PROWERS COUNTY, COLORADO BOARD OF COMMISSIONERS MAY 27, 2025 LOCATION: PROWERS COUNTY ANNEX- MEZZANINE ROOM 1001 S MAIN STREET, LAMAR, CO 81052 8:00 a.m. Board of Human Services, Lanie Meyers-Mireles 8:30 a.m. Board of Health, Meagan Hillman - CANCELLED WORK SESSION 9:00 a.m. Abbie Campbell, Prowers County Treasurer Updates 9:30 a.m. Rosana Reyes, Ph.D., Lamar Community College President LCC Update 10:00 a.m. Christopher Olney, Colorado Springs Utilities Update 11:00 a.m. BOCC Update Paula Gonzales, Finance Director 1st Quarter Financial update 11:30 a.m. Karen Bryant-CEO Prowers Medical Center Update MEETING AGENDA 1:00 p.m. Invocation Pledge of Allegiance Call Meeting to Order Roll Call 1 CONSENT AGENDA ACTION ITEMS: 1. Consider approval of Adoption of Agenda 2. Consider approval of Payment of Bills Presentec and of Voiding Checks, if any, for all County Funds and DHS Funds, which include WHC and H3C Funds 3. Consider approval of May 13, 2025 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. UPDATES Don Wilson, County Administrator County Administrator update Todd Horning Motocross Park Update Staff - Plat Fee and Process Discussion Rose Pugliese, Esq. County Attorney update ACTION ITEMS: 1. Consider approval of Contract Amendment #2, CT QAAA 2026, original Contract No. 25 QAAA 190688 between Colorado Department of Early Childhood and Nurse Family Partnership and authorizing Public Health Director Meagan Hillman to execute the document electronically. 2. Consider approval of Scope of Work for Child Fatality Review and authorizing Public Health Director Meagan Hillman to execute he document. 3. Consider ratifying 5-19-2025 email poll approval for payment of bills presented for County General Fund AP, in the amount of $128,088.69, which includes voided Check #75270 due to a printing error, DHS AP Fund, in the amount of $4,290.51 and H3C AP Fund, in the amount of $95.63 all with a Cerification date of May 20, 2025 and authorizing the use of the Commissioner's signature stamps. 4. Consider approval of a Letter sent to Computer Information Concepts dba CIC for Non-renewal of Contracted Software and Firancial Services for Contract ending June 30, 2025 and authorizing County Administrazor, Don Wilson to sign the letter. 2 5. Consider approval of final Subdivision Exemption Plat Map for Kema Land, LLLP. Application request was approved January 22, 2025 by the Planning Commission and on January 28, 2025 by the BOCC. Minor Subdivision for a Second Subdivision in the SE1/4NW1/4 in Section 11, Township 23, Range 43 West, the 6 P.M. Subdividing 1.56 acres and to be recorded in the County Clerk's Office. 6. Consider approval of Page Management and Maintenance Agreement between Prowers County Clerk and Gobin's Inc for copy machine and services with a monthly total payment of $399.94, term of sixty months and authorizing Prowers County Clerk, Jana Coen to execute the Agreements. PREVIOUSLY TABLED ACTION ITEMS: 1. None EXECUTIVE SESSION Executive Session pursuant to C.R.S. 524-6-402/4/b) Conference with the attorney for the purposes of receiving legal advice on specific legal questions. Executive Session pursuant to C.R.S. 524-6-402/4)(b) Conference with the attorney for the purposes of receiving legal advice on specific legal questions for litigation updates. ADJOURN NOTE: This Agenda is provided for informational purposes only. Action may be taken on any or all of the items. All times are approximate. If any 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 specific hearing time; those items will not begin until the specific time or after. 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 accommodation. 3 PROWERS COUNTY AGENDA ITEM REQUEST FORM Hearing Date Requested: 05/27/2025 Submitter: Meagan Hillman, PCPHE Director Submitted to the County Administration Office on:05/08/2025 Return Originals to: Meagan Hillman, PCPHE Number of originals to return to Submitter:1 Contract Due Date: As soon as signed Item Tite/Reommended Board Action: Consider approval for Contract Amendment #2, CT QAAA 2026, original Contract No. 25 QAAA 190688 between Colorado Department of Early Childhood and Nurse Family Partnership and authcrizing Public Health Director Meagan Hillman to execute the document electronically. Justification or Background: Fiscal Impact: This item is budgeted in the followmg account code: County: $ Federal: $ State: $ Other: $ Approved by the County Attorney on: 5-16-25 Additional Approvals (if required): PLEASE ATTACH THIS SHEET TO ALL AGENDA ITEMS WHIEN SUBMITTING TO COUNTY ADMINISTRATION. THANK YOU! COLORADO Department of Early Childhood STATE OF COLORADO CONTRACT MODIFICATION CONTRACT AMENDMENT #2 State Agency Current Contract Maximum Amount Colorado Department of Early Childhood Initial Term 710 South Ash Street, Building C State Fiscal Year 2025 $648,742* Glendale, CO 80246 CT QAAA 2025-1019 GAE QAAA 2025-184 Contractor * And $90,000 pooled GAE shared amongst various Prowers County Public Health and Environment contractors as described in Contract, see Exhibit C 1001 South Main Street Section 11. Lamar, Colorado 81052 Extension Terms Original Contract Number State Fiscal Year 2026 $631,122.64* 25 QAAA 190688 CT QAAA 2026-TBD CT QAAA 2025-1019 GAE QAAA 2026-TBD GAE QAAA 2025-184 *And $90,000 pooled GAE shared amongst various Amendment Contract Number contractors as described in Contract, see Exhibit C CT QAAA 2026-TBD A2 Section 11. Contract Performance Beginning Date June 27, 2024 Current Contract Expiration Date Total for All State Fiscal Years: $1,279,864.64 June 30, 2026 Signature Page Begins on Next Page THE REST OFT THIS PAGE IS INTENTIONALLY LEFT BLANK Amendment Contract Number: CT QAAA 2026-TBD A2 Page 1 of 4 Version 07.2024 COLORADO Department ofE Early Childhood SIGNATURE PAGE THE PARTIES HERETO HAVE EXECUTED THIS AMENDMENT Each person signing this Amendment represents and warrants that he or she is duly authorized to execute this Amendment and to bind the Party authorizing his or her signature. CONTRACTOR STATE OF COLORADO Prowers County Public Health and Environment Jared S. Polis, Governor Lisa Roy, Ed.D., Executive Director Colorado Department of Early Childhood By: Meagan Hillman PA-C, MBA, Director of PCPHE By: Stephanie Beasley, Deputy Executive Director Date: Date: STATE CONTROLLER Robert Jaros, CPA, MBA, JD By: Jeanni Stefanik, Acting CDEC Controller Amendment Effective Date: In accordance with $24-30-202, C.R.S., this Amendment is not valid until signed and dated above by the State Controller or an authorized delegate. Amendment Contract Number: CT QAAA 2026-TBD A2 Page 2 of4 4 Version 07.2024 COLORADO Department of Early Childhood 1. PARTIES 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 State. 2. TERMINOLOGY Except as specifically modified by this Amendment, all terms used in this Amendment that are defined in the Contract shall be construed and inzerpreted in accordance with the Contract. 3. AMENDMENT EFFECTIVE DATE 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 of this 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 the Amendment term shown in $3.B ofthis Amendment. B. Amendment Term 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 July 1, 2025, whichever is later, and shall terminate on the termination ofthe Contrac:. 4. PURPOSE Prowers County Public Health and Environment (PCPHE) shall positively impact pregnancy outcomes, child health and development, and eccnomic self-sufficiency of enrolled families in Baca, Prowers, Kiowa, Bent, Otero, Crowley, and Cheyenne counties by delivering high quality nursing services that comply with NFP model fidelity. This Amendment extends the expiration date, amends Exhibits A, B and replaces Exhibit C. 5. MODIFICATIONS The Contract and all prior amendments thereto, ifa any, are modified as follows: A. Extend the Contract Expiration Date from June 30, 2025, to June 30, 2026. 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 Signature and Cover Page for this Amendment. A. Increase the Contract Amount for SFY26 by $631,122.64 and Increase the Maximum Amount for All State Fiscal Years from $648,742 to $1,279,864.64. The Contract Maximum Amount table on the Contract's Signature and Cover Page is hereby deleted and replaced with the Currert Contract Maximum Amount table shown on the Signature and Cover Page for this Amerdment. B. Exhibit A - Statement of Work Exhibit A - Amendment #2, which is attached and incorporated by this Amendment, shall be added to Exhibit A ofthe Original Contract. Amendment Contract Number: CT QAAA 2026-TBD A2 Page 3 of 4 Version 07.2024 COLORADO Department ofl Early Childhood C. Exhibit B - Budget Exhibit B - Amendment #2, which is attached and incorporated by this Amendment, shall be added to Exhibit B of the Original Contract. D. Exhibit C - Additional Provisions Exhibit C - Amendment #2, which is attached and incorporated by this Amendment, shall replace Exhibit C - Amendment #1, ofthe Original Contract. 6. LIMITS OF EFFECT AND ORDER OF PRECEDENCE This Amendment is incorporated by reference irto the Contract, and the Contract and all prior amendments or other modifications to the Contract, if 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 ofthis Amendment and any oft the provisions ofthe Contract or any prior modification to the Contract, the provisions of this Amendmeat 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 te extent that this Amendment specifically modifies those Special Provisions. Amendment Contract Number: CT QAAA 2026-TBD. A2 Page 4 of4 4 Version 07.2024 Exhibit A Amendment #2 COLORADO Department of EarlyChadhood Statement of Work Prowers County Public Health and Environment Southeast Nurse-Family Partnership Nurse Home Visicor Program CDEC PROGRAM CONTRACT MANAGER Bitel Beyette, Nurse Home Visitor Program Administrator, bite beyette@state.co.us ABBREVIATIONS CAB - Community Advisory Board CCT - Colorado Coordination Team CDEC - Colorado Department of Early Childhood C.R.S. - Colorado Revised Statutes FY-F Fiscal Year HCPF - Health Care Policy & Finance IIK - Invest in Kids NFP - Nurse-Family Partnership NFPNSO - Nurse-Family Partnership National Service Office NHVP - Nurse Home Visitor Program NHVS - Nurse Home Visitors NS- Nurse Supervisor SENFP Prowers County Public Health and Environment Southeast Nurse-Family Partnership soW Statement of Work WIC - Women, Infants, and Children GLOSSARY Active clients are defined by the NFPNSO as: o Clients whose "Program End Date" in the NFP data systen is null or occurs after the last day of the reporting period. Page 1 of 12 Revised 1/6/2025 COLORADO Exhibit A - Amendment #2 Department ofE EarlyChidhood Clients who had a completed visit within 180 days prior to the last day of reporting period. Clients who have a child not over 26 months on the last day of the reporting period. ) Clients who have not been in the program for over two years and 11 months on the last day of the reporting period. Colorado Coordination Team A team comprised of four agencies who work together to administer NFP in Colorado. The CCT is comprised of CDEC, which is responsible for financial admin stration of the program; the University of Colorado health sciences facility, which is responsible for programmatic and clinical support, as well as selection, evaluation, and monitoring of the implementation sites (these duties are subcontracted to the Nurse-Family Partnership National Service Office and Invest in Kids); Invest in Kids (IIK) which provides program ove sight, nurse consultation, site development, and program advocacy; and the NFPNSO which holds the NFP model curriculum and data collection system and provides ongoing nurse training and evaluation. NTRODUCTION/BACKGROUND The Nurse Home Visitor Program (NHVP), authorized through sections 26.5-3-501 through 26.5-3-508 C.R.S., established a statewide nurse home visitor program in Colorado beginning in FY 2000. Per the program requirements outlined in statute, the NHVP utilizes the Nurse-Family Partnership (NFP) model. MFP is an evidence-based, voluntary, community health nursing program aimed at improving the lives of families expecting their first child. The program is open tc all first-time parents living with an annual income below 200% of the federal povert/ level. Clients are partnered with a registered nurse early in their pregnancy and receive home visits until the child turns two. The goals of the program are: o Improve pregnancy outcomes by providing education and resources for preventative health practices including prenatal care, nutrition, and reducing the use of habit-forming substances including cigarettes, alcohol, and illegal substances. Improve child health and development by providing education and resources for healthy attachment, parenting skills, and helping parents provide responsible and competent care for their children. Improve the economic self-sufficiency of the family by supporting parents to develop a vision for their own future, plan future pregnancies, continue their education and find work. Per section 26.5-3-502 (2) C.R.S., responsibility for implementing the program is divided between CDEC, which is responsible for financial administration of the program, and a health sciences facility at the University of Colorado, which is responsible for programmatic and clinical support, evaluation, and monitoring of the program. CDEC and the University of Colorado health sciences facility shall work collaboratively for successfu. implementation of the program; however, neither party is responsible for the other entity's statutorily prescribed duties. Page 2 of 12 Revised 1/6/2025 Exhibit A Amendment #2 COLORADO Department ofE EarlyChidhood SCOPE OF WORK Prowers County Public Health and Environment Southeast Nurse-Family Partnership (SENFP), referred to in this SOW as the Contractor, shall positively impact pregnancy outcomes, child! health and development, and economic self-sufficiency of enrolled families in Baca, Prowers, Kiowa, Bent, Otero, Crowley, and Cheyenne Counties by delivering high-quality nursing services that comply with NFP model fidelity. SENFP's goal for this project is to improve maternal and child health, prevent child abuse and neglect, encourage positive parenting and promote child health and school readiness through the provision of high-quality NFP home visiting services. PERIOD OF PERFORMANCE July 1, 2025 June 30, 2026 WHERE SERVICES WILL BE PERFORMED BACA COUNTY Prowers- County Kiowa County Bent County Otero County Crowley County Cheyenne County WORK PLAN Work Flan Outcomes, Benchmarks, and Milestones Outcome Statement #1: SENFP shall positively impact pregnancy oulcomes, child health and development, and economic self- sufficiency of enrolled families in the specified service area by delivering high-quality nursing services that comply with model fidelity. Contractor shall adhere to the NFPNSO program requirements to mee: program objectives and model fidel ity. Key Activity A1: Provide ongoing training, supervision, and professional development for all NHVP staff, including model- specific training and state required trainings and events, including those offered by the Early Childhood Council. Page 3 of 12 Revised 1/6/2025 Exhibit A Amendment #2 n COLORADO Department ofEattyChidhood Tasks Time Period Deliverable Measurement Position(s) Responsible Budget Category A1-1: In collaboration Ongoing Staff receive ongoing 100% of NHVP NFP staff Nurse Supervisors (NS) Training and with each NHVP: staff, professional development to have professional Technical identify learning ensure proficiency in delivering development goals Assistance needs and develop a high-quality NFP services and identified annually. plan for professional meet model fidelity development. requirements established by the NFPNSO. A1-2: Secure September Nursing professional # of completed mental NFP Program Personnel approved contract 30, 2025 development, nurse retention, health case conferences Administrator Contract services and/or internal and compassion fatigue, and/or as noted in the NFP Flo staffing for mental other identified professional database. health consultation. development training needs. A1-3: Provide Ongoing Contractor implements referral #0 of referrals received NS Personnel resources for prenatal coordination between NFP and from community services Nurse Home Visitors Operating medical care and maternal and child health care (NHVs) coordinate referrals programs and services. #0 of referrals sent to to maternal health community services care and community services, such as Women, Infants, and Children (WIC) and Early Intervention Colorado. A1-4: NHVP staff shall Ongoing NHVP staff receive information, # of required calls and NS Personnel attend all mandatory understand and comply with the meetings attended Operating calls and meetings NHVP SOW, fiscal and facilitated by state contractual expectations, and * of staff who attended intermediary, Invest the NFP model expectations, to in Kids (IIK), and the provide high-quality NFP CDEC. services to clients and administer the program efficiently and effectively. Page 4 of 12 Revised 1/6/2025 COLORADO Exhibit A - Amendment #2 Department ofE Earlyo Childhood Tasks Time Period Deliverable Measurement Position(s) Responsible Budget Category A1-5: NHVP staff shall Ongoing AlL NHVS and NS shall hold and 100% of NHVP NFP staff NS Personnel adhere to NFPNSO maintain current nursing nave current licenses NHVS Training and guidelines for training licenses and comply with and training. Technical requirements and NFPNSO training requirements. Assistance retain documentation of all necessary trainings and nursing licenses. Key Activity B1: Provide voluntary NFP home visits and services to enrolled families following NFPNSO program requirements and caseload guidelines. Page 5 of 12 Revised 1/6/2025 Exhibit A - Amendment #2 COLORADO Department ofE EarlyChidhood Tasks Time Period Deliverable Measurement Position(s) Responsible Budget Category B1-1: Review NFP Ongoing At-risk NFP-eligible clients are 00% of clients meet NFP NS Personnel enrollment, enrolled in the NFP program population of focus at NHVS Operating disenrollment, re- during pregnancy and no later enrollment, as noted on Administrative enrollment, and dual than 30 days post-partum, per HFP client application. Assistants enrollment policies Colorado NFP program and procedures to guidelines. ensure voluntary participation and Maintain proof of income Documentation of prioritization of NHVP records for all mothers eligibility is maintained. enrollments for participating in the program to clients identified as ensure eligibility requirements high-risk with the NFP are met. population of focus. After 180 days with no Implement strategies Reasonable efforts shall be client contact, a Client to address inactive or made to re-engage clients while Dismissal form shall be disengaged clients. maintaining voluntary client completed and entered participation in the program. into the NFPNSO data Implement strategies gystem. to enroll new clients Monitor client status and in anticipation of increase referral outreach as f of active clients is upcoming client needed. nonitored graduations and to replace inactive clients. B1-2: Provide NFP Ongoing Conduct family-centered home # of client visits NS Personnel visits (in-person and visits in accordance with the completed NHVS telehealth as NFP model guidelines. appropriate) to # of clients enrolled by enrolled NFP clients 38 weeks pregnancy and per the NFP standard # enrolled after 28 visit schedule or weeks pregnancy agreed upon alternative visit # of clients retained in schedule. te program Page 6 of 12 Revised 1/6/2025 Exhibit A Amendment #2 COLORADO Departmento ofE EarlyChidhood Tasks Time Period Deliverable Measurement Position(s) Responsible Budget Category B1-3: Adhere to Ongoing NHVS maintain their funded #o of active caseload NHVS Personnel NFPNSO caseload caseload. Full time NHV NS guidelines. caseload is 25 clients. Part time caseload is pro-rated accordingly. New NHVs shall follow a caseload ramp-up, adding new clients gradually over a 9-month period to get to their full caseload. Contractor shall maintain 85% active caseload out of the 100% funded caseload for the fiscal year. B1-4: Monitor Ongoing Track andi report active fof active caseload NHVS Personnel caseloads on a caseload numbers in the reported in NFPNSO NS Operating consistent schedule. NFPNSO database. Active database Administrative Assistant caseload numbers will be and/or Data Staff monitored quarterly by the Colorado Coordination Team (CCT). B1-5: Implement Ongoing, as In collaboration with CDEC and Plan for NHV turnover is NS Personnel transition plans for needed IK, develop a transition plan in place. In the event a NHV turnover. for transferring clients when a nurse leaves the nurse leaves the program to program, Contractor minimize client attrition. shall contact CDEC and IK as soon as possible. Key Activity C1: Ensure accurate and timely data collection as specified by the NFPNSO and utilize data reports to assess and guide program implementation. Page 7 of 12 Revised 1/6/2025 COLORADO Exhibit A - Amendment #2 Department ofE EarlyChidhood Tasks Time Period Deliverable Measurement Position(s) Responsible Budget Category C1-1: Enter data into Ongoing Data collected in accordance NFP database reflects NHVS Personnel NFP data collection with NFPNSO guidelines to track data collected and NS Operating system and monitor performance. and identify reported. Administrative Assistant data utilizing reports measurable improvements at and/or Data Staff from the NFPNSO and site level. IIK. Key Activity D1: Collaborate with other NFP sites and community partners to best serve families. Tasks Time Period Deliverable Measurement Position(s) Responsible Budget Category D1-1: NHVP staff shall Ongoing, as NS and/or NFP Program Email communication NS Personnel establish and needed Administrator shall connect with CDEC NHVP NFP Program maintain contact with with neighboring NFP Program Administrator Administrator neighboring NFP implementation: sites to develop and IIK Nurse Consultant. implementation a plan for exchanging referrals partners for site when geographically necessary referrals. to arrange the best fit for families. Contractor shall track referrals # of transferred referrals that are referred to neighboring programs. D1-2: Establish and Ongoing Maintain relationships and # of contacts NS Personnel maintain relationship contact information for CAB NFP Program Operating with an NFP members, community partners, List is maintained and Administrator Community. Advisory and referral sources. with current contact Board (CAB) and information. other community partners and referral sources. Work Flan Outcomes, Benchmarks, and Milestones Outcome Statement #2: Contractor shall adhere to CDEC NHVP fisca. and contracting processes, as well as NFP budget guidance, for effective fiscal administration of the NHVP. Page 8 of 12 Revised 1/6/2025 Exhibit A - Amendment #2 COLORADO Department ofE EartyChidhood Key Activity A2: CDEC contract and invoicing processes are adhered to, and document submission and trainings are completed by specified deadlines for effective fiscal administration of the program. Tasks Time Period Deliverable Measurement Position(s) Responsible Budget Category A2-1: Contractor shall Ongoing Contractor shall adhere to # of monthly invoices NS Personnel and/or submit invoices Invoices NHVP and State of Colorado submitted to CDEC. NFP Program Indirect monthly to CDEC. shall be fiscal processes. Invoices shall Administrator submitted no be submitted no later than 45 Accounting and/or more than days following the end of each Administrative Staff 45 days month using the OnBase system, following the unless otherwise specified. end of each month A2-2: Complete and June 30, Final invoices for the fiscal year Final invoice or estimate NS Personnel and/or submit NHVP year- 2026, or as are required on a shortened of final expenditures NFP Program Indirect end statements and specified by timeline. A final invoice submitted on time. Administrator invoices per CDEC CDEC submission deadline shall be Accounting and/or requirements. communicated by the CDEC Administrative Staff NHVP Program Administrator and CDEC fiscal staff no later than June 30, 2026. If a final invoice is not available by the specified date, an estimate of final expenditures must be provided at that time. Page 9 of 12 Revised 1/6/2025 COLORADO Exhibit A - Amendment #2 Department ofFarlyo Childhood Tasks Time Period Deliverable Measurement Position(s) Fesponsible Budget Category A2-3: NHVP staff shall Ongoing, as Contractor shall adhere to Documentation of prior NS Personnel and/or contact the CDEC needed NHVP and State of Colorado approval of changes is NFP Programr indirect NHVP Program fiscal and contracting processes maintained. Administratcr Administrator for any modifications to the Accounting staff regarding requests for budget or SOW. If a formal Amendment budget modifications is required, Amendment prior to expending Prior written approval from is not effective until it grant funds to ensure CDEC NHVP Program has been executed by all compliance with Administrator is obtained for parties. NHVP fiscal any modifications to the budget requirements. This or SOWi in this contract. includes any salary Depending upon the changes changes that are not requested, a formal accounted for in the Amendment may be required. contract budget. A2-4: New NHVP staff Ongoing, as NS shall alert the CDEC NHVP NS informs CDEC NHVP NS Personnel and/or whose job duties needed Program Administrator about Program Administrator of Accounting and/or indirect include assisting with any new staff who assist with new staff within 45 days administrative staff preparing budgets, preparation of the budget, of hire. invoices, or grant invoices, or grant management for this administration within 45 days of Grant orientation for project shall meet hire to set up a grant new staff has been with the CDEC NHVP orientation. completed within 90 Program days of hire. Administrator for NHVP grant orientation. Key Activity B2: Contractor shall bill Medicaid for eligible NFP services. Page 10 of 12 Revised 1/6/2025 COLORADO Exhibit A - Amendment #2 Department ofEarlyo Childhood Tasks Time Period Deliverable Measurement Position(s) Fesponsible Budget Category B2-1: Contractor shall July 1, 2025 Contractor is an active Medicaid Contractor is an active NS Personnel be an active Medicaid June 30, Provider with an assigned edicaid Provider and all NFP Program Indirect Provider during the 2026 Medicaid consulting physician NHVS are enrolled. Administratcr Operating Period of by July 31, 2025. Performance and adhere to Medicaid All NHVS are enrolled as requirements. Medicaid providers. B2-2: Bill Medicaid Ongoing Medicaid billing occurs. HCPF reporting NS Personnel when clients receive NHVS eligible services, Administrative staff including Targeted Case Management, tobacco cessation, maternal depression screenings, and preventative counseling. B2-3: Medicaid December Contractor shall meet with Meeting is held and, if NS Personnel revenue! shall be 31, 2025, CDEC NHVP Program necessary, issues have NFP Program reviewed with CDEC and ongoing Administrator to review HCPF been reported to HCPF. Administrato to ensure accuracy. as needed Medicaid revenue report for Administrative Staff accuracy. Discrepancies shall be reported to HCPF for correction. Contractor shall comply with requests from CDEC and HCPF for information on claims to resolve discrepancies. CHEDULE/MLESTONES SENFP's NFP program is affiliated with the NFPNSO and works closely with Invest in Kids, Colorado's State intermediary, to ensure the program is delivered in compliance with model fidelty. SENFP shall adhere to all the NFP model elements which demonstrate implementation with fidelity to the model. Page 11 of 12 Revised 1/6/2025 Exhibit A Amendment #2 /COLORADO Department ofE Early Chfidhood ACCEPTANCE CRITERIA The acceptance of all deliverables shall reside with the CDEC, NHVP. The designated program manager shall monitor all deliverables in order to ensure the completeness of each stage of the project and that the scope of work nas been met. The CDEC program manager shall either sign off on the approval, or reply to the vendor, in writing, advising what tasks must still be accomplished. Any dates outside the Period of Performance in the statement of work or other exhibit that are prior to the execution date or extend beyond the Contract Expiration Date are for planning and informational purposes only, anc do not formally extend the Contract Begin Date or Expiration Date. Page 12 of 12 Revised 1/6/2025 Exhibit Amendmen Z COLORA ADO Colorado Department of Early Childhood (CDEC) BUDGETV WITH. JUSTIFICATION FORM Name Pro CauntyPIBH Healiha andEmrironment EVARa7S ne38,7015 es st EH omey E E VstPogn MVPI Abbrevlations Definition Courites:s Served Baca Bent, Gowiey. Kiowa, Cero.PICME, AnSCkeyeec Counties CDEC Colorado Departmente ol Earlyo Chachead ProgamCentact Mame. Tide Roie unkn, RKMN- Nuvesuserisor MTDC ModifiedT Total Direct Costs - 19588774 SFY Staler fhcalyear mal Tanklads KLVEYIRE Musefanly Partnenhip FvaINn Tile na P I. kcountant NV MueHomey Vislior EMer 219-1354771 VP MurseHomey Vistor Program Ema: Fundet - AMEpO-ericewaly L ANCE Dyadic Assessment afiaturalitk Caregiver ChitdE Experience a Caselene as PVesP Pwertinss Baicitin nation Tecdnoieg Bapendiured Catprin Perionnels Benvises- Salaried! Emplcyte: SF/2026 ecmmtd GreserA An Timec on L Others Souroe B.Medcuia Ponltion Tide Desertption ofy Work Desciiptione ofFringes Benefits Salary Fringe Project A ofFundins Revenue CCeCF MNP Funfing Supervsor rovides ovensight, asistance andn management lor thes NVS, Facdi B Beilm, Mene andite 194,159.00 515.519.00 79.00 5,259.25 som sa.00 5,239.2 2 E andsti retirenet ev Conducusnomew vsua anacoordinate vintings scheaviss wtht famues, s, heaith,v vbion,a andine $42,489.00 $19,163.0e 100.004 SD164100 sa.te 50.00 5101,663.00 and5Bretirement V: Conducts homev viitsa ando coordinatesy E vhtingse schedules with Tamiles, lealth Veion, ardie 581,408.00 513,905.0 00 so.on $6,51.28 s0,0e s0.00 $76,251.2 20 E andss retirement maichins powvs Conducts homev visitsa ando coodinates Vailings shedvlesy withfa families. yGIENe meun, viion, andite 588,457.00 520,492, a BC.ON 7,167.20 s0,0 50,00 $67,167.20 E andssr reiremen Maminstratives Support/Datal Entry Provides datae entrya anda admirbtraties uppart lor MVS andSupervier. Mm hi dinel $40,704.0 515,667.0 oc 100,00 $6,571,0 so.a s0,00 $56,571,00 E and Sare retirement matchinc. Blingustk Alde ASsiSS MHVswithi interpretation. Peytal 6, hewn,y vBion, andite 519,996.00 516,000,0 o 10.00 5,599,60 sa.0e 50.00 $5,59.66 nuranes and: 5Kn retirement matching 1.Tott PeAmIREt fringe Beafiau $4E.491.25 50.00 5o.co 5412,491.25 Supalieeo Operating Eapenm SFY2026 ktem Decription ofl Item ACthersourem BHedical Revemue CCECFnig erv effundiny Olticeoperatingb bpenses Ie. supplini. Generaic offices supgless such apape. ink, pers, paper dips, Ile lolders, traveting! folders andothers similar s2 55,907.00 5A,000.0 tmwrylbindeent thes program. Clients Support Matenals Herst hat supportu pogancutiaiema andhepthedients. ssimilationofk kmowiedger regarding the soa 50.00 57,250.00 materiel. printigePcicatom Fomane needed oi implement thep program as wella as theu useot media loincessed communitya warencsdue so.0 50.00 $4,200.00 program, Eastts Shgensi Bmen igCdE Kr ler todients. ioc .on .500,00 mmuricatises ficellular. DetWGeK MErVCE indude n-houseld longd dstarce w wetl asv wirdiesd devie for wina andce cellp phones forn nurses. s2.0 52,00.00 55,000.00 Medicais Supplies emsuedtorp phpiata scnetdmswr andcnidindudings siethescopes, scale,b blodp prevure cufls, sou 34,00.00 S,0R.0 00 ESEE PEEMAESSU NLETN ther mopam. CCLTY MMwrylore Meetings Advisory Board merting son yao 51,00.00 Techndiogy - repixemekdcmpue: ands soltwarea as needed, w wellslabletsforn Ntoueo s0.00 50.00 $4,000.0 00 visits torilidety implenentt tMeNP prigram, atedint Se.sa 5O,5K EtALwe Eoatsc thel BItY and morkens Comperst A rVanced costs lo IhEN E - 0.00 ubtetal s0.0 $11,907.00 ItemsE Excudedf from ModifiedT TetalD choharhiplelomhip, - DinctCossn MTDG: Rantalo csti, tuition, participants support, equlpment. capital ependit tures) Aobes B.Medicais CcecFndg Hen Descriptionafi Item E Revenue MNP RetaiCosts Eenereicestite forth PRAANS 50.00 514,704.0 NFPH E.c National Service oriceP Program Support equiredleele thepogam. 50.00 50.00 574,064.0 Fee MANCLAI ECICdI ICMMDC 10.00 5o.00 514,715.0 0 ZTetaIs SappimtOperatingt Eapenses so.s $11,997.00 589,635.00 Training. ANET TechaicalA Aaitance SFY2026 Item Deseriptiono ofitem Per Fee a Tetal Obersouren afundine EHediat Revenve CCECFinfn MMP) EVEaYata Pequiretraining forrews NV MV 55.15100 5851.00 53.00 sa.o0 $5.8530 NPPENA onA Materinis t tecever equired nateials foN NPP MV 741.00 741.00 1a00 DAPICE edN N 4LC Education Cost coverst frepise taning 00 1,550 00 - CE Licersing Cate CON es repet MP train ng materss 544.0 PPLEANctin EGNEC coversrs reored" EPL traina ng ew Se7.00 SA670 50.00 n.00 462.00 eth Deve cpmert Coven coste dfasailiunel teliny forN NHVS vruptrvhe or 91 400.00 A.0 s.o0 HeIh or E.49A0 MEMAH Corsitation Mental health satioms the MVieame ach monti 300.0 0 1.5 TeaT Training anéT TechnikafA Aishtanee 51475Z00 loss 50.50 514,752.00 Traval SAYI014 ltem Deseriptionofitem A Cihers n. Mecicaid Revenue CCDECFEg VP Meager tgr dienu E TEKPAEE TErIseIErE nEERAEOmEN VIwIEn so.0 $4,00.00 56,000.0 Decesbfor MgeVher testtedmandetyt staten meeting. andie pervisor indN NeiVi ttend require ed so.00 ravel 50.00 tends equiredt $4,00.00 Traini ng ainny includingm mteage. lodgins. andper dien. 4. Teta Travel so.c 56,000.00 $44,000,0 00 CemtrtavCemutastrt PaynentsE tot thirdpares ar entities SY2028 Allowablein lan UnAllowable MTDC MDC Others Sources B. Hedicra C CDEC Fanding Deriytisneflen calculation Cale levation dfFuning Revenue ser Nocosts EERS 0.00 sb.00 1a00 0 Total Contractor/ce 5o.c0 59.00 50.00 50.00 50.00 TOTALD DRECTCOSTS 50.00 $17,907.00 5557,076.25 MOOUEDT DIRECTO COSTSCMTDO MODIFIED TOTALE DRECTCOSTSPTDG 50.00 517,907.0 00 5513,268.2 25 UnifarmG DMORES Codeo DIR Federals Regulations2 20012CR2 200.1)" "Modified TotalD Direct Cost IMTDC)" moNrsA dl dircts alariesa andy wages, appticatlet fringeb benefis, materiasa ands supplis, services, traek,a ande up tothen sse,000ole eachs subewardi regardeno ofu hes period ance f thes the ward). EIE edulae capital experdiures, charge E care, eMene renisiony scholanhipsa - participants spport cotsa and pationafe cachs excess Other of E afss0,000. tems only bee excludedy whenr necesary toa oida eiosi ineyityi thed ditibution idrecto costs, and VN me epproral - thes cogn irant agancy for indrect costs. Indtrect Costs SFY202 Inottoe sceed 153 unless NegotlatedF Federalindirect Costr ates or Neputiateds Statal Indirect Costr ratels attached) Item Desertption f Item Rat-s Lothes dfFunding Sourom B.medan Revenve CCES MeV funding SlateFederal Imé-atctrte inptintedi Indirectn HDICIDE 15.0 14.00 $79,045. - Totndirss 50.00 5o.co $7,0463 39 OTAL - soo 517,197.00 - $434422.53 Pageln a Rev2 2/4/2025 COLORADO Department of Early Childhood Exhibit C- Amendment #2 Additional Provisions 1. SERVICE PROVISIONS A. The Contractor shall provide the services according to the plans submitted in 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 of the Contractor as described in the Statement of Work, shall be adhered to in the performance of the requirements of this contract. In the event of a conflict, the terms and conditions of this 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 A. The Contractor shall be responsible for the achievement of any goals ard objectives as specified within the Statement of Work (EXHIBIT A) of this contract unless written notice of any modifications are furnished by the State to the Contractor allowing adequate time for compliance during the term of this contract. 3. COPY OF SUBCONTRACT A. The Contractor shall provide to the State a copy of any executed subcontract between the Contractor and any provider of services to fulfill any requirements of this contract. Subcontracts shall be emailed to the Contract Representative upon execution. 4. PAYMENT A. In consideration of the provision of 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 of this contract, the State shall pay to the Contractor an amount not to exceed the amount specified in the Budget (EXHIBIT B), of this contract. B. The Contractor shall submit requests for payment to the OnBase Invoice Submission Process no less than monthly on forms prescribed and provided by the State. i. Link to Frequently Asked Questions about the OnBase Invoice Submission Process. ii. Link to Vendor Invoice Guidance a) Under this Contract, the Vendor shall submit their invoices by selecting NHVP - Nurse Home Visitor Program. iii. For technical issues please contact the OnBase Administrator at CDEC OnBase Admin@state.co.Us. iv. For invoice issues, including but not limited to questions about which program to select or program manager emails to enter, please contact CDEC Invoicing@state.co.us. Page 1 of 6 Revision Date 03/20/2025 COLORADO Department of Early Childhood Exhibit C - Amendment #2 C. Payment shall be made on a cost reimbursement basis for services rendered. D. It is 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 ary redistribution of any savings by the Contractor. ANY COST SAVINGS THAT ARE REDISTRIBUTED BY CONTRACTOR WITHOUT WRITTEN APPROVAL SHALL NOT BE REIMBURSED BY THE STATE. E. IT IS UNDERSTOOD ANY COSTS THAT EXCEED THE CONTRACTED AMOUNT SHALL NOT BE PAID BY CDEC. If Contractor 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 of additional funds shall require an official modification to the Contract by Amendment or Option Letter. F. Timely Invoicing - Invoices shall be submitted no later than 30 days following the last day of the month. End of State Fiscal Year invoces are on a compressed timeframe. Invoices for all services provided prior to June 30th shall be invoiced by July 5th. Contractors who are unable to provide the invoice by July 5th shall notify the state of the amount to be booked as accounts payable by July 13th by sending an email to OnBase Invoice Submission Process. Final invoices for services prior to June 30th shall be submitted by September 14th. Invoices received after September 14th may not be paid. G. 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. H. It is understood that the State reserves the right to offset funds pursuant to this contract based on the discovery of overpayment or improper use of funds by the Contractor. Overpayment or improper use of funds is incerpreted to apply to specific terms of prior year contracts and includes without limitation requirements of the Generally Accepted Accounting Principles (GAAP) issued by the American Institute of Certified Public Accountants, and applicable sections of the Colorado Revised Statutes. I. 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 in the Contract, the State shall remove these funds from the contract budget by Option Letter for a proportional reduction of services with prior written notification to the Contractor. This provision does not allow for a reduction in the rate of pay. Additionally, the state shall have the ability to issue this option letter for a reduction, allowing the vendor to submit a revised budget for CDEC approval that aligns with the reduction within 30 days. 5. PARTICIPATION A. The Contractor representativets) is required to participate in any Depa tment of Early Childhood sponsored meetings related to this contract. Page 2 of 6 Revision Date 03/20/2025 COLORADO Department ofl Early Childhood Exhibit C - Amendment #2 6. SUPPLANTING A. 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. BUDGET CHANGES A. Contractor may request in writing adjustments to the direct costs in the current year budget (EXHIBIT B) not to exceed 15% of te total budget. Requests shall be made in the form of a 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 of the contract budget cannot be changed as a result of the budget revision request. Budget adjustment requests over 15%, adding new expense lines, and/or changes to the total dollar amount of the budget require a formal amendment. No adjustments to the Indirect Costs portion of the budget are allowable without a formal amendment. B. Contractor may request in writing up to a 5% increase to the "Gross or Annual Salary" of an individual employee if a 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, including revisions to allow payments for personnel covering vacancies, 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 of the funded program as determined by CDEC program staff. C. OPTION LETTER i. Option Letter to modify existing State Contract as listed in the executed Contract as follows: a) The State, at its discretion, shall have the option to revise the budget over 15% to correct typographical errors; add or remove lines within the budget; increase gross or annual salary of positions listed under Personnel; revisions to personnel; changes between lines of the budget that exceed 15%; and changes to negotiated indirect rates through an Option Letter. In order to exercise this option, the State shall obtain an email agreeing to the changes and follow up with written notice to Contractor in a form substantially equivalent to Exhibit E - Sample Option Letter, of the original contract, and any new rates table or exhibit shall be effective as of the effective date of that notice unless the notice provides for a different date. b) The Option Letter shall not be allowed for changes in the Statement of Work. Page 3 of 6 Revision Date 03/20/2025 COLORADO Department of Early Childhood Exhibit C - Amendment #2 8. TRAVEL A. Travel costs must be listed in Exhibit B - Budget under travel including airfare, hotel, mileage and per diem costs. B. Mileage shall not exceed the State mileage rate per htps//www.coloradonde.sopadtig/sg.tavel-fscalrule. C. Per Diem shall not exceed Federal GSA per diem rates for the area of travel per htps/www.a.go/ravelresources or State per diem rate for the area of travel per htps//www.colorad.soy/pactig/og.ttavel.fscalrule. D. Hotel rates cannot exceed any rate establ shed for conference attendance. E. Usage of airfare or Out of State Travel recuires pre-approval from CDEC. 9. CRITICAL INCIDENT REPORTING A. Within 48 hours of the occurrence of a crtical incident involving any child or family and/or an on-duty agency staff member of any family support program staff funded through the Department of Early Childhood (CDEC), the agency must report in writing the details of the critical incident to the CDEC Program Manager for the involved family support program. Critical incidents may include, but are not limited to, awareness of an egregious incident of abuse and/or neglect, near fatality, or fatality of any child currently enrolled in a family support program; involuntary termination of a program staff's employment; criminal allegations involving program staff and related to his/her employment; negative media attention about the family support program; any major injury or threat to the security of an agercy staff member while on duty and visiting an enrolled child or family. 10. 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 to the local county child welfare agency, the local law enforcement agency, or by calling the child abuse reporting hotline system at 1-844-CO-4KIDS 1-844-264-5437). B. All program staff are required to take the online mandatory reporter training on the Colorado Department of Human Services (CDHS) Child Welfare Training System: htps//w.cloradondwticommandatedreporter-training. 11. GENERAL ACCOUNTING ENCUMBRANCE (GAE) A. The funds under this GAE will be utilized for the following items: Nurse Family Partnership (NFP) training costs, often sites experience staff turnover in a fiscal year and they will be permittec to use the GAE to cover costs of NFP required training that was not included in their State Fiscal Year (SFY) 26 budget. Page 4 of 6 Revision Date 03/20/2025 d COLORADO Department of Early Childhood Exhibit C - Amendment #2 Travel costs associated with NFP training. For example, if a site hires a new Nurse Home Visitor, and this staff member is required to attend NFP orientation, the site will be able to bill the GAE for the training registration and travel expenses for the training. Travel costs may include mileage, hotel accommodations and per diem for the staff member attending the trainirg. Operational items not included in their SFY26 budget such as cell phones, tablets, laptops. Due to staff turnover, sites ara to not include potential operational item expenses in their SFY26 budgets but rather utilize the GAE in order to purchase necessary items for new staff. Transition salaries to pay new staff during the overlap with the staff member leaving in order to provide time for adequate training. Once the original staff member leaves, the new staff member's salary would be paid against the existing line in their SFY26 budget. Translation and interpretation services to serve clients who are deaf or hard of hearing, and those whose primary langage is not English when interpretation needs cannot be planned for in advance using their SFY26 budget. i. Please refer to Page 1 for the amourt available under the GAE for the current fiscal year. B. Payment to Contractor is made from available funds encumbered and shared across multiple contractors. The State may increase or decrease the total funds encumbered at its sole discretion and without formal not ce to Contractor. No minimum payment is guaranteed to Contractor. The liability of the State for such payments is limited to the encumbered amount remaining of such funds. C. Invoices shall be submitted separately for pre-approved expenditures. i. The Contractor shall submit requests for payment to OnBase Invoice Submission Process. 12. GIFT CARDS A. To comply with federal guidelines, purchasing gift cards with funds from CDEC contract funds is not allowed. Please see citations 45CFR75.406 and 45CFR75.302.A for more 13. SAM.GOV REQUIREMENT FOR STATE FUNDED CONTRACTS A. Individuals who are excluded from participation in federal health care programs are also prohibited from participating in federal government procurement and non- procurement programs according to title 2 of the Code of Federal Regulations (CFR) S 376.147 and 42 CFR part 1001, which clarifies that this applies to individuals and entities. B. Any individual or entity excluded from participation in Medicare, Medicaid, and other Federal health care programs under Title XI of the Social Security Act, 42 U.S.C. 1320a- Page 5 of 6 Revision Date 03/20/2025 COLORADO Department of Early Childhood Exhibit C - Amendment #2 7, 1320a-7a, 1320c-5, or 1395ccc, and implementing regulation at 42 CFR part 1001, will be subject to the prohibitions against participating in covered transactions, as set forth in this part and part 180, and is prohibited from participating in all Federal Government procurement programs and non-procurement programs. C. Contractor shall have a formal written policy regarding SAM.gov checks for all staff upon hiring and not less than annually including procedures for maintaining records of the evidence of this check. 14. ACCESSIBILITY REQUIREMENTS. A. All work performed must comply with all applicable provisions of $24-85-101, of the Colorado Revised Statutes (C.R.S.), et seq., and the Accessibility Standards for Individuals with a Disability, as established by the Office Of Information Technology (OIT) pursuant to $24-85-103 (2.5), C.R.S. and all State of Colorado technology standards related to technology accessibility and with Level AA of the most current version of the Web Content Accessibility Guidelines (WCAG), incorporated in the State of Colorado technology standards. ntpslot-oloradogov/standardspalcies: guides/technicalstandards-policies. Page 6 of 6 Revision Date 03/20/2025 PROWERS COUNTY AGENDA ITEM REQUEST FORM Hearing Date Requested: 05/27/2025 Submitter: Meagan Hillman, PCPHE Director Submitted to the County Administration Office on:05/13/2025 Return Originals to: Meagan Hillman, PCPHE Number of originals to return to Submitter:1 Contract Due Date: Starts July 1 Item Title/Reommended Board Action: Consider approval for Scope of Work for Child Fatality Review and authorizing Public Health Director Meagan Hillman to execute the document. Justification or Background: Because we get SO little funding we do not need to go through the contracting process. This is how we manage this each year. Fiscal Impact: This item is budgeted in the following account code: County: $ Federal: $ State: $ Other: $ Approved by the County Attorney on: 5-16-2025 Additional Approvals (if required): PLEASE ATTACH THIS SHEET TO ALL AGENDA ITEMS WHEN SUBMITTING TO COUNTY ADMINISTRATION. THANK YOU! STATEMENT OF WORK I. Entity Name: Prowers County Public Health II. Project Description: This project serves to support the Child Fatality Prevention Act (Article 20.5 of Title 25, Colorado Revised Statutes), which is a statewide, multi-agency effort to prevent child deaths. Pursuant to C.R.S. $ 25-20.5- 404-405, local public health agencies, or agencies designated by local public health agencies, are required to establish and coordinate multidisciplinary, local child fatality prevention review teams (local teams). The purpose oft the local team is to conduct systematic, comprehensive, multidisciplinary reviews of child deaths to better understand how and why children die. The child fatality review process uses a public health approach to identify trends and patterns, to take action, to improve systems, and to implement strategies that may prevent future deaths from occurring. This project benefits the State of Colorado by helping the people of Colorado understand the incidence and causes ofchild fatalities and therefore encourage public action to prevent further child fatalities. Additionally, the project benefits the State of Colorado by identifying services provided by public, private, and nonprofit agencies to children and their families that are designed to prevent, and that are effective in preventing, child fatalities; identifying gaps or deficiencies that may exist in the delivery ofs services provided by public, private, and nonprcfit agencies to children and their families that are designed to prevent child fatalities; and making recommendations for, act as a catalyst for, and implement any changes to laws, rules, and policies that will support the safe and healthy development of the children in this state and prevent future child fatalities. II. Definitions: 1. CDPHE - Colorado Department of Public Health and Environment 2. CFPS - Child Fatality Prevention System 3. CRS - Case Reporting System 4. FTP - File Transfer Protocol 5. SUID Sudden Onexpected Infant Death IV. Work Plan: Goal #1: Create healthy, thriving and resilient communities by preventing child deaths in Colorado due to unintentional injury, homicide, motor vehicle incidents, child abuse and neglect, SUID, suicide, and undetermined causes. Objective #1: No later than the expiration date ofthis contract, advance a comprehensive understanding oft the circumstances ofi individual child deaths in Colorado and support equitable strategies at the individual, community, and societal levels to prevent future deaths. The Contractor shall conduct individual, case-specific, multidisciplinary reviews of all child fatalities Primary Activity assigned to the local team based on coroner jurisdiction. #1 1. The Contractor shall access the Death Certificate MOVEit website on a weekly basis to obtain death certificates for each child fatality case assigned to the local team. 2. The Contractor shall gather case: records from the coroner's office, law enforcement agencies, county department of human services, hospitals, and other agencies for each child fatality assigned to the Sub-Activities #1 local team. 3. The Contractor shall abstract critical data from case records and enter the data into the National Center for Fatality Review and Prevention s CRS for each child fatality assigned to the local team. 4. The Contractor shall develop case summaries for the purpose of completing the Narrative" section (Section 0) of the National Center for Fatality Review and Prevention's CRS for each child fatality assigned to the local team. Page 1 of 5 Ver.01.11.19 5. The Contractor shall facilitate local team meetings with multidisciplinary local team members to conduct individual, case-specific reviews of child fatalities for the purpose of discussing and identifying equitable prevention recommendations in the Prevention Initiatives Resulting from the Review" section (Section L) ofthe National Center for Fatality Review and Prevention's CRS. 6. No later than two (2) months after reviewing a child fatality, the Contractor shall complete data entry for Sections A-O and click "Data entry completed for this case" (in Section P) of the National Center for Fatality Review and Prevention's CRS for each child fatality assigned to the local team. Primary Activity The Contractor shall promote evidence-based injury and violence prevention strategies that advance #2 health equity. 1. The Contractor shall apply a public health approach to identify trends and patterns of child fatalities using state and local team data reports. 2. The Contractor shall identify structural inequities that lead to systemic, avoidable, and unjust health disparities for certain groups of children. 3. The Contractor shall apply a publc health approach to identify equitable prevention strategies to implement at the local level. 4. The Contractor shall apply a publc health approach to identify equitable system improvements Sub-Activities #2 to implement at the local level. 5. The Contractor shall implement evidence-based, equitable child fatality prevention strategies at the local level. 6. The Contractor shall implement evidence-based, equitable system improvements at the local level. 7. The Contractor shall vote on state-level prevention recommendations for the CFPS annual legislative report. Primary Activity The Contractor shall participate in training opportunities. #3 1. The Contractor shall attend CDPHE-approved local team trainings. 2. The Contractor shall attend CDPHE-approved web-based trainings. Sub-Activities #3 The Contractor shall evaluate the Colorado CFPS. Primary Activity #4 Sub-Activities #4 1. The Contractor shall complete the CFPS Local Team Survey. Page 2 of 6 Ver.01.11.19 1. The content of electronic documents located on CDPHE and non-CDPHE websites and information contained on CDPHE and non-CDPHE websites may be updated periodically during the contract term. The contractor shall monitor documents and website content for updates and comply with all updates. 2. The Contractor shall comply with the Child Fatality Prevention Act C.R.S. 25-20.5-404-409. This document is incorporated and made part oft this contract by reference and is available on the following website bmsuACCENENA .do. 3. Reviewable child fatalities include one or more of the following causes: undetermined causes, unintentional injury, homicide, motor vehicle incidents, child abuse/neglect, sudden unexpected infant death (SUID), and suicide. 4. The Contractor shall adhere to processes and policies outlined in the Coloraao Child Fatality Prevention. System (CFPS): An Introduction to the System to conduct individual, case-specific review of fatalities. This document is incorporated and made part ofthis contract by reference and is available on the following website hmp.hmascmahilaaualitontiomemmnalhtml 5. The Contractor shall adhere to processes and policies outlined in the Coloraco Child Fatality Prevention! System (CFPS): An Introduction: to the System to identify equitable prevention recommendations. This document is incorporated and made part of this contract by reference and is available on the following website htp/www.cachildfatalippreventioncomplcpsoperations: manual.htm!. 6. The Contractor shall adhere to processes and policies outlined in the Colorado Child Fatality Prevention System (CFPS): An Introduction: to the System to enter information regarding the child fatality Standards and into the National Center for Fatality Review and Prevention's CRS. This document is ncorporated and Requirements made part of this contract by reference and is available on the following website htp/arwsmahiahalibogrmimsmbstraswoms-manalhm. 7. CDPHE will provide the local tea coordinator login credentials to the MOVEit website. This website content is incorporated and made part oft this contract by reference and is accessible at pyloitapolasecous 8. CDPHE will provide the local team coordinator login credentials to the National Center for Fatality Review and Prevention's CRS. This website content is incorporated and made part of this contract by reference and is accessible at htps/datancfp.org 9. CDPHE will assign child fatalities for review to the Contractor based on coroner jurisdiction using the MOVEit Website on a weekly basis. This website content is incorporated and made part of this contract by reference and is accessible at pssitagpolseous, 10. The Contractor shall complete data entry of child fatalities in the National Center for Fatality Review and Prevention's CRS no later thar. two months after the case review meeting or by December 31st ift the case review meeting takes place within two (2) months oft the end ofthe year. 11. CDPHE will conduct quality assurance checks as defined on the CFPS website on the data entered into the National Center for Fatality Review and Prevention's CRS for child fatalities reviewed by the Contractor. This information is incorpo-ated and made part oft this contract by reference and is available on the following website htp./Arw.cochidfatalitvprevenioncom. 12. The Contractor shall request techmical assistance and training from the CFPS State Support Team at CDPHE by emailing the appropriate CFPS State Support Team member. 13. CDPHE will disseminate analyzec, aggregated child fatality data to the Contractor in the following ways: Page 3 of 6 Ver. 01.11.19 a. local team data reports, b. the online CFPS Data Dashboard This information is incorporated and made part of this contract by reference and is accessible at htp.wowy.cochidhaualiprevemioncom. 14. CDPHE will provide resources fcr evidence-based, equitable injury and violence prevention strategies on the CFPS website. This information is incorporated and made part of this contract by reference and is accessible at hmp/hyonw.cochldalivprevemioncomt 15. CDPHE will invite the Contracto: to state-level meetings to discuss and vote on prevention recommendations for the annual CFPS legislative report. 16. The Contractor shall use information from the CFPS website on acceptable and approved uses of funding for child fatality, injury, and violence prevention strategies when implementing local prevention strategies. This information is incorporated and made part of this contract by reference and is accessible at htp/Aww.cochildfaalivpreventioncom. 17. The Contractor shall provide information on local level prevention strategies and system improvements. 18. The Contractor shall notify the CFPS State Support Team at CDPHE within 30 calendar days of a change ofthe local team coordinator responsible for the performance of services provided under this contract. 19. CDPHE will provide the Contracior with training opportunities. 20. CDPHE will provide the CFPS Local Team Survey to the Contractor. 21. CDPHE will provide progress report templates to the Contractor. 1. Improved understanding of child atality data in Colorado including circumstances, risk and protective factors, trends, inequities, and patterns surrounding child deaths. Expected Results 2. Identification of evidence-based, equitable prevention recommendations to prevent future child of Activity(s) fatalities from occurring in Colorado. 3. Implemented and evaluated equitable child fatality prevention strategies at the state and local levels. 1. Sections A-O ofthe National Cen:er for Fatality Review and Prevention's CRS will be completed for 100% of child fatalities that occurred in Colorado and meet CFPS' review criteria within Measurement of the local team' S jurisdiction. Expected Results 2. Increased number of equitable prevention strategies implemented at the state and local levels as documented in the CFPS annual report, the CFPS Local Team Survey, and through prever.tion stories. Çompletion Date No later than 12/31, 1. The Contractor shall submit all information resulting from child fatality annually case reviews into the National Center for Fatality Review and Prevention's CRS for each child fatality case assigned by the CFPS State Support Team at CDPHE. Page 4 of G Ver. 01.11.19 Deliverables At two designated 2. The Contractor shall submit CDPHE-approved progress reports via email dates, 12/31 and to the CFPS State Support Team at CDPHE. 6/30, annually No ater than 6/30, 3. The Contractor shall submit the cnline CFPS Local Team Survey annually administered by the CFPS State Support Team at CDPHE. V. Additional Provisions: To receive compensation under this Contract, the Contractor shal submit a biannual electronic progress report as stipulated in Deliverable Number Two (2) oft the Statement of Work. This progress report shall document the Contractcr's progress toward completion oft the activities in accordance with the Statement of Work. The second progress report, due 6/30, must be reviewed and approved by CFPS staff before the final paymen: is made. Payment under this Contract shall be made to the Contractor by the State in four (4) payments in accordance with the budget included in this Contract. The final payment shall be made only after CFPS staff have reviewed and approved the progress report submitted by the Contractor for the fourth quarter The Contractor shall not use federal funds to satisfy federal cost sharing and matching requirements unless apprcved in writing by the appropriate federal agency. VI. Monitoring: CDPHE's monitoring of this contract for compliance with performance requirements will be conducted throughcut the contract period by the Child Fatality Prevention System Injury Prevention Coordinator and the Child Fatality Prevention System Program Manager. Methods used will include a review of documentation determined by CDPHE to be reflective of performance to include progress reports, data entered into the National Center for Fatality Review and Prevention's CRS, and other fiscal and programmatic documentation as applicable. The Contractor's performance will be evaluated at set intervals and communicated to the contractor. A Final Contractor Performance Evaluation will be conducted at the end of the life oft the contract. VII. Resolution of Non-Compliance: The Contractor will be notified in writing within 15 calendar days of discovery of a compliance issue. Within 30 calendar days of discovery, the Contractor and the State will collaborate, when appropriate, to determine the action(s) necessary to rectify the compliance issue and determine when the action(s) must be completed. The action(s) and timeline for completion will be documented in writing and agreed to by both parties. Ife extenuating circumstances arise that require an extension to the timeline, the Contractor must email a request to the Child Fatality Prevention System Injury Prevention Coordinator and the Child Fatality Prevention System Program Manager and receive approval for a new due date. The State will oversee the omp.eton/impememation ofthe action(s) to ensure timelines are met and the issue(s) is resolved. Ifthe Contractor demonstrates inaction or disregard for the agreed upon compliance resolution plan, the State may exercise its rights under the provisions of this contract. Page 5 ofc Ver.01.11.19 VIII. Budget: Quarter TOTAL Payment July 1 through September 30 $1,275.00 October 1 through December 31 $1,275.00 January 1 through March 31 $1,275.00 April 1 through June 30 $1,275.00 Total $5,100.00 IX. Attestation: The Contractor agrees to perform services in accordance with the terms and conditions ofthe Statement of Work and Budget. Contractor Name (Print) and Title Contractor Signature Date Page 6 of a Ver. 01.11.19 PROWERS COUNTY AGENDA ITEM REQUEST FORM Hearing Date Requested: 5-27-2025 Submitter: Paula Gonzales, County Finance Director Submitted to the County Administration Office on: Email Poll -20-2025 Return Originals to: Paula Gonzales & Jana Coen Number of originals to return to Submitter: 1 Contract Due Date: Item Ttle/Recommended Board Action: Consider ratifying 5-19-2025 email poll approval for payment of bills presented for County General Fund A.P, in the amount of $128,088.69, which includes voided Check #75270 due to a printing error, DHS AP Fund, in the amount of $4,290.51 and H3C AP Fund, in the amount of $95.63 all with a Certification date of May 20, 2025 and authorizing the use of the Commissioner's signature stamps. Justification or Background: Fiscal Impact: This item is budgeted in the following account code: County: $ Federal: $ State: $ Other: $ 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: $128.088.69 DRAWN ON COUNTY GENERAL FUNDS. DATED AS OF: May 20, 2025 # A'P PAYROLL FRINGES COUNTY GENERAL FUND $ 34,265.94 ARPA FUND $ FSA. ACCOUNT $ BOOKING FEES ACCOUNT $ PUBLIC HEALTH AGENCY $ 18,067.93 ROAD & BRIDGE FUND $ 6,482.31 SALES & USE TAX FUND $ CONSERVATION TRUST FUND $ CAPITAL FUND $ OTHER. AGENCIES FUND $ LODGING TAX FUND $ CRMC FUND $ 3,302.12 OPC FUND $ 5,970.39 Totals $ 128,088.69 DATE: RaA May 20, 2025 - BOEC CHAIRMAN DATE: May 20, 2025 B GOMISSIONER DATE: May 20, 2025 COM 9 - 9 NER DATE: May 20, 2025 LERK T0 THE BOARD Total Paid Approve To Pay $ 128,088.69 AP + Fringes $ 128,088.69 Total Pd Certification Payroll $ 128,088.69 Total Payroll + Fringes $ STATE OF COLORADO) Ending Check No. 75315 1 SS: Beginning Check No. 75249 COUNTY OF PROWERS) 1 Total Number of Checks: 67 Aolou) Camuploulk Prowers County Treasurel's Office PROWERS COUNTY TREASURER CERTIFICATION COUNTY GENERALF FUND-01 0010 May20,2025 75249-75315 S 84.265.94 SUTA: 2nd Qir Correction $ 514.38 SUTA 2nd Qir hold to endo of Qir 11.311.21) Void Ck# 75270 Prinling Eror Payroll! $ Total Fringes s Totals 83,469.11 ARPA 0018 Total_s ROAD & BRIDGE FUND -02 0020 $ 6,482.31 SUTA: 2nd Qtr Correction $ 158.13 Payroll S Fringes_ $ Totals 6,640.44 FSA (Cafeteria) 552 0552 S - 2024 $ Totals Sheriffs Booking Fees 0675 S 2024 s Payroll S Totals SALES & USE TAX FUND 03 0900 S 2024 $ Total_s CONSERVATION TRUSTI FUND 06 0130 S 2024 $ Total_s CAPITAL FUND-07 0100 $ 2024 S Total_s OTHER AGENCIES FUND-08 S 2024 S Totalls LODGING TAX -09 0014 d$ 2nd Qir SUTA Correction $ J.42 Payroll! $ Total Fringes_s Totals 0.42 PUBLIC HEALTHA AGENCY-1 11 0676 S 18.06".93 2nd Qirs SUTA Correction $ 23445 $ Payroll S Total Fringes s Total_s 18,302.38 CRMC 0016 $ 13.30:.1 12 2nd Qir SUTA Correction s 235.57 Payroll $ Total Fringes s Totals 13,537.69 OPC 0017 $ 5.97C.39 2nd Qirs SUTA Correction 5 163.26 Payroll s Total Fringes S Total_s 6,138.65 Paula GomFnameyliecdr GRAND TOTALLS 128.088.69 Check Register à Prowers County, CO Packet: APPKT00369 103.05.2025 By Check Number CIORAIS Vendor Number Vendor Name Payment Date Fayment Type Discount Amount Payment. Amount Number Bank Code: General Fund Op-General Fund Operating Account ACA2 A Cut Above Pest Control LLC 05/20/2025 Fegular 0.00 55.00 75249 AIR1 A-1 Rental & Sales 05/20/2025 Fegular 0.00 1 056.81 75250 ATS1 Ace Tire Service LLC 05/20/2025 Fegular 0.00 60.00 75251 Alll Airgas Intermountain Inc. 05/20/2025 Fegular 0.00 799.40 75252 APECI ALL-PHASE ENVIRONMENTAL CONSL 05/20/2025 Fegular 0.00 3 830.00 75253 AMAZON Amazon Capital Services 05/20/2025 Fegular 0.00 120.33 75254 AVA1 Ark Valley Auto Service 05/20/2025 Fegular 0.00 1 295.68 75255 BULLER Buller Bookkeeping 05/20/2025 Fegular 0.00 487.25 75256 BSL1 Business Solutions Leasing, Inc. 05/20/2025 Fegular 0.00 206.22 75257 CTA1 CASTA- Colorado Association of Trar 05/20/2025 Fegular 0.00 50.00 75258 CINTASCORP CINTAS CORPORATION NO. 2 05/20/2025 Fegular 0.00 482.62 75259 LAM1 City of Lamar 05/20/2025 Fegular 0.00 212.61 75260 CDA4 Colo Dept of Agriculture 05/20/2025 Fegular 0.00 85.00 75261 CCI1 COLORADO COUNTIES CASUALTY AN 05/20/2025 Fegular 0.00 1 966.00 75262 CURE CureMD.com 05/20/2025 Fegular 0.00 656.00 75263 DEL2 Deloach's' Water Conditioning Inc. 05/20/2025 Fegular 0.00 157.00 75264 MENDEZ Divina Mendez 05/20/2025 Fegular 0.00 866.66 75265 TOVARD Donita Driskell 05/20/2025 Fegular 0.00 160.00 75266 DKC1 Double KC Car Wash 05/20/2025 Fegular 0.00 6.46 75267 MELCHER Gary Melcher 05/20/2025 Fegular 0.00 1100.00 75268 GNB1 GNBank 05/20/2025 Fegular 0.00 22 929.38 75269 **Void* 05/20/2025 Fegular 0.00 0.00 75270 GOB1 Gobin's 05/20/2025 Fegular 0.00 245.26 75271 CONNECT GOVCONNECTION 05/20/2025 Fegular 0.00 1577.70 75272 GSD1 Granada School District RE-1 05/20/2025 Fegular 0.00 10: 177.75 75273 GRANITE Granite Telecommunications, LLC 05/20/2025 Fegular 0.00 707.18 75274 GTA1 Great/ America Financial Services 05/20/2025 Fegular 0.00 321.61 75275 GREAT1 Great Plains Security 05/20/2025 Fegular 0.00 1,090.00 75276 THEHOME HD: Supply formerly HD Pro 05/20/2025 Fegular 0.00 884.31 75277 HST1 Home Store LLC 05/20/2025 Fegular 0.00 541.21 75278 IACME IACME 05/20/2025 Fegular 0.00 650.00 75279 TRUJ1 Jacelynn Trujillo 05/20/2025 Fegular 0.00 75.00 75280 FPL5 John Deere Financial 05/20/2025 Fegular 0.00 115.31 75281 LAP1 Lamar Auto Parts 05/20/2025 Fegular 0.00 193.05 75282 LBM1 Lamar BMS 05/20/2025 Fegular 0.00 35.77 75283 LAMARCHR Lamar Christian Church 05/20/2025 Fegular 0.00 200.00 75284 LANGUAGE Language Line Services 05/20/2025 Fegular 0.00 4.354.76 75285 VEN00937 Leonor Gamboa 05/20/2025 Fegular 0.00 200.00 75286 LEXIS LexisNexis Risk Data Mngmnt 05/20/2025 Fegular 0.00 7.10 75287 LOGANSIMPSON LOGANSIMPSON 05/20/2025 Fegular 0.00 13,967.00 75288 LONGORIA Margaret Longoria 05/20/2025 Fegular 0.00 800.00 75289 MHC1 MHC Kenworth 05/20/2025 Fegular 0.00 23.90 75290 MWP1 My' Wholesale Products 05/20/2025 Fegular 0.00 118.50 75291 GONZPA Paula Gonzales 05/20/2025 Fegular 0.00 512.63 75292 GRAHAM Phillip Graham 05/20/2025 Fegular 0.00 5,556.02 75293 PSL1 Pitstop Oil, LLC 05/20/2025 Fegular 0.00 1,927.52 75294 PSL1 Pitstop Oil, LLC 05/20/2025 Fegular 0.00 419.24 75295 PSL1 Pitstop Oil, LLC 05/20/2025 Fegular 0.00 1,588.52 75296 PSL1 Pitstop Oil, LLC 05/20/2025 Fegular 0.00 394.16 75297 PLAINS Plains Disposal, LLC 05/20/2025 Fegular 0.00 80.00 75298 PATS PROWERS AREA TRANSIT: SERVICE 05/20/2025 Fegular 0.00 500.00 75299 PMC1 Prowers Medical Center 05/20/2025 Fegular 0.00 1,825.00 75300 QECS Quality Environmental Control Speci 05/20/2025 Fegular 0.00 15,525.00 75301 QUL1 Quill LLC 05/20/2025 Fegular 0.00 226.78 75302 5/15/2025 11:58:51 AM Page 1 of 3 Check Register Packet: APAT0069-103052025 Vendor Number Vendor Name Payment Date Payment Type Discount Amount Payment Amount Number RSC3 Ranchers Supply Co., Inc, 05/20/2025 Regular 0.00 39.38 75303 MUMFORDR Roice Mumford 05/20/2025 Regular 0.00 400.00 75304 SalazarM Salazar Maria Teresa 05/20/2025 Regular 0.00 1,000.00 75305 MAUCH Sharon Mauch 05/20/2025 Regular 0.00 717.50 75306 MRS1 Shred America 05/20/2025 Regular 0.00 1,616.99 75307 STD1-DPA State of Colorado 05/20/2025 Regular 0.00 746.22 75308 SYMM1 Symmetry Energy Solutions 05/20/2025 Regular 0.00 1,093.34 75309 TTI1 Tyler Technologies Inc 05/20/2025 Regular 0.00 14,998.00 75310 VEN00940 Vaughan & DeMuro 05/20/2025 Regular 0.00 4,880.85 75311 VER1 Verizon Wireless 05/20/2025 Regular 0.00 120.03 75312 WASH Wash Spott Car Wash 05/20/2025 Regular 0.00 40.00 75313 WRE1 WEXI BANK 05/20/2025 Regular 0.00 763.68 75314 XTR1 X-Treme Graphics 05/20/2025 Eegular 0.00 250.00 75315 Bank Code General Fund Op: Summary Payable Payment Payment Type Count Count Discount Payment Regular Checks 127 66 0.00 128,088.69 Manual Checks 0 0 0.00 0.00 Voided Checks 0 1 0.00 0.00 Bank Drafts U 0 0.00 0.00 EFT's 0 0 0.00 0.00 127 67 0.00 128,088.69 5/15/2025 11:58:51 AM Page 2 of 3 Check Register Packet: APPKT00069-103.05.2025 Fund Summary Fund Name Period Amount 999 Pooled Cash 5/2025 128,088.69 128,088.69 5/15/2025 11:58:51 AM Page 3 of 3 DE S 3 PROWERS COUNTY TREASURER CERTIFICATION OF EXPENDITURES DATE: May 20, 2025 Prepared by: PROWERS COUNTY DEPARTMENT OF HUMAN SERVICES FUND Mindy Maestas SALARY FRINGE OPERATING 68394-68404 4,290.51 CANCELLED WHC SALARY WHC FRINGE OPERATING FORFEITURE TOTAL:S 4.290.51 Information Only VOIDED CHECKS #'s: Quin WARS Lanie Mireles, Director Mwlobpe PROWERS COUNTY TREASURER CERTIFICATION OF EXPENDITURES DATE: May 20, 2025 Prepared by: HOTLINE COUNTY CONNECTION CENTER FUND Mindy Maestas H3C SALARY H3C FRINGE H3C OPERATING 4228 95.63 H3C CANCELLED TOTAL:S 95.63 Information Only VOIDED CHECKS #'s: Auil Mineho WASB LnN Mireles, Director b PROWERS COUNTY AGENDA ITEM REQUEST FORM Hearing Date Requested: 5/27/25 Submitter: Don Wilson, County Administrator Submitted to the County Administration Office on: 5/19//25 Return Originals to: Don Wilson & Jana Coen Number of originals to return to Submitter: 1 Contract Due Date: N/A Item Tite/Recommended Board Action: Consider approval of a Letter sent to Computer Information Concepts dba CIC for Non-renewal of Contracted Software and Financial Services for Contract ending June 30, 2025 and authorizing County Administrator, Don Wilson to sign the letter. 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 OLOR 0 ( 301 South Main, Suite 215 Lamar, Colorado 81052-2857 (719) 336-8025 FAX: (719) 336-2255 TY HARMON RON COOK ROGER: STAGNER FIRST DISTRICT SECOND DISTRICT THIRD DISTRIC Date: 5/27/25 To: Computer Information Concepts (dba) CIC 2843 31st Avenue Greeley, CO. 80631 Subject: Notice of Nonrenewal ofPeopleware and other Software License Agreement(s) Dear Computer Information Concepts, Prowers County hereby provides formal notice that it will not be renewing its Annual Peopleware or other Software License Agreement(s) with CIC for the upcoming contract year, pursuant to the terms outlined in the current agreement. This decision is effective as of the end of the current contract period ending June 30th 2025 and no further services will be required beyond that date. Ifany additional steps are required to close out our account or transfer assets, please contact the County Administrator at 719-336-8029. Sincerely, Don Wilson Prowers County Administrator PROWERS COUNTY AGENDA ITEM REQUEST FORM Hearing Date Requested: 05/27/2025 Submitter: Michelle Hiigel, Land Use Submitted to the County Administration Office on: 05/21/2025 Return Originals to: Michelle Hiigel, Land Use Number of originals to return to Submitter: 1 Item Tile/Recommended Board Action: Consider approval of final Subdivision Exemption Plat Map for Kema Land, LLLP. Application request was approved January 22, 2025 by the Planning Commission and on January 28, 2025 by the BOCC. Minor Subdivision for a Second Subdivision in the SE1/4NW1/4 in Section 11, Township 23, Range 43 West, the 6 P.M. Subdividing 1.56 acres and to be recorded in the County Clerk's Office. 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 33 5 35 . 3 : df e 2 5 a 4 3 E 3 E de e E 8 a € E - M E - # e do 3 :: 5 4 e E - 5 a 3 e - 2 es N a i E € DE Ey a de 3 E o 5 DE Et de g53 HS à E I es 5 l : E I 55 E of 5 3 6 3 - 2 - € : E I 9 E E S 3 I - a 3 E E: # 3 1 4 a - I 3. 4 I I le - - S I I l E 3 1 F 5 5 / I a a un E I : à I a 5 2 5 a B a > E Rs - I a I 2 e - a 8 9 85 L 1 2 E € s * 5 d0 E :: E e - 5 : - E 3 9 93 d 5 5 C62 ayoy AINI E 2Z2Z503 a 2 e : a - : a 5 5 de E ZE / B6 25 09 3 - - 58 a 5 2 I 5 E 1 3 : le a 3 B à 35 / - J - R : - 3 € - 3 - al E 8 E à a a 8 a E a : - a I 5 - 4 - 5 - ! - - - 06 :E 6 a5 E 11 : a b I 4 I PROWERS COUNTY AGENDA ITEM REQUEST FORM Hearing Date Requested: 5-27-2025 Submitter: Jana Coen, Prowers County Clerk Submitted to the County Administration Office on: 0-14-2025 Return Originals to: Jana Coen & Paula Gonzales Number of originals to return to Submitter: 1 Contract Due Date: Item Title/Recommended Board Action: Consider approval of Page Management and Maintenance Agreement between Prowers County Clerk and Gobin's Inc for copy machine and services with a monthly total payment of $399.94, term of sixty months and authorizing Prowers County Clerk, Jana Coen to execute the Agreements. Justification or Background: Fiscal Impact: This item is budgeted in the following account code: County: $ Federal: $ State: $ Other: $ Approved by the County Attorney on: 5-21-2025 Additional Approvals (if required): Gobin'sinc. APPLICATION NO CONTRACT NO Anresas SN Page Management Agreement Gobin! 's Inc. - 615 N. Santa Fe Ave 81003 - Phone (719)-544-2324 This document is written in "plain English". The words "Customer" "you", and "your" refer to you, as the customer. The words, "Gobin's", "we"," "us" and "our" refer to Gobin's Inc. or it successors and assigns. Fulll LegaiName Strect Eddress Sulte No. Prowers County Clerk 301 South Main ST City State Zip Phone fax Lamar CO 81052 (719)336 - 8011 0 Billing Name (IFc differentf froma above) Billing Address Sulte No. Prowers County Clerk 301 South Main ST 0 City State Zip Email Lamar CO 81052 jcoer Oprowerscounty.net: Equipment Location (IFd differentf from above) MAKE/MODEL NO./ACCESSORIES QTY SERIAL NO. STARTING METER Canon C5840i 1 Cassette Feeding Unit - AQ1 1 Inner Finisher - L1 1 Inner 2/3 Hole Puncher - D1 1 AGREEMENT TERMS AGREEMENT PAYMENT AMOUNT SECURITY DEPOSIT Term in Months 60 60 Payments of $221.94 Subjectt tpa annual appropriation (mos) - - (Pis Apglicabie Tanes) Paymenti includes B&W Images per month Excessi images billed @ per B&Wi image Paymenti includes Color images per month Excess images biiled @ per Color image Paymenti includes scans peri month Excessi images billed @ pers scan AIIS Secure Privacy Protection Number of Devices: 1 x $8.00 per Device Per Manth Initials: xx Accept Decline (applicable charge: will be billed ina addition tot theP Payment setf fortha above) END OFA AGREEMENT OPTIONS: Youy will hove the following options ot thee endo oft the origina' term, provided the Agreement has nor terminoted early ond no evento of under andi Agreement has occurredo is continuing. 1. Purchase the Equipment at Foir Market Volue 2 Re zw the Agreement per Paragraph. 1 3. Return Equipment as proviaed default In Paragraph. the 8 This is a monainaaenonteminati. agreement, meaning that this Agreement canast be canceled or terminated. You acknowledge and agree that this Agreement consists of the terms and conditions set forth on the reverse side and on1 the following pages, and specifically include the attached (i) the following Addendums (if box is checked): Government Contracting Addendum, Pers:nal Guaranty Addendum, and Other: OWNER. ACCEPTANCE Gobin's Inc. Dated S1z6 Ownerfa Signatu Title Solowl DIRECTOr CUSTOMER, ACCEPTANCE Prowers County Clerk X Dated Customer Signatur: Title Federal Taxl ID# Print Name Page 1of2 GOBIN'S INC. PAGE MANAGEMENT AGREEMENT TERMS & CONDITIONS 1. AGAEEMENT: Yoyageer for rent lou LS the personai prepery descrihed undar MAKEMODEL NOIRCCESSORIES and 351 mudledly supslemeils binsFaye Menay-mes Ayament (Ageere en sigisdh by you: an Es fsucmpropay andany upgadis, repisemanis. repairs, anc aasoons ieletradtoas Egupnen lort tisiness pupses urly You. agee: 0 a oll lhe teims SOJCUENDTS conired wihs Agreemeri whcht togetnera aread complele slatemento al our Agreemant regaringt thel isteds Equpretfagremnart; and supeisec #5 any outchaseorder 0: custnsingmose Tns Agsementn may Der medlieoay andanys syvratena supplement, ageement andnoll b/ cerseo ofp perlornance. This Ageement becomes vaidi upon thes dase itis accepled ads gneil ty usr Conmest sman Date' and conbnues lherealleri lat 6 number clconsecuiver inonthss shown Asy the olie is youwlhave possessoncret Equpmentt tromt dale delsery. uea accept andsign hs Agreement yous wil paya as intenm à 1 lor he period! frenthar dlate Ihe Egugieclisdeler o you unlit the lusibirg sala,a asreasonably calcualedty ust based oni inet lullp perudc paymenr sell lort oni ihe list paye lereto, plusa appicatle laxest (Payment") he rumter pl deysi n Iraperade andamenho:30 days The lerny wall! be exenédaucmsicalyla successae 12n moat termsi unless) ycus serdus wclen noicet between nnety () ando gne nuncredity (50ydaysi befse te enjolany lere a yo: interlioralumn! Iha Equpmest ANDO tre within citha ondell term Notice ol youru itent tor relurr he Equpmentr nusit be: sent ty celedusm mail o Cobirsinc 615NSan Fe AVE, Fueba, Co. Alc Cuntracts Dctatulion. i any prorsond complelel oll Ihis Agreenent relan 5 deciared 306 days unentorceable. tne oiner provsions neren shal reman mt Ni lorce ard. Ycua autorite UStOk wser! or copecr missngin matons ont thisA Ageement sclugngyenp proper ega 13me, serialn numbeIs anna an cher nlomalon descrbing ne Equipment Youa agres! toprondsu updated annval ardor cuartery finerciai sateneni lou us upsreques. Your la selo: signt he! Doiverya anjhocesard cei Ferm doas rot change ar allect. yGurd obligstioni lok lease a purchase endpay lor Equpment pursuent to thet terms dfinis Agreerent ar any other cortaitcr ayeemetypursyt tve ealerso atc a US or you" suppier Te 39 gnal clihs AgyeemErls shallo oe thel: co7 whsch bears your prginals signature, alacsimle al you aigrals sgranse. or your electones signalue andi ach baars tr cagnais syra alse 2 RENT: Henty wicep payable ini instalnenis. eucns Dea amountoly wePaytnent sel lortho on! tal lace alths Agsener piusa ary apphcabe sales, use oI property lac a KE pay any ISx 0n your behail, ycuayeel lor rembusR us ppsy ater thet upon trsin demanda aong wtha aprocessing lee Youv wl pey es secunly deposit 5 the datey yous signt ths Agreemeal Sansaqueri mstalnenls wiibep payatle cr tha iistoay s6 each rerlal payment sencds shown rentalpayment penod or otherwse ageed Wev vill navet thas gh le apvy atl VAmVTECENeS lasmy yous 03 * ameunis 0.ea aMdowng! 1ous under Del lens o! Ins our scle dscraicn Dignnny 3. MAINTENANCE AND SUPPLIES: flecnages estabistedby ins Ageement incutep payment ler tne used dtthe Ecepment3 3n0 accessares, nisrierantstyu uS! IQurg ngmsl Ageerenlin basnessh rours), uspecion, teplacament andihe loiowng consumable pss ancsuppes dums ando cesnngn matensin requect tur proper cperalron Dackt kanel cclsi lone e, anddevalcpar (Consumabiles) Hy you use otconsumable paris andsmples paris the ypcar usep pailomlas datermtineat by usilo tnese iteisDy muret than 105a, or shouioy we datermne naur seles dscrelca, tna! Ue iters s'e being atusedina any' 'ash en, y.i agee looay fer Sucnimpropar er excess exceedst mesa, ancs stapes mustbe separately purchased 1y you. Wer may carge youa Suppy Fragn Fee bcoret dut Cosls Is shiofigles.erngs supples! ley Wer retaal oM"shp cha i Consumablest unti use, Papet, upon lemmination ar exprationo ol thvs Ageenien, avu uusedConsamsoer VRt De Mmeciicly relunedt tous ar puchaad Dy you at ths currentp prca iheai ycu nellec! Gorsunabless con nctedode! laigtlonatinks. stedcrp paidlort byyou mnartenance KESa anomecia piitheads, 4. SERVICE CALLS: Service cails urder Is agoomentw wst bep petonced duingnarmal business hxs amerslalhk addtess srAn C the everses se dis Ageemen! Travel andlator ne for sance c3is nonnai Dusiness nous, ons weekerds and an holdays.te fendu ahen avalabe, will be faubys Gustomer al: tnc ovenma Per Ca jates ine ettentall the pme the sergas CIH: IS Cusicmer agrees to) Gotin's alterr egests fors sevice, bycontacing thes Goone Servce Departmest Durag: be perlomance GGobnis mientenincs SE vces, Cuslomer ageus! thal Gooris sta'n have mace. ire ghlog ge nerale aicpieginslarest prompy acly ala any proparly pertorm iss servicey wihout bergr required. tac ctedtCusienus acccunt Tns Agreereni coes 6ota ncucer mieaee cns serse: cals lar cuslmes casdediGotns service Sarvice necessaryto altert thet terminalion, exgirabon ar novoeasic lcus Agcementw wte paidiort ty Custorero ona PerCor bass al Gons thar cuDished tales Ali aste. Savie norag re L leuala gegraphe ona hour mirimunani aree 15n mnule perlomec ircrements! thereallar. A prone supponcils aret biledin 15 mndei incremer twtha a 5n mule innmun 5. METER READINGS: Customer ageesiprovde Goban's true anda accurater metor rodungsr monthy ardas ty 1cas ADe mracncr recueseaby GEns metar ot toc cstimale Custoirers mater rescings Dased upan; previcus meler readings acD DSCustomert based uponsuchesimes a sends an GcDa's apesemabODrSuaNy, iccuraler fauAgs ate pruuded. H wncTe bebinsreserves the tg asop pay Gocins ana acctional chargal lors sch S4O vat Upon the elactono ofG Gobn's. Cusomerayees: foulow tei insistion d Goonse Electror n meterc calecnor loo insjecisuch locciect eters mezer *hare reasings. evcniCustomers shal Ihee électronic: metert toolw E nay chargey youa an accecrallee ocoletn metes. appicasle, lyour reluse neu Lse d 6. OWNERSHIP OFE EQUIPMENT: Unoip purchasada and Diat vanstest tuy you, appicatle, Gobnss shait retan Cntershs ang: I lul ihe tqusrentendisny: andila tors such Equipmnent, yougrant us a: secufiy nieresti in the Equipment anily ne ate padnl youa agtes mat wes shallheve! Ina: gni ll 3L UCC-1 hnarons siatenent sallnares lpucnaset 1o5 secure) any aincar the isied dueardcwing! lous Equiomenta arme endatthe lease lem You agree 0 keapt une EqupmEntl Iree ando deard daigher dors. ccumbana andcams ontei Equpirent! pananto 0 retumolihe 7. WARRANTY DISCLAIMER: WEN MAKE NO WARRANTY EXPRESS ORIMPLIED, NCLUDING THATT THEE EQUIPH AT IS Fil FORA AF PAHTICULA AK PURPOSE CA IHAT EGUIPMENT AGAEE THAT YOUHAVE SELECTED EACHITEMOFI EQUIPMENT BASEDL UPON YOUR ONTI JUCGMENT ANC CECLAMIANY REL ANCE UPON ANY STATEMENTS CH: I-E ISA MENE HANTABLE. BY US YOU B.LOCATIONOFE EQUIPMENT: Youv val keepandu use the Equpnont anly aty your aouess shoan stoze anay you ageE nsI tonove !10 anyner lcalcny waucurs pre or Ahtenconsent. REPAESENIATONSWPDES Althe enc io any tenawai termj.s you wirelumt the Equipmentt to us aty youre expursa, nA selail iesalabecunaton, luiy wwinguos andacompleler lepas, alal bme, manur andiaca alcn You: ollrelamcl his Ageement tne Equpment at any me dunng nomal business nours speched Dy us agree le aon us low Mspesi 9. LOSS OR DAMAGE: Ycus ares solely resporsble tor te risk D95 o, lar any dastrvctond o, or uny camage lethe Egipment No sucn: oss ur darrageruevrs, you omi we uar ageat lop pronply notlyu usiny mtingola any 055 or damaga anda agee teu thenp payt to es thep preseny vabe dfths klal ch. -. uopagrartai payments lor thet tu teranngr rentallm paymsn plust tree cigatonsi estmated" a Is Ageemert. vou Equpmenta atne engolin ine orignalys schesedierm, aNO oEcouedatiwog cercent2spery year Fresent Vaua Rale Anyprceecs gli nsJrarce Walbe markelvaue ane 10. COLLATERALF PROTECTION ANDI INSURANCE: Youa agreet lk lesp ine Equpmantt tua nsured, 21 padious andciedied, atour option, aga.rst En loss or damage Equpmant untet ths Agoement st termnated voua also agree 10s secure, ay your cost, a genewiy pubic B4D1y yours isulances cest, aga1s: soicy a0 fiona camnaga an insuraice crioss ardrane Ls Accaptabiet 35 lcss payee 1 crdn an nsurtr rchude not lessu thant replacemnent costdihe You ayteo to; pruvIdE us cethcateso or ohere evicence ot nsurance ace ceptable tous te'orei Ihs Agreerent pegrsans Dlless Inana anys;, C, ccmpany ai our sces soolion tous O may E1 er: us a5 173 adstcsa msuedonihsp poicy any insurance gremum andi relateschagss. ony wichy wemay make aprot OR 2) we mayy Rane the infurance requstcnenta andchargey youa! amerinyd u up lo. 3035 1oani oll IR insurance udyour wil pay us lo: wtichy we abson mayr make apioll NOTHINGI INT THISF PARAGRAPH WILL RELIEVE YOUOF VOUR FESPONSIBLIYFORE DAMAGE ANDUABUITY demages INSURANCE sxchargs COVERAGE o1 cngral Egssmenc cosI andon .ASSIGNMENT: YOUHAVE NO AIGHT TOSELL, TBANSFER, ASSIGN OR SUSLEASE THES EQUIPMENT OR Tr SAGREEMENT Wenay sel, o ts THISE EQJIPMENT assign, o varsier ths Agreerrent, the essigreey wi havet the sane rpis andbenelst buln none utouro otigaons matra Mave uder HASA Ageament ( a5sign therew Dener tarelart wiinot hyeeinent D6 withoutnatice Tosa agree thatdwes seit, havea againsi S, andlays such assigneey wdnott ber responstle lor out cbigasast under Paragaphs 3-5, 19oru unier the PrepawiCcmasted: Services Adiendun, hch subjartioa anyd datenses a SAIC oiistnalycur may 12. DEFAULTA ANDI REMEDIES: Wlyoud donot pay any tonial payment or onher sund Que tousora another; parly, whens duE ori youlantos pertom anyo ofy int obigations tha wireman our soler responsbtly. mdelaut Hany parto olapayment ist late. youa agce lop pay au lale charge ol 155 ol! thap paymants whichsl lated or Mless. temmun charge lowed ty! your lw. Hyou: pomsest aro ever ind Ageoment dolavit, we ot any other ayeanent with us. youw wat be option, wecant ternated 0 cancal ts Agscment andy yous ayee:(io pay als sunis Cueu undar ins Agreement: 12 lopay thev urpadt halarce olns Agermeioscouted: ats Sic mayrelainy yours siarty depost andat out purchase option, andilnone 5 specifed, 20 due ogna Equgmente COStY Mtich repvesents ou antcpaledieusualy vdues athe Equgment and/4)to medalely retun percent (65 aly (llopsyue amounto ola any desgnaledu ty us. Wemayn recover inlerest ona any unpaidt balance alther rated ol8 &p pera anuno or the inaxmung pernissnel igatrate. shchever speater Wer also use te Equipment,. oll your solec CUSL toak kocaton Untorm ConvnercsiCosa: as enaciedint the statei in whicho our principalo ollce. orl thatota any assigneer located Iweleer this Ayeenen to an tar colectn, may any toj theremedes avaiable under Nticle 2A dlite coutcosis, regardess ol mhether anyk legala actonis actualy led. lwen havel btake possissionoltie Equpmert you syee topay! thec clott topossession amuney Inenet yNs agcet pay cur: reasonable atcneyslees and aclual credied against whaty you ove ust under this Ageement YOU AGREE THAT WE WILL NOT DE RESPONSBLET TOPAS your ANY puucess otthes salecl any MepossnsadEgupmaml wilb be AGREEMENT. Youa agea thata any delay ol laduet toe enlorce our tghs undert ths Myoemnent does notp ptevent us! lom ealorong any CONSEQUENTIAL Ihs at later bme, ORINCIDENTALT lsluther DAMAGESFORI ANY remedes DEFAUE" aR SY us UNDER THIS Ageamenl andyour wavoy yourr righis under Altcle: 2A (508-522) ofine UcC. agoed thaty yur 'ghts andi gneredty! tns amount 13 SECURITY DEPOSITElegated Dy us, anys securlyd depost! postedby youis s non nteresr beannga andist tos socure peur perlonance under Us Agreement. omodvyy ins nhich eventy yous wil prsanply 1esiore! thes secusy deposit 10 s lul anount ass sell lortti ont the hrs paga horeto. llald condions herein aed Any compied socuMly wih upost and nade mayt you beu have appwedt nots ger ur us losatstya any msAgenast securityd deposit uiber elunded toy youa alier ther retuno oll the EQupment pturdod been indelault ol 14 CONSENT TOL LAW, JURISDICTION. ANDI VENUE: Ins Ageemants shait be aeemdhay evecuteda andp perfomec nt thes slated olurg ollice or constuedi in accordance with suchi lans Hwec or any assigneas shaitunga any picialpaoceesng: in lelton lo: prnopaid olrstola anya asgasropsclicea ands siafb bes goveredt by and courts a thes state olourp pincipal ollice oro olL thatola any matlerising undert the Agpeement, yoouevocaby agee thata any suchr mater may be adudcaledi ina anyo couttcr electiono ol uso or ourB assignee. You agee towane tialt any ty assigneesproopier in any ationt balseeny piace oltusness, or n any cour! or couts y your state cliesiocrce, orina any others cout lavegsdcton over you or Equigment. at atbhe sole 15. OVERAGES AND COST ADJUSTMENTS: Youz ageek py locemgy wtha any you andu us andonce each successwve Iweive-monthy petiod. wemays increase youry payment Mingpocedres andthes excess dasgratediys mage u5. wlacigrotiyngus oI 155, ollher ineler readaga al the andole cach month AIl the end ol thel lesl par ol ths Ageement 16. UPGRADEIDOWKGRADE PROVISIONE AFT TERI INCEPTION OFT THE AGAEEMENT ANO UPONY YOURI chargat REQUEST lyamawnuno WEK MAY AEVIEW piire exsingcharge YOURI IMAGE DOWNGRADING TOACCOMMODATEY YOURI NEEDS, VOLUME ANDPROPOSE OPTIONS FORL UPSRADING OR haduivest 17ALLS SECURE: have addeds Selection altne A Secure proyam wit pronde ana authonzed Gobns ergnes tos schedue acalla atier casite a ato wut lacily touse 4 salote Erhanced, passwords ande data secuily prolection. Alhe ende ats serviced or Usposs ar tis unt Gonsls sanaze andiemove sidablous Departmento ol Delenses secunty mossurest to ensute your location noledo ont thek lastpage.y your msto cat Gobins tdir incateu uiss sevce Faautel lor request ous engraer to perlommieses beloxe ary leaves slandard otlice lor secully MEgapment hast beentemoved fror me Equpmentg pickedu upt byGobins wt nott toquire pres scheding andapioote otcomgletion wet be provoesty Gobars stepst macnine bean equpmen! yout wll negate the guarantees oiu the 4 Secure program 18. POSTAGE DEVICES: Postagon measuement devacest telerencedh hereny wtich we subectioar rental onoe ther and nast santzed usea ànd Heo omershpolsuch davices wabeg govered oxciusively! byy your rental agreement wiht tha ageement bat'veen you: wi an avhorzed manulacturer Postage Manulacluen, are nol puto oline Equpmont andy your yourr rights andobligations under ther entat ayesment. For your cooerirce, payments under ts Agoeront Postagen Manfactrer ayn imcate thar Yous rontal neeule angunts loretarence, youowe your Ihe iental ayeements Manulacturer wh the Poslage) Manulscluer for Ihe temic ol. and Pastage undert ter rental ageeent 25742 5/20/22 Page 2 of 2 AGEOURELNELINE 0 Gobin'sInc. MAINTENANCE Dusross Sihons AGREEMENT Date: 5/16/2025 Seer reverse side/ forcompict derai and conditions Gobinsiac. 615N. Sontaf fcAve. Pueblo, CO81003 Company Name: Company Name: Prowers County Clerk Prowers Cuunty Clerk StreetA Address: Street/ Address: L 301 South Main St 301 South Main st 8 C City: State: Zip: city: State: Zip: Lamar co 81052 Lamar co 810582 Main Phone #: Main Fax #: Main Phone #: Main Fax #: T o (719)3 336- 8011 o (719)336 -8011 o n Key Operator's Name: Location: Buyer's Name: Title: Jana Coen Copy Room Jana Coen Director Key Operator'sPhone #: Key Operator's Fax #: Buyer'sPhone #: Buyer'sFax #: (719)3 336- 8011 (719): 336- 8011 Meter Reado Contact Name Meterr Read ContactE E-mailA Address MEter Read Contacl Phone Number Pleased direct invoicest td Jana Coen ligenPproweunsAIEL (719) 336- 8011 lana Coen Egulpment Covered Controct Term. 60 Months Beginning Covered Covered Excess rates Equipment Model & Serial Number meters Minimum Biling b&w prints coior prints b&w color (D&w and coior) pern month per month b&w color Canon C5840i 517000 ONE RATE : $170.00 Note: See Schedule A forc a complete Iist ofe equipment covered by nis Agreement Billing Cycle Preferancei in Advance (check one) a Monthly Quarterly Semi- Annual Annual ExcessP Print Billing Preferences (check one) D Monthly B Quarterly Semi-Annual Suppliesl Inclusive (check one) D Yes D No Comments: Authorization Authorized: Signature: X Date: Print Name: Title: Gobin's Inc. Representative: Date: 5/16/2025 Sobucattoe TERMS AND CONDITIONS 1 GENERAL SCOPE OF COVERAGE: Inc considerationl fort the payment! by Cuslomar oll tne maintenanes charges set onth herein, except as; provided! heren, Gobin's Inc ("Gobin's'shaw provide al laber, parls andr malerials (except paper, slaples and! treighi) requiredi for the manlenance: and minor repair oft the equipment, sel forh on Ihe reverse sidel heieol ("Equipmenl). the needi lor wi ich arises Irom Ihe Customer'si normal, commercial use oll the equipment Oamage lo thee equpmentor components arsing out e msuse, neglact, or causes beyond Gobinsr reasonable control arer nol coverea by this Agreement 2 IAINTENANCE. AND! SUPPLIES: The charges eslablished by this Agreement include paymenti for Ire use oll Ihe Equipment anda accessores, manienancel tyus (during no:mall busness! nours). inspeclion, paris replacemeni, and! Ihel Iollowing consumable paris ands supplies: drums ando cleaningn malerialr required fory proper operalion black toner, colo: toner. ardo deveicper ("Consmables") Paper, meda. and staples must be separalely purchasedi by you We maycharge you a Supply FreightF Fee to cover our CoEs ol snipping/deliveringi suppiest to you We agree lo provde nital prepaidconnection: services pursuant! lol lhe Prepaid Connected! Services Addendum allached to this Agreement We retain ownership ol allO Consumables until used CI paidi for bys you upon lemmination or expiration oft this Agreement, all unused Consumables willl bei immedialely returnes to us or purchased by you all the curren: price then 51 eller: Consmables dor not include large lormal nks. prini heads maintenancel kits anc media 3. SERVICE CALLS: Service cais under this agreement will be perlomed dunng normal business hours attrei instailatcn address srown on! the reverse side oll this Agreamenl Travel andl labor time! lor service calis eller normal business hours, on weakends ando on holidays, da andi whena avalable, will be paid b, Customer al tha overlme (Per Cairjrares n ellect al the time lhe service ralis ismade. Customer agrees lop promplly nolly Gobin's of any requesis for service, by conlacling Ine Gobin's Service Deparment Juting the perlormance of Gobn's mainlenance services, Cusicmer agrees ha! Gobin's shau naval the right to ganerale alld coples/prinisilaxes necossary! top properly pertoimi ils services Wilhout: Deing required lo credi Customer's 3ccount. This Agreement dces noti include mileage on service calist for customers ouiside oi Gobin's normaig geographic service area Service perlormeda after the teiminaton, expiralicn cr nor enewal ol this Agieemen! wil be paidt fo: by Custome e: ona "Per Call" basis al Gobin's then puplished rales. Alon-site servica calls aret billed ata a ane- -hour minimum and 15 minute increments therealler Allp phoea suppor cals aret billed 15r minute ncremeris wan a 15r mnute mirimum 4. CHARGES: The mnital charge lorr mainlenance unger Ihs Agreement! shal: be Ihe amounl sal lorth on ter raveise side hereof Ther maintenance charger may! be changed: annuallylo! tne Ihen elleclive Gopin's rates. Cuslomer agreest lop payl lhet tolal ola all chargesl lor maintenance duringl Ine inilial lerm and any enewal lerm ulhin 10days ol the due date or olthe dale on which Gobin's nvoices Cuslomer for Such charges, whichevari is eartier. You agree thal Gobin's shallnavet the ighi to withhold service or supples Janycharges duet by You to Gobin's become: pas! due, regardless ol whether thase charges are relaledio this Agreement 0I thai Equipment covered by this Agreemenl Custcmer underslands thala alleralions, allachrenis, or specificalon cnanges! to thei Equpment may require ani increase inA mainlerance charges and agrees lop pays such charges prompllyy when dua Gobin's reserves the rightt lo charge a processing.handingi ie labo: lort the inslalalion oll the memory upgrades or olher upgrades ande enhancemenis, or parts ands supplies nol provided by Gobin's, are not coveredi by this Agreement and willbei inslalled on a' 'Per Call" basis al Gooin's then published rates Customer lunther agrees lop pay al laxes thal apply 5. METER AEADINGS: Uponi Ihee election by Gopin's, Customer agrces 10 allow the installation ol Gobir : electronc meler colecion lo0l! to: collect mclers where applicebe. HC Cusioner reluses! Ine used o'lhe electronic meler tool al any lime duting: the termo ofl Ihis agreemen! orz any renewals, we may acda an acd.tronaicharget for ther manual ccl'ection: ando cntry olr molors. Customer agrees lop provide Gobin's true and accurale meler readingsr monthly andi in any reasonable manner requesled by Gobin's. llaccurale meler reaci ingsa arer nol providec Gobn's reseves tha rght lo eslimalo Custome'smeter readings Dased: upon previousn meler readingsa and! bil Cuslomert based upon such estimates CI serd an Gobins represenlative t0. vsualy inspect such meier readngs. nwhch evenl Customer shali also pay Gonin's ans additionai charge lor such site visil 6 RECONDITIONING: In the event the Equipment cannol De properly ore Elliciently manlainedbyG Goin', cue1 101 Ine age or conditicno oft the Equipmeni, top parlorm ona reasonably: zonsistent andg goodo quaily basis, Customer acknowledge anda agreas that Customer's Equipment may needlo: ce replacedo ar reconditicrad Wnen, ini is sole discreton, Gobin's delermines recordtioning S necessary toi keep the Equipment ing good working condition, Gobin's vil Submit lo Customer, an estimale olt ther reconaticning cosis whicn will te ina addionl lotne regular charge payable undar this Agreement. Lino Customer GOBS ncl authotze such reconditioning recommendedt by Gobn's, Gobin's shall have tha righl! 1o discontnue service oft the Equionent. lerminale! this Agreement, andor refurdthe unusedp porlicn ofther mai nlenance charge, any,ar giver notice oli its inlenlion nol lor renew tis Agreement uponu ts expiraton Therealter, seivice will! be availabe on a Per Calr basis al Gobn's published raies / TERM, TERMINATION ANDE RENEWAL: Tnis agreemeni shai: become ellechve upon the execulon althis Agreement by Custcmer and Gobns 5, and shalt continue for ammun ol 4B months, orl the ume pericd speclied an the! lirst page oll this Agreement. il diferenl, or shali continuo unti Cuslomer has generatec (ner maximum number ofo copies'pinislaxes shown on Ihe reverse side, wti ichever cccurs firsi. This agreements shalla aulomatically renew for succossive simlar periods or Ihe maximum number ofo ccpiesiprinis faxes unless wrillen nolice is recewedb by ther non-lerminaling parly 30 days.pricr tot thoe expralion dale, as exlended, or approximalely 30d days prort to: the expectec generation oll ther maxmum number ofd copies/gratslaxes, as exended Gpbins resetves Ihe nghi Icr mcdilyinen maxmum numper of copies.pints/laxesi in: any renewali ni a good ath attempl loa approximate the number dl copies/priris/laxes thgl Customers woud bee expecled tog generate dunng! the renawai perod, Notice ol the clection nol lo renew this Ageement, shall bes seni by certifiedn mail, by the terminabng pary Ic ther no-erminaling; parly, a Cuslomer's address seti forh on the lysl pagec oft this Agreement, or lo Gopic's Inc, 615N. Sanla Fe Ave., Pueolo, C081003, Alln: Contracis Distribulion. Nolwihslanding: anylhingi 1o1 the contrary, Gobin's ma/ eminate tnis Agreement al anytmet Dy regu'ar maredr nolcedto Cuslomer in the event (a)the Equipmenti is modified, damaged, atered, serviced byp parsonnal other than those employed: Dy Gobin's, or ifparls, supples, accassories or components nota authorizedby Gobin's are fited lo or usedintne Equipment; (b)ifihe Customer uses supplies olher than Gobin's supplies ands such supplies are deleclive or pola acceplable for usei inl Ihe Equipment and cause abnormally traquerls servce calls or service problems, ar (c) that the conlinuedp perloimance al lhis Agreement by Gobin's tecomei inadvisable or imprucent, in Gobn's sola discretion, due lo! the age anc cordtion al thee equipmen! or otherwise. there Isa change of morei than 10%i iny your vokume ol copies or a change a the equpmenumodels: sed by you, you ageet thaty your cosl per copy may! De adusledby Gobn's IoI Ihe current Gobir's S cost per copy! for Ihe new mix ole equipmenvmodels All olher lerms oll the contracl wilr remaini in elfed 8 PRORATION ANDI TAANSFERS: ifthe Equpmenti is upgraged whe equipmen: gurchased from Gobin's, any unusec ponionolp p'e paio charges, fany, may Da prorated and appied! loward a service program! lor ther new equipment. This Agreement mayr nott De assignedt by the Cuslomer wathoul Gobin's prio wI lent consent Customer specilicallya ag'ees inait this Agreement shali not terminale upon Cuslomer's eleclion tos sel, lransler or remove from service any Equipment covered by Ins Agreement, unless Gobn's agees. in 4s scle discretion andi ini wriling, lo lerminate Ihis Agieement prior tcs such sale, irarsler or removalf from service Gobin's may sell, assign 0r transler this Agreement withoulr nolice 9 MISCELLANEOUS: Gobin's expressly disclaims anyo duly as an snsurer ollhe Equipment heren and Caslcmer snallp pay lor al costs or repair andy paris or replacement cft tne equpment made necessaryby any casually, thelt, ar negligent acl ol Customer or Customer's Agents. Customer agrees lo provide reasonate space and proper ands sullicent electrical power as speciiedor required! lore each piece ol Equipmenl. Gobin's lechnicians must be able to accesst the Equipmenti from all sdes Nether Equpment rebcalion by Gobns nors service required! bya custcmer's sell-move olhe Equpmenli is covared under this Agreement. This Agreement represents the enlirg Agreement between thep paries ands supersedes allp pro orala landy writlen proposels. You agee 0 paya all attonneys leas and cosis ncurredby Gobn'si in the enforcement of Gobin's righls andi temedies undor this/ Agreemenl, whether orr noll legal aclion is insituled le he event anys amounis requied to! be padoy Customer uncer Inis Agreemen! are notp paidy when due You: agree to payl lo Gobin'sa Inance charge equivatent to 1.5% per month (18% per annum) on ai oulslandirg unpaid amounts This Agreemen! shaill be govered by and consirued accordingl lo thei laws olthe Slale of Colorado, and thej jurisdiclion and venue lora anylegala action shal be n Ine Prowers Counly. Coloradc 25743 1/5/2023 NON-APPROPRIATION AGREEMENT AND ACKNOWLEDGEMENT (Applicable to Governmental Entities Only) This Non-Appropriation Agreement and Acknowledgement (Acknowledgement? relates to that certain agreement between Prowers, County of DBA Prowers County Clerk "Governmental Entity") and Gobin's, Inc. ("Company"). wnich agreement is identified in Company's records as agreement number 3155162 ("Agreement'). All capitalized terms used in this Acknowledgement which are not defined herein shall have the meanings given to such terms in the Agreement. The undersigned, an authorized representative of Governmental Entity, hereby acknowledges and agrees as follows: As of the date of the Agreement: (a) the individual who executed the Agreement had full power and authority to execute the Agreement on Governmental Entity's behalf; (b) all required procedures necessary to make the Agreement a legal and binding obligation against it were followed; (c) the Equipment will be operated and controlled by Governmental Entity and will be used or essential government purposes for the entire term of the Agreement; (d) that all payments due and payable or the current fiscal year are within the current budget and are within an available, unexnausted, and unencumpered appropriation; (e) Governmental En:ity intends to pay all amounts payable under the terms of the Agreement when due, if funds are legally available to do so; (f) Governmental Entity's obligations to remit amounts under the Agreement constitute a current expense and not a debt under applicable state law; (g) no provision af the Agreement constitutes a pledge of its tax or general revenues; and (h) Governmental Entity will comply with any applicable information reporting requirements of the tax code, which may include 8038-G or 8038-GC Information Returns. If Governmental Entity exercises its right under epplicable law to return the Equipment and terminate the Agreement on the last day of the fiscal period for which funds were available (without penalty or additional expense (other than the expense of returning the Equipment to the location designated by Company)), Governmental Entity's Chief Executive Officer (or Legal Counsel) will deliver a certificate (or opinion) to Company at least thirty (30) days prior to the start of the fiscal period for which funds were not appropriated, certifying that (a) Governmental Entity is a state or a fully constituted political subdivision or agency of the state in which it is located; (b) funds have not been appropriated for the applicable fiscal period to pay amounts due under the Agreement; (c) such non-appropriation did not result from any act or failure to act by Governmental Entity; and (d) Governmental Entity has exhausted all funds legally available for the payment of amounts due under the Agreement. This paragraph only applies if, and to the extent that, state law precludes Governmental Entity from entering into the Agreement if the Agreement is deemed to constitute a multi-year unconditional payment obligation. If and to the extent that the items financed under the Agreement is/are software, the above-referenced certificate shall also include certification that the sofiware is no longer being used by Governmental Entity as of the termination date. Company relied on this Acknowledgement as part of the Agreement. A copy of this Acknowledgement containing Governmental Entity's original or facsimile signature or other indication of its intent to agree to the terms set forth herein shall be enforceable for all purposes. GOVERNMENTAL ENTITY'S AUTHORIZED SIGNATURE (As Stated Above) X SIGNATURE NAME & TITLE DATE VPO7NAMC.0924