Sanitation for the proposed new home. Fiscal Impact: This item is budgeted in the following account code: County: $3 350.00 Federal: $ State: $ Other: $ Approved by the County Attorney on: Additional Approvals (if required): PLEASE ATTACH THIS SHEET TO ALL. AGENDA ITEMS WHEN SUBMITTING TO COUNTY ADMINISTRATION. THANK YOU! I PROWERS COUNTY AGENDA ITEM REQUEST FORM Hearing Date Requested: 9-26-2023 Submitter: Paula Gonzales, Finance/Budget Officer Submitted to the County Administration Office on: email poll 9-11-2023 Return Originals to: N/A Number of originals to return to Submitter: N/A Contract Due Date: Item ntle/Recommended Board Action: Consider ratifying 9-11-2023 email poll approval for County Finance Director/Budget Officer, Paula Gonzales to transfer $69,040.00 from the withholding account # 36695 to County General account # 10225. Justification or Background: Fiscal Impact: This item is budgeted in the following account code: County: $ Federal: $ - State: Other: $ $_ Approved by the County Attorney on: Additional Approvals (if required): PROWERS COUNTY AGENDA ITEM REQUEST FORM Hearing Date Requested: 9/26/23 Submitter: Department of Human Services Submitted to the County Administration Office on: 9/14/23 Return Originals to: Department of Human Services Number of originals to return to Submitter: 1 Contract Due Date: ASAP Item Tite/Recommended Board Action: "Consider approval of 2023-2024 LEAP Outreach Incentive Program Agreement between Prowers County Department of Human Services and The Cornerstone Resource Center ini the amount ofu up to $15,000 and authorize Department of Human Services Director, Lanie Meyers- Mireles to execute the agreement with a handwritten signature." Justification or Background: Fiscal Impact: This item is budgeted in the following account code: County: Federal: $ Other: $ State: Up to $15.000 in State LEAP Funds Approved by the County Attorney on: Additional Approvals (if required): PLEASE ATTACH THIS SHEET TO ALL. AGENDA ITEMS WHEN SUBMITTING TO COUNTY ADMINISTRATION. THANK YOU! 2023-2024 LEAP Outreach Incentive Program Agreement Between Prowers County Department of Human Services (DHS) and The Cornerstone Resource Center (TCRC) Agreement Dates: October 1, 2023- - September. 30, 2024 Goals: 1. Increase LEAP enrollment in Prowers County. 2. Increase submission of accurately completed applications. Prowers County DHS Responsibilities: Submit and receive approval from CDHS to administer LEAP Outreach funds. Ensure clients coming into the Prowers County Annex have access to DHSS staff or TCRC staff who are able to assist clients withi filling out their LEAP applications either int the! DHS lobby, over the phone Provide CDHSL LEAP office with the name(s) and contact information for thei individuals whov will assist LEAP applicants or otherwise act as the county's LEAP outreach representativels). Use anyf funds remaining after ensuring direct LEAP application assistance is availablet to engage in targeted outreach, such ase engagement at community events and: sharing LEAP information with Assist Goodwill by providingt thei information available and necessary to process an application for Distribute brochures andi information tol local food banks, health clinics, charity organizations, churches, schools and child care centers and home providers. Payi invoices submitted by The Cornerstone Resource Center within 30 days. ort through use ofv virtual tools. community centers. LEAP. The Cornerstone Resource Center Responsibilities: Distribute brochures andi information to localf food banks, health clinics, charity organizations, churches, schools and child care centers and home providers. Assist Prowers County DHS with LEAP outreach. Promote LEAPI tol Prowers County residents. Assist Prowers County residents with completing LEAP applications. Assist by connecting Prowers County residents with Goodwill when necessary. Submit monthly invoices which will outline the number of hours worked specific to assistingwith LEAP applications and/or LEAP outreach. TCRC willl be reimbursed for up to $15,0007e reimbursement ratei iss set at $20.00/hour. Hours willl be billed andy paid at quarer,alf, or whole hour increments. Submit ani itemized timesheet that lists the hours, by day, Prowers County Department of Human Services Center 9/14/25 Date/ 7 Date Outreach Activities PROWERS COUNTY LEAP OUTREACH INCENTIVE PILOTI PROGRAMI PLAN 1. Conduct outreach October: 1, 2023 May 31, 2024. 2. Staff the DHS lobby withar reception staff employee trained to assist clients in accurately completing 3. The Cornerstone Resource Center will assist clients in completing applications and conduct outreach. Hours worked on LEAP outreach will be reimbursable up to $15,000.00. 4. Distribute brochures and information to local charity organizations, churches, schools and child 5. Coordinate efforts to extend outreach through the Lamar Ministerial Alliance and any other county ministerial alliance that provides support andi resources to needy community members. 6. Distribute information and brochures through local food banks, community health clinics, and LEAP applications. care centers and home providers. resource centers. 7. Purchase LEAP materials (magnets, pens, etc.) 1.1 Increase LEAP enrollment in Prowers County by 5%. 2. Increase submission of accurately completed applications. Goals: 3. Review all failure to provide verification denials and assist Goodwill by contacting denied households to answer questions about verifications needed which will result in enrolled applications by 3% and reduce denials by 3%. PROWERS COUNTY AGENDA ITEM REQUEST FORM Hearing Date Requested: 09/26/2023 Submitter: Paula Gonzales Submitted to the County Administration Office on: Return Originals to: Paula Gonzales Number of originals to return to Submitter: Contract Due Date: 9/30/2023 Item Tite/Recommended Board Action: 2024 CHP Employer Option Sheet and Plan Rates 09/13/2023 Justification or Background: Consider approval of CTSI 2024 County Health Pool Employer Insurance Options and Rates Fiscal Impact: This item is budgeted in the following account code: County: $_306,000.00 Federal: $ State: $ Other: $ Approved by the County Attorney on: Additional Approvals (ifrequired): CTSI Serving Colorado's Counties September 7,2023 VERYI IMPORTANTMEMEMORANDUM TO: FROM: RE: CHP Designated Representatives Marissa Gaertner, CHP Benefits Manager 2024 Employer Options Enclosed is an Employer Option Sheet and rates for thej plans CHP is offeringi in 2024. Since the 2024 SBC's (Summary of Benefit of Coverage) are not available att this time, there arel brief summaries for the CHP 2024 plans available at www.ctsi.org. The CHP Board ofDirectors approved to adopt the proposed rates for 2024 at the CHP Renewal meeting on September 7, There will be open enrollment for medical, dental and vision, please note the following items; 2023. 1.2 2-year initial commitment for Dental and Vision Plans. IfVision or Dental coveragel has been offered for a1 minimum oftwo consecutive years, this coverage can be changed or dropped at this open enrollment 2. 3-year commitment for Rate Tier Structure Your: rate tier structure can be changed every 3 years; therefore, your entity may be eligible to change rate tier structure at this open enrollment. The rate structure selected for Medical will also be applied to all other lines of coverage. 3. Package or Choice As an employer youl have the option to offer your plan selections as either a "Package" (all employees must be enrolled in all benefit plans offered) or "Choice" (employees can pick and choose which plan selections your entity offers that they want to enroll in) 4. Employer or. Employee Paid Ifyou offer the Dependent Life Option, please note on the Option Sheet ifitis Employer contribution or Employee contribution County Technical Services, Inc. 800 Grant Streete Suite 400 Denver, Colorado e 80203 email: ctsi@ctsi.org Administration & Loss Prevention Phone: 303-861-0507 Fax: 303-861-2832 Claims (CAPP& CWCP) Phone: 303-861-0507 I-800-544-7868 Fax: 303-861-1022 CTSI Serving Colorado's Counties Please complete, sign and date the enclosed 2024 Employer Option sheet and return it to my attention no later than September 30, 2023 (ifutilizing the Online Open Enrollment option) or After I receive your Employer Option Sheet, staff will prepare the paperwork for your employees Please contact me directly at 303-861-0507, Ext 123, or mgaertner@cisi.org ifyoul have any October 7 2023 (fnot utilizing the Online Open Enrollment option). and the open enrollment process. questions. Thank you. County Technical Services, Inc. 800 Grant Streete Suite 400 Denvet, Colorado' . 80203 email: ctsi@ctsi.org Administration &1 Loss Prevention Phone: 303-861-0507 Fax: 303-861-2832 Claims (CAPP & CWCP) Phone: 303-861-0507 1-800-544-7868 Fax: 303-861-1022 La l9 C a a 8 3 T I 3 B wi u 4 8 2 a E o In 5 8 3 E N 8 a e f la 8 5 S I E 8 à 8 2 0 Please return to Marissa Gaertner no later than October 7,2023! (Due by September 30. 2023i ifutilizing Online Enrollment!) 2024 Employer Options Medical (Check one or more) PPOI Plan. A PPOI Plan B500 PPOI Plan B1000 PPOPlan! B1500 PPOPlan) B2000 HDHP 2000 HDHP 2500 NOCHANGE Dental (Check one or more) Plan A Only Planl B only Nol Dental NOCHANGE Vision (Check one) Vision No Vision NOCHANGE Dual Option program (Plans A and B) Check one Employer "Package" (Employees must enrolli in alll benefit plans offered) Employer "Choice" (Employees canj pick and choose which benefit plans to enroll in) Life-Check one Dependent Life Option 1 Dependent Life Option 2 Supplemental Life NOCHANGE Employer Paid Employeel Paid Completed by: Name: Entity Name: Date: Checkone Mailing Address; 800 Grant St., Suite 400, Denver, CO. 80203 Fax; 3038612832 Email; mgaerter@clsiorg PROWERS COUNTY AGENDA ITEM REQUEST FORM Hearing Date Requested: September 26, 2023 Submitter: Meagan Hillman, PCPHE Director Submitted to the County Administration Office on:emailed to Agendas group 9/18/2023 Return Originals to: Meagan Hillman PCPHE: Director Number of originals to return to Submitter: 1 Contract Due Date: As soon as approved Item Tite/Recommended Board Action: Consider approval ofa an MOU for Colorado Case Management Redesign, Change Management Funding Allocation effective September 15, 2023 through July 31, 2024, and authorizing Public Health Director, Meagan Hillman to execute the document. Justification or Background: Support for required transition plan for OLTC Fiscal Impact: This item is budgeted in the following account code: County: $ Federal: $ State: $ Other: $ Approved by the County Attorney on: 9-18-2023 Additional Approvals (if required): PLEASE ATTACH THIS SHEETTO ALL. AGENDA ITEMS WHEN SUBMITTINGTO COUNTY ADMINISTRATION. THANK YOU! Colorado Change Management Redesign (CMRD) Change Management Funding Allocation for Case Management Memorandum of Understanding MOU Number: XXX ContractTitle Prowers County 2023-2024 THIS AGREEMENT (the "Agreement"), shall be effective this September 15, 2023 through. July 31, 2024 ("Term"). This agreement will automatically renew annually unless specifically terminated by the Department, HMA, ort the Sub-Contractor with at least 30 days' notice. BY AND BETWEEN Prowers County with Sub-Contractor, HMA, created under the laws governing the State of Colorado. as follows: Inc consideration of the mutual promises and covenants contained herein, the Parties agree 1. FURNISHINGS: Unless otherwise set forth herein, Sub-Contractor shall provide and furnish all supplies, materiel, machinery, implements, appliances, and tools and perform the work and labor required to complete the requirements of this Agreement. The Sub-Contractor shall perform the work as specified in the proposal in Appendix A - Scope of Work and Budget Details, attached hereto and incorporated herein, which shall also include an 2. EXECUTION OF DELIVERABLES: It is understood and agreed by and between the Parties hereto that all items and/or Work included int this Agreement aret to be performed under the direction of HMA as to the meaning of the said proposal and specifications of Appendix A. HMA will consult with the Colorado Department of Health Care Policy and Financing (HCPF) as to the specifications of Appendix. A and their direction on such: shall be considered final. The Parties further agree HMAI may amend and supplement Appendix A by furnishing Sub- Contractor with additional specifications as may be necessary to illustrate the items to be furnished or Work to be done. Sub-Contractor agrees to conform to and abide by such mendments/uppements to. Appendix A which are consistent with the purpose and intent 3. DISTRIBUTION OF FUNDS: The Parties shall comply with the following process for drawing funds: After execution of this MOU and release of funds by HCPF, HMA shall allocate a. Sub-Contractor shall identify specific technical assistance services or transition plan supports tol be performed usingt the allocated funds thati is consistent with and meets the list of approved services and supports as determined by HMA and approved by itemized budget (the "Work"). oft the original proposal and specification referred to in Section 1 herein. amounts based ont the criteria set forth below. HCPF. b. Sub-Contractor shall identify the specific resource(s), including estimated payment amount, it would liket to use to provide the neededi technical assistance or transition plan services from the approved list of such resources maintained by HMA. If resource(s) the Sub-Contractor wants to use are not on the approved HMA list, the Sub-Contractor may request that HMAreview popodireureblesmpoat land inclusion. HMA shall not make payments to the Sub-Contractor for any resources Sub-Contractor must submit a detailed invoice to HMA for the services performed that do not have prior approval from HMA. by the approved resource(es). Invoices must include: a. Organization name b. Specific services performed or supports provided by resource Name(s) of individual(s) that performed each service or provided each d. An evaluation of the resources' services and Sub-Contractor's satisfaction d. Invoices must be: submitted to HMAI by the Sub-Contractor no later than 15 calendar days after the resource(s) have completed services or supports for the Sub- e. HMA will review invoices for accuracy and completeness. Approved invoices will be paid to the Sub-Contractor within 30 days of HMA's receipt and approval. Invoices that are not approved will be sent back to the Sub-Contractor for revisions or support with them (format to be provided by HMA) Contractor. rejected for non-compliance with MOU requirements. Parties agree that additional funding for funding in 2023 and the first half of 2024 is contingent upon the continued funding by HCPF to HMA, and upon the successful progress IfHMAr reasonably determines that the Sub-Contractor has not fulfilled the requirements of this Agreement, HMAI may, in collaboration with HCPF, withhold the distribution off funds to the Sub-Contractor. Changes to Appendix A and Budget Details may be made upon prior 4. ABANDONMENT OF DUTIES: If HMA reasonably determines that (i) the Work to be done under this Agreement is unnecessarily or unreasonably delayed by Sub-Contractor, (ii) Sub- Contractor has breached any provision of this Agreement, (ii) Sub-Contractor has assigned this Agreement otherwise than as herein specified, (iv) Sub-Contractor has failed to provide all supplies, material, machinery, implements, appliances and tools or fails to perform the Work as set forth in the proposal and specifications of Appendix. A, in whole ori in part, then HMA may notify the Sub-Contractor in writing to discontinue all Work or any part thereof ("Discontinue Work Notice"). Upon receipt of such Discontinue Work Notice, Sub- Contractor shall discontinue such Work or such part thereof as HMA may designate and HMA may thereupon, by a contract or otherwise, as it may determine, complete the Work set forth in the Discontinue Work Notice, or such part thereof, and Sub-Contractor shall indemnifya and payl HMAI fort the expended amount ofsoc completing the Workorpartthereof by the Sub-Contractor as determined solely by HMA and HCPF. written amendment to this MOU. ("Damages"). 2 All Damages incurred by HMA under this Section 5 shall be withheld or deducted from any moneys then due, or to become due, to the Sub-Contractor under this Agreement. In the event the Damages incurred are less than the sum which would have been payable under the Agreement if the same had been completed by the Sub-Contractor, the Sub-Contractor shall be entitled to receive the difference and in the event such Damages incurred shall exceed the said sum, the Sub-Contractor shall pay the amount of excess to HMA for the 5. PROOF OF PERFORMANCE: Iti is further mutually agreed between the Parties hereto that no payment made under this Agreement shall be conclusive evidence of the performance of this Agreement, either wholly or in part, and that no payment hereunder shall be construed 6. REPORTING: The Parties agree that the Sub-Contractor shalll be responsible for reporting the outcomes. The Sub-Contractor shall submit reports to HMA and HCPF on the schedule set forth below. Sub-Contractor shall submit all the reports in accordance with the mutually agreed upon evaluation plan and in the formats required by HMA. Such interim and final reports shall detail the actual expenditures against allocations and the initativesoutcomes completion oft the' Work. to be an acceptance of defective work. based on an approved logic model. Report Schedule a. Reports shall be included as part of each invoice submitted to HMA by the Sub- Contractor: and: shall consist of an evaluation oft theh hired resources' servicesand: Sub- Contractor's satisfaction with them (format to be provided by HMA) 7. SUB-CONTRACTING: Iti is further understood and agreed by and between the Parties hereto that the Sub-Contractor is entitled to hire or pay for resources to effectively execute Work described in Appendix A. All resources must be selected from a pool of resources approved by HMA. Any new resources proposed by the Sub-Contractor must be approved by HMA prior to being used for any services or supports related to Work denoted in Appendix A. At anytime, thel HMAI may require cancellation ofv workk byanyresources, with orwithout cause. 8. TERM AND TERMINATION: Any extension of the Term will be subject to mutual written agreement between the Parties. This Agreement may be terminated by the HMA as follows: (i) in the event of a material breach by Sub-Contractor which remains uncured for a period of fourteen (14) days following receipt of written notice thereof; (ii) upon fourteen (14) days prior written notice, if the performance of this Agreement by Sub- Contractor would be in violation of any laws, requirements or regulations; (ii) immediately in the event that HCPF fails to appropriate funds or funds become unavailable by operation of law or fund reduction; or (iv) upon thirty (30) days prior written notice to Sub-Contractor for any reason or no reason at all. In the event of termination of this Agreement, Sub-Contractor agrees to immediately relinquish any un- used funds as of the date of termination and/or any funds HMA, in its sole discretion, determines were not used in accordance with the terms oft this Agreement. 9. NOTICE: All notices, requests, consents, claims, demands, waivers, and other communications hereunder eacha-Noticeshal. beir inwritingand addressed toi the Parties 3 at the addresses as may be designated by the receiving Party from time to time in accordance with this Section. All Notices shall be delivered by personal delivery, nationally recognized overnight courier (with alli fees prepaid), facsimile or email (with confirmation of transmission), or certified or registered mail (ine each case, return receipt requested, postage prepaid). Except as otherwise provided int this Agreement, al Notice is effective onlyi if (a) the receiving Partyl has received the Notice and (b) the Party giving the Notice has complied with 10. ENTIRE AGREEMENT: This Agreement, together with any other documents incorporated herein by reference, including Appendix A, and related exhibits and schedules, constitutes the sole and entire agreement of the Parties to this Agreement with respect to the subject matter contained herein, and supersedes all prior and contemporaneous understandings, agreements, representations, and warranties, both written and oral, with respect to such 11. AMENDMENT: Except as set forth in Section 3 with regard to amending Appendix A, this Agreement may only be amended, modified, or supplemented by an agreement in writing signed by each Party hereto, and any oft the terms thereof may be waived, only by a written document signed by each Party to this Agreement or, int the case of waiver, by the Party or 12. GOVERNING LAW: This Agreement and all related documents, including all appendix or schedules attached hereto, and all matters arising out of or relating to this Agreement, whethers sounding in contract, tort, or statute are governed by, and construed in accordance with, the laws of the State of Colorado, without giving effect tot theconflict ofl laws provisions thereof to the extent such principles or rules would require or permit the application oft the 13. SEVERABILITY: If any term or provision oft this Agreement is invalid, illegal, or unenforceable in any. jurisdiction, such invalidity, illegality, or unenforceability, shall not affect any other term or provision of this Agreement or invalidate or render unenforceable such term or 14. EXECUTION IN COUNTERPART: This Agreement may be executed in multiple counterparts and by e-mail or facsimile signature, each of which shall be deemed an original and all of IN WITNESS WHEREOF, each oft the Parties has caused this Agreement to be executed byi its the requirements oft this Section. subject matter. Parties waiving compliance. laws of any jurisdiction other than those of the State of Colorado. provision in any other jurisdiction. which together shall constitute one instrument. authorized representative on the day and year written below: SUB-CONTRACTOR: Prowers County 4 By: Name: Title: Date: (SIGNATURE) HEALTHMANAGEMENT ASSOCIATES, INC. By: (SIGNATURE) Name: Kelly. Johnson Title: Chief Administrative Officer Date: In the case of a corporation, firm, or partnership, this contract must be signed by the appropriate officials ofs such corporation, firm or partnership. 5 Appendix A. Scope of Work and Budget Details Approved. Areas of Technical Assistance and Transition Planning Support that are approved by HMA fori funding under this MOU. These include: There are specific areas of Technical Assistance and Transition Planning Support for Sub-Contractors Policy Support Assistance in accessing information about publicly available federal and state policies, in particular Colorado state policies related to the Case Management Redesign and identifying what will be needed to operationalize written policies provided by the state. Legal and Corporate Structure Support Assistance with identifying and implementing administrative, governance, finance, and management structures as it relates to CMA transition processes. Staffing Capacity Support Assistance in identifying staffing capacity needs, staff retention and recruitment, and other staffing concerns that may arise as a result oft the planned transition. Transition Planning and Support Assistance to agencies in planning their transitions from their current state to the future state of their agency/community after case management redesign. Every agency is contractually obligated to submit a transition plan to the Department. Change Management Training Assistance with understanding and managing the operational and adaptive needs of all stakeholders, including (as applicable) Board members, County Commissioners, leadership teams, staff and clients for adapting to the changes driven by the CMA transitions. Focus is on support for leadership, communications, culture change, and staff training needs. Strategic and Organizational Planning Assistance in determining the transition vision and goals of an agency and creating a roadmap for getting there. Strengths, weaknesses, opportunities and threats analysis, and support for strategic and operational planning for CMA transitions. Facilitation and Community Planning Assistance with facilitated engagement and outreach to communities, providers, and clients/families. Communications Strategy and Planning regarding the transition. Expected Deliverables and Timeline Assistance with creating communication strategies and messages to all target audiences All services and supports funded under this MOU must be related directly to the Sub- Contractor's implementation of a draft Case Management Agency Transition Plan. This 6 Transition Plan is a requirement oft the Sub-Contractor's contract with HCPF for case management services (Case Management Agency contract Closeout Plan). All resources used by the Sub-Contractor in under this MOU for the purposes ofi its Transition Plan must bei invoiced to HMA no later than July 15, 2024. The invoice from the CMA must include evidence that the deliverable was provided. This can simply be the invoice from the vendori indicating that the deliverable was produced, and an assurance of acceptance oft the work (deliverable) from the CMA. Scope of Work and Budget Vendor HMA TA Category Description of Associated Timeline for Hours Hourly Work 09/15/2023- 30 12/31/2023 (Total Cost) Activity Facilitation of Detailed organize, strategize, and Road Map, and implement change management management efforts through support the beginning activities. of the new CMA contract, and to plan for ongoing change management after November 1. Creation of road mapi to support organizational needs of staff, members, and families through the transition phase. Deliverable Change Management summary of change Rate Jennifer $19,050 Maslowski -$290 Doris Tolliver -$345 Transition Support Planning and meetings to 30 HMA Strategic and Finalize Planning Facilitation and 9/15/2023- 80 Jennifer $37,000 Maslowski -$290 Doris Tolliver -$345 Organizational implementation Implementation 12/31/2023 activities and of Finalized leads for each Change activity. Facilitate implementation workgroupand subcommittee meetings. Management Plan. 40 Totalrequested $56,050 7 Out of Scope Services and Supports any alcohol or any tobacco products. The Sub-Contractor agrees that it shall not use any funding provided by HMA under this MOU for 8 PROWERS COUNTY AGENDA ITEM REQUEST FORM Hearing Date Requested: 9-26-2023 Submitter: Darren Glover, PATS Director Submitted to the County Administration Office on: 9-15-2026 Return Originals to: Darren Glover Number of originals to return to Submitter: 2 Contract Due Date: 9-29-2023 Item Title/Recommended Board Action: Consider approval of2 2024-2026 CSBG Grant Application in the amount of $26,994.00 and authorizing PATS Director, Darren Glover to submit the application electronically. Justification or Background: Applying for Operational funds for 2024-2026 Fiscal Impact: This item is budgeted in the following account code: 25-343310 County: $ Federal: $ State: $ Other: $ Approved by the County Attorney on: 9-18-2023 Additional Approvals (if required): 9/15/23, 7:16AM Grants Portal- Funding Opportunities I Colorado Department ofLocal Affairs Transiate COLORADO Department ofLocal Affairs Home Local Government Property_Taxation Housing AssessmentA Appeals Disaster Recovery Grants Portal Funding Opportunities Community Service Block Grant 2024-2026. Application Status: Partially Complete Filed On: 20230 0B-29113:13:12 FiledBy: GRANTS_WEB Reviewed On: 2023-08-29T13:13:12 Reviewed By: Reviewer Notes: AAPPLCANTICONTACTINFORMATION 1.Select) Your Organlzation: . application, pleases select thele leadorganization. ProwersCounty Select OtherE Eligible Organizations 2.PrincipalR Representative: Honorific: FirstName:" Ron Middle! Name: LastN Name:* Cook Suffix: Role:" Address2: City:* State:" Thelistisf fllteredtoe ellglbled organizations. Ifyoudonots seey youro organizationl listed, please contact DLGforf furthera assistance.! nbeaadamutiactiont oadAmansitN. application,s selectthe therparticpatingelgbieorganizations: apecadanit)-maaiani application, principalr representaliveoftheleadorganization) ChlefElected MallingAddress:" 200EastHkryS-reet: Lamar Colorado https/dola.colorado.qovlarants portallportalAoplictions.si7iwide0S1U-XF7VA4914P25NISAZAKTI0D8allaJIBY:0 1/9 9/15/23, 7:16AM Grants Portal- Funding Opportunities Colorado! Department ofL Local Affairs ZipCode:* 81052 PhoneN Number:" 719-336-8029 EmallAddress:* deoverépowersoumtynet 3.Responsible/ Adminlstrator (wilir recelvea allmalings)f fort theA Application: SameasPrincipal! Representative/ Address Honorific: FirstName:* Darren MiddleN Name: LastN Name: - Glover Suffix: Role:" MallingAddress:" 200EHickory Address2: City:* State:* ZipCode:* 81052 PhoneNumber:" 719-336-8039 EmallAddress:" Boverepowencounyne. megPAyCaux Lamar Colorado BORCAIEATOWNOBMATON L.FederalTaxiD#" 84-6000796 2.UEI Y8C4HSXY95M6 3,ServiceArea" ProwersCounty Pleaseli listt thecountless servedbyy your CSBGP program 9B6dhanctersremaining 4.StateHouse! District" athtps/legcoloradog gov/house- district-map. 64 5AS States Senatel District founda athtps./legcolorados gov/senate- district-map, Listt the Statel HouseD DistrictorDistrictsy yours servicea areafallsi Into, spsaticthedisukanumkennantyommmAmetiawasanbatoumd Pleaseli listt thes States Senate! DistrictorD DIstricts yours serviceareah fallsl Into,s separatingt thed districtnumbersbys commas.Amapo ofthes States Senatel Districtscanbe https:lIdola.colorado.qovlarants portalponta/Apltcationsia7MC-OsIw-AE7VM494PZAIOAAkt0D8ala.BY.0 2/9 9/15/23, 7:16AM Grants Portal- Funding Opportunities Colorado Department ofL LocalA Affairs 35 5B.FederalHouse! District(s)s ServedbyCSBGP Program 4thDistrict- KenBuck K 277charactesremaining 6.AmountofcsBGF Projected FFY 2024A Allocation" 26.99400 7.c5BG-ReiatadMisions Statement Pleasco cntery youro organization's CSBG-specificr missions statementh here. Disabled. Toprovidet then neededs servicesrequiredbyt ther residentso ofProwers Countye especiallyt thel Lowl Income. Elderlyand A 876c characters remaining, 8.Project Description.* Providet threet tof fives sentencess summarlzingy your CSBGp program." Thisv willbet thes statement fort thes Scopec ofv Worki inthec contract. Providel Transitservicesf fort thehandicapped, lowi income ands senlor residents of Prowers County. Provide dispatch services, andp provide: assistancet tot thel handicapped, lowir income ands senior residents using ProwersA Area Transit. To providep preventive! healthcarez assistancet tolow-ir income, handicapped: ants seniord citizens! by means ofvaccinesa atno costt tot their individuals 6280 charactersremaining. CTRPATTEBOARDP/ADVSOR/COMMITEE 1.Ellgible EntityT Type" . 1A.OTHER ROSTER SingleCounty Government CoundlofGovernments PrivateCAA(501c3) Multi-County! ServiceA Agency Other Ifother" wass selected, describer natured ofeliglblee entity. 2PuseatptAmsyekan 6 amaCamemtvamiseas" 0 4.T TotalNumber ofSeats Reservedfor! Lowl Income Sector" - Not fewert than1 1/3oft then membersa arep personschosenina accordancey witho democratics selectionp procedures adequatet to assuret thatt thesen membersare representatived oflow- incomei individualsa and famillesk int theneighborhood: served. Canbelr Individuals with! lved, professional, orothere expertisep pertainingtothose experiencing! low-ir income. 2 5.7 TotalNumberc ofSeats Reservedfor! Eledtedoassedtor" Electedofficlals; ort theirs desnatedraresantatbe nttps:lIdola.colorado.ov/arants. portalportalApplications.sr7/wid-0S1U-XF7VA494P25NI9AZAKT10D8dllaJBy:0 3/9 9/15/23,7:16AM Grants Portal- Funding Opportunities I Colorado Department ofl Local Affairs 2 6.Total Number ofSeats ReservedforP Private Sector 2 7.UploadBoardi Roster (PDF)* Please uploadaPDF ofy yourt boardr rostera ande ensuret thatt then rosteri indicatest thes uralacanterywe D.BUDGETSUMMARY 1,UploadE Budget(xisx)* Pleaseu uploady yourb budgetinax xisxf format. basedo ont thec CSBGp projectedFFY2 2024a amount. 2Certifications" Icertifyt thatCSBGA fundsv will notb beusedfor constructionf relatede expenses Icertifyt that CSBGf fundswillnott beu usedfor Icertifytl that CSBG funds willb beu usedin anyb typeofpoliticals lactivity accordancev withl Uniform Guldance EPROJECTELIGIBILITY 1.FederalC Objectives" - Community/ ActionPlan Employment and 2NationalGoals" Community/ ActionP Plan Goal1 1:individuals: andfamilies withl low incomes arest stablea anda achlevee economic security TheF FederalObjectives: arell ilstedinl Informationall Memorandum 152fromt the Officeo ofCommunity Services. Sclecto oneo orr moreobjectivest tobea addressedinthe Healtha and (includes Nutrition) Clvlc Linkages domains) Education Income, Cognitive andA Asset Development Building Social/Behavioral Engagement Services (e.g. Agency Other (e.g. relief) Infrastructure, Housing Development and Supporting partnerships Capacity emergency Community Multiple thats support Building managementdisas Involvement Domalns multiple TheN National Goalsa areli listedl Inl Informational Memorandum1 152f fromt the Office ofCommunity Services. Selecto oneorn morer nationalg goalst tobea addressedinthe Goal 2: Communities where peoplew withlow incomes! livea are! healthy ando offere economlc opportunity Goal3 3: Peoplev withl lowi incomes activei inbuildingo gperuntsincommunte areengageda and KPROJECTINFORMATON Ifapplyingforl Linkagespnly, Indicate" 'nota applicable" ford questions 1-4Int thiss sectiona andp proceedtoq question5. 1.IncomeE Ellgibillty" httos/Idola.colorado.govlarants portallportalApolications.si7liwid-os1u-XF/VA494PZsNtI9AZAKItODBdllaJBY: 4/9 9/15/23, 7:16AM Grants Portal Funding Opportunities Colorado Department ofl Local Affairs Applica cantn musti be ablet tademonstratel thato customers afCSBGp programsor: services willl bel low-incomen dividuals andror familiesi living: att thec CSBGI income eligibilityl line. basedona apercentaged oft the Federal PoverlyLine, orb bolow. Describeh howo customer eligibilityl basedo onFederal Povertyl Lovelisd determined, verilied, evaluated, andtrackedf for thep purposed aicseGpogamaciMies SiteofColoradothatt theya aree eligible! for CSBGfunds AIIC Clients Fillouta anh Income Certificationf formz andisupdatede every) year (inJ Julyl. Wet thensubmit thosef formsto Prowers Counly Departmento ofH Humans Servicesa andthecertifyour clientst throught theirs system CBMSE throughthe h 7i6dhnacterrmainns. 2.5 Selectiono ofc Customersa andN Needs Met . communityr needsa area addressed. IFthep proposedprojecti requiresc çustomers toc completea ana applicationort thercis isas selectionprocess! (ege emergency: assistance. humans serviçesp programming. etc). describe whato procedureswillb beL usedtoensurethalte customersr receivinga assistancew will bes selectedt througha anopena andequitabler processa and! thatg greatest Noclientv whoh Hllso outourl Income CertificationFormisd denied fundst through CSBGar anys servicet thati wep provide. 38860 characters remaining. 3.0 Grievance Procedures* . Pleased describet theg grievancep procedures forc customersv who ared declineda assistance, including howo customersa arer notifiedoftheg grievanceprocess. Noclientwhof fillso outo ourl Income CertificationFormise deniedi fundst through CSBGora anys service thaty wep provide 38870 charactersremaining 4.Sub-recipient: Manitoringf forP Program Compliance . pleasei indicate" nota applicable." N/A Ifsub- recipienis determined customere eligibility, pleased describey yearlyr monitoringp procedurest thee eligiblee entitys usest toe ensuret thef federalp povertyl leveli income verificationn requirement, selectionp processa andr notificationigrievance; proceduresa asl listedi inQuestion 1-3arem met.I Ifnosubrecipients) willbeu usedii int thisp program, h 39970 charactersr remaining. 5.1 Informationonl LinkagesA Activities . Ifapplyingf forl Linkages, pleased describeh hows servicesp providedy willl involvec communitypartners. coordinates services andprovidea ande evaluatec community outcomes thata addressp poverty. Pleaser notet that" information: andn referral" types servicesa arer not eligible asii linkages. Rather. accordinateda andcommunity- drivens strategy to improves serviced deliverya att thec community! levelr mustbed describeda andi implemented. Ifyoua arenota applying forl Linkagesa açtivities, pleases enter" "nota applicable." Inproviding Transits services andv vaccinesf ford ouro clients; wec coordinatet throughP Prowers County! Departmento ofHuman Services, Department ofPublick Healtha andE Environment, localg governmentala agencies, h 3799charactersr remaining. htbs:lIdola.colorado.govlarants portalportalApolictions.si7iwid-0S1U-XF7VA494P25NI9AZAKTID8ailaJBy0 5/9 9/15/23, 7:16AM Grants Portal- Funding Opportunities Colorado Department ofLocal Affairs 1.KeyC Causesa andConditions ofPoverty" Basedo on ther resultsoft thec community needsa assessment, whata aret thek keyo causes andc conditions( (identifieds separately)o ofpovertyi int thes service area2Whatarethe needs or causes (economic or otenwiselcontibutingtop povertyi inthecommunityt thatt thisa appliçationa andp planwill: address? Transits servicesinthee evening andy weekends. Togofr fromv work: shopping: orr medicals sitesd during theset times, Extra nutritionals sltesf fort theelderly residents anda accesst tos specializedmedical: resources. h 3794c charactersremalning 2.Upload CommunityN Needs Assessment (PDF)* Pleaseu uploada aPDFd ofy your Community Needs Assessment 3.UploadBoard Advisory CommitteeN Minutes for Communlty NeedsA Assessment (PDF)* Pleaseu uploada aPDFo ofboard/ advisorycommitteer meetingminutes: acceptinga appicantscommuntyr needsa 4.ROMAT Tralner CNAR Revlew" UploadF ROMAL trainer CNAR ReviewF ForminPDF form. 1Servicesa andStrategles" needsi identifledint thec communityr needsa assessment. clientstobe ablet tohelpli liveh healthyl lives. Generally, whats services ands strategiesv willb be used? Describehow! theservices ands strategiesy youra agencywillb bepursuing. identifiedir ins SectionE E,willa addresst the Providingt transits servicest tolow-i income cllents tot taket themt toe educational: ande employments sltest tobea ablet togeta livablev wage) job.1 Thent toprovide transits servicest toa andfrom their) jobs site. Providingr no costv vaccinest tooure ellgible h 3709characters remaining. 2.E Expected Outcomes leveloutcome. Describe thee expectedoutcomest fort thec customers, agency, or communityt thatv willbea achieved. Indicatev whethere eacho outcomel Isa afamlly, agency, ord Mos/acpdepigns DortalportalApplicatlons.si7iw.d-0S1U-XF7VA494P2SNIP9AZAKTf0DBalaufBy:0 6/9 9/15/23, 7:16AM Grants Portal- Funding Opportunities Coloradol Department ofLocal Affairs Lowers unemployment inProwers County (Commmity) Lower thet Healthcastso ofour client'sfamily throughy vaccination (familylAriseir inaccessi tomedicals silesforourd clients withour transportation (familyjt through providing transil services - 75dhanactersvemainine 3.Measuring Outcomes * Howv wills success! ben measured? Includeh howo dataw willbec collecteda andt theq quantitativet A.SeA thatwillb be used. Whata arel the measurement tools( (evidence): ands servicess strategy (outputs)t thatv willp proved outcomes wered obtained? Throughour clientss surveys.censusdata. unemploymento data(through! thec CoWarkforceCenten 39070 charactersremaining 4.0 Community! Partners ands Stakeholders." Whato other communitye entities, organizations, ors stakeholders are contributing tol thisp projecta andh howv wills nklecorhntatDasdhehoadipiatomol services willb bea avoided, Pleases specificallyo describea anys subrecipientsi involved. Coloradov Workforce, Prowers County Department ofHuman Services, Prowers County DepartmentofPublick Health andE Environment, Prowers Medical Center, Highp Plains Clinica andLamar Senior Citizens. h 38060 charactersr remaining. 6.E Existingr Resources* - needs Int thec community? Transit. Describeh how CSBGfundsa arel leveragedv witho other casha andin-k kindresourcesi inthec community.! Inw whatv waysdoes CSBGfillg gapsinservicesor: address unmet CSBGA fundsf fillinti theg gapsi inourb budgetst tob bea ablet too offert theses serviceste tooure clients, Prowers County providest the funds tomatchs severalg grants thato donot filli intheg gapsi inthesep programs. CDOT providesf fundsf forP Prowers Area h 35gdhansteraremainnt 7.Results OrientedN Management: andA Accountabillty* Describel howt thep principles andp practices OFR Results Orlented Management: andA Accountabilityl (ROMA)a are usediny youra agencya andp program, The7 TripartiteB Boarda analyzes ther necessaryd datat toc decidet then needsa assessmenta anda actiong plana att the beginningoft the year. Alsocanreviset thesei itemst throughout they year. Once thec decisionh hasb beenn made ont thec distributionoff fundsto thed different programs. thosep programdirectorsy wills submitt theiri implementation; planst tot the boardforreview: and approval. Eachprogram director willg gather datat throughout they yearl (ie. eligibility, #ofc clients. and#of's 'success' stories) andpresentt theser resultst totheb boardo during they year.1 Theprogramd directorsduring thep plannings stagev witht the Tripartiteb boardv woulds seto outa aseries of' goals' fort they yeara andb bea ablea att thee endoft they yeara achievet thoseg goalsorb be ablet toc documentv whyt theg goals werer notn met. Duringt thef finaln meetingo ofthey year, theb boarda asv wella asthep program directorswille evaluatet thec currenty year'si implementation: anda achievements: andr results fore eachprogram. h 3053chunaterremaining 8. ROMAT Trainings" Whenw was thel lastR ROMAtraining accessedb by theo organization?" Whoa attendedz andv whop provided thet training? htps:/dola.colorado.gow/arants portalportalApplications.sf7wid-081U-XF/VA494P25Nf.9RZAKT0D8ailaJiBY. 7/9 9/15/23,7:16AM Grants Portal- Funding Opportunities IC Colorado Department ofL Local Affairs August29a and1 16thof2 2023onawebinar. Operation Manager: attendedi instructedby. Josiahfrom CCAA h 38970 charactersremaining RUpbusboaxdApmoalpon" Please uploada aPDFo ofthe Boardm minutes approvingt the CommunityA ActlonPlan ISTRAIECICPLNSYEANS CSBG-Specific Strategic Planlasrelerencedi inOrganizational: Standards) 1.Long Term Vision' * Whatist thek long-termv visionf fort the CSBGP programa aty youro organizationor departinent?Howd doest thisv visiona addressreductionof; poertyrextaltzatonotbow income communities, and/ore empowerment ofp peopley withlowi incomest tobecomen moree economicallys secure? Expandt thec currentl levelofT Transits servicest bye expanding serviceh hourst toincludee evening andweekends. Inb turnt thisv will helpv witht ther reductiono ofp poverty, empower ourk lowir incomei individualst tobecomee economicallys secure. Thislsfi from offeringt transportationt toandfromt theirj job site,b tralninga ande educationals sitesv witht thee extendedH hours. Expandt the vaccinep program bybetter advertisementa ande expand thev vaccines sitest toir includes sitest totargett thek lowlr Incomea and seniorc citizens ofProwers County. Thisi int turnv willprovide! better health! levelsi int thel lowi income clientsv whowhile maintaining theirli livablev wagej jobc cancontinuet their employment! byn notb being unablet tov work dueb tod diseasec ori ilness. Thisw willr maintalnt their levelofe economics stability andreducet thep povertyl levelinP Prowers County. h 3185 charactersremaining 2.SWOTA Analysis" * Whatstrengths, weaknesses, opportunitles andt threats contributet tot theo organizationd ord department's: abllityt toachievet thel long-term visioni indicateda above? (Strengthsa andv weaknessesa arei internal tot thec organization. Opportunities: andt threats aree externalt tot thec organlzation) Strength: Prowers Areal Transith hasb beena astable ands secure transit servicel InP Prowers Countys since 1998. Prowers County Department tofPublick Healtha andE Environmentisa alsoav verys stablea ands secured departmenth herei inProwers County, whicht theyh havep provideds services (Including vaccines)s sinceitw wasf foundedr manyy yearsa ago. Thisy wille enableus topursuet thesel longt term goalsv witha amores satisfactory outcomes. Weaknesses:' Withf fundingb beings slashedn noto onlya at thec countyl levelb buta attheF Federallevela andwithr mosto ofourg grants! thaty wel have, wec doponds greatlys ont thesef funding sources. Solftheya arec cutlr Inanya amount. thisc coulds spell the endofourl longt termg goals asv wella asP Publich Health'sl long termg goals. Opportunities: ForP Prowers County, theb biggesto opportunltyls Isfor ust toE expando ours servicet toconnectto othert transits servicesi inp providingmedical: accessforo ourl lowi income individualst totheF Front Ranger medicalsltes. For Publick Health, thelrb biggesto opportunlty 30080 charactersremaining 3.StrategicPlanGoals" h Whationgtermfamly,: agencya and/or communltys goals arez addressedbyt thes strategicp plan?Include! level familagency/communitylanddetals, 1. Expansionofs servicehours Famlly/Agency: andCommunity) Thisv willr reducet the! level ofp povertyi int thec communities andprovidet transportations servicef fort thew wholef famlly toa andfrom theirj jobs sites, medicals sites, shoppinga and recreatlonal, Provideb bettera access! tovaccines (Family, Community)tor maintaint their healthleveltok keept thelrl livable wagej jobsv withoutb being unablet tov work from diseases ori illnesses, Alsotobringo downt thep povertyl levelt throughout Prowers County. h 3515chanacteremainine 4.Customer Satisfactiona andk Input Howi iscustomer: wiadewlwemabnmdenteipaisasinee https:/dola.colorado.qovlarants DortalportalApplications.sf?iw.d-0S1U-XF7VA494P2SNIP9AZAKIIOD8alaJBy:0 8/9 9/15/23, 7:16AM Grants Portal- Funding Opportunities Colorado Department ofLocal Affairs Inthef firstp partofe eachy yearv wehandouta apassengers surveytoourd clients Wea askt themt tol Fillt themo outa andr returnt them backb tous. Thedriversreturnther filledouts surveyst tot the! Director(CSBGGrantl Manager)v whoint turnpresentst themt to thel Tripartite Board. Thel Tripartite Boardhasa 'Open' meeting (all meetings arepublicia and allindividuals: areh freeto givet thel TripartiteE Boardt their viewo onk hows saidf funds arehandleda andt their viewso ont thep passengers surveya andhowt to implement them. Thel Tripartite Boardreviews: alls surveyn material, meetingr mlnutes andc current Strategicp plan. The Tripartite Boardwilli implemento changest toboths serviceso once aexpanslonisi identifleda andisa ablet tobeir implemented. h 32816 charactersremaining 5.CAPa andP Progress" . strategic plan? Howa aret theg goalsinthes strategicp plansupportedb byy yourc communitya actionp plan?Howv willp progress! betrackedt towardst thec overall visiona andg goalse expressedinyour Bothtl the Community ActionF Plana and5 Strategic Plana are reviewedy yearlyb byt thel Tripartitel Boards sotheya ares supportedby each other. Theg grantr managerv willi implementa allnecessaryn measurest totrackt thep progress asitpertainst tot thec overall visiona andg goalsl Inours strategicp plan. The Grantr manager willp presentcurrent; progresst tothel TripartiteE Boardevery meetingo oft theE Boardt throughout they year. Alsomaintaint thes statistics forr revlewby CSBG personnel. h 3539chanctersremaining OKCALSTORGURDIES KCOPMNGPONDAPAAL About DOLA Careers Newsroom Strategic a Legislative Planning Contact 2023 State of Colorado Transparency Online Accessibility ttps:lIdola.colorado.govlarants portallortalAplitcationssr7hMd-ostu-AtB4P2AMAS.AZAKt0Deala/BY0 9/9 Official Chief Elected Official Authorization Form Board Action taken on Date Submission of this form indicates official action by the applicant's governing board authorizing application for these funds. To the best of my knowledge and belief, statements and data in this application, including the attached tables and other documentation, are true and correct and the submission of same has been duly authorized by the governing body of the applicantllead jurisdiction and other participating, jurisdictions, if any. Public Entities/Counties: Signature, Chief Elected Official Ron Cook Name (typed or printed) Chairman, BOCC Prowers County Title Date Private Entities/COG's: Signature, Governing Board Pres.denuChaimperson Name (typed or printed) Title Date Page 1of1,R Revised 2023 PROWERS COUNTY AGENDA ITEM REQUEST FORM Hearing Date Requested: 9-26-2023 Submitter: Jana Coen, County Clerk Submitted to the County Administration Office on: 9-19-2023 Return Originals to: Jana Coen, County Clerk Number of originals to return to Submitter: 2 Contract Due Date: November 30, 2023 Item Itle/Recommended Board Action: Consider approval of a Memorandum of Understanding for Control of Confidential Data from the Colorado Department of Revenue and Appointing Jana Coen, Prowers County Clerk to receive the Confidential Data Information for September 2023 September 2024 regarding County Lodging Tax Collections. Justification or Background: Obtaining from DOR the confidential information for local sales taxes, lodging taxes, and administer tax collection on behalf of the county. Fiscal Impact: This item is budgeted in the following account code: County: $ Federal: $ State: $ Other: $ Approved by the County Attorney on: DR 0006 (10/02/20) Local Government Support, Room 203 P.O. Box 17087 Denver CO8 80217-0087 COLORADO DEPARTMENT OF REVENUE Memorandum of Understanding for Control of Confidential Data Pmumo22ApA.CRS, andf fort the purpose ofc obtainingt fromt the Colorado. DepartmentofF Revenue ("Department"), confidential information concerning local sales taxes collected and administered by the Department on behalf of the cityl county/special district (hereafter referred to as Jurisdiction") of (Name) Prowers County (County Lodging Tax) appoints an employee Jana Coen (Title), Prowers County Clerk oft the. Jurisdiction, to receive this confidential information. The appointee, on behalf of the. Jurisdiction and on his or her own behalf, hereby agrees as follows: A. Safeguarding Confidential Information: 1. To store and maintain confidential information in a secure place, physically and/or electronically. 2. Tol keep adequate records of what confidential information is received and the disposition thereof. 3. Tor restrict access to such information toj persons whose duties and responsibilities require such access, and to make 4. The information obtained pursuant to this agreement shall be used only for the purpose of administration and enforcement of the sales and/or use taxl laws of the undersigned Jurisdiction of the State of Colorado 5. Tol keep confidential the Jurisdiction's sales tax account number, user ID and computer password(s) issued by the Department, and to immediately provide written notification to the Department of any change in person designated 6.To keep confidential the monthly report Web site address and the Department's local government support 7. To allow the Department to review the adequacy oft the safeguard measures established hereunder. 8. Itis understood and agreed that if any oft these safeguards are violated, the Department may refuse to furnish any- additional information concerning the status of vendor's accounts and/or impose additional or alternative safeguard procedures. Itis understood and agreed that volatorsofconidentality statutes may bes subject to criminal prosecution 1. The Jurisdiction shall take an active role in identifying retailers within the boundaries, including, but not limited to, reviewing monthly Department Site and Open or Closed Accounts reports to determine whether retailers are incorrectly excluded or included in Department reports and timely advising the Department of annexations or other 2. The. Jurisdiction shall contact said retailers who are not correctly identified in Department Site and Open or Closed Accounts reports to determine whether such retailers should be included or excluded on monthly reports. 3. The Jurisdiction shall timely notify the Department of corrected information or unresolved issues concerning 4. The information obtained pursuant to this agreement shall be used only for the purpose of administration and enforcement of the sales and/or use tax laws oft the undersigned jurisdiction of the State of Colorado. certain that confidential information is not disclosed to unauthorized persons. int this Memorandum and/or the need for a new password for any reason. email address. and removal from office. B. Maintaining Accurate Records: changes in the jurisdiction involving retailers. said retailers. Municipality or County of Jurisdiction Mailing Address Appointee Name"* Appointee Signaturec Date Prowers County 9-19-2023 719-336-8011 Prowers County Clerk coon@powerscounynet Chairman Board of County Commissioners cox@powerscoumy.net Deputy Executive Director Appointee Phone Number Title Appointee Email" #A Title 301 S. Main St., Ste.210, Lamar, CO 81052 Jana Coen aco Ron Cook Name of Chief Administrative Officer or Designee" Chief Administrative Officer or Designee Signature ChiefA Administrative Officer or Designee Email Department of Revenue Approval By Title Signature oft the chief administrative officer or his/her designee who has authority to enter into contractual agreements ont behalf oft thej Ihave read the Memorandum of Understanding on Control of Confidential Data as set forth above andl promise and to Notification ofr matters related to the Local Government Sales Tax Information System will be sent to this email address. The User ID and Password The person signing should be someone other than the appointee. jurisdiction. all confidential information received from the Department of Revenue under this agreement. agree safeguard will also bes sent to this email address. DRO 0006 (10/02/20) COLORADO DEPARTMENT OF REVENUE Local Government Support, Room 203 P.O. Box 17087 Denver CO8 80217-0087 Memorandum of Understanding for Control of Confidential Data Pursuanti 092921084.CRS, andi fort thep purpose of obtainingf fromt the Colorado DepartmentofRevenue: ("Department), confidential information concerning local sales taxes collected and administered by the Department on behalf of the city/ county/special district (hereafter referred to as Jurisdiction") of (Name) Prowers County (County Lodging Tax) appoints an employee Jana Coen (Title), Prowers County Clerk of the. Jurisdiction, to receive this confidential information. The appointee, on behalf oft the Jurisdiction and on his or her own behalf, hereby agrees as follows: A. Safeguarding Confidential Information: 1. To store and maintain confidential information in a secure place, physically and/or electronically. 2. To keep adequate records of what confidential information is received and the disposition thereof. 3. Tor restrict access to such information to persons whose duties and responsibilities require such access, and to make 4. The information obtained pursuant to this agreement shall be used only for the purpose of administration and enforcement of the sales and/or use tax laws of the undersigned Jurisdiction of the State of Colorado 5. To keep confidential the Jurisdiction's sales tax account number, user ID and computer password(s) issued by the Department, and to immediately provide written notification to the Department of any change in person designated 6.To keep confidential the monthly report Web site address and the Department's local government support 7. To allow the Department to review the adequacy of the safeguard measures established hereunder. 8. Itis understood and agreed that if any of these safeguards are violated, the Department may refuse to furnish any additional information concerning the status of vendor's accounts and/or impose additional or alternative safeguard procedures. Itisunderstood: and agreed that volatonsofcontidentaly statutes may bes subject to criminal prosecution 1. The Jurisdiction shall take an active role in identifying retailers within the boundaries, including, but not limited to, reviewing monthly Department Site and Open or Closed Accounts reports to determine whether retailers are incorrectly excluded or included in Department reports and timely advising the Department of annexations or other 2. The Jurisdiction shall contact said retailers who are not correctly identified in Department Site and Open or Closed Accounts reports to determine whether such retailers should be included or excluded on monthly reports. 3. The Jurisdiction shall timely notify the Department of corrected information or unresolved issues concerning 4. The information obtained pursuant to this agreement shall be used only for the purpose of administration and enforcement of the sales and/or use tax laws of the undersigned jurisdiction of the State of Colorado. certain that confidential information is not disclosed to unauthorized persons. int this Memorandum and/or the need for ar new password for any reason. email address. and removal from office. B. Maintaining Accurate Records: changes in the jurisdiction involving retailers. said retailers. Municipality or County of Jurisdiction Mailing Address Appointee Name** Appointee Signature Date Prowers County 9-19-2023 719-336-8011 Prowers County Clerk coen@prowerscouny.net Chairman Board of County Commissioners cox@powerscouny.net Deputy Executive Director Appointee Phone Number Title Appointee Email *** Title 301 S. Main St., Ste. 210, Lamar, CO 81052 Jana Coen SALASAA Ron Cook Name of Chief Administra ive Officer or Designee* Chief Administrative Officer or Designee Signature ChiefA Administrative Officer or Designee Email Department of Revenue Approval By Title Signature oft the chief administrative officer or his/her designee who has authority to enteri into contractual agreements ont behalf oft the jurisdiction. Ihaver read thel Memorandum of Understanding on Control of Confidential Data as set forth above and promise and agree to safeguard all Notification ofr matters related to the Local Government Sales Tax Information System will be sent tot this email address. The User ID and Password The person signing should be someone other than the appointee. confidential information received from the Department of Revenue under this agreement. will also bes sent tot this email address. PROWERS COUNTY AGENDA ITEM REQUEST FORM Hearing Date Requested: 9-26-2023 Submitter: Jana Coen, County Clerk Submitted to the County Administration Office on: 9-19-2023 Return Originals to: Jana Coen, County Clerk Number of originals to return to Submitter: 2 Contract Due Date: November 30, 2023 Item Title/Recommended Board Action: Consider approval of a Memorandum of Understanding for Control of Confidential Data from the Colorado Department of Revenue and Appointing Jana Coen, Prowers County Clerk to receive the Confidential Data Information for September 2023- September 2024 regarding County Sales/Use Tax Collections. Justification or Background: Obtaining from DOR the confidential information for local sales taxes, lodging taxes, and administer tax collection on behalf of the county. Fiscal Impact: This item is budgeted in the following account code: County: $ Federal: $ State: $ Other: $ Approved by the County Attorney on: DR 0006 (10/02/20). Local Government Support, Room 203 P.O. Box 17087 Denver CO 80217-0087 COLORADO DEPARTMENT OF REVENUE Memorandum of Understanding for Control of Confidential Data Pumpga0AACRS. andf fori the purpose ofc obtainingt fromi the Coloradol DepartmentofF Revenue ("Department'), confidential information concerning local sales taxes collected and administered by the Department on behalf of the city/ county/special district (hereafter referred to as Jurisdiction") of (Name) Prowers County (County Sales/Use Tax) appoints an employee Jana Coen (Title) Prowers County Clerk oft the Jurisdiction, to receive this confidential information. The appointee, on behalf of the Jurisdiction and on his or her own behalf, hereby agrees as follows: A. Safeguarding Confidential Information: 1. To store and maintain confidential information in a secure place, physically and/or electronically. 2. To keep adequate records of what confidential information is received and the disposition thereof. 3. To restrict access to such information to persons whose duties and responsibilities require such access, and to make 4. The information obtained pursuant to this agreement shall be used only for the purpose of administration and enforcement of the sales and/or use tax laws of the undersigned Jurisdiction oft the State of Colorado 5. To keep confidential the Jurisdiction's sales tax account number, user ID and computer password(s) issued by the Department, and to immediately provide written notification to the Department of any change in person designated 6. To keep confidential the monthly report Web site address and the Department's local government support 7. To allow the Department to review the adequacy of the safeguard measures established hereunder. 8. Itis understood and agreed that if any of these safeguards are violated, the Department may refuse to furnish any additional information concerning the status of vendor's accounts and/or impose additional or alternative safeguard procedures. Itisu understood anda agreed matwobatbsolomidentaliy statutes may be subject to criminal prosecution 1. The Jurisdiction shall take an active role in identifying retailers within the poundaries, including, but not limited to, reviewing monthly Department Site and Open or Closed Accounts reports to determine whether retailers are incorrectly excluded or included in Department reports and timely advising the Department of annexations or other 2. The Jurisdiction shall contact said retailers who are not correctly identified in Department Site and Open or Closed Accounts reports to determine whether such retailers should be included or excluded on monthly reports. 3. The Jurisdiction shall timely notify the Department of corrected information or unresolved issues concerning 4. The information obtained pursuant to this agreement shall be used only for the purpose of administration and enforcement of the sales and/or use tax laws of the undersigned jurisdiction of the State of Colorado. certain that confidential information is not disclosed to unauthorized persons. int this Memorandum and/or the need for a new password for any reason. email address. and removal from office. B. Maintaining Accurate Records: changes in the jurisdiction involving retailers. said retailers. Municipality or County of Jurisdiction Mailing Address Appointee Name"* Appointee Signature Date Appointee Phone Number Title Appointee Email" *** Title Prowers County 9-19-2023 719-336-8011 Prowers County Clerk cen@powercounynet Chairman Board of County Commissioners cok@prowersouny.net Deputy Executive Director 301 S. Main St., Ste. 210, Lamar, CO 81052 Jana Coen AMKDE Ron Cook Name of ChiefA Administrative Officer or Designee* Chief Administrative Officer or Designee Signature Chief Administrative Officer or Designee Email Department of Revenue Approval By Title Signature of the chief administrative officer or his/her designee who has authority to enteri into contractual agreements on behalf oft thej jurisdiction. Ihave read thel Memorandum of Understanding on Control of Confidential Data as seti forth above and promise and agree to safeguard all Notification ofr matters related tot the Local Government Sales Tax Information System willl be sent tot this email address. The User ID and Password The person signing should be someone other than the appointee. confidential information received from the Department of Revenue under this agreement. will also be sent tot this email address. DR 0006 (10/02/20) COLORADO DEPARTMENT OF REVENUE Local Government Support, Room 203 P.O. Box 17087 Denver CO 80217-0087 Memorandum of Understanding for Control of Confidential Data Punip22ORAICRS. andi for the purpose ofc obtainingt fromi the Coloradol PRerDwrA confidential information concerning local sales taxes collected and administered by the Department on behalf of the cityl county/special district (hereafter referred to as Jurisdiction") of (Name) Prowers County (County Sales/Use Tax) appoints an employee Jana Coen (Title). Prowers County Clerk oft the. Jurisdiction, to receive this confidential information. The appointee, on behalf of the Jurisdiction and on his or her own behalf, hereby agrees as follows: A. Safeguarding Confidential Information: 1. To store and maintain confidential information in a secure place, physically and/or electronically. 2. To keep adequate records of what confidential information is received and the disposition thereof. 3. Tor restrict access to such information to persons whose duties and responsibilities require such access, and to make 4. The information obtained pursuant to this agreement shall be used only for the purpose of administration and enforcement of the sales and/or use tax laws of the undersigned Jurisdiction of the State of Colorado 5. To keep confidential the Jurisdiction's sales tax account number, user ID and computer password(s) issued by the Department, and to immediately provide written notification to the Department of any change in person designated 6. To keep confidential the monthly report Web site address and the Department's local government support 7. To allow the Department to review the adequacy of the safeguard measures established hereunder. 8. Iti is understood and agreed that if any oft these safeguards are violated, the Department may refuse to furnish any additional information concerning the status of vendor's accounts and/or impose additional or alternative safeguard procedures. Itis understood: landa agreed thatv volatorsofconidentialy, statutes may bes subject to criminal prosecution 1. The Jurisdiction shall take an active role in identifying retailers within the boundaries, including, but not limited to, reviewing monthly Department Site and Open or Closed Accounts reports to determine whether retailers are incorrectly excluded or included in Department reports and timely advising the Department of annexations or other 2. The Jurisdiction shall contact said retailers who are not correctly identified in Department Site and Open or Closed Accounts reports to determine whether such retailers should be included or excluded on monthly reports. 3. The Jurisdiction shall timely notify the Department of corrected information or unresolved issues concerning 4. The information obtained pursuant to this agreement shall be used only for the purpose of administration and enforcement of the sales and/or use tax laws oft the undersigned jurisdiction of the State of Colorado. certain that confidential information is not disclosed to unauthorized persons. inthis Memorandum and/or the need for a new password for any reason, email address. and removal from office. B. Maintaining Accurate Records: changes in the jurisdiction involving retailers. said retailers. Municipality or County of Jurisdiction Mailing Address Appointee Name"* Appointee Signature Date Appointee Phone Number Title Appointee Email" *** Title Prowers County 9-19-2023 719-336-8011 Prowers County Clerk coen@prowerscouny.net Chairman Board of County Commissioners cokgprowerscouny.net Deputy Executive Director 301 S. Main St., Ste. 210, Lamar, CO 81052 Jana Coen "ZAAACO Name of ChiefA Admirlistrative Officer or Designee* Chief Administrative Officer or Designee Signature Ron Cook Chief Administrative Officer or Designee Email Department of Revenue Approval By Title Signature oft the chief administrative officer or his/her designee who has authority to enter into contractual agreements on behalf oft thej jurisdiction. Ihave readt thel Memorandum of Understanding on Control of Confidential Data as set forth above and promise and agree tos safeguard all Notification ofr matters related to the Local Government Sales Tax Information System willl be sent tot this emaila address. The User ID: and Password The person signing should be someone othert than the appointee. confidential information received from the Department of Revenue undert this agreement. will also be sent tot this emaila address. PROWERS COUNTY AGENDA ITEM REQUEST FORM Hearing Date Requested: 9-26-2023 Submitter: Darren Glover, PATS Director Submitted to the County Administration Office on: 9-19-2023 Return Originals to: Darren Glover, PATS Director Number of originals to return to Submitter: 2 Contract Due Date: Item ntle/Recommended Board Action: Consider approval of Notice of Participation in the Lower Arkansas Valley Area. Agency on Aging Programming for the year January 1, 2023 through December 31, 2023 and Prowers County's contribution amount of $4,984.00. Justification or Background: Approve Notice of Participation Area Agency on Aging for FY2023 Fiscal Impact: This item is budgeted in the following account code: 27-422800 County: $_ Federal: $_ - State: Other: $ $ Approved by the County Attorney on: Additional Approvals (if required): RESOLUTION OF PARTICIPATION of Prowers County in the LOWER ARKANSAS VALLEY. AREA AGENCY ON AGING PROGRAMMING FOR THE YEAR JANUARYI, 2023-I DECEMBER 31, 2023 WHEREAS, Baca, Bent, Crowley, Kiowa, Otero and Prowers Counties are WHEREAS, said counties receive continued programming through the WHEREAS, a share of the funding is to be provided by the aforementioned ITISTHEREFORE RESOLVED by the Board of County Commissioners to participating in the Lower Arkansas Valley Area Agency on. Aging; and Region VI Lower Arkansas Valley Area Agency on Aging; and counties. provide funding in the amount of $4,984. APPROVED THIS DAY OF 2023- Chairman, County Commissioners County Commissioner County Commissioner PROWERS COUNTY AGENDA ITEM REQUEST FORM Hearing Date Requested: 9-26-2023 Submitter: Rose Pugliese, Esq., County Attorney Submitted to the County Administration Office on: email poll 9-19-2023 Return Originals to: Jana Coen & Rose Pugliese Esq. Number of originals to return to Submitter: 2 Contract Due Date: Item Ttle/Recommended Board Action: Consider ratifying 9-20-2023 email poll approval of an ntergovernmental Agreement between Prowers County, Colorado and Lower Arkansas Valley Water Conservancy District to file aj joint opposition statement to Tri-State Generation's Petition in the water court, effective September 19, 2023. Justification or Background: Fiscal Impact: This item is budgeted in the following account code: County: $_ Federal: $ State: Other: $ $ Approved by the County Attorney on: 9-19-2023 Additional Approvals (if required): INTERGOVERNMENTAL AGREEMENT PROWERS COUNTY,COLORADO AND EFFECTIVE: SEPTEMBERI9,2023 BETWEEN LOWER ARKANSAS VALLEY WATER CONSERVANCY DISTRICT THIS INTERGOVERNMENTAL AGREEMENT effective as of September 19, 2023, ("IGA") by and between PROWERS COUNTY, COLORADO, (the "County") a political subdivision created by the Constitution and duly organized and existing under the laws ofthe State of Colorado and the LOWER ARKANSAS VALLEY WATER CONSERVANCY DISTRICT, (the "District") duly organized and existing under Colorado's Water Conservancy Act, acting by and through its Water Activity Enterprise, duly established and existing under part 1, article 45.1, title 37 C.R.S., collectively the "Parties." I. RECITALS A. The County and the District each have an interest in water court applications that could affect the water rights ofa and water use by citizens within their respective boundaries. B. The County, pursuant to 930-11-101(1)(a), C.R.S., is authorized to participate in litigation which encompasses proceedings in water court. The District, pursuant to $37-45- 118(1), C.R.S., is authorized to acquire and enjoy water rights in the State of Colorado, which necessarily includes the ability to participate in water court proceedings. C. Governmental entities like the County and the District are encouraged and authorized to "make the most efficient and effective use of their powers and responsibilities by cooperating and contracting with other governments." $29-1-201 C.R.S. D. Section 29-1-203 C.R.S., generally authorizes governments to cooperate and contract with one another to provide any function, service, or facility lawfully authorized to each of the cooperating or contracting units. E. The County and the District desire to enter into this IGA to cooperate and share the rights and obligations of participating in water court proceedings when their interests are aligned and cooperation would facilitate efficiency. II. AGREEMENT NOW THEREFORE, in consideration of the foregoing Recitals, the mutual covenants herein contained, and other good and valuable consideration, the receipt and adequacy ofwhich is hereby acknowledged, the County and District hereby agree as follows: 1 1. The Parties acknowledge that the primary purpose of this IGA is to provide a framework under which the County and the District may enter into individual Memoranda of Agreement ("MOA") in order to cooperate in water court proceedings. 2. 3. The Parties agree that they share common interests in water court applications and As such, the County and the District have determined that it is ini their best interests other proceedings affecting water rights and the use of water in the Arkansas River Valley. and the best interests oftheir constituents to cooperate and share resources in relevant water court proceedings in Water Division 2. 4. Cost Sharing. The County and the District may share the costs associated with participating in water court proceedings, including but not limited to engineering and expert costs, legal fees, and court filing fees. The specific division ofc costs, if any, will be determined in the MOA specific to each water court proceeding. 5. Cooperation. The County and the District agree to fully cooperate with each other to determine which water court proceedings to participate inj jointly, and subsequently in opposing, prosecuting, or settling each proceeding consistent with the interests of both Parties. 6. Term. The term of this IGA begins on the date that both Parties have executed this IGA and continues until the IGA is terminated at will by either or both Parties. Ifeither the County or District shall determine to terminate this IGA it shall give the other party written notice atl least thirty (30) days before its proposed termination date, except that this instrument shall not in any event be terminated or rescinded after the Parties have entered into any MOA related to any water court proceeding(s) prior to the entry ofa final unappealable decree(s). 7. Notices: Any notices required or permitted to be given hereunder shall be in writing and shall be deemed given and effective when delivered personally to the other party, or delivered by fax, FedEx or like service, or on the third mail delivery date after it is deposited in the U.S. mail, postage prepaid addressed to the Parties as follows or to any other address ifnotice ofsuch new address is properly provided to the other party in accordance with this paragraph: District: Jack Goble, General Manager 801 Swink Ave Rocky Ford, CO81067 Fax: (719)254-5150 Lower Arkansas Valley Water Conservancy District County: 2 Prowers County Commissioners 301 South Main Street Lamar, CO81052 Fax: 719-336-2255 8. No Waiver. By signing this IGA, the Parties do not waive their right to protect their own water rights and other interests by any other means. 9. No Third-Party Beneficiaries. No third party shall have intended or implied 10. Choice ofLaw. This IGA shall be governed by the laws oft the State of Colorado 11. Interpretation. This IGA shall be deemed to have been jointly prepared by both ofthe Parties and any ambiguities or uncertainties herein shall notl be construed for or against either enforceable rights under this IGA. in all respects including matters of validity, construction, performance and enforcement. oft the Parties. 12. Severability. Ifany provision oft this IGA or the application thereofto any person or circumstance is held invalid, such invalidity shall not affect other provisions or applications of this instrument, which can be given effect without the invalid provision or application, and to this end the provisions hereof are declared to be severable. 13, Counterparts This instrument may be executed in several counterparts, each of which will be an original but all of which together shall constitute one and the same instrument. [balance of page intentionally blank] 3 IN WITNESS WHEREOF, the undersigned governments have caused this instrument tol be effective this 19th day of September, 2023. BOARD OF COUNTY COMMISSIONERS OF PROWERS COUNIY,COLORADO Kks (SEAL) By: Its: CHKK Attest: Clerk and Recorder galeL BOARD OF DIRECTORS OF LOWER ARKANSAS VALLEY WATER CONSERVANCY DISTRICT (SEAL) By: KHhi Its: BOALA CHanEN Attest: Secretary 0 4 PROWERS COUNTY AGENDA ITEM REQUEST FORM Hearing Date Requested: 9-26-2023 Submitter: Rose Pugliese, Esq., County Attorney Submitted to the County Administration Office on: 9-19-2023 Return Originals to: Jana Coen & Rose Pugliese Esq. Number of originals to return to Submitter: 2 Contract Due Date: Item ntle/Recommended Board Action: Consider ratifying 9-20-2023 email poll approval of a Memorandum of Agreement between Prowers County, Colorado and Lower Arkansas Valley Water Conservancy District for intent to file a joint statement of opposition concerning Case No. 23CW2036 (Tri-State), Application of Tri-State Generation and Transmission Association, Inc. for Findings of Reasonable Diligence in Prowers and Bent Counties, effective September 19, 2023. Justification or Background: Fiscal Impact: This item is budgeted in the following account code: County: $ Federal: $ State: Other: $_ $ Approved by the County Attorney on: 9-19-2023 Additional Approvals (if required): MEMORANDUM OF AGREEMENT PROWERS COUNTY, COLORADO AND LOWER ARKANSAS VALLEY WATER CONSERVANCY DISTRICT CONCERNING CASE No. 23CW30G(TRESTATE) EFFECTIVE: SEPTEMBER 19,2023 BETWEEN THIS MEMORANDUM OF AGREEMENT effective as of September 19, 2023 by and between PROWERS COUNTY, COLORADO, (the "County") a political subdivision created by the Constitution and duly organized and existing under the laws of the State of Colorado and the LOWER ARKANSAS VALLEY WATER CONSERVANCY - DISTRICT, (the "District") duly organized and existing under Colorado's Water Conservancy Act, acting by and through its Water Activity Enterprise, duly established and existing under part 1, article 45.1, title 37 C.R.S., collectively the "Parties." I. RECITALS A. The County and the District intend to file a joint statement of opposition in Case No, 23CW3036 (Div. 2), Application ofTri-State Generation and Transmission Association, Inc, for Findings of Reasonable Diligence in Prowers and Bent Counties. B. The County and the District desire to work together in opposition to Case No. C. The County and the District have entered into an intergovernmental Agreement ("IGA") effective September 19, 2023 authorizing the respective entities to enter into individual 23CW3036. Memoranda of Agreement to cooperate in water court proceedings. II. AGREEMENT NOW THEREFORE, in consideration of the foregoing Recitals, the mutual covenants herein contained, and other good and valuable consideration, the receipt and adequacy of which is hereby acknowledged, the County and District hereby agree as follows: 1. The Parties acknowledge that the primary purpose of this MOA is to set forth a framework for the County and the District to work togetheri in opposition to Casel No. 23CW3036. participating in the water court proceedings in Case No. 23CW3036, including but not limited to engineering and expert costs, legal fees, and court filing fees. The County's share of costs for work performed by the District's engineers, consultants and attorneys, and court filing fees shall 2. Cost Sharing. The County and the District agree to share the costs associated with 1 be limited to $1,000. Participation in an appeal of Case No. 23CW3036, ifany, shall be subject tot the further agreement of the parties and another MOA. 3. Cooperation The County and the District agree toi fully cooperate with each other in opposing, prosecuting, and settling their opposition to Case No. 23CW3036, including, jointly preparing and/or jointly filing any diselosures, motions, responses, briefs, or any other documents in Case No. 23CW3036. 4. 5. Term. The term of this MOA begins on the date that both Parties have executed Notices. Any notices required or permitted to be given hereunder shall be in this MOA and continues until entry ofai final unappealable decree in Case No. 23CW3036. writing and shall be deemed given and effective when delivered personally to the other party, or delivered by fax, FedEx or like service, or on the third mail delivery date after it is deposited in the U.S. mail, postage prepaid addressed to the Parties as follows or to any other address ifnotice ofsuch new address is properly provided to the other party in accordance with this paragraph: District: Megan Christensen Peter Nichols Berg Hill Greenleaf Ruscitti LLP 1712 Pearl Street Boulder, CO 80302 303-402-1600 (phone) 303-402-1601 (fax) County: Darla Scranton Specht Scranton Specht & Associates, P.C. 1204 E. Olive Street Lamar, CO 81052 719-336-6887 (phone) 719-336-9887 (fax) 6. No Waiver. By signing this MOA, the Parties do not waive their right to protect their own water: rights and other interests by any other means. 7. No Third-Party Beneficiaries. No third party shall have intended or implied enforceable rights under this MOA. 8. Choice ofLaw. This MOA shall be governed by the laws oft the State ofColorado in all respects including matters of validity, construction, performance, and enforcement. 2 9. the Parties. Interpretation. This MOA shall be deemed tol have been jointly prepared by both Parties and any ambiguities or uncertainties herein shall not be construed for or against either of 10. Severability. If any provision of this MOA or the application thereof to any person or circumstance is held invalid, such invalidity shall not affect other provisions or applications of this instrument, which can be given effect without the invalid provision or application, and to this end the provisions hereof are declared to be severable. 11. Counterparts. This instrument may be executed in several counterparts, each of which will be an original but all of which together shall constitute one and the same instrument. INV WITNESS WHEREOF, the undersigned governments have caused this instrument to be effective this 19th day of September, 2023. BOARD OF COUNTY COMMISSIONERS OF PROWERS COUNTY, COLORADO (SEAL) By: Its: AR 6c Attest: Recorder IL BOARD OF DIRECTORS OF LOWER ARKANSAS VALLEY WATER CONSERVANCY DISTRICT (SEAL) By: Khll Its: BOMAA CRARAA Attest: Secretary 3 PROWERS COUNTY AGENDA ITEM REQUEST FORM Hearing Date Requested: 9-26-2023 Submitter: Jana Coen, County Clerk Submitted to the County Administration Office on: 9-20-2023 Return Originals to: Jana Coen Number of originals to return to Submitter: 2 Contract Due Date: Item Ttle/Recommended Board Action: Consider approval of a 90-day Temporary Liquor License Permit to expire on December 26, 2023 for Lamar Stop LLC, Liquor License Type: Retail Fermented Malt Beverage Off Premises (County), who is in the process of applying for a Liquor License Transfer of Ownership from KP Enterprise Inc., dba Ports to Plains Truck Plaza to Lamar Stop LLC, (Convenience Store), located at 33110 County Rd 7, Lamar, Colorado. Justification or Background: Fiscal Impact: This item is budgeted in the following account code: County: $_ Federal: $_ State: Other: $_ $_ Approved by the County Attorney on: Additional Approvals (if required): DocuSign Envelope ID: 794A02B1-79C5-419A-9670-59E83CC2826E TEMPORARY LIQUOR LICENSE PERMIT APPLICATION COLORADO PERMIT FEE: $0.00 NAME OF APPLICANT: Bhagwant Singh- Lamar Stop LLC ADDRESS OF APPLICANT: 7491 N Sanders Ave, Clovis CA 93619 TRADE. NAME OF BUSINESS (DBA): Lamar Stop ADDRESS OF BUSINESS: 33110 County Rd7, CITY, STATE, ZIP CODE: Lamar CO 81052 NAME OF CURRENT LICENSEE PENDING TRANSFER AND LIQUORI LICENSE TYPE: Retail Fermented Malt Beverage Off Premises (county) * SIGNATURE OF APPLICANT, --Docusignedby: Blayant Sinp Application Approved by: Signature of Local Licensing Authority: Prowers County BOCC-Chairman Date Prowers County Board of Commissioner's retain discretionary authority to issue a Temporary Liquor License Permit. - - A Z 0 > N 2 PROWERS COUNTY AGENDA ITEM REQUEST FORM Hearing Date Requested: 9-26-2023 Submitter: Jana Coen, County Clerk Submitted to the County Administration Office on: 9-20-2023 Return Originals to: Jana Coen Number of originals to return to Submitter: 2 Contract Due Date: Item Itle/Recommended Board Action: Consider approval of a 90-day Temporary Liquor License Permit to expire on December 26, 2023 for Lamar Stop LLC, Liquor License Type: Beer and Win (County), who is in the process of applying for a Liquor License Transfer of Ownership from KP Enterprise Inc., dba Ports to Plains Truck Plaza to Lamar Stop LLC, (Restaurant), located at 33110 County Rd 7, Lamar, Colorado. Justification or Background: Fiscal Impact: This item is budgeted in the following account code: County: $ Federal: State: Other: $ - $_ - $ Approved by the County Attorney on: Additional Approvals (if required): DocuSign Envelope ID: 794A02B1-79C5419A-980-S9E83CC2828E TEMPORARY LIQUOR LICENSE PERMIT APPLICATION COLORADO PERMIT FEE: $0.00 NAME OF APPLICANT: Bhagwant Singh-Lamar Stop LLC ADDRESS OF APPLICANT: 7491 N Sanders Ave, Clovis CAS 93619 TRADE NAME OF BUSINESS (DBA): Lamar Stop ADDRESS OF BUSINESS: 33110 County Rd 7, CITY, STATE, ZIP CODE: Lamar CO 81052 NAME OF CURRENT LICENSEE PENDING TRANSFER AND LIQUOR LICENSE TYPE: Beer and Wine License (county) SIGNATURE OF APPLICANT: -Docusignedby: Blayaut Sunse 22ERRCO Application Approved by: Signature ofLocal Licensing Authority: Prowers County BOCC-Chairman Date Prowers County. Board of Commissioner's retain discretionary authority to issue a Temporary Liquor License Permit. M A s = E 2 N 2 PROWERS COUNTY AGENDA ITEM REQUEST FORM Hearing Date Requested: 09/26/2023 Submitter: Mark Westhoff Submitted to the County Administration Office on: 09/20/2023 Return Originals to: Mark Westhoff Number of originals to return to Submitter: 1 Contract Due Date: N/A Item Title/Recommended Board Action: Consider approval of proposal from D.V. Douglass Roofing Inc. to complete re-roofing project on Prowers County District Attorney Office, 110 East Oak Street, Lamar, CO, totaling $115,788 plus shipping costs and authorizing BOCC Chair Ron Cook to execute the document. Justification or Background: Fiscal Impact: This item is budgeted in the following account code: County: $ Federal: $ State: $ Other: $ Approved by the County Attorney on: 7/25/2023 Additional Approvals (ifrequired): PLEASE ATTACH THIS SHEETTO. ALL. AGENDA ITEMS WHEN SUBMITTING: TO COUNTY ADMINISTRATION. THANK YOU! Midwest Roofing Contraclors Association BPuposal 646 D.V. Douglass Roofing, Inc Proposal Date 4-17-2023 1215 W. Marv St.-) POI Box 506 620-276-7474 Garden City, KS 67846 Proposal PROWERS COUNTY Street 301 S MAIN STREET City, State, and Zip Code LAMAR, COLORADO 81052 Phone Job Name 110 EAST OAK STREET Job Location LAMAR, COLORADO PROWERS CO DISTRICT ATTORNEY OFFICE We hereby submit specifications and estimates to: FORNISH ALL: EQUIPMENT, LABOR, ANDI MATERIALTO: PLEASE SIGIN AND RETURIN ONE COPY OR FAX 620-276-8065 A)IHAVE REVIEWED THE "GARLAND" RE-ROOF SPBCIFICATION: THIS BID WILL FOLLOW THE SPECIFICATION: $115,788.00 sales tax exempt NOTE: 1) WE WILL USE LOCAL GRAVEL IN PLACE OF WHITE GRAVEL. 3) WE WILL PROVIDE 6" PRE-FINISHED BOX GUTTER/DOWN SPOUT. 5) THIS BID INCLUDES A BUILDING PERMIT FOR THE CITY OF LAMAR. 2) DISCONNECTING OF ANY BLECTRICAL, PLUMBING, GAS LINES AREI NOT INCLUDED. 4) THIS BID DOES NOT INCLUDE BLOCKING ON CURBS WERE TAPERED SYSTEM: MY OCCUR. 6)IF ANY DAMAGED WOOD DECKING, FASCIA, MASONRY IS FOUND A REPLACEMENT CHARGE WILL BE: decking: $6.25 sq. Ft/masonry: time & material /f fascia: $7.25 per running ft We Propose hereby to furnish material and! labor- complete in accordance with aboves specifications, for the sum of: AS SHOWN. ABOVE Dollars ($ payment made as follows; UPON COMPLETION Tri dorplase TIM DOUGLASS 30 Days Allm materiali is guaranteed tol ben as specified. Allw workt tol be completed inn according tos standard practices. Any alterations ord devintion froms above specifications inyolvlng extrn Note: This proposal may be costsy willbee execuled mpaisakeT: and willl becomen na extra chnrge overn nada abovet ihe withdrawn estimate. Alin ngreements contingent upons strikes, necidents or delaysl beyond ourd control. Owner tocarry fire, tornndo ando other ecessary insurance. Oury workers aref fullye covered by Workmen's *upon muhul ASrement W Lols Jarkes Acceptance of Proposal- The above prices, specifiçations and conditions ares satisfactory and arel hereby accepted. You are authorizedi to do the work ass specified. Pavment will ber made as outlined above. manner Authorized Signature 912-23 - Date of Acceptance Signature. Signature_ by us if not accepted within Insurance. & DVDOUGL-01 AJANSEN DATE MM/DD/YYY) 7/20/2023 ACORD CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. Ifs SUBROGATION IS WAIVED, subject to the terms and conditions oft the policy, certain policies may require an endorsement. A statement on REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. this certificate does not confer rights to the certificate holder in lieu ofs such endorsement(s). PRODUCER Fee Insurançe Group, Inc. 2920 N. Plum St Hutchinson, KS 67502 INSURED CONTACT Beckie Blew PHONE (AIC,No, Ext): (620) AONEss. cens@leeinsurance.com INSURERA:A ACUITY INSURANCE COMPANY 259-8887 INSURERIS) AFFORDING COVERAGE 662-5415 NAIC# 14184 KC,e.(620) INSURER B: MIDWEST BUILDERS' CASUALTY MUTUAL COMPANY 13126 D.V. Douglass Roofing, Inc. P.O. Box 506 Garden City, KS 67846-0506 INSURERC: INSURERD D: INSURERE E: INSURERF: COVERAGES. INDICATED. INSR LTR CERTIFICATE NUMBER: ADDL/SUBR INSD WVD REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOT THE INSUREDI NAMED. ABOVE FOR THE POLICY NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TOA ALLT THE TERMS, PERIOD 1,000,000 500,000 10,000 1,000,000 3,000,000 3,000,000 1,000,000 EXCLUSIONS, AND CONDITIONS OF SUCHE POLICIES. LIMITS SHOWN MAY HAVE BEENF REDUCEDI BYF PAID CLAIMS. TYPE OFI INSURANCE A X COMMERCIAL GENERALI LIABILITY CLAIMS-MADE X OCCUR GEN'LA AGGREGATELIMIT, APPLIES PER: POLICY 5E8 OTHER: A AUTOMOBILE LIABILITY X ANYA AUTO OWNED AUTOS ONLY JTOSONLY X 9948 Broadnd A X UMBRELLAL LIAB X OCCUR EXCESS LIAB DED RETENTIONS B WORKERS COMPENSATION ANDE LIABILITY ANY OPETAPASTSBEACVINE Y/N, FFIÇERIMEMBERI EXCLUDED? (Mandatory InN NH) lfyes, describe under DESCRIPTION OFC OPERATIONS below POLICY NUMBER (MMIDDMYYY) POLICYEFF (MM/DDMYYY) POLICYEXP LIMITS EACHOCCURRENCE MED EXP (Any one person) $ PERSONAL &ADV INJURY GENERAL AGGREGATE PRODUCTS- COMP/OP AGG $ $ ÇOMBINED SINGLE LIMIT $ (Ea acciden!) $ (Per person) BODILY INJURY (Per accident) $ (Peraccident) PROPERTY PAMAGE FACHOCCURRENCE XEFAUTE OTH E.L.E EACHACCIDENT E.L. DISEASE -EAE EMPLOYEE $ E.L. DISEASE -POLICYLIMIT ZP8440 1/1/2023 1/1/2024 DAMAGE PREMISES TO5 (Fac RENTED occurrence) $ LOC SCHEDULED AUTOS NGNGMNER CLAIMS-MADE ZP8440 1/1/2023 1/1/2024 BODILYI INJURY 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 ZP8440 1/1/2023 1/1/2024 AGGREGATE 1/1/2023 1/1/2024 WC1000041222023A NIA DESCRIPTION OFC OPERATIONS/LOCATONS. /VEHICLES (ACORD1 101,A Additional Remarks Schedule, may! be attachedi ifr more spacei is required) CERTIFICATE HOLDER CANCELLATION SHOULD. ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Prowers County 301 SI Main Street Lamar, CO 81052 ACCORDANCE WITHT THE POLICY PROVISIONS. AUTHORIZED, REPRESENTATIVE CAwlo ACORD 25 (2016/03) 01988-2015. ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD PROWERS COUNTY AGENDA ITEM REQUEST FORM Hearing Date Requested: September 26, 2023 Submitter: Meagan Hillman Submitted to the County Administration Office on: 09/20/2023 Return Originals to: Meagan Hillman, PCPHE Number of originals to return to Submitter:1 Contract Due Date: upon approval Item Tite/Reommended Board Action: Consider approval of Contract Amendment #2, 24 QAAA 185647 to Original Contract No. 22 IHIA 17453 total amount $300,000.00, contract to expire September 29,2024 and authorizing Public Health Director, Meagan Hillman to execute the document electronically. Justification or Background: Funding for working with The Cornerstone Resource Center. This will be year 3 ofthis grant. Fiscal Impact: Thisi item is budgeted in the following account code: County: $ Federal: $ State: $ Other: $ Approved by the County Attorney on: submitted to BOCC Agenda group 9/209 am Additional Approvals (if required): PLEASE. ATTACH THIS SHEET TO. ALL AGENDAITEMS WHEN SUBMITTINGTO COUNTY ADMINISTRATION. THANK YOU! DocuSign Envelope ID: EB9F5474-F17C-4B26-8123-FE1D0989FF06 COLORADO Department ofE Early Childhood CONTRACT AMENDMENT #2 SIGNATURE AND COVER PAGE State Agency Colorado Department of] Early Childhood 710 S. Ash Street Denver, CO 80246 Contractor Prowers County Public Health and Environment 1001 S. Main Street Lamar, CO 81052 Current Contract Maximum Amount Initial Term Federal Fiscal Year 2022 Federal Fiscal Year 2023 Extension Terms Federal Fiscal Year 2024 Original Contract Number 22 IHIA 174583 Amendment Contract Number 24QAAA 185647 June2,2022 Contract Performance Beginning Date Current Contract Expiration Date September 29, 2024 $100,000 $100,000 $100,000 $300,000 Total for AlI State Fiscal Years Signature Page begins on next page * Amendment Contract] Number: 24QAAA 185647 Page 1of4 CDEC V.2 Rev. 07/08/2022 DocuSign Envelope ID: EB9F5474-F17C-4B26-8123-FE1D0989FF06 COLORADO Department of Early Childhood CONTRACTOR THE PARTIES HERETO HAVE EXECUTED THIS AMENDMENT Eachj person signing this Amendment represents and warrants that he or shei is duly authorized to executei this Amendment and to bind the Party authorizing his or hers signature. STATEOF COLORADO Jared Polis, Governor Colorado Department of Early Childhood Lisa Roy, Ph.D., Executive Director Prowers County Public Health and Environment By: Meagan LI Hillman PA-C, MBA, Public Health Director By: Lisa Castiglia, Interim CFO/Director of Finance Operations Date: Date: Ina accordance with $24-30-202 C.R.S., this Amendment isi not valid until signed and dated below by the State Controller or an authorized delegate. STATE CONTROLLER Robert. Jaros, CPA, MBA,JD By: Andrea Eurich/Toni Williamson. /Laura Curnow Amendment Effective Date: Signature and Cover Pages End = Amendment Contractl Number: 24 QAAA 185647 Page 2 of4 CDEC V.21 Rev. 07/08/2022 DocuSign Envelope ID: EB9F5474-F17C-4B26-8123-FE1D0989FF06 COLORADO Department ofE Early Childhood PARTIES State. 2. TERMINOLOGY This Amendment (the "Amendment") to the Original Contract shown on the Signature and Cover Page for this Amendment (the "Contract") is entered into by and between the Contractor, and the Except as specifically modified by this Amendment, all terms used in this Amendment that are defined in the Contract shall be construed and interpreted in accordance with the Contract. 3. AMENDMENT EFFECTIVE DATEA AND' TERM A. Amendment Effective Date This Amendment shall not be valid or enforceable until the Amendment Effective Date shown on the Signature and Cover Page for this Amendment. The State shall not be bound by any provision ofthis Amendment before that Amendment Effective Date, and shall have no obligation to pay Contractor for any Work performed or expense incurred under this Amendment either before or after ofthe Amendment term shown in $3.B ofthis Amendment. The Parties' respective performances under this Amendment and the changes to the Contract contained herein shall commence on the Amendment Effective Date shown on the Signature and Cover Page for this Amendment or September 30, 2023, whichever is later, and shall B. Amendment Term terminate on the termination oft the Contract. 4. PURPOSE The project shall create the conditions necessary for all families to thrive in five counties in Colorado where a significant portion of the population is impacted by disparities in the social determinants of health. Through the project, CDEC and project partners shall shift focus from a reactive child protection system to an intentional coordinated primary prevention system CO- designed with communities and families, including those with lived child welfare expertise.This Amendment #2 extends the Contract Expiration Date, increases funds for FFY24 services, and amends Exhibits A, B, D: and E. 5. MODIFICATIONS The Contract and all prior amendments thereto, ifany, are modified as follows: A. Extend the Contract Expiration Date from September 29, 2023 to September 29, 2024. The Contract Initial Contract Expiration Date on the Contract's Signature and Cover Page is hereby deleted and replaced with the Current Contract Expiration Date shown on the B. Increase the Contract Amount for FFY24 by $100,000 and Increase the Maximum The Contract Maximum Amount table on the Contract's Signature and Cover Page is hereby deleted and replaced with the Current Contract Maximum Amount table shown on the Signature and Cover Page for this Amendment. Amount for All Federal Fiscal Years from $200,000 to $300,000. Signature and Cover Page for this Amendment. Amendment Contract Number: 24 QAAA 185647 Page 3of4 CDEC V.21 Rev. 07/08/2022 DocuSign! Envelope ID: B9F5474-F17C-4B26-8123-FE1D0989FF06 COLORADO Department ofE Early Childhood C. Exhibit A - Statement of Work Exhibit A -Amendment #2, which is attached and incorporated by this Amendment, shall be added to Exhibit A oft the Original Contract. D. Exhibit B - Budget Exhibit B - Amendment #2, which is attached and incorporated by this Amendment, shall be added to Exhibit B oft the Original Contract. E. Exhibit D - Additional Provisions Exhibit D - Amendment #2, which is attached and incorporated by this Amendment, shall replace Exhibit D -A Amendment #1 oft the Original Contract. F. Exhibit E - Supplemental Provisions for Federal Awards Exhibit E-Amendment #2, which is attached and incorporated by this Amendment, shall be added to Exhibit E ofthe original Contract. 6. LIMITS OF EFFECTA AND ORDER OF PRECEDENCE This Amendment is incorporated by reference into the Contract, and the Contract and all prior amendments or other modifications to the Contract, ifa any, remain in full force and effect except as specifically modified in this Amendment. Except for the Special Provisions contained in the Contract, in the event of any conflict, inconsistency, variance, or contradiction between the provisions oft this Amendment and any oft the provisions oft the Contract or any prior modification to the Contract, the provisions of this Amendment shall in all respects supersede, govern, and control. The provisions of this Amendment shall only supersede, govern, and control over the Special Provisions contained in the Contract to the extent that this Amendment specifically modifies those Special Provisions. Amendment Contract Number: 24 QAAA 185647 Page 4 of4 CDEC V.2 Rev. 07/08/2022 DocuSign Envelope ID: EB9F5474-F17C-4B26-8123-FE1D0989FF06 ExhibitB COLORADO Departmento olEarlyChildhood Colorado Department of Early Childhood BUDGET WITHJ JUSTIFICATION FORM Program Contact Name, Title Phone Email Fiscal Contact Name, Title Phone Email Meagan Hillman 719-336-8721 mhimneouecnvnst Reynal Perez 719-336-8721 psphearcountanteprowerscounty.ner Contractor Name Prowers County Department ofF Public Health& Environment September 30, 2023- September 29, 2024 COF Familys Support through Primary Prevention (FSPP) Demonstration: Site Budget Period Project Name Expenditure Categories Personne!: Services Salaried Employees FFV2024 Total Amount $0 $0 FFY2024 Total Amount Requested from CDEC $96,170 $96,170 FFY2024 Total Amount Requested from CDEC $0 $0 FFV2024 Total Amount Requested from CDEC $0 $0 $0 $0 $0 $0 $0 $96,170 $25,000 Number of Percent of Months on Time on Project Description ofv Work and Fringe Benefits Include: Noc costs int this categorys shall ber reimbursed byCDEC Gross or Annual Salary Fringe Position1 Title Project Requested from CDEC Total Personnel Services (including fringe benefits) Contractor/Consutants (payments to third parties or entities) Name Center Description of Item The Cornerstone! Resource Providingp progra ami implementation: & support ofFSPPa as pers SOW Total ContractoryConsutants Travel Item Description ofl Item No costs int this category shall ber reimbursed byCDEC Total Travel Supplies & Operating Expenses Item Description ofl Item No costs int this category shall ber reimbursed by CDEC Nocostsi int this categorys shall ber reimbursed! byCDEC Subtotal Items Excludedf from MTDC: (Rental costs, tuition, chohar:hip/elowships, participant support, equipment, capitale expenditures) Subtotal Items removed from MTDC Total Supplies & Operating Expenses Training and Technical Assistance FFY2 2024 Total Amount Requested from CDEC Item Description ofl Item No costs int this categorys shall ber reimbursed by CDEC Total Training and1 Technical Assistance MODIFIED TOTALI DIRECT COSTS (MTDC) TOTAL DIRECT COSTS Uniform Guidance 52 200.68- MTDCI means alld directs salaries andy wages, applicable fringe benefits, materials ands supplies, services, travel, and upt tot thef first $25,000 ofe eachs subaward. MTDCE excludes equipment, capitale expenditures, charges for patient care, rental costs, tuitionr remission, scholarships: and Inot to exceed1 10% unless Negotiated Federal Indirect Cost rate or Negotiated Statel Indirect Cost ratei is attached) fellowships, participants support costs andt thep portion ofe eachs subawardi ine excess of$ $25,000. Indirect Costs FFV2024 Total Amount Requested from CDEC Item Description ofl Item State Indirecto costrate Prowers County indirectrate 15.32% $3,830 $3,830 $100,000 Total Indirect TOTAL *Figures arer rounded usingh basica accounting standards. 00049-0905909-10 Pagelof1 Rev2 2/15/2023 DocuSign Envelope ID: EB9F5474-F17C-4B26-8123-FE1D0989FF06 COLORADO Department of Early Childhood Exhibit D - Amendment #2 ADDITIONAL PROVISIONS 1. SERVICE PROVISIONS The Contractor shall provide the services according to the plans submitted int the "Statement of Work", attached and incorporated herein by this reference as EXHIBIT A. In all cases, the descriptions, plans, timetables, tasks, duties, and responsibilities ofthe Contractor as described in the Statement of Work, shall be adhered to in the performance of the requirements oft this contract. In the event ofa conflict, the terms and conditions ofthis contract shall control over the Statement of Work. Any significant changes to the Statement of Work (SOW) require an amendment to the contract. 2. GOALS AND OBJECTIVES The Contractor shall be responsible for the achievement ofany goals and objectives as specified within the Statement of Work (EXHIBIT A) ofthis contract unless written notice of any modifications are furnished by the State to the Contractorallowing: adequate time for compliance during the term oft this contract. 3. COPY OF SUBCONTRACT Representative upon execution. The Contractor shall provide to the State a copy ofa any executed subcontract between the Contractor and any provider ofservices to fulfill any requirements oft this contract. Subcontracts shall be emailed to the Contract 4. PAYMENT Inc consideration of the provision ofs services and reporting and subject to all payment and price provisions and further subject to verification by the State of full and satisfactory compliance with the terms ofthis contract, the State shall pay to the Contractor an amount not to exceed the amount specified in the Budget (EXHIBIT B), of A. The Contractor shall submit requests for payment to CDEC Invoicing@satecous no less than monthly this contract. on forms prescribed and provided by the State. B. Payment shall be made on a cost reimbursement basis fors services rendered. C. Itis understood any vacancy savings in the personnel category and/or any savings in any other category shall require written approval from the State prior to any redistribution ofany savings by the Contractor, ANY COST SAVINGS THAT. ARE REDISTRIBUTED BY CONTRACTOR WITHOUT WRITTEN D. ITI IS UNDERSTOOD ANY COSTS THAT EXCEED THE CONTRACTED AMOUNT SHALL NOT BE: PAID BY CDEC. IfContractor has a legitimate need for additional funds, the Contractor shall request additional funds from the CDEC 60 days prior to projected depletion of contracted funds. CDEC shall review each request and notify Contractor in writing of approval or denial. Approval ofadditional funds shall require an official modification to the Contract by Amendment or Option Letter. E. Timely Invoicing - Invoices shall be submitted no later than 30 days following the last day ofthe month. Final invoices for services provided in September shall be submitted no later than 30 days following the F. The Contractor shall maintain source documentation to support all payment requested pursuant to this contract. All source documentation shall be provided to the State by the Contractor upon request. APPROVAL SHALL NOT BE REIMBURSED BYT THE STATE. last day ofthe month. DocuSign Envelope ID: EB9F5474-F17C-4B26-8123-FE1D0989FF06 COLORADO Department ofEarly Childhood Exhibit D - Amendment #1 . Itisu understood that the State reserves the right to offset funds pursuant to this contract based on the discovery ofoverpayment or improper use ofi funds by the Contractor. Overpayment or improper use of funds is interpreted to apply to specific terms ofp prior year contracts, and includes without limitation requirements oft the Generally Accepted Accounting Principles (GAAP) issued by the. American Institute ofCertified Public Accountants, and applicable sections ofthe Colorado Revised Statutes. H. The State shall review monthly invoices throughout the fiscal year. If, after a number of months, the State determines the Contractor is not needing/using the funding allocated for the Contractor's work int the Contract, the State shall remove these funds from the contract budget by Option Letter for a proportional reduction ofs services with prior written notification to the Contractor. This provision does not allow fora reduction in the rate of pay. S.PARTICIPATION The Contractor representative(s) is required to participate in any Department of Barly Childhood sponsored meetings related to this contract. 6.SUPPLANTING Payments made to the Contractor under this contract shall supplement and not supplant other state, local or federal expenditures for services associated with this contract. 7.1 BUDGET CHANGES Contractor may request in writing adjustments to the direct costs in the current year budget (EXHIBIT B) not toe exceed 10% oft the total budget. Requests shall be made ini the form ofa written budget revision request to the appropriate program staff. Written approval for the budget revision shall be required prior to any changes to the budget related to the budget revision request. The total dollar amount oft the contract budget cannot be changed as a result oft the budget revision request. Budget adjustment requests over 10%, adding new expense lines, and/or changes to the total dollar amount oft the budget require a formal amendment. No adjustments to Contractor may request in writing up to a 5% increase to the "Gross or Annual Salary" ofa an individual employee ifay position currently listed in the contract becomes vacant and the new incoming employee shall be hired at a higher or lower salary. No increase within the salary range is authorized without prior written approval from CDEC. Adding additional staff requires an amendment to the contract. Vacancy savings cannot be used to change salary amounts for existing personnel without an amendment. Any change to personnel requires prior written approval from CDEC. staff. This process shall never change the Contract Maximum Amount. Contractor must use available unused funds from either vacancy savings or another category within the contract. The revision request may not at any time compromise the integrity oft the funded program as the Indirect Costs portion oft the budget are allowable without a formal amendment. determined by CDEC program staff. 8. TRAVEL costs. Travel costs must be listed in Exhibit B - Budget under travel including airfare, hotel, mileage and per diem A. Mileage shall not exceed the Federal mileage rate per ntpsy/wwwgsa.gov/tavel-resources B. Per Diem shall not exceed Federal GSA per diem rates for the area oft travel per tpsy/wwwpsagov/ravel-resources, Page 2of4 Revision Date 03/01/2023 DocuSign Envelope ID: EB9F5474-F17C-4B26-8123-FE1D0989FF06 COLORADO Department ofEarly Childhood Exhibit D-A Amendment #1 C. Hotel rates cannot exceed any rate established for conference attendance, D. Usage ofa airfare or Out of State Travel requires pre-approval from CDEC. 9. SUBRECIPIENT Contractors determined to be a Sub-recipient of federal funds shall complete the sub-recipient performance report and assessment survey at: tps/fomsgleoIXGFAbvpymdsids upon contract execution. Failure to complete the performance report and assessment survey shall delay payment to the Contractor. 10. CRITICAL INCIDENT REPORTING Within 48 hours oft the occurrence ofa critical incident involving any child or family and/or an on duty agency staff member ofa any family support program staff funded through the Department of Early Childhood (CDEC), the agency must report in writing the details oft the critical incident to the CDEC Program Manager for the involved family support program. Critical incidents may include, but are. not limited to, awareness ofan egregious incident of abuse and/or neglect, near fatality, or fatality of any child currently enrolled in a family support program; involuntary termination ofa program staff's employment; criminal allegations involving program staff and related tol his/her employment; negative media attention about the family support program; any major injury or threat to the security ofa an agency staff member while on duty and visiting an enrolled child orf family. 11. MANDATED REPORTING A. All program staff are required by law to report suspected child abuse and neglect. Mandatory reporters must report suspected child abuse and neglect tot the local county child welfare agency, the local law enforcement agency, or by calling the child abuse reporting hotline system at -844-CO-4KIDS (1-844- B. All program staffare required to take the online mandatory reporter training on the Colorado Department ofHuman Services (CDHS) Child Welfare Training System: tps/www.coloradocows.com/mandated. 264-5437). reporter-training. 12. GIFT CARDS The Distribution ofGift Cards, where applicable, shall adhere to the following: A. The contractor agency must have a written Gift Card Distribution Policy in place and this plan must be approved by the Department ofE Early Childhood before gift cards may be purchased. The policy must include maintaining an audit log ofg gift card purchases and disbursements and aj process for B. The contractor agency's gift card policy must ensure that gift cards cannot be redeemed for cash and must restrict the recipient from using gift cards for alcohol, firearms, tobacco, lottery tickets, or .Gift Cards must be distributed to recipients within five (5) business days of purchase. D. Gift Cards should be given at the conclusion of an event or upon completion ofa an activity or routine reconciliations. entertainment. milestone. Page 3 of4 Revision Date 03/01/2023 DocuSign Envelope ID: B9F5474-F17C-4B26-8123-FE1D0989FF06 COLORADO Department ofE Early Childhood Exhibit D-Amendment: #1 E. Contractor agency staff shall have recipients sign ai form that includes the following: Date, Name of Gift Card Recipient, Purpose ofGift Card, Signature ofGift Card recipient acknowledging receipt of F. The contractor cannot request reimbursement for the cost of gift cards until distribution oft the gift cards has been made to recipients. Additionally, the contractor must maintain adequate documentation to show a record ofall gift card distributions. G. The contractor shall be held responsible fori inappropriate use of gift cards. Gift Card and Gift Card Amount. Page 4 of4 Revision Date 03/01/2023 DocuSign Envelope ID: COLORADO Department ofE Early Childhood ExhibitE E-A Amendment #2 EXHIBITE-/ Amendment #2- Supplemental Provisions for Federal Awards For the purposes of this Exhibit only, Contractor is also identified as "Subrecipient." This Contract has been funded, in whole or inj part, with an award of Federal funds. In the event ofac conflict between the provisions oft these Supplemental Provisions for Federal Awards, the Special Provisions, the Contract or any attachments or exhibits incorporated into and made aj part ofthe Contract, the Supplemental Provisions for Federal Awards shall control. In the event ofa conflict between the Supplemental Provisions for Federal Awards and the FFATA Supplemental Provisions (ifa any), and/or exhibit regarding SLFRF Federal Provisions, thet terms re FFATA and/or SLFRF shall control. Ifthes source ofthei funding oft the Contract is a grant, these Federal Provisions are subject to the Award as defined in $2 of these Federal Provisions, as may be revised pursuant to ongoing guidance from the relevant Federal or State of Colorado agency or institutions of higher education. Federal Award Identification Subrecipient: Prowers County Public Health and Environment; ii. Subrecipient Unique Entity Identifier (UEI) number: Y8C4HSXY95M6 iii. The Federal Award Identification Number (FAIN) is 90CT7014; iv. The Federal award date is. June 6, 2022 V. Thes subaward period ofp performance start date is September. 30, 2021 and end date is September 29, 2026; vi. Federal Funds: Contract or Amount of Federal funds Total amount of Federal Total amount of the Fiscal Year obligated by this Contract funds obligated to the Federal Award committed tos Subrecipient by CDEC $100,000 Subrecipient $100,000 FFY2 2024 $100,000 vii. Federal award project description: Family Support through Primary Prevention (FSPP) viii. The name of the Federal awarding agency is Department of] Health and Human Services Administration for Children and Families; the name oft the pass-through entity is the State ofColorado, Department of Early Childhood (CDEC); and the contact information for the awarding official is Kendra Dunn, Director, Division of Community and Family Support; kemdr2Dmmaiatecous 303-866-5769 ix. The Catalog of Federal Domestic. Assistance (CFDA) number is 93.648, Child Welfare Services Training xi. The indirect cost rate for the Federal award (including ift the de minimis rate is charged per 2 CFR $200.414 Indirect (F&A) costs) is pre-determined based upon the State of Colorado and CDEC cost allocation plan. 2) All requirements imposed by CDEC on Subrecipient so that the Federal award is used in accordance with Federal statutes, regulations, and the terms and conditions oft thel Federal award, are stated in General Provisions, Exhibit A- 3) Any additional requirements that CDEC imposes on Subrecipient for CDEC to meet its own responsibility to the Federal awarding agency, including identification of any required financial and performance reports, are stated in General Provisions, Exhibit A - Statement of Work and Exhibit D - Additional Provisions. 5) Subrecipient must permit CDEC and auditors to have access to Subrecipient's records and financial statements as necessary for CDEC to meet the requirements of2 CFR $200.331 Requirements for pass-through entities, $8 200.300 Grants, and dollar amount is $750,000.00; X. This award is not for research & development; Statement of Work and Exhibit D - Additional Provisions. 4) Subrecipientsaproved indirect cost rate is CDEC negotiated rate 15.32%. Supplemental Provisions for Federal. Awards Page 1of10 V2/(07-08-2022) DocuSign Envelope ID: EB9F5474-F17C-4B26-8123-FE1D0989FF06 COLORADO Department ofE Early Childhood Exhibit E- Amendment #2 Statutory and National Policy Requirements through $200.309 Period ofp performance, and Subpart F-Audit The appropriate terms and conditions concerning closeout of the subaward are listed in Section 16 oft this Exhibit and General Provisions, Exhibit A - Statement of Work and Exhibit D - Additional Provisions. 7) Performance and Final Status. Subrecipient shall submit all financial, performance, and other reports to CDECno later than 30 calendar days after the period of performance end date or sooner termination ofthis Contract containing an evaluation and review of Subrecipient's performance and the final status of Subrecipient's obligations hereunder. Requirements of this Part. Matching Funds 1. ii. Ifal box below is checked, the accompanying provision applies. Subrecipient is not required to provide matching funds. Subrecipient shall provide matching funds as stated in N/A. Subrecipient shall have raised the full amount of matching funds prior tot thel Effective Date and shall report to CDEC: regarding the status ofs such funds upon request. Subrecipient's obligation to pay all or any part of any matching funds, whether direct or contingent, only extends toi funds duly and lawfully appropriated for the purposes oft this Contract by the authorized representatives oft the Subrecipient and paid into the Subrecipient's treasury or bank account. Subrecipient represents to CDEC that the amount designated as matching: funds has been legally appropriated for the purposes oft this Contract by its authorized representatives and paid into its treasury or bank account. Subrecipient does not by this Contract irrevocably pledge present cash reserves for payments in future fiscal years, and this Contract is not intended to create a multiple-fiscal year debt oft the Subrecipient. Subrecipient shall not pay or be liable for any claimed interest, late charges, fees, taxes or penalties of any nature, except as required by Subrecipient's laws or policies. 1. DEFINITIONS. 1.1. For the purposes of these Federal Provisions, the following terms shall have the meanings ascribed to them 1.1.1. "Award" means an award of Federal financial assistance, and the Contract setting forth the terms and conditions oft that financial assistance, that ai non-Federal Entity receives or administers. below. 1.1.1.1.1. 1.1.1.1.2. 1.1.1.1.3. 1.1.1.1.4. 1.1.1.1.5. 1.1.1.1.6. 1.1.1.1.7. 1.1.1.1.8. 1.1.1.1.9. Awards may be ini the form of: Grants; Contracts; (15U.S.C. 3710); Loans; Loan Guarantees; Subsidies; Insurance; Food commodities; Cooperative Contracts, which do not include cooperative research and development Contracts (CRDA) pursuant to thel Federal Technology Transfer. Act of 1986, as amended 1.1.1.1.10. Direct appropriations; 1.1.1.1.11. Assessed and voluntary contributions; and 1.1.1.1.12. Other financial assistance transactions that authorize the expenditure of Federal funds by non-Federal Entities. Supplemental Provisions for Federal. Awards Page 2of10 V2/(07-08-2022) DocuSign Envelope ID: EB9F5474-F17C-4B26-8123-FE1D0989FF06 COLORADO Department ofEarlyo Childhood Exhibit E- Amendment #2 1.1.1.1.13. Any other items specified by OMB in policy memoranda available at the OMB website or other source posted by the OMB. Award does noti include: isc called a grant; 1.1.1.2. 1.1.1.2.1. 1.1.1.2.2. 1.1.1.2.3. 1.1.1.2.4. Technical assistance, which provides services in lieu ofmoney; A transfer oftitle tol Federally-owned property providedi in lieuofmoney; eveni ifthe award Any award funded in whole or inj part with Recovery funds, as defined in section 1512 of the American Recovery and Reinvestment Act (ARRA) )of2009 (Public Law 111-5). Any award classified for security purposes; or 1.1.2. "Contract" means the Contract to which these Federal Provisions are attached and includes all Award types 1.1.3. "Contractor" means the party or parties to a Contract funded, in whole or in part, with Federal financial assistance, other than the Prime Recipient, and includes grantees, subgrantees, Subrecipients, and borrowers. For purposes ofTransparency Act reporting, Contractor does not include Vendors. 1.1.4. "Data Universal Numbering System (DUNS) Number" means the nine-digit number established and assigned by Dun and Bradstreet, Inc. to uniquely identify a business entity. Dun and Bradstreet's website in $ oft this Exhibit. may be found at: plegpamhomeiem. 1.1.5. "Entity" means: 1.1.5.1. Ifthes source of funding is a Grant: 1.1.5.1.1. aNon-Federal Entity; 1.1.5.1.2. a foreign public entity; 1.1.5.1.3. a foreign organization; 1.1.5.1.4. an non-profit organization; 1.1.5.1.5. a domestic for-profit organization (for 2 CFR parts 25 and 170 only); 1.1.5.1.6. a foreign non-profit organization (only for 2 CFR part 170) only); 1.1.5.1.7. a Federal agency, but only as a Subrecipient under an Award or Subaward to a 1.1.5.1.8. ai foreign for-profit organization (for 20 CFR part 170 only). 1.1.5.2.1. allofthe following as defined at 2 CFR part 25, subpart C; non-Federal entity (or 2 CFR 200.1);or Ifthe source of funding is not a Grant: 1.1.5.2. 1.1.5.2.2. A governmental organization, which isa State, local government, or Indian Tribe; 1.1.5.3. ai foreign public entity; 1.1.5.4. a domestic or foreign non-profit organization; 1.1.5.5. a domestic or foreign for-profit organization; and 1.1.5.6. al Federal agency, but only a Subrecipient under an Award or Subaward to a non- Federal entity. 1.1.6. "Executive" means an officer, managing partner or any other employee in a management position. 1.1.7. Ifthe source of funding is a Grant, "Federal Awarding Agency" means a Federal agency providing a Federal Award to al Recipient as deseribedin2CFR2 200.1.Ifthe source of fundingi is not a Grant, "Federal Supplemental Provisions for Federal Awards Page 3 of1 10 V2( (07-08-2022) DocuSign Envelope ID: B9F5474-F17C-4B26-8123-FE1D0989FF06 COLORADO Department ofE Early Childhood Recipient. Act." Exhibit E-A Amendment #2 Award dentification Number (FAIN)" means an Award number assigned by al Federal agency to a Prime 1.1.8. "FFATA'means thel Federal Funding Accountabilityand' Transparency Act of2006 (Public Law 109-282), asamended by 2U2oraliçlav/10252 FFATA, as amended, alsoi is referred to as the "Transparency 1.1.9. "Federal Provisions" means these Federal Provisions subject to the Transparency Act and Uniform Guidance, as may be revised pursuant to ongoing guidance from the relevant Federal or State ofColorado 1.1.10. Ifthe source of funding is a Grant, "Grant" as used herein is the Contract to which these Federal Provisions 1.1.11. "Grantee" means the party or parties identified as such in the Grant to which these Federal Provisions are 1.1.12. "Non-Federal Entity means a State, local government, Indian tribe, institution of higher education, or nonprofit organization that carries out al Federal Award as al Recipient or a Subrecipient. 1.1.13. "Nonprofit Organization" means any corporation, trust, association, cooperative, or other organization, not agency or institutions ofhigher education. are attached. attached ift the source of funding is a Grant. including IHES, that: 1.1.13.1. Is operated primarily for scientific, educational, service, charitable, or similar purposes int the 1.1.13.3. Uses net proceeds to maintain, improve, or expand the operations of the organization. public interest; 1.1.13.2. Is not organized primarily for profit; and 1.1.14. "OMB" means the Executive Office of the President, Office of Management and Budget. 1.1.15. "Pass-through Entity" means a non-Federal Entity that provides a Subaward to a Subrecipient to carry out 1.1.16. "Prime Recipient" means a Colorado State agency or institution of higher education that receives an Award, or, oft thes source of funding is a Grant it is that agency or institution identified as the Grantor in the Grant 1.1.17. "Subaward" means an award by al Prime Recipient toa a Subrecipient funded in whole ori inj part by al Federal Award. The terms and conditions oft the Federal Award flow down toi the Subaward unless the terms and conditions of the Federal Award specifically indicate otherwise in accordançe with 2 CFR 200.101 or 2 CFR200.38, as applicable. Thei term does noti include payments to a contractor or payments toa anindividual 1.1.18. "Subrecipient" or, ifthes source offunding is a Grant, "Subgrantee" meansa at non-Federal Entity (or al Federal agency under an Award or Subaward to a non-Federal Entity) receiving Federal funds through a Prime Recipient to support the performance of the Federal project or program for which the Federal funds were awarded. A Subrecipient is subject tot thet terms and conditions oft the Federal Awardi toi thel Primel Recipient, including program compliance requirements. The term "Subrecipient" includes and may be referred to as Subgrantee. The term does not include an individual whoi is a beneficiary ofai federal program. 1.1.19. "Subrecipient Parent DUNS Number" means the: subrecipient parent organization's 9-digit Datal Universal Numbering System (DUNS) number that appears in the subrecipient's System for Award Management 1.1.20. "System for Award Management (SAM)" means the Federal repository into which an Entity must enter the information required under the Transparency Act, which may be found at htplvww.sam.gov. 1.1.21."Total Compensation" means the cash and noncash dollar value earned by an Executive during the Prime Recipient's or Subrecipient's preceding fiscal year (see 48 CFR 52.204-10, as prescribed in 48 CFR part ofal Federal program. to which these Federal Provisions are attached. that is al beneficiary ofal Federal program. (SAM) profile, ifapplicable. 4.1403(a), as applicable) and includes the following: Supplemental Provisions for Federal Awards Page 4of 10 V2/(07-08-2022) DocuSign Envelope ID: B9F5474-F17C-B26-8123-FE1D0989FF06 COLORADO DepartmentofEarty Childhood 1.1.21.1. Exhibit E-A Amendment #2 Salary and bonus; 1.1.21.2. Awards of stock, stock options, and stock appreciation rights, using the dollar amount recognized for financial statement reporting purposes with respect to the fiscal year in accordance with the Statement of Financial Accounting Standards No. 123 (Revised 2005) hospitalization or medical reimbursement plans that do not discriminate in: favor ofl Executives Change inj present value ofdefined benefit and actuarial pension plans; Above-market earnings on deferred compensation which is not tax-qualified; termination payments, value of life insurance paid on behalf of the employee, perquisites or (FAS 123R), Shared Based Payments; 1.1.21.3. Earnings for services under non-equity incentive plans, not including group life, health, and are available generally to all salaried employees; 1.1.21.4. 1.1.21.5. 1.1.21.6. Other compensation, if the aggregate value of all such other compensation (e.g., severance, property) fort the Executive exceeds $10,000. 1.1.22. Transparency Act" means the Federal Funding Accountability and Transparency. Act of2006 (PublicLaw 109-282), as amended by $6202 of Public Law 110-252. The Transparency Act may also be referred to as 1.1.23. "Uniform Guidance" means the Office ofManagement and Budget Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards, which, unless thes source offundingi isaGrant, supersedes requirements from OMB Circulars A-21, A-87, A-110, and A-122, OMB Circulars A-89, A- 102, and A-133, and the guidance in Circular A-50 on Single Audit Act follow-up. The terms and conditions of the Uniform Guidance flow down to Awards to Subrecipients unless the Uniform Guidance 1.1.24. "Vendor" means a dealer, distributor, merchant or other seller providing property or services required fora project or program funded by an Award. A Vendor is not al Prime Recipient or a Subrecipient and is not subject to the terms and conditions of the Federal award. Program compliance requirements do not pass FFATA. or the terms and conditions of the Federal Award specifically indicate otherwise. through to a Vendor. 2. COMPLIANCE. 2.1. Contractor/Grantee shall comply with all applicable provisions of the Transparency Act and the regulations issued pursuant thereto, all applicable provisions of the Uniform Guidance, including, but not limited to, all applicable Federal Laws and regulations required by this Federal Award. Any revisions to such provisions or regulations shall automatically become aj part of these Federal Provisions, without the necessity ofe either party executing any further instrument. The State of Colorado, at its discretion, may provide written notification to Contractor/Grantee ofs such revisions, but such notice: shall not be a condition precedent to the effectiveness of such revisions. REQUIREMENTS. 3. SYSTEM FORA AWARD MANAGEMENT (SAM). ANDI DATA UNIVERSALNUMBERING: SYSTEM(DUNS) 3.1. SAM. Contractor/Grantee shall maintain the currency ofi its information in SAM until the Contractor/Grantee submits the final financial report required under the Award or receives final payment, whichever is later. Contractor/Grante: shall review and update SAMi information: at least annually after thei initial registration, and 3.2. DUNS. Contractor/Grante: shall provide its DUNS number to its Prime Recipient, and shall update ContractorsGrantee's information in Dun & Bradstreet, Inc. at least annually after the initial registration, and more: frequently ifrequired by changes in its information. more frequently ifrequired by changes in Contractor's/Grantee's: information. 4. TOTALCOMPENSATION. Supplemental Provisions for Federal Awards 4.1. Contractor/Grantee shall include Total Compensation in SAM for each of its five most highly compensated Executives for the preceding fiscal year if: Page! 5of10 V2( (07-08-2022) DocuSign Envelope ID: EB9F5474-F17C-4B26-8123-FE1D0989FF06 COLORADO Department ofE Early Childhood Exhibit E- Amendment #2 4.1.1. The total Federal funding authorized to date under the Award is $30,000 or more ift the source of funding isa Grant, or otherwise $25,000 or more ifthes source ofi funding is not a Grant; and 4.1.2. Int the preceding fiscal year, Contractor/Grantee received: 4.1.2.1. 80% or more ofi its annual gross revenues from Federal procurement contracts and subcontracts 4.1.2.2. $30,000,000 or more in annual gross revenues from Federal procurement contracts and and/or Federal financial assistance Awards or Subawards subject to the Transparency Act; and subcontracts and/or Federal financial assistance Awards or Subawards subject to the Transparency Act ift the source of funding is a Grant or otherwise $25,000,000 or morei in annual gross revenues from Federal procurement contracts and subcontracts and/or Federal financial assistance Awards or Subawards subject to the Transparency Acti if the source of funding is not a Grant; and periodic reports filed under section 13(a) or 15(d) of the Securities Exchange Act of 1934 (15 4.1.2.3. The public does not have access toi information about the compensation ofs such Executives through U.S.C. 78m(a), 78o(d) or $ 6104 ofthe Internal Revenue Code of 1986. 5. REPORTING. 5.1. IFContractor/Orante is a Subrecipient of the Award pursuant to the Transparency Act, Grantee shall report data elements to SAM and to the Prime Recipient as required in this Exhibit. No direct payment shall be made to Grantee for providing any reports required under these Federal Provisions and the cost of producing such reports shall be included in the Contract/Grant price. The reporting requirements in this Exhibit are based on guidance from the US Office of Management and Budget(OMB), and as such are subject to change at any time byOMB. Any such changes shall be automatically incorporated into this Contract/Grant and shall become part of ContractorsGrantee's: obligations under this Contract/Grant. EFFECTIVE DATE. AND DOLLAR THRESHOLD FOR: REPORTING. 6.1. Ifthes source of funding is a Grant, Reporting requirements in $8 below apply to new Awards as of October 1, 2010, if the initial award is $30,000 or more. Ift the initial Award is below $30,000 but subsequent Award modifications result in a total Award of$30,000 or more, the. Award is subject toi the reporting requirements as oft the date the Award exceeds $30,000. Ifthe initial Award is $30,000 or more, but funding is subsequently de-obligated such that the total award amount falls below $30,000, the Award shall continue to be subject to 6.2. Ifthes source of funding is not a Grant, Reporting requirements in $8 below apply to new. Awards as of October 1,2010, if the initial award is $25,000 or more. Ifthe initial Award is below $25,000 but subsequent Award modifications resulti ina a total Award of $25,000 or more, the Award iss subject tot the reporting requirements as of the date the Award exceeds $25,000. Ift thei initial Award is $25,000 or more, but funding is subsequently de-obligated such that the total award amount falls below $25,000, the Award shall continue to be subject to 6.3. The procurement standardsi in $8 below are applicable to new Awards made by Prime Recipient as ofDecember 26, 2015. The standards set forth in $10 below are applicable to audits of fiscal years beginning on or after the reporting requirements. the reporting requirements. December 26, 2014. 7. SUBRECIPIENT REPORTING REQUIREMENTS. 7.1. IrContractor/Grantee is a Subrecipient, Contractor/Grantee shall report as set forth below. 7.1.1. Tos SAM. A Subrecipient shall register in SAM and report the following data elements in SAM. for each Federal Award dentification Number (FAIN) assigned by al Federal agency to a Prime Recipient no later 7.1.1.2. Subrecipient DUNS Number if more than one electronic funds transfer (EFT) account; than the end of the month following the month in which the Subaward was made: 7.1.1.1. Subrecipient DUNS Number; 7.1.1.3. Subrecipient parent's organization DUNS Number; Supplemental Provisions for Federal Awards Page 6of10 V2( (07-08-2022) DocuSign Envelope ID: EB9F5474-F17C-4B26-8123-FE1D0989FF06 COLORADO Depuremtdlanychiot Exhibit E- Amendment #2 7.1.1.4. Subrecipient's address, including: Street Address, City, State, Country, Zip (+4ifsource of 7.1.1.5. Subrecipient's top 5 most highly compensated Executives if the criteria in $4 above are met; 7.1.1.6. Subrecipient's" Total Compensation oft top 5 most highly compensated Executives ift the criteria 7.1.2. To Prime Recipient. A Subrecipient shall report to its Prime Recipient, upon the effective date of the funding is a Grant or as otherwise directed per SAM directives for proper reporting), and Congressional District; and in $4 above met. Contract/Grant, the: following data elements: 7.1.2.1. Subrecipient's DUNS Number as registered in SAM. 7.1.2.2. Primary Place of Performance Information, including: Street Address, City, State, Country, Zip code +4, and Congressional District. 8. PROCUREMENT STANDARDS. 8.1. Procurement Procedures. A Subrecipient shall usei its own documented procurement procedures which reflect applicable State, local, and' Tribal laws and applicable regulations, provided that the procurements conform to applicable Federal law and the standards identified in the Uniform Guidance, including without limitation, 2 8.2. If the source of funding is a Grant: Domestic preference for procurements (2 CFR 200.322). As appropriate and to the extent consistent with law, the non-Federal entity should, to the greatest extent practicable undera Federal award, provide a preference for the purchase, acquisition, or use of goods, products, or materials produced in the United States (including but not limited to iron, aluminum, steel, cement, and other manufactured products). The requirements of this section must be included in all subawards including all 8.3. Procurement ofl Recovered Materials. Ifa Subrecipient is a State Agency or an agency ofap political subdivision ofthe State, its contractors must comply with section 6002 oft the Solid Waste Disposal Act, as amended by the Resource Conservation and Recovery Act. The requirements of Section 6002 include procuring only items designated in guidelines of the Environmental Protection Agency (EPA) at 40 CFR part 247, that contain the highest percentage of recovered materials practicable, consistent with maintaining a satisfactory level of competition, where the purchase price of the item exceeds $10,000 ort the value of the quantity acquired during the preceding fiscal year exceeded $10,000; procuring solid waste management services in a manner that maximizes energy and resource recovery; ande establishing: an affirmative procurement program for procurement CFR 200.318 through 200.327 thereof. contracts and purchase orders for work or products under thisaward. ofrecoveredi materials identified in the EPA guidelines. 9. ACCESS TO RECORDS. 9.1. A Subrecipient shall permit Recipient/Prime Recipient andi its auditors tol have access to Subrecipient'srecords and financial statements as necessary for Recipient to meet the requirements of2 CFR.200311-200332 (Requirements for pass-through entities), 2CFR 200.300 (Statutory and national policy requirements) through 2CFR:200.3091 (Period of performance), and Subpart F-Audit Requirements oft the Uniform Guidance. 10.1. Ifa Subrecipient expends $750,000 or more in Federal Awards during the Subrecipient's fiscal year, the Subrecipient shall procure or arrange for a single or program-specific audit conducted for that year in accordance with the provisions of Subpart F-Audit Requirements oft the Uniform Guidance, issued pursuant to 10. SINGLE AUDIT REQUIREMENIS. the Single Audit Act Amendments of 1996, (31 U.S.C. 7501-7507). 2CFR 200.501. Supplemental Provisions for Federal Awards Page 7of10 V2 (07-08-2022) DocuSign Envelope ID: B9F5474-F17C-4B26-8123-FE1D0989FF06 COLORADO Department ofE Early Childhood Exhibit E- Amendment #2 10.1.1. Election. A Subrecipient shall have as single audit conducted in accordance with Uniform Guidance 2 CFR 200.514 (Scope ofaudit), except when it elects to have a program-specific audit conducted in accordance with 2 CFR 200.507 (Program-specific audits). The Subrecipient may elect to have a program-specific audit if Subrecipient expends Federal Awards under only one Federal program (excluding research and development) and the Federal program's statutes, regulations, or the terms and conditions oft the Federal award do not require ai financial statement audit of Prime Recipient. A program-specific. audit may not be elected for research and development unless all of the Federal Awards expended were received from 10.1.2. Exemption. Ifa Subrecipient expends less than $750,000 in Federal Awards during its fiscal year, the Subrecipient shall be exempt from Federal audit requirements for that year, except as noted in 2 CFR 200.503 (Relation to other audit requirements), but records shall be available for review or audit by appropriate officials oft the Federal agency, the State, and the Government Accountability Office. 10.1.3. Subrecipient Compliance Responsibility. A Subrecipient shall procure or otherwise arrange for the audit required by Subpart F of the Uniform Guidance and ensure it is properly performed and submitted when due in accordance with thel Uniform Guidance. Subrecipient shall prepare appropriate financial statements, including the schedule of expenditures of Federal awards in accordance with 2 CFR 200.510 (Financial statements) and provide the auditor with access to personnel, accounts, books, records, supporting documentation, and other information as needed for the auditor to perform the audit required by Uniform Recipient and Recipient approves in advance a program-specitic audit. Guidance Subpart F-Audit Requirements. 11. CONTRACT/GRANT PROVISIONS FOR SUBRECEPIENT CONTRACTS. 11.1. In addition to other provisions required by the Federal Awarding Agency or the Prime Recipient, Contractors/Orantes that are Subrecipients shall comply with the following provisions. Subrecipients shall include all of the following applicable provisions in all subcontracts entered into by it pursuant to this 11.1.1. [Applicable to federally assisted construction contracts.] Equal Employment Opportunity. Except as otherwise provided under 41 CFR Part 60, all contracts that meet the definition of "federally assisted construction contract"in 41 CFR Part 60-1.3 shall include the equal opportunity clause provided under 41 CFR 60-1.4(b), in accordance with Executive Order 11246, "Equal Employment Opportunity" (30 FR 12319, 12935,3 CFR Part, 1964-1965 Comp., p.339), as amended by Executive Order 11375, "Amending Executive Order 11246 Relating to Equal Employment Opportunity," and implementing regulations at 41 CFR part 60, Office of Federal Contract Compliance Programs, Equal Employment Opportunity, 11.1.2. Applicable to on-site employees working on government-funded construction, alteration and repair 11.1.3. Rights to Inventions Made Underac contract/grant or agreement. Ifthe Federal Award meets the definition of "funding agreement"/ "funding Contract" under 37 CFR 401.2 (a) and the Prime Recipient or Subrecipient wishes to enter into a contract with as small business firm or nonprofit organization regarding the substitution of parties, assignment or performance of experimental, developmental, or research work under that "funding agrement,"-funding: Contract", thel Prime Recipient or Subrecipient: must comply with the requirements of 37 CFR Part 401, "Rights to Inventions Made by Nonprofit Organizations and Small Business Firms Under Government Grants, Contracts and Cooperative Agreements," and any implementing 11.1.4. Clean Air Act (42 U.S.C. 7401-7671q.) and the Federal Water Pollution Control Act (33 U.S.C. 1251- 1387), as amended. Contracts and subgrants of amounts in excess of $150,000 must contain a provision that requires the non-Federal awardee(s) to agree to comply with all applicable standards, orders or regulations issued pursuant to the Clean Air Act (42 U.S.C. 7401-7671q) and thel Federal Water Pollution Control Act as amended (33 U.S.C. 1251-1387). Violations must be reported to the Federal Awarding Contract/Grant. Department ofL Labor. proecis.Davis-Bacon Act. Davis-Bacon Act, as amended (40 U.S.C. 3141-3148). regulations issued by the Federal Awarding Agency. Agency and thel Regional Office oft the Environmental Protection Agency (EPA). Supplemental Provisions for Federal Awards Page 8of10 V2 (07-08-2022) DocuSign Envelope ID: EB9F5474-F17C-4B26-8123-FE1D0989FF06 COLORADO Department ofE Early Childhood Exhibit E-Amendment #2 11.1.5. Debarment and Suspension (Executive Orders 12549. and 12689). A contract award (see 2 CFR 180.220) must not! be made toj parties listed ont the government wide exclusions in the System for Award Management (SAM), in accordance with the OMB guidelines at 2 CFR 1801 that implement Executive Orders 12549(3 CFR part 1986 Comp., p. 189) and 12689 (3CFR part 1989 Comp., p. 235), "Debarment and Suspension." SAM Exclusions contains the names of parties debarred, suspended, or otherwise excluded by agencies, as well as parties declared ineligible under statutory or regulatory authority other thanl Executive Order 12549. 11.1.6. Byrd. Anti-Lobbying Amendment (31 U.S.C. 1352). Contractors that apply or bid for an award exceeding $100,0001 must filet the required certification. Each tier certifies tot thet tier above that it will not and has not used Federal appropriated: funds top pay any person or organization fori influencing or attempting toi influence an officer or employee of any agency, a member of Congress, officer or employee of Congress, or an employee ofa member of Congress in connection with obtaining any Federal contract, grant or any other award covered by 31 U.S.C. 1352. Each tier must also disclose any lobbying with non-Federal funds that takes place in connection with obtaining any Federal award. Such disclosures are forwarded from tier to 11.1.7. Never contract with the enemy (2 CFR 200.215). Federal awarding agencies and recipients are subject to the regulations implementing "Never contract with the enemy" in 2 CFR part 183. The regulations in 2 CFR part 183 affect covered contracts, grants and cooperative agreements that are expected to exceed $50,000 within the period of performance, are performed outside the United States and its territories, and are in support ofa a contingency operation in which members of the Armed Forces are actively engaged in 11.1.8. Prohibition on certain telecommunications and video surveillance services or equipment (2CFR 200.216). Grantee is prohibited from obligating or expending loan or grant funds on certain telecommunications: and tier upt tot the non-Federal award. hostilities. video surveillance services or equipment pursuant to 20 CFR 200.216. 12. CERTIFICATIONS. 12.1. Unless prohibited by Federal statutes or regulations, Recipient/Prime Recipient may require Subrecipient to submit certifications and representations required by Federal statutes or regulations on an annual basis. 2CFR 200.208. Submissioni may be required morei frequently if Subrecipient: fails to meet ar requirement oft thel Federal award. Subrecipient shall certify in writing to the State at the end oft the Award that the project or activity was completed ort the level ofe effort was expended. 2CFR: 200.201(3). Ifthe required level ofactivity or effort was not carried out, the amount of the Award must be adjusted. 13. EXEMPTIONS. 13.1. These Federal Provisions do not apply to an individual who receives an Award as a: natural person, unrelated to 13.2. A Contractor/Grantee with gross income from all sources of less than $300,000 in the previous tax year is exempt from thei requirements tor report Subawards and the Total Compensation ofits most highly compensated any business or non-profit organization he or she may own or operate in his or her name. Executives. 14. EVENT OF DEFAULT AND TERMINATION. 14.1. Failure to comply with these Federal Provisions shall constitute an event of default under the Contract/Grant and the State of Colorado may terminate the Contract/Grant upon 30 days prior written notice if the default remains uncured five calendar days following the termination of the 30-day notice period. This remedy willl be ina addition to any other remedy available tot the State ofColorado under the Contract/Grant, at law or in equity. 14.2. Termination (2 CFR200.340). Thel Federal Award may be terminated in whole or in part as follows: 14.2.1. By the Federal Awarding Agency or Pass-through Entity, ifal Non-Federal Entity fails to comply with the 14.2.2. By the Federal awarding agency or Pass-through Entity, tot the greatest extent authorized by law, ifana award terms and conditions ofa Federal Award; no longer effectuates the program, goals or agency priorities; Supplemental Provisions for Federal Awards Page 9of10 V2 (07-08-2022) DocuSign Envelope ID: EB9F5474-F17C-4B26-8123-FE1D0989FF06 COLORADO Department ofEarly Childhood Exhibit E-A Amendment #2 14.2.3. By the Federal awarding agency or Pass-through Entity with the consent of the Non-Federal Entity, in which caset the two parties must agree upon the termination conditions, including the effective date and, in 14.2.4. By the Non-Federal Entity upon sending to the Federal Awarding Agency or Pass-through Entity written notification setting forth the reasons for such termination, the effective date, and, in the case of partial termination, thej portion tol be terminated. However, ifthe Federal Awarding Agency or Pass-through Entity determines in the case of partial termination that the reduced or modified portion oft the Federal Award or Subaward will not accomplish the purposes for which the Federal Award was made, the Federal Awarding 14.2.5. By the Federal Awarding Agency or Pass-through Entity pursuant toi termination provisions includedi in the the case of partial termination, the portion tol be terminated; Agency or Pass-through Entity may terminate the Federal Award in its entirety; or Federal Award. EXHIBIT END Supplemental Provisions for Federal Awards Page: 10of10 V2( (07-08-2022) PROWERS COUNTY AGENDA ITEM REQUEST FORM Hearing Date Requested: 09/26/2023 Submitter: Mark Westhoff Submitted to the County Administration Office on: 09/20/2023 Return Originals to: Mark Westhoff Number of originals to return to Submitter: 0 Contract Due Date: N/A Item Title/Recommended Board Action: Consider ratifying 9/7/2023 email poll approval of Joint Business Incentive Application between Prowers County, Prowers Economic Prosperity, and the City ofLamar. Justification or Background: The joint application can be found at: Fiscal Impact: This item is budgeted in the following account code: htps/forjattom.com./23205625783052 County: $ Federal: $ State: $ Other: $ Approved by the County Attorney on: Additional Approvals (if required): PLEASE ATTACH THIS SHEETTO ALL. AGENDA ITEMS WHEN SUBMITTINGTO COUNTY ADMINISTRATION. THANK YOU! PROWERS COUNTY AGENDA ITEM REQUEST FORM Hearing Date Requested: 09/26/2023 Submitter: Mark Westhoff Submitted to the County Administration Office on: 09/20/2023 Return Originals to: Mark Westhoff Number of originals to return to Submitter: 1 Contract Due Date: N/A Item Tite/Recommended Board Action: Consider approval ofVertiQ Hosted Software (Saas) Subscription Agreement between VertiQ Software LLC and Prowers County effective 9/13/2023 and renewing annually until 9/13/2028, totaling $5960 for the first year and $1200 for each remaining year, and authorizing Prowers County Coroner Thomas Dunagan to execute the document. Justification or Background: Fiscal Impact: This item is budgeted in the following account code: County: $ Federal: $ State: $ Other: $ Approved by the County Attorney on: 8/4/2023 Additional Approvals (if required): PLEASE. ATTACH THIS SHEETTO ALL. AGENDA ITEMS WHEN SUBMITTING TO COUNTY ADMINISTRATION. THANK YOU! VertiQ Hosted Software (Saas) Subscription Agreement This Hosted Software (Saas) Subscription Agreement, is made and entered into this 13th day of September_, 2023 ("Effective Date", by and between VertiQ Software, LLC (hereinafter, "Vendor") with its principal address at PO Box 787, Morgan Hill, CA 95038 and the Prowers County Coroner. (hereinafter, "Customer") with its principal address 1001 South Main Street Lamar, CO 81052 Background Vendor is in the business of providing case management software for coroners and medical examiners. The parties desire that Vendor make such software available to Customer under the terms and conditions of this Agreement, and Customer's access to Inc consideration of the mutual promises and covenants set forth herein and for other good and valuable consideration, the receipt and sufficiency of which are hereby and use of the software shall conform to these terms and conditions. acknowledged, the parties agree as follows: 1. Definitions As used in this Agreement and in Exhibit A hereto (and any mutually agreed upon modifications thereto), the following terms shall have thet following meaning: "CME Hosted" means the case management software for coroners and medical examiners offered via Software as a Service (Saas), the Service" provided under the terms of this Agreement, designed as an alternative to a CME application residing locally "Content" means the audio and visual information, documents, software, products, and services contained or made available to Customer in the course of using the Service. "Customer Data" means any data, information, or material provided or submitted by "Initial Term" means the initial period during which Customer is obligated to pay for the Intellectual Property Rights" means any unpatented inventions, patent applications, patents, design rights, copyrights, trademarks, service marks, trade names, domain name rights, mask work rights, know-how and other trade secret rights, and all other intellectual property rights, derivatives thereof, and forms of protection of a similar nature anywhere in "License Administrator(s) means those Users designated by Customer who are authorized to purchase licenses and to create User accounts and otherwise administer "License Term(s)" means the period(s) during which a specified number of Users are "Vendor Technology" means all of Vendor's proprietary technology (including software, hardware, products, processes, algorithms, user interfaces, know-how, techniques, designs, and other tangible or intangible technical material or information) made available Service(s)" means access under the terms of this Agreement to Vendor's case ona customer's server. Customer to the Service in the course of using the Service. Service as defined in Exhibit B attached to this Agreement. the world. Customer's use of the Service. licensed to use the Service pursuant to this Agreement. to Customer by Vendor inj providing the Service. 1 management software, which is developed, operated, and maintained by Vendor, accessible via ntp/www.yerig.com or another designated website or IP address, or ancillary online or offline products and services provided to Customer by Vendor, to which Customer is being granted access under this Agreement, including the Vendor Technology "User(s)" means Customer employees, representatives, consultants, contractors, or agents who are authorized to use the Service and have been supplied user identifications and passwords by Customer (or by Vendor at Customer's request) each of which must be and the Content. individual and not shared. 2. License Grant and Restrictions Vendor hereby grants Customer a nonexclusive, nontransferable, worldwide right to use the Service, solely for Customer's owni internal business purposes, subject to the terms and conditions oft this Agreement, and alli rights that are note expressly granted to Customer are hereby reserved by Vendor as outlined in Exhibit A VERTIQ SOFTWARE L.L.C, END- Customer shall not () license, sublicense, sell, resell, transfer, assign, distribute, or otherwise commercially exploit or make available to any third party the Service or the Content in any way; (i) modify or make derivative works based upon the Service or the Content; (ili) create Internet' "links" toi the Service or' "frame" or' "mirror" any Content on any other server or wireless or Internet-based device; or (iv) reverse engineer or access the Service in order to (a) build a competitive product or service, (b) build a product using similar ideas, features, functions or graphics of the Service, or (c) copy anyi ideas, features, functions or graphics of the Service. User licenses cannot be shared or used by more than one individual User but may be reassigned from time to time to new Users who are replacing former Users who have terminated employment or otherwise changed job status Customer may use the Service only for Customer's internal business purposes and shall not: () send spam or otherwise duplicative or unsolicited messages in violation of applicable laws causing any IP address associated with the service provider to be Black Listed; (i) send or store infringing, obscene, threatening, libelous, or otherwise unlawful or tortuous material, including material harmful to children or violative of third party privacy rights; (ii) send or store material containing software viruses, worms, Trojan horses, or other harmful computer code, files, scripts, agents, or programs; (iv)interfere with or disrupt the integrity or performance oft the Service or the data contained therein; or (v) attempt to gain unauthorized access to the Service or its related systems or networks. USER LICENSE AGREEMENT. orf function and no longer use the Service. 3. Customer Responsibilties Customer is responsible for all activity occurring under Customer's User accounts, including activity initiated by third parties, whether such parties are known or unknown to Customer, with the sole exception of activities which are specifically initiated by' Vendor or caused by the gross negligence of Vendor and can be verifiably shown as such, and shall abide by all applicable local, state, and federal laws and regulations in connection with Customer's use oft the Service, including those related to data privacy, and thei transmission of technical or personal data, except to the extent such activity is outside of Customer's reasonable control. Customer shall: () notify Vendor immediately of any unauthorized use of any password or account or any other known or suspected breach of security; (i) report 2 to Vendor immediately and use reasonable efforts to stop immediately any copying or distribution of Content that is known or suspected by Customer or Customer Users; and (ii) not impersonate another Vendor user or provide false identity information to gain access to or use the Service. 4. Account Information and Data Vendor does not own any Customer Data. Customer, not Vendor, shall have sole responsibility for the accuracy, quality, integrity, legality, reliability, appropriateness, and intellectual property ownership or right to use of all Customer Data, and Vendor shall not be responsible or liable for the deletion, correction, destruction, damage, loss, or failure to store any Customer Data, except to the extent that any such deletion, correction, destruction, damage, loss, or failure to store such Customer Data is the result of Vendor's gross negligence in performing services pertaining to Customer Data pursuant to this Agreement. In the event this Agreement is terminated, Vendor will make available to Customer a quality, industry standard, and useable file of the Customer Data within 10 days of termination if Customer sO requests at the time of termination for cause. Upon termination for cause, Customer's right to the Services shall cease, but Vendor will make available to Customer a file of the Customer Data within 10 days of termination. 5. Intellectual Property Ownership Vendor (and its licensors, where applicable) shall exclusively own all right, title, and interest, including all related Intellectual Property Rights, in and toi the Vendor Technology, the Content, other than Customer's data, and the Service and any suggestions, ideas, enhancement requests, feedback, recommendations, or othér information provided by Customer or any other party relating to the Service. This Agreement is not a sale and does not convey to Customer any rights of ownership in or related to the Service, the Vendor Technology, or the Intellectual Property Rights owned by Vendor. Vendor'si name, Vendor's logo, and the product names associated with the Service are trademarks of Vendor or third parties, and no right or license is granted to use them as outlined in Exhibit A VERTIQ SOFTWARE L.L.C, END-USER LICENSE AGREEMENT. 6. Charges and Payment of Fees Customer shall pay all fees or charges to Customer's account in accordance with the terms and conditions seti forth herein. Thei initial charges will be equal to the current number of total User licenses requested times the User license fee currently in effect, pursuant to Exhibit B, which is hereby incorporated by reference. Payments must be made annually in advance unless otherwise mutually agreed upon in Exhibit B. Customer is responsible for paying for all User licenses ordered for the year, whether or not such User licenses are actively used. An authorized License Administrator may add licenses by initiating an amendment to Exhibit B, hereto. Added licenses will be subject to the following: () added licenses will be coterminous with the preexisting License Term (either Initial Term or renewal term); (i) the license fee for the added licenses will be the then current, generally applicable license fee; and (ii) licenses added in the middle of a billing month will be charged on a pro-rated basis fori that billing month. 7. Data Storage Fees: Managing the amount of storage needed is always difficult process. Choosing an amount that may not be enough might require approvals to increase, which, if it were to happen mid-term of the contract would delay storage increases. Vendor has to implement an escrow account approach to manage storage. At the beginning of the term, customers 3 will estimate the number of GB's they will need to accommodate their legacy storage and the number they will need to accommodate their first-year growth. Vendor will bill this number at $.18 per GB, per month at the beginning of the first year and setup an escrow account. At the end of year 1 Vendor will deduct from the escrow account the amount of funds used in year one. For year 2 Vendor will consult with the customer to determine the estimated amount of storage they will need in year 2 and will add that to the amount used in year1. VertiQ will compare this amount to the escrow account, if the account has a balance to cover year 2 estimated needs, then there will be no additional billing for storage for year 2. Ift the balance is nots sufficient, Vendor will bill for the estimate needed less the amount of funds remaining in escrow, if any. Vendor will use reasonable efforts to notify Customer when the average storage used per license reaches approximately 90 percent of the maximum; however, any failure by Vendor to sO notify Customer shall not affect Customer's responsibility for such additional storage charges. Said notice shall be in addition to a monthly usage report to Customer, which shall provide Customer with its current storage usage and the remaining storage space remaining. Vendor reserves the right to establish or modify its general practices and limits relating to the storage of Customer Data. Vendor shall notify Customer of any changes, limitations, or additions to its general practices and limits relating tot the storage of Customer's Data 30 days priors to the effective date of said changes. 8. Billing and Renewal Payment for each year of the initial term is as set forth in Exhibit B. Vendor will automatically issue an invoice to Customer each year on the subsequent anniversary or as otherwise mutually agreed upon. Renewal fees willl be equal tot the then current number of total User licenses times the current license fees at the time ofr renewal. Annual Storage Fees will be pro-rated to line up with Annual Hosted renewal and added to that bill. Other services will be charged on an as-quoted basis. The parties understand and agree that the transaction resulting from this Agreement shall not be subject to sales taxes in California, as further provided in Section 6010.9, 6011, and 6012 of the California Revenue and Taxation Code. If Customer believes its bill is incorrect, Customer must contact Vendor in writing within 60 days of the invoice date of the invoice containing the amount in question to be eligible to receive an adjustment or credit. 9. Nonpayment and Suspension Ina addition to any other rights granted to Vendor herein, Vendor reserves the right to suspend or terminate this Agreement and Customer's access to the Service if Customer's account becomes delinquent by more than 60 days. Customer will continue to be charged for User fees during any period of suspension. If Customer or Vendor initiates termination of this Agreement, Customer will be obligated to pay the balance due on Customer's account computed in accordance with Section 8 above. Customer agrees that' Vendor may Vendor reserves the right to impose a reconnection fee in the event Customer is suspended and thereafter requests access to the Service. Customer agrees and acknowledges that in the event of suspension or termination, Vendor will sequester Customers Database and any applicable storage files, in a secure location and provide Customer with a link to obtain their database file and any storage files upon Customer's request; or before 10 days of account delinquency, provided Customer's delinquency has been cured. If after 10 days Customer has not cured their delinquency, Vendor has no obligation to retain Customer Data after this time period, and Customer hereby specifically bill Customer for such unpaid fees. 4 acknowledges that such Customer Data may be irretrievably deleted by Vendor if 10. Termination upon ExpirationReduction in Number of Licenses This Agreement commences ont the Effective Date. The Initial Termi is described in Exhibit B. Upon the expiration oft the Initial Term, this Agreement will automatically renew for successive one-year terms at Vendor's then current fees. Either party may terminate this Agreement or reduce the number of licenses, effective only upon the expiration oft the then current License Term, by notifying the other party in writing at least thirty (30) days prior to the expiration oft the term. Customer shall be entitled to a pro-rata refund of all payments tendered for any period in excess of the remaining year in which termination notice was served. Int the case oft freet trials, notifications provided through the Service indicating the remaining number of days in the free trial shall constitute notice of termination. Int the event this Agreement is terminated, Vendor agrees to provide Customer with a link to obtain Customer Database file and any applicable storage files upon Customer's request; or within 10 days of such termination. If the storage files are not retrieved within this 10-day period, the customer will be charged the then-current storage fees. Customer agrees and acknowledges that Vendor has no obligation to retain the Customer Data or storage files, and may delete such Customer's account is 120 days or more past due. Customer stored information, if not retrieved within 120 days after termination. 11. Termination for Cause Any breach of Customer's payment obligations or unauthorized use of the Vendor Technology or Service will be deemed a material breach of this Agreement. Vendor, in its sole discretion, may terminate Customer's password, account, or use of the Service if Customer breaches or otherwise fails to comply with this Agreement, provided that Customer fails to cure or otherwise resolve a verified breach within 60 days of receipt of Vendor's notice. Customer agrees and acknowledges that' Vendor has no obligation to retain the Customer Data, and may delete such Customer Data, if Customer has not cured within 120 days of notice of such breach; however, int this instance, Vendor agrees to provide Customer with al link to obtain their Database file and any applicable storage files upon Customer's request; or within 10 days of such termination, provided Customer payments are up to date. If the storage files are not retrieved within this 10-day period, the customer will be charged the then-current storage fees. Customer agrees and acknowledges that Vendor has no obligation to retain the Customer Data or storage files, and may delete such Customer stored information, if not retrieved within 120 days after termination. 12. Representations and Warranties Each party represents and warrants that it has the legal power and authority to enter into this Agreement. Vendor represents and warrants that it will provide the Service in a manner consistent with general industry standards reasonably applicable to the provision thereof and that the Service will perform substantially in accordance with the online Vendor help documentation under normal use and circumstances. Customer represents and warrants that Customer has not falsely identified Customer nor provided any false information to gain access to the Service. 13. Indemnification Vendor shall indemnify and hold Customer and Customer's parent organizations, subsidiaries, affiliates, officers, directors, employees, attorneys, and agents harmless from and against any and all claims, costs, damages, losses, liabilities, and expenses (including 5 attorneys' fees and costs) arising out of or in connection with its gross negligence in its performance under this Agreement, or arising out of or in connection with: () a claim alleging that the Service directly infringes a copyright, a U.S. patent issued as of the Effective Date, or a trademark of a third party; (i) a claim, which ift true, would constitute a violation by' Vendor ofi its representations or warranties; or (ii) a claim arising from breach of this Agreement by Vendor; provided that Customer (a) promptly gives written notice of the claim to Vendor; (b) gives Vendor sole control of the defense and settlement of the claim (provided that Vendor may not settle or defend any claim unless it unconditionally releases Customer of all liability); (c) provides to Vendor all available information and assistance; and (d) has not compromised or settled such claim. 14. Disclaimer of Warranties VENDOR AND ITS LICENSORS MAKE NO REPRESENTATION, WARRANTY, OR GUARANTY ASTO THE RELIABILITY, TIMELINESS, QUALITY, SUITABILITY, TRUTH, AVAILABILITY, ACCURACY, OR COMPLETENESS OF THE SERVICE OR ANY CONTENT. VENDOR AND ITS LICENSORS DO NOT REPRESENT OR WARRANT THAT (A) THE USE OF THE SERVICE WILL BE UNINTERRUPTED OR ERROR-FREE OR OPERATE IN COMBINATION WITH ANY OTHER HARDWARE, SOFTWARE, SYSTEM, OR DATA; (B). ANY STORED DATA WILL BE ACCURATE OR RELIABLE; (C) THE: SERVICE ORTHE SERVERIS)THAT MAKE THE SERVICE AVAILABLE, ARE FREE OF VIRUSES OR OTHER HARMFUL COMPONENTS. ALL OTHER CONDITIONS, REPRESENTATIONS, AND WARRANTIES, WHETHER EXPRESS, IMPLIED, STATUTORY OR OTHERWISE, INCLUDING, WITHOUT LIMITATION, ANY IMPLIED WARRANTY OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, OR NON-NFRINGEMENT OF THIRDI PARTYRIGHTS, ARE HEREBY DISCLAIMED TOTHE MAXIMUM EXTENT PERMITTED BY APPLICABLE LAW BY VENDOR AND ITS LICENSORS. 15. Internet and Host Service Delays or Downtime VENDOR'S SERVICES MAY BE SUBJECT TO LIMITATIONS, DELAYS, DOWNTIME, AND OTHER PROBLEMS INHERENT IN THE USE OF THE INTERNET, ELECTRONIC COMMUNICATIONS, AND THIRD PARTY SERVER HOSTS WHICHY WILL BE LOCATED IN THE USA. VENDOR IS NOT RESPONSIBLE FOR ANY DELAYS, DELIVERY FAILURES, OR OTHER DAMAGE RESULTING FROM SUCH PROBLEMS. 16. Limitation of Liability INNO EVENT SHALL EITHER PARTY'S AGGREGATE LIABILITY EXCEED THE. AMOUNTS. ACTUALLY PAID BY AND/OR DUE FROM CUSTOMER IN THE TWELV VE (12) MONTH PERIOD IMMEDIATELY PRECEDING THE EVENT GIVING RISE TO SUCH CLAIM. IN NO EVENT SHALL EITHER PARTY AND/OR ITS LICENSORS BE LIABLE TO. ANYONE FOR ANY INDIRECT, PUNITIVE, SPECIAL, EXEMPLARY, INCIDENTAL, CONSEQUENTIAL, OR OTHER DAMAGES OF ANY TYPE OR KIND (INCLUDING LOSS OF DATA, REVENUE, PROFITS, USE, OR OTHER. ECONOMIC ADVANTAGE) ARISING OUT OF, OR IN, ANY WAY CONNECTED WITH, THIS SERVICE, INCLUDING BUT NOT LIMITED TO THE USE OR NABILITY TO USE THE SERVICE, OR FOR ANY CONTENT OBTAINED FROM OR THROUGH THE SERVICE, ANY INTERRUPTION, INACCURACY ERROR, OR OMISSION, REGARDLESS OF CAUSE IN THE CONTENT, EVEN IF THE PARTY FROM WHICH DAMAGES. ARE BEING SOUGHT OR SUCH PARTY'S LICENSORS 6 HAVE BEEN PREVIOUSLY/ ADVISED OF THE POSSIBILITY OF SUCH DAMAGES. 17. Additional Rights Certain states and/or jurisdictions do not allow the exclusion of implied warranties or limitation ofl liability for incidental, consequential, or certain other types of damages, sO the exclusions set forth above may not apply to Customer. 18. Local Laws and Export Control Notwithstanding: anything to the contrary in this Agreement, Vendor agrees not to store Customer's data in any manner whatsoever outside of the continental United States of America. Vendor provides services and uses software and technology that may be subject to U.S. export controls administered by the U.S. Department of Commerce, the U.S. Department of Treasury Office of Foreign Assets Control, and other U.S. agencies and the export control regulations of Switzerland and the European Union. Customer acknowledges and agrees that the software and Services shall not be used, and none of the underlying information, software, or technology may be transferred or otherwise exported or re-exported to countries on which the United States, Switzerland, and/or the European Union maintains an embargo (collectively, "Embargoed Countries"), or to or by anational or resident thereof, or any person ore entity on the U.S. Department ofTreasury's List of Specially Designated Nationals or the U.S. Department of Commerce's Table of Denial Orders (collectively, Designated Nationals"). The lists of Embargoed Countries and Designated Nationals are subject to change without notice. By entering into this Agreement, the parties represent and warrant that they are not located in, under the control of, or a national or resident of an Embargoed Country or Designated National. The software and Service may use encryption technology that is subject to licensing requirements under the U.S. Export Administration Regulations, 15 C.F.R. Parts 730-774 Vendor and its licensors make no representation that the Service is appropriate or available for use in other locations. Customer is solely responsible for compliance with all applicable laws, including without limitation export and import regulations of other countries. Any diversion of the Content contrary to U.S., Swiss, or European Union (including European Union Member States) law is prohibited. None of the Content, nor any information acquired through the use of the Service, is or willl be used for nuclear activities, chemical, or biological weapons, or missile projects, unless specifically authorized by the and Council Regulation (EC) No. 1334/2000. U.S. government or appropriate European body for such purposes. 19. Notice The parties may give notice by means of an email to the other party's address on record in Vendor's account information or this Agreement, or by written communication sent by first class mail or pre-paid post to the receiving party's address on record in Vendor's account information or this Agreement. Such notice shall be deemed to have been given upon the expiration of 48 hours after mailing or posting (if sent by first class mail orp pre-paid post) or 121 hours after sending (ifs sent by email). Customer may giver notice to Vendor (such notice shall be deemed given when received by Vendor) at any time by any of the following: letter sent by confirmed facsimile to Vendor at the following fax number: (408) 782-0850; letter delivered by nationally recognized overnight delivery service or first class postage prepaid mail to Vendor or Customer at the following address. Vendor will notify Customer of receipt of such notification: 7 (Vendor) (Customer) Prowers County 1001 South Main Street Lamar, CO 81052 VertiQ Software LLC P.O. Box 787 Morgan Hill, CA95037 20. Modification to Terms Parties have the right to amend as long as both parties consent in writing. 21. Assignment; Change in Control This Agreement may not be assigned by Customer without the prior written approval of Vendor but may be assigned without Customer's consent by Vendor to () a parent or subsidiary, (i) an acquirer of assets, or (i) a successor by merger. Vendor shall provide written notice as provided in Section 19, above, of any proposed or actual assignments or changes in control. Said notice shall include information on the effects, if any, made to Customer's service by the assignment. Any purported assignment in violation of this section shall be void. Any actual or proposed change in control of Customer that results or would result in a direct competitor of Vendor directly or indirectly owning or controlling 50 percent or more of Customer shall entitle Vendor to terminate this Agreement for cause immediately upon written notice. 22. General This Agreement shall be governed by Colorado law, without regard to the choice or conflicts of law provisions of anyj jurisdiction, and any disputes, actions, claims, or causes ofa action arising out of or in connection with this Agreement or the Service shall be subject tot the exclusive jurisdiction of the state courts located in Prowers County, Colorado. No text or information set forth on any other purchase order, preprinted form, or document shall add to or vary the terms and conditions of this Agreement. If any provision of this Agreement is held by a court of competent jurisdiction to be invalid or unenforceable, then such provision(s) shall be construed, as nearly as possible, to reflect the intentions of the invalid or unenforceable provision(s), with all other provisions remaining in full force and effect. No joint venture, partnership, employment, or agency relationship exists between Customer and Vendor as a result of this agreement or use of the Service. The failure of any party hereto to enforce any right or provision in this Agreement shall not constitute a waiver of such right or provision unless acknowledged and agreed to by the other party in writing. This Agreement, together with the specific terms set forthi in Exhibits Aand B, comprises the entire. agreement between Customer and Vendor and supersedes all prior or contemporaneous negotiations, discussions or agreements, whether written or oral, between the parties regarding the subject matter contained herein. 23. Third Party Beneficiary Rights. This Agreement is not intended to and does not create any third party beneficiary rights in any person nota a party hereto.BY SIGNING ITIS AGREED THAT THIS AGREEMENT, INCLUDING THE ACCOMPANYING TERMS AND CONDITIONS, ITS EXHIBITS AND ITS EXHIBITS ARE THE COMPLETE AND EXCLUSIVE STATEMENT OF THE AGREEMENT BETWEEN THE PARTIES AND THAT THIS AGREEMENT SUPERSEDES ALL PROPOSALS OR PRIOR AGREEMENTS, ORAL OR WRITTEN, AND ALL OTHER COMMUNICATIONS BETWEEN THE PARTIES RELATING TO THE SUBJECT MATTER OF THE AGREEMENT. THIS AGREEMENT SHALL BECOME EFFECTIVE WHEN IT IS EXECUTED BY YOU AS THE CUSTOMER, AND APPROVED AND EXECUTED BY VERTIQ. 8 IN WITNESS WHEREOF, the parties have executed this Hosted Software (Saas) Subscription Agreement on the day and in the year as set forth above. VENDOR: BY: By: Title: Date: 9 Anthony Kessel CEO 9/12/2023 CUSTOMER: By: By: Title: Date: Thomas Dunagan Coroner 9 EXHIBIT A Between VertiQ Software LLC PO Box 787 Morgan Hill, CA 95038 Address: Telephone: (408)778-0608 Principal Contact: Anthony Kessel, CEO Customer Name: Prowers County Address: Lamar, CO 81052 Telephone: 719)336-6810 Principal Contact: Thomas Dunagan And 1001 South Main Street VERTIOSPRODUCTS ARE COPYRIGHTED, ANDI LICENSED (NOT SOLD). VERTIQ DOES NOTSELL OR TRANSFER TITLE TO THE LICENSED PRODUCT TO YOU. YOUR LICENSE OF THE LICENSED PRODUCT WILL NOT COMMENCE UNTIL AN AUTHORIZED REPRESENTATIVE OF VERTIQ HAS This Agreement is an exhibit to and supplementary to the Agreement between the parties hereto and consists of the accompanying Terms and Conditions; and which are hereby incorporated by reference. RECEIVED, APPROVED, ANDI EXECUTED THIS AGREEMENT. 10 TERMS AND CONDITIONS 1. DEFINITIONS 1.1. "You or your": Means the single end-user customer organization signing this Agreement. 1.2. "Product": Is the computer software application for medical examiners, coroners and toxicology laboratories that can be customized by VertiQ for your purposes and known as 'CME-V3' in object code only, and its accompanying 1.3. "Material Error": Means any material reported and verifiable failure oft the Product to perform substantially in accordance with its system specifications. "Material" shall mean an error that prevents use of the Product, or which 1.4. "Error Correction": Means either a modification or addition that, when made or added to the Product, brings the Product into material conformity with its published specifications, or a procedure or routine that, when observed in 1.5. "Maintenance Services": Means the maintenance and support services provided by VertiQ pursuant to, and 1.6. "Upgrades": Shall mean any Error Corrections, Enhancements, software modifications or additions, which documentation. seriously impacts use of the Product. the regular operation of the Product, avoids the practical adverse effect of such nonconformity. more fully described herein. are provided at VertiQ's sole discretion. SCOPE OF RIGHTS 2. 2.1. Grant of License: You are granted a non-exclusive right to use the Product (including any Error Corrections, standard enhancements or Upgrades for your use only upon payment of the Fees, specified in Exhibit B, in machine- 2.2. Limitations on Use: You may not use, copy, modify, or distribute the Product (electronically or otherwise), or make any copy, adaptation, transcription, or merge any portion thereof, except as expressly authorized by VertiQ in writing. You may not reverse assemble, reverse compile, or otherwise translate the Product. Your license may not be transferred, leased, assigned, or: sub-licensed without VertiQ's prior written consent, which will not be unreasonably withheld. Ifyou copy or modify the Product in any way not expressly authorized by VertiQ, your license is automatically readable form. This license specifically prohibits redistribution, transfer or resale of the Product. terminated. 3. YOUR RESPONSIBILITIES 3.1. Your Responsibilities: You are responsible for the following actions: 3.1.1. Determining whether the Product will achieve the results you desire; 3.1.2. Procuring, installing, and operating computers, operating systems, and networking software to run the Product, and providing the hardware and software configuration requirements identified by' VertiQ in Exhibit B; 3.1.3. Providing a proper environment and proper utilities fori the computers on which the Product operates; 3.1.4. Selecting and training your personnel to familiarize them with the operation of the Product; 3.1.5 Promptly notifying VertiQ in the event your use of the Product exceeds that set forth in Exhibit B, and paying for any additional fees that result from such excess use. 4. ACCEPTANCE 4.1. Acceptance of Work: Within thirty (30) business days ("Acceptance Period") of delivery by' VertiQ of the Product you will examine and test the Product to determine whether it conforms to its documentation. You will provide VertiQ with a written notice of acceptance of the Product ("Acceptance") within the Acceptance Period or a statement 11 of Material Errors (the Statement of Errors"). In tho cvont you do not provide VertiQ with a Statement of Errors within the Acceptance Period the Product shall be deemed to be accepted. Within sixty (60) days of receipt ofy your Statement of Errors, VertiQ, will correct such Material Errors set forth in the Statement of Errors and redeliver the Product to you. The procedure set forth in this Section will be repeated for one more cycle. In the event you do not accept the Product after VertiQ has resubmitted the corrected Material Errors to you fort the second time you, at your sole option, may either terminate this Agreement and receive at full refund within 30 days ofi invoiced and paid services, or extend additional time to VertiQ to correct the reported Material Errors. 5. SERVICES 5.1. Training: VertiQ shall provide you with training services as part of the services set forth in Exhibit B. 5.2. Support: VertiQ shall provide you access to telephone and electronic mail during normal business hours (8.00 AM to 5.00 PM Pacific Standard Time Monday Friday excluding holidays) that allows you to report problems in thet functionality of the Product. Calls or emails by your designated representative will be directed to 800-222-7947 or arcnsuppet@venacn This includes all external user access for expected death agencies and any other outside agency, County or otherwise, that the Customer has allowed access to the application. In the event that your system becomes inoperable outside of normal business hours, please email us at the following address: eroslecoan@vergcom An email along with a text message will be generated and distributed to our 5.3. Customization: VertiQ offers customization of the Product for specific customer requirements. VertiQ entire support team to ensure you receive a prompt response. provides such customization services at the rates set forth in Exhibit B. 6. DATA Should it be required, you acknowledge that data conversion is subject to the likelihood of human and machine errors, omissions, delays, and losses, including inadvertent loss of data or damage to media, that may give rise to loss or damage. VertiQ shall not be liable for any such errors, omissions, delays, or losses, unless caused by its negligence or willful act or omission. VertiQ may not be able to perform its responsibilities under this Agreement unless you adopt reasonable measures to limit the impact of such problems and adopting procedures to ensure the accuracy ofi input data; examining and confirming results prior to use; and adopting procedures to identify and correct errors and omissions, replace lost or damaged media, and reconstruct data. Both parties hereto are responsible for complying with all local, state, and federal laws pertaining to the use and disclosure of any data. 7. FEES there under. 7.1. Services Fees: VertiQ will provide you with the services described in Exhibit B, at the Services Fees set forth 7.2. Expenses: Services Fees do noti include travel and living expenses ("Expenses") incurred by VertiQ when providing you with such services. an estimate of the Expenses to be incurred shall be provided to Customer prior to Vendor's incurring said Expenses. Customer shall have the right to object to the proposed or actual Expenses if deemed excessive and shall likewise have the right to propose an alternative amount as fair and full compensation to Vendor prior to any expense being incurred. You agree to pay promptly the Expenses when and as the services are rendered and/or the Expenses are incurred, upon receipt of an invoice from VertiQ. VertiQ agrees to use the same diligence in controlling Expenses as it uses in its own business. VertiQ reserves the right to require prepayment or 7.3. Payment Terms: You agree to the payment terms as set forth in Exhibit B. All invoices from VertiQ shall be due and payable within thirly (30) days of the date of eachi invoice, subject to Paragraph 8 of the Agreement. advance deposit for Services Fees or Expenses, at its discretion. 7.4. 8. CONFIDENTIAL INFORMATION 12 8.1 "Confidential Information": Ofa a party (the' "Disclosing Party") means any and all technical and non- technical information (including, but not limited to, patent, copyright, trade secret, and proprietary information) related to the current, future and proposed business, products and services of the Disclosing Party, Disclosing Party's suppliers and customers, and information concerning development, design details and specifications, customer lists, business forecasts, sales, and marketing plans and any other similar information or data which is disclosed to the other party ("Receiving Party"). "Confidential Information" also includes proprietary or confidential information of any third party that may disclose such information to the Disclosing Party or the Receiving Party in the course of the Disclosing Party's business. Confidential Information does not include information, technical data or know-how which is required byl law to be disclosed ori is subject to Customer's public records laws, or which: () is in the Receiving Party's possession at the time of disclosure as shown by the Receiving Party's files and records immediately prior to the time of disclosure or other credible evidence; (i) before or after it has been disclosed to the Receiving Party, enters the public domain, not as a result of any action ori inaction of the Receiving Party; (ii). is approved for release by written authorization of the Disclosing Party; (iv) is disclosed to the Receiving Party by a third party noti in violation of any obligation of confidentiality; or (v) is independently developed by the Receiving Party without reference to Confidential Information. During the Term of this Agreement and thereafter, the Receiving Party will (a) use the Confidential Information of the Disclosing Party solely for the purposes set forth in this Agreement, (b) take suitable precautions and measures to maintain the confidentiality of the Confidential Information of the Disclosing Party, and (c) not disclose or otherwise furnish the Confidential Information of the Disclosing Party to any third party other than employees or contractors of the Receiving Party who have a need to know such Confidential Information to perform its obligations under this Agreement, provided such employees or contractors are obligated under confidentiality 8.2 Injunctive Relief: Each party acknowledges that, in the event of breach of the foregoing provision, the Disclosing Party will not have an adequate remedy in money or damages. The Disclosing Party shall, therefore, be entitled to obtain an injunction against such breach from any court of competent jurisdiction immediately upon request without the necessity of posting a bond. The Disclosing Party's right to obtain injunctive relief shall noti limit its right to seek further remedies, 8.3 Survival: Nolwithstanding the termination of this Agreement for any reason, the rights and duties of the parties (Fees), (Ownership), (Confidential Information), and (Indemnification) shall survive suchi termination and remain int fulli force obligations substantially similar to those set forth herein. and effect. 9. GENERAL 9.1 Assignment: This Agreement shall not be assignable by you without the prior written consent of VertiQ. 9.2 Waiver of Construction Against the Drafter: This Agreement shall be interpreted in accordance with the 9.3 Severability: In the event that any provision of this Agreement is found invalid or unenforceable pursuant to judicial decree or decision, the remainder of this Agreement shall remain valid and enforceable according to its terms. WITHOUT LIMITING THE FOREGOING, ITI IS EXPRESSLY UNDERSTOOD AND/ AGREED THAT, IN THE EVENT. ANY REMEDY HEREUNDER IS DETERMINED TO HAVE FAILED OF ITSE ESSENTIAL PURPOSE, ALL OTHER LIMITATIONS OF LIABILITY ANDI EXCLUSION OF DAMAGES 9.4 Force Majeure: Neither party shall be responsible for any failure to perform due to unforeseen circumstances or to causes beyond the parties' reasonable control, including but not limited to acts of God, war, riot, embargoes, acts of civil or military authorities, fire, floods, accidents, strikes, or shortages of transportation, facilities, fuel, energy, labor, or materials. In the event of any such delay, either party may defer any delivery dates for a period equal to the time of such delay. Notwithstanding: the foregoing, if either party is in default under this Section for more than forty five (45) plain meaning of its terms and not strictly for or against either of the parties to this Agreement. SET FORTH HEREIN SHALL REMAIN INI FULL FORCE. ANDI EFFECT. days, the non defaulting party may terminate this Agreement. 13 EXHIBITE B D VertiQ Software LLC P.O. Box 787 (Mailing Address) Morgan Hill, CA 95038 Phone: 408-778-0608 Fax: 408-782-0850 Vertio CME Quotation for Prowers County Coroner Hosted Case Management Database 06/9/2023 This Quote Is For The CME-V3 Base Application And Does Not Include Services For Cusomtatonconiguston or related services Product: CME-V3 Hosted CME Hosted is an "off the shelf"' case management program offered via Software as a Service (SAAS) and was designed to be an alternative to a customized CME application residing on servers at the Customer's location. As a CME Hosted customer, you are not purchasing a perpetual license to the Program. You are granted a non-exclusive, annually renewable right to use the Program. CME Hosted customer's annual usage fee includes any VertiQ Updates to the application, initial usage training and ongoing support and complete set up specifically for their agency. DURATION OF TERM Customer agrees to an initial Term of 5 years (60 months), subject to annual appropriation, during which no rate or fee increases shall occur, except to the extent Customer may add new users or projected data storage limits are exceeded. The charge for the new user will be equal to the then current user fee in effect at the time of renewal times the number of new users. There after automatically renewing for successive one-year terms at' Vendor's then current fees, unless terminated by either Customer or VertiQ pursuant to Section 10 oft the Agreement. #of Concurrent Users 1L User Annual Fee $1,200.00 * You will be charged for 1 user, $100 monthly, upon installation of the application on the. Azure hosted User(s/"means Customer employees, representatives, consultants, contractors, or agents who are authorized to use the Service and have been supplied user dentifications and passwords by Customer (or by Vendor at server until moved into production. Customer's request) each of which must be individual and not shared. The CME Hosted Fee provides for unlimited storage of the database. DATA STORAGE LIMITS: Annual Fees Legacy Documents/mages Storage 0 GB/MO 1st Annual growth increase @$0.18/GB/Mo Total Annual Payment 1st Year $0.00 $TBD $TBD 14 Managing the amount of storage needed is always a difficult process. Choosing an amount that may not be enough could require approvals, which, could have its own difficulties ifi it were to happen mid-term of the contract. VertiQ has decided to implement an escrow account approach to manage storage. At the beginning oft the term, customers will estimate the number of GB's they will need to accommodate their legacy storage and the number they will need to accommodate their first year. VertiQ will bill this number at $.18 per GB, per month at the beginning of the first year and set up an escrow account. At the end of year 1 VertiQ will deduct from the escrow account the amount of funds used in year one. For year 2 VertiQ will consult with the customer to determine the estimated amount of storage they will need in year 2 and will add that to the amount used in year 1. VertiQ will compare this amount to the escrow account, if the account has a balance to cover year 2 estimated needs, then there will be no additional billing for storage for year 2. If the balance is not sufficient, VertiQ will bill for the estimate needed less the amount ofi funds remaining in escrow, if any. The minimum space billed is 1 GB. INCLUDED SERVICES** Logos and Personnel report alterations specific to your agency System Administrator training via remotely for up to 8 hours will allow you to: Set up users and roles Create menus for all roles Overview oft the application Create Customized dropdown lists for all drop downs ADDITIONAL SERVICES service item and receipt of invoice. There may be a need to provide additional services for you. These services will be quoted separately at our current per diem rate of $1400/day or $175/hour. Payment for services is due upon completion of the specific Conversion: Due to the unknown structure of the source database, we have limited the conversion to specific fields necessary for statistical information. VertiQ will map the key data elements from the old system to the new based upon your field selection. Should any of the selected fields not exist in the COTS CME-V3 version, those fields will need to be configured in both forms and reports and would constitute an additional cost. VertiQ will perform a trial conversion of the existing data up to 60 key fields for statistical purposes including; SSIS kit setup, mapping fields, internal run and testing, adjustment and final conversion. Following mapping, your staff will be required to perform a preliminary and post conversion analysis. VertiQ will allow you 15 days to review the converted data once it has been installed on your server. If you are non- responsive, it will be assumed you have approved the data conversion and you will be invoiced for the services performed. VertiQ will then perform a final conversion of your data. Prior to the final conversion you will be required to sign off oni the converted data and system changes. Customization: Upon further review of the CME-V3 system, you may want to implement some modifications. Such modifications upon review will be completed by VertiQ at our per diem rate. Customization will require establishment of an SOW (Statement of Work) to be approved by both parties. Upon establishment of an SOW, development will be scheduled and then installed on your server. VertiQ will allow you 15 days to review the modifications for sign off once it has been installed on your server. If you are non-responsive, it will be assumed to be approved and you will be invoiced for services performed. HAS NOT BEEN QUOTED Report development: We support the use of Microsoft SQL Reporting Services (SRS) for report CME-V3 includes a set of "canned" reports and the ability to glean reports from various form grids. Any development. SRS is a free report writing tool with extensive functionality. 15 additional reports deemed necessary by you to be designed by VertiQ or integrated with another report service will be chargeable at our per diem rate. If there is at field that does not exist in CME-V3, that field will End User Training: We recommend train the trainer approach to end user training. This could include a person(s). Should end user training be required by VertiQ, either remotely or in person, this will constitute a require modification and will constitute additional costs. HAS NOT BEEN QUOTED chargeable expense to you. Please note that VertiQ will only bill for services after they have been provided. Estimated Project Services Installation of a test application which will become the production application V3 Canned Reports - VertiQ will configure your logo, header and personnel to our existing reports Report Dev List customized /r re-build report requirements Project Management TRAINING and go-live support. Sub-Total: 15% New Client Discount Total Days Included Costs $0.00 REPORTS Included $0.00 $0.00 $1,400.00 $4,200 $5,600.00 -$840.00 $4,760.00 1 3 4 4 Client Services Walk-throughs, training VertiQ reserves the right to utilize funds from one service item to another if those funds are available; otherwise a change order will be required. Payment Terms 1. You will be charged for 1 user, $100 monthly, upon installation oft the application on the Azure hosted server until moved into production. 2. Your first full Annual Hosted Fee shall be invoiced upon go live. 3. Storage Fees will be charged to you upon installation of data on hosted server. 4. Payment for services is due upon completion of the specific service item and receipt of invoice. All invoices from VertiQ shall be due and payable within thirty (30) days of the date of each invoice. This quotation is validi for 90 days. 16 Costs Synopsis 1User Number of Concurrent Users Annual Hosted Fee: $1,200 (5-year minimum) TBD One-Time Fee: $4,760 $5,960 First Year Storage Fees for GB of Images and Documents Estimated Service costs associated with the CME-V3 hosted Moon Service Fees application taken as is. Total First Year Costs CME Version 3 Hardware/Software Requirements (*Moon version see below) Server requirements Workstations: None - Fully Hosted The client workstation or device should have installed the appropriate software to display, edit and/or print these files (PDF, Word, images, audio, video, etc.) that may be stored or generated on the server. Current Browser Support Browser (*) es Edge @ Firefox Chrome Safari 102+ 101+ 102+ 15+ Notes: Only HTML 5 compliant browsers are supported Browsers must have JavaScript support enabled Browsers in Beta stage are not supported Discontinued browsers are not supported MS Internet Explorer is not supported 17 PROWERS COUNTY AGENDA ITEM REQUEST FORM Hearing Date Requested: 09/26/2023 Submitter: Mark Westhoff Submitted to the County Administration Office on: 09/20/2023 Return Originals to: Mark Westhoff Number of originals to return to Submitter: 0 Contract Due Date: N/A Item Tite/Recommended Board Action: Consider ratifying 9/14/2023 email poll approval of Grant Eligibility Confirmation form for SIPA Micro-Grant totaling $6500 tol be spent before June 30, 2024, to aid the Prowers County website conversion, and authorizing BOCC Chair Ron Cook to execute the document. Justification or Background: Fiscal Impact: This item is budgeted in the following account code: County: $ Federal: $ State: $ Other: $ Approved by the County Attorney on: 9/15/2023 Additional Approvals (if required): PLEASE. ATTACH THIS SHEET TO ALL AGENDA ITEMS WHEN SUBMITTINGTO COUNTY ADMINISTRATION. THANK YOU! Colorado Your public sector partner fort technology (SPA) Colorado SIPA makes tech simple UTHON Grant Eligibility Confirmation On behalf of my organization.Iconfim that my organization has legal authority to accept a grant from SIPA Note: If you are not certain that your organization has authority to accept and expend the grant award, please and to expend the grant funds fori the project as described in our grant application. explain here and SIPA will contact you about possible solutions. On behalf of my organization,! lacknowledge that grant funds may only be expended fori the project as described in my organization's grant application and that the expenditure of all grant funds is subject to audit by SIPA or a designated agent. Further, lacknowledge and agree that any grant funds not expended for the project as described in the application or not expended by June 30, 2024 must be repaid to SIPA. lagree to complete SIPA's Grant Update form about the expenditure of grant funds, including recipients and purposes of all expenditures, together with a summary oft the project status, the benefits realized, and the lagree to: 1) accept the check at the address listed below, or at the award ceremony, 2) return a completed W9 obstacles encountered. This form will be sent to youl later this year. Agreed: Signature: Title: Print Name: Organization Name: Poseis Date: 4an B2 Ron Cook Gouaky 9/n4/doa Chatman, Pasks Ganly Bocc Check Mailing Address 30l Spain St, #als, Lamer,CO 8iosd Iwill attend the ceremony to accept the award on Sept. 20, 2023 between 5:00-6:00 p.m. at the Ralph Carr Judicial Building (1300 Broadway, 1st floor, Denver, CO 80203) to be recognized at the special event. Print attendee name(s) here: X Iwill not attend the ceremony. Iwill submit a short video about my project. An award check will be mailed to the contact listed above, within 45 days after receipt oft the video. Questions? Contact Beth Justice at 720-409-5636 or beth@cosipa.gov 1300 Broadway Street, Suite 440 Denver, Colorado 80203 1720.409.5634/sipa@cosipa.gov PROWERS COUNTY AGENDA ITEM REQUEST FORM Hearing Date Requested: 09/26/2023 Submitter: Mark Westhoff Submitted to the County Administration Office on: 09/20/2023 Return Originals to: Mark Westhoff Number of originals to return to Submitter: 0 Contract Due Date: N/A Item Title/Recommended Board Action: Consider approval of appointing a Commissioner Designee and Alternate to the CCI Legislative Committee to vote on 2024 CCILegislative Priorities and authorizing BOCC Chair Ron Cook to certify the appointment. Justification or Background: Fiscal Impact: This item is budgeted in the following account code: County: $ Federal: $ State: $ Other: $ Approved by the County Attorney on: Additional Approvals (if required): PLEASE ATTACH: THIS SHEET TO ALL AGENDA ITEMS WHEN SUBMITTINGTO COUNTY ADMINISTRATION. THANK YOU! CCI COLORADO COUNTIES, INC. Educate. Advocale. Empower Legislative Committee Commissioner Designation Form Eacb Board ofCoumby Commissioners must designate a commissioner to. serve on CCTLagislative Committee to vote on tbe 2024. Legislative Priorities. Declaration of] Designee: The BOCC: appoints Commissioner, on CCI's Legislative Committee on behalf of to serve county. First Last Name) (Counly Name) Our Legislative Committee Designee will attend the October 61 meeting; Check One: Inl Person Virtually Declaration of Alternate: In the event our designee is nol longer able to participate in this meeting; we designate Commissioner, as alternate (First d Last Name) Ifnecessary, our alternate will attend the October 61 meeting; Check One: In Person Virtually Certification by the BOCCChair Signed: Date: Board Chair Please return or send questions to Brittney Becerra bhcerecionineor M: 720-202-5296 Due: Friday, September 29, 2023 PROWERS COUNTY AGENDA ITEM REQUEST FORM Hearing Date Requested: 09/26/2023 Submitter: Mark Westhoff Submitted to the County Administration Office on: 09/20/2023 Return Originals to: Mark Westhoff Number of originals to return to Submitter: 0 Contract Due Date: N/A Item Tite/Recommended Board Action: Consider ratifying 9/20/2023 email poll approval for Prowers County to sponsor the livestock auction at the 2023 Holly Gateway Fair for a total of $300. Justification or Background: Fiscal Impact: This item is budgeted in the following account code: County: $ Federal: $ State: $ Other: $ Approved by the County Attorney on: Additional Approvals (if required): PLEASE. ATTACH THIS SHEET TO. ALL. AGENDA ITEMS WHEN SUBMITTINGTO COUNTY ADMINISTRATION. THANK YOU! 2023 Holly Gateway Fair ADVERTISER INFORMATION Contact: Merk WsHff Company: Posers Gunky Telephone: 7/9-336-80a5 Date: 9/20/a02 Email: mwesthfe Aaeseuakynet Please circle which show you would like to sponsor (2 sponsors per show available): Sponsors will have their name/logo constantly displayed during that show Rabbit/Poultry Show $50 Swine Show $100 Tiny Tot Sheep Show & sheep Show $150 Bucket calf Show & Beef Show $150 Tiny Tot Goat Show & Goat Show $150 Junior Livestock Market Sale $150 Liveslock hucha, $3c0 Other ways to sponsor: 4H member interviews $50 (3-5 available/sponsor will have logo displayed during interview) FFA member interview $50 (3-5 available/sponsor will have logo displayed duringi interview) Presenting Sponsor -$600 Presenting sponsor gets a 15-30 second commercial at the beginning of every show and the livestock sale. In addition, Presenting Sponsor will have their logo displayed on every show we do for Bent County. Appored by hus Gnly Bocc on 9/19 via Email BII CAF MEDIA CANTS poraRapa, CAF Media Email: afmednZesmal.com 719-688-2853 mo. JX PROWERS COUNTY AGENDA ITEM REQUEST FORM Hearing Date Requested: 9-26-2023 Submitter: Administration Office & DHS Submitted to the County Administration Office on: email poll 9-14-23 Return Originals to: Administration, DHS and Jana Coen Number of originals to return to Submitter: 1 Contract Due Date: Item Tile/Recommended Board Action: Consider ratifying 9-14-2023 email poll approval for Payment of Bills and Voided Checks, if any, presented in the amount of $268,391.07 County General Fund, $54,137.04 DHS and H3C with a certification date of September 19, 2023. Justification or Background: Fiscal Impact: This item is budgeted in the following account code: County: Federal: $ State: Other: $_ $_ $_ PROWERS COUNTY TREASURER CERTIFICATION COUNTY_GENERALI FUND-01 70081-70146 0010 $ 198,240.40 September 19, 2023 2nd Qir Unemployment $ (3,682.02) Payroll $ Fringes $ 0018 2023 $ Payroll $ Fringes_ $ 0020 2023_s 5,073.32 Payroll $ Fringes $ 0552 2023 $ 0675 $ Payroll $ 0900 2023_s 0130 2023 $ 0100 2023 $ 2023 $ 0014 2023_s 3,740.68 Payroll $ Fringes_s 0676 2023 $ 29,164.69 $ Payroll $ Fringes $ 0016 2023 $ 20,518.07 9 Payroll $ Fringess 0017 2023S 15,315.95 Payroll $ Fringes $ Totals 194,558.38 ARPA-02. Total_s ROAD&BRIDGE FUND-02 Total $ Totals Total_s Total's Total_s Total_s Total $ 5,073.32 FSA (Cafeteria)_552. Sheriff's Booking. Fees SALES. & USE TAXF FUND-03. CONSERVATION: TRUST FUND 06. CAPITALFUND.-07. OTHER AGENCIESFUND- 08 LODGING. TAX-09 19.98 19.98 Total $ 3,740.68 FURUCHFATHA9ENCY- Total_s Total $ 29,164.69 20,518.07 CRMC. IPÇ. Buk - Totals GRAND TOTALS 15,315.95 268,391.07 Paula Gonzales, Finance Director PROWERS COUNTY APPROVE TO PAY APPROVE PAYMENTS AS HEREIN SET FORTH. CHECK NUMBERS AS LISTED BELOW ARE ALL INCLUSIVE, ARE SET OPPOSITE THEIR NAMES, AND TOTALING THE SUM OF: $272,073.09 DRAWN ON COUNTY GENERAL FUNDS. DATED. ASOF: September 19, 2023 # A/P $ 198,240.40 $ $ $ $ $ $ $ $ $ $ $ $ $ PAYROLL FRINGES COUNTY GENERAL FUND ARPA FUND FSA ACCOUNT BOOKING FEES ACCOUNT PUBLIC HEALTH AGENCY ROAD & BRIDGE FUND SALES & USE TAX FUND CONSERVATION TRUST FUND CAPITAL FUND OTHER AGENCIES FUND LODGING TAXI FUND CRMC FUND OPC FUND 29,164.69 5,073.32 19.98 3,740.68 20,518.07 15,315.95 272,073.09 Totals DATE: September 19, 2023 DATE: September 19, 2023 DATE: September 19, 2023 DATE: September 19, 2023 A lok 3n Bugfmlndade amil CLERK TOT THE BOARD ETT Total Paid. Approve To Pay AP + Fringes Total Pd Certification Payroll Total Payroll + Fringes $ $ $ $ 272,073.09 272,073.09 272,073.09 STATE OF COLORADO) COUNTY OF PROWERS) G Ending Check No. Beginning Check No. Total Number of Checks: 70146 70081 1 66 jss: Tréasurer's Office PROWERS COUNTY APPROVE TO PAY APPROVE PAYMENTS AS HEREIN SET FORTH. CHECK NUMBERS AS LISTED BELOW ARE ALL INCLUSIVE, ARE SET OPPOSITE THEIR NAMES, AND TOTALING THE SUM OF: $272.073.09 DRAWN ON COUNTY GENERAL FUNDS. DATED. ASOF: September 19, 2023 # A/P $ 198,240.40 $ $ $ $ $ $ $ $ $ $ $ $ $ PAYROLL FRINGES COUNTY GENERAL FUND ARPA FUND FSA ACCOUNT BOOKING FEES ACCOUNT PUBLIC HEALTH AGENCY ROAD & BRIDGE FUND SALES & USE TAXI FUND CONSERVATION TRUST FUND CAPITAL FUND OTHER AGENCIES FUND LODGING TAXF FUND CRMC FUND OPC FUND 29,164.69 5,073.32 19.98 3,740.68 20,518.07 15,315.95 272,073.09 Totals DATE: September 19, 2023 DATE: September 19, 2023 DATE: September 19, 2023 DATE: September 19, 2023 Lay om-ladade 81 CC, CHAR COMMISSIONE Cibooas hoek CLERK TOTHE BOARD WER Total Paid Approve To Pay AP + Fringes Total Pd Certification- Payroll Total Payroll + Fringes $ $ $ $ 272,073.09 272,073.09 272,073.09 STATE OF COLORADO) COUNTY OF PROWERS) 4 Ending Check No. Beginning Check No. Total Number of Checks: 70146 70081 1 66 jss: o S s S E - E S o o C C C 3 € - e 3 0 3 0 0o 8 6 C do 8 of s - 0 9 4 00 0 00 3 6 0 1 8 C 6 C 8 88 00 88 D B 0 6 PROWERS COUNTY TREASURER CERTIFICATION OF EXPENDITURES DATE: September 19,2023 Prepared by: Mindy Maestas PROWERS COUNTY DEPARTMENT OFI HUMAN SERVICES FUND SALARY FRINGE OPERATING 66921-66923 & 66925-66933 41,412.67 WHCSALARY WHC FRINGE WHC OPERATING 8592-8596 12,338.74 TOTAL:$ 53,751.41 Information Only VOIDEDO CHECKS#'s: 66924 Duinlluseln Daniel Mireles, Director $ E PROWERS COUNTY TREASURER CERTIFICATION OF EXPENDITURES DATE: September 19,2023 Prepared by: Mindy Maestas HOTLINE COUNTY CONNECTION CENTER FUND H3CSALARY H3CFRINGE H3C OPERATING 3837-3838 385.63 TOTAL:S 385.63 Information Only VOIDEDCHECKSS Qui Camnie Director Mireles, WNo bywsg