SAN JUAN COUNTY, COLORADO BOARD OF COMMISSIONERS MEETING AGENDA June 8, 2022 Due to the recent COVID-19 surge. San Juan County meetings will be conducted in a hybrid virtual/in-person format. All persons including Board Members, Staff and those with appointments scheduled on the agenda may meet in person or via zoom. For anyone attending the meeting in person and especially at risk participants are strongly encouraged to wear a mask. We encourage community members to participate via zoom. The information.necessary to connect to the public meeting is listed below. CALL TO ORDER: 8:30 A.M. OLD BUSINESS: Consider Bills and Authorize Warrants BOCC Regular Meeting Minutes for APPOINTMENTS: 8:40 A.M. - Becky Joyce, Public Health Director 9:00 A.M. - Martha Johnson, Social Services Other Lunch - Location to be determined CORRESPONDENC: NEW BUSINESS: Treasure's Report Public Comment Commissioner and Staff Reports OTHER: ADJOURN: Next Regular Meeting - 6:30 PM, Wednesday June 22, 2022 Join Zoom Meeting httpsi zoom. us//921 136473203 Meeting ID: 921 3647 3203 One tap mobile +16699006833,92136473203# US (San Jose) +12532158782,92136473203# US (Tacoma) Dial by your location +1 69 00 6833 US (San Jose) + 1 /82 US (Tacoma) +1 346 248 7799 US (Houston) +1 646 876 9923 US (New York) +1 301 8592 US (Germantown) +1 . L 26 6799 US (Chicago) Meeting ID: 921 3647 3203 SAN JUAN COUNTY BOARD OF COMMISSIONERS MET JUNE 08, 2022 AND THE FOLLOWING BILLS WERE APPROVED FOR PAYMENT. 23644 MAGENET CONSULTING SHERIFFS BILL 107.17 23645 AMAZON CAPITAL SERVICES TREASURERS SUPPLIES 48.96 23646 ANTHEM BLUE CROSS MEDICAL INSURANCE 16179.63 23647 FLOWER MOTOR FIX SHERIFFS TRUCK 2629.43 23648 CENTURY LINK SHERIFFS BILL 119.25 23649 CENTURY LINK SHERIFFS BILL 178.95 23650 BUDGET BLINDS BLINDS 20000.00 23651 MASTER'S TOUCH LLC TREASURERS BILL 212.00 23652 MOTOROLA SOLUTIONS INC SHERIFFS BILL 3180.00 23653 ODP BUSINESS SOLUTIONS ELECTION LABELS 22.65 23654 BASIN PRINTING & MAGING PRIMARY ELECTION BALLOTS 1013.52 23655 HOUSING SOLUTIONS SW GRANT REIMB 12-02-2021 11214.00 23656 STATE OF COLORADO DPA RENEWALS-REG-TTLES 50.30 DD ABIGAIL H ARMISTEAD SHERIFF DEPUTY WAGES 3548.18 DD AMIE R. BICOCCHI SHERIFF CLERK-NURSE WAGES 3077.69 DD ANTHONY D. EDWARDS COMMUNICATIONS WAGES 2521.20 DD ARTHUR J. DONOVAN EPD WAGES 4459.57 DD AUSTIN P. LASHLEY COMMISSIONERS WAGES 273.91 DD ELIZABETH KREMER ED WAGES 3361.58 DD BRUCE T. CONRAD SHERIFF WAGES 3910.38 DD DEANNA M. JARAMILLO TREASURERS WAGES 3314.23 DD ERNEST F. KUHLMAN COMMISSIONERS WAGES 1991.91 DD HEATHE A. MACDOUGALL AD-AS-TREAS CLERK WAGES 1119.16 DD JOHN A. JACOBS SHERIFF DEPUTY WAGES 2094.33 DD KERI METZLER CORONER WAGES 902.32 DD KIMBERLY A. BUCK ASSESSOR WAGES 3861.94 DD KRISTINA L. RHOADES SOCIAL SERVICE WAGES 2279.86 DD LADONNA L. JARAMILLO COUNTY CLERK WAGES 3410.08 DD LOIS MACKENZIE NURSE ASSISTANT WAGES 1560.74 DD REBECCA B. JOYCE COUNTY NURSE WAGES 5600.66 DD REBECCA J. RHOADES CUSTODIAN WAGES 1089.52 DD STEPHEN W. LOWRANCE UNDERSHERIFF WAGES 3903.73 23657 EVELYN V. ARCHULETA DEPUTY CLERK WAGES 2023.62 23658 FRED W. CANFIELD SENIOR SHOVELING WAGES 138.52 23659 SCOTT L. FETCHENHIER COMMISSIONERS WAGES 2034.91 23660 TOMMY WIPF VETS OFFICER WAGES 354.40 23661 FLOWER MOTOR FIX SHERIFFS TRUCK 2ND TIME 4213.65 23662 WILLIAM A. TOOKEY ADMINISTRATOR WAGES 4564.00 23663 CITIZENS STATE BANK FEDERAL TAXES WITHHELD 20234.46 23664 CITIZENS STATE BANK STATE TAXES WITHHELD 3267.00 23665 GREAT WEST LIFE GROUP RETIREMENT 6752.07 23666 CITIZENS STATE BANK HS A SAVINGS 1600.00 23667 KANSAS CITY LIFE DENTAL A7 LIFE INSURANCE 995.49 23668 AMWINS GROUP BENEFITS VISION INSURANCE 170.97 23669 AFLAC INDIVIDUAL INSURANCE 177.10 23670 CITIZENS STATE BANK APPARMENT PAYMENT 5558.98 23671 VISA BILLS 9715.33 23672 ERNEST F. KUHLMAN REIMB SUPPLEMENTAL 198.28 23673 SILVERTON STANDARD LEGALS 112.34 23674 SILVERTON ELECTRIC TROUBLE SHOOT BOILER 385.04 23675 WEX BANK SHERIFFS FUEL 1221.55 23676 SILVERTON HARDWARE NURSE SUPPLIES 77.21 23677 EVERBRICGE NIXIE ENGAGE 2600.00 23678 DENNIS R. GOLBRICCHT SERVICES RENDERED 3335.00 23679 SILVERTON AMBULANCE SALES TAX MONTHLY PAYMENT 38333.33 23680 SILVERTON AMBULANCE MONTYLY PAYMENT 7200.00 23681 KEENAN'S EVALUATE BOILER 737.85 23682 STATEWIDE INTERNET STARTER LICENSE 739.20 23683 FRITZ KLINKE REIMB ANVIL APARTMENT 1238.00 23684 FORETHOUGHT.NET BILLS 1169.05 23685 CENTURY LINK SHERIFFS BILL 72.22 23686 SILVERTON LP GAS CUSTODIAN & FD FILL UPS 2912.33 23687 SAN MIGUEL POWER BILLS 3369.27 23688 VERIZON SHERIFFS BILL 184.97 23689 VISA COMMUNICATIONS BILL 34.16 23690 LA PLATA DETENTION MAY22 JAIL BILL 130.00 23691 ANTHEM BLUE CROSS WILL BE ADDED NEXT MONTH 23692 SIDWELL ASSESSORS BILL 1645.00 23693 SILVERTON FIRE AUTH 1ST QTR FIREHOUSE CLEANING 225.00 23694 ACCA 22 MEMBERSHIP DUES 100.00 23695 VISA SOCIAL SERVICE BUKK 10.00 23696 DANA KRANKER NURSE ASSISTANT PAY 855.00 23697 LORETTA ST GEORGE HOSPITAL DEEP CLEANING 121.00 23698 BUSINESS OPTIONS NURSES BILL 22.50 23699 NATE ROCK RADON TESTING 620.00 TOTAL GENERAL 236685.65 ROAD 6849 ECONO SIGNS SIGNS 2527.28 6850 ANTHEM BLUE CROSS MEDICAL INSURANCE 2246.18 DD DAVID LANDREWS ROAD FOREMAN WAGES 3612.48 DD LOUIS K. GIRODO ROAD OVERSEER WAGES 4431.32 DD MICHAEL C. MAXFIELD ROAD OPERATOR WAGES 3477.83 6851 CITIZENS STATE BANK FEDERAL TAXES WITHHELD 4185.02 6852 CITIZENS STATE BANK STATE TAXES WITHHELD 654.00 6853 GREAT-WEST LIFE GROUP RETIREMENT 946.08 6854 CITIZENS STATE BANK HS A SAVINGS 200.00 6855 KANSAS CITY LIFE DENTAL & LIFE INSURANCE 244.30 6856 AMWINS GROUP BENEFITS INC VISION INSURANCE 38.03 6857 AFLAC INDIVIDUAL INSURANCE 62.01 6858 VISA SUPPLIES 99.99 6859 LAWSON PRODUCTS SUPPLIES 70.18 6860 FOUR CORNERS WELDING KOX-MAC 45.00 6861 SAN MIGUEL POWER BILLS 65.27 6862 ALSCO AMERICAN INDUSTRIAL BILL 74.00 6863 ANTHEM BLUE CROSS WILL BE ADDED NEXT MONTH TOTAL ROAD 22978.97 1080 TOURISM FUND 2022 LODGING TAX 20000.00 GENERAL 236685.65 ROAD 22978.97 LODGING 20000.00 TOTAL FUNDS 279664.62 WERE ALLOWED SETTLEMENT IN FULL BY ORDER OF SAN JUAN COUNTY COMMISSIONERS. SCOTT L. FETCHENHIER, CHAIRMAN ERNEST F. KUHLMAN, COMMISSIONER AUSTIN LASHLEY, COMMISSIONER LADONNA L. JARAMILLO, CLERK SAN JUAN COUNTY BOARD OF COMMISSIONERS REGULAR MEETING WEDNESDAY, MAY 25, 2022 AT 6:30 P.M. Call to Order: The meeting was called to order by Chairman Scott Fetchenhier. Present were Commissioners Ernest Kuhlman, Austin Lashley, County Attorney Dennis Golbricht, Planning Director Lisa Adair and Administrator William Tookey. Commissioner Kuhlman moved to approve the minutes of May 11, 2022 as presented. Commissioner Lashley seconded the motion. The motion passed unanimously. Marcel Gaztambide was present to provide the Commissioners with a final update on Outstanding Waters proposal. He suggested that the Commissioners consider submitting a letter of support to the Water Quality Control Commission. It was the consensus ofthe Commissioners to submit a letter of support to the Water Quality Control Commission for their Rulemaking Hearing. A Public Hearing was held concerning a Retail Marijuana License application for JWJ Inc located at 71463 Highway 550. Upon completion ofthe public hearing Commissioner Kuhlman moved to approve the application conditional upon the fingerprint and background check. Commissioner Lashley seconded the motion. The motion passed unanimously. Resolution 2022-03 Implementing An Immediate Fire Ban was presented to the Commissioners for their consideration. Commissioner Lashley with the clarification that 4.D. prohibiting welding applied only to outdoor use. Commissioner Kuhlman seconded the motion. The motion passed unanimously. Having no further business. the meeting adjourned at 8:12 P.M. Scott Fetchenhier, Chairman Ladonna L. Jaramillo, County Clerk DocuSign Envelope ID: 74623A2A-BF68-4D02-A0F4-9881B453A2A9 CONTRACT AMENDMENT #5 SIGNATURE AND COVER PAGE(S) State Agency: Original Contract Number: Colorado Department Of Public Health and Environment 19 FHHA 108966 4300 Cherry Creek Drive South Denver, Colorado 80246 Contractor: Amendment Contract Number: Board of County Commissioners of San Juan County 2022*3211 Amendment #5 (a political subdivision of the state of Colorado) 1551 Greene Street Silverton CO 81433 for the use and benefit of the San Juan County Public Health Service 1315 Snowden Street Silverton CO 81433-0116 Contract Performance Beginning Date: Current Contract Expiration Date: July 1, 2018 June 30, 2023 Page 1 of 4 Amendment Contract Number: 2022*3211 Amendment #5 Ver 06.05.20 DocuSign Envelope ID: 74623A2A-BF68-4D02-A0F4-9881B453A2A9 Contract Federal State Other Funding Term (dates) Total Document Number Funding Funding Amount Type Amount Amount Original Contract 19 FHHA $2,120.00 $1,496.00 $0.00 07/01/2018- $3,616.00 108966 06/30/2019 GFCL #1 19 FHHA $1,200.00 $0.00 $0.00 08/18/2018- $1,200.00 112774 06/30/2019 GFCL #2 19 FHHA $0.00 $5,012.00 $0.00 09/12/2018- $5,012.00 113415 06/30/2019 Contract 19 FHHA $7,831.00 $0.00 $0.00 03/29/2019- $7,831.00 Amendment #1 127836 06/30/2019 Contract 2020*109 $2,145.00 $6,293.00 $0.00 07/01/2019- $8,438.00 Amendment #2 Amendment #2 06/30/2020 2020*109 Contract Option $0.00 $3,030.00 $0.00 03/01/2020- Option Letter #1 $3,030.00 Letter #I 06/30/2020 2020*3434 07/01/2020- Contract $2,157.00 $6,041.00 $0.00 Amendment #3 06/30/2021 Amendment #3 $8,198.00 2020*3434 08/01/2020- Contract Option $10,109.00 $10,109.00 $0.00 Option Letter #2 06/30/2021 Letter #2 $20,218.00 2021*3651 07/01/2021- Contract $3,871.00 $0.00 $0.00 Amendment #4 06/30/2022 $3,871.00 Amendment #4 2021*3651 08/01/2021- Contract Option $0.00 $3,564.00 $0.00 Option Letter #3 06/30/2022 $3,564.00 Letter #3 2021*3651 11/20/2021- Contract Option $0.00 $3,144.00 $0.00 Option Letter #4 06/30/2022 $3,144.00 Letter #4 2022*3211 07/01/2022- Contract $2,202.00 $8,428.00 $0.00 Amendment #5 06/30/2023 $10,630.00 Amendment #5 Current Contract Maximum $78,752.00 Cumulative Amount Page 2 of4 4 Amendment Contract Number: 2022*3211 Amendment #5 Ver 06.05.20 DocuSign Envelope ID: 74623A2A-BF68-4D02-A0F4-9881B453A2A9 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 Board of County Commissioners of San Juan County Jared S. Polis, Governor (a political subdivision of the state of Colorado) Colorado Department of Public Health and Environment for the use and benefit of the Jill Hunsaker Ryan, MPH, Executive Director San Juan County Public Health Service DocuSigned by: lisa Mubour DocuSigned! by; 2EDF870A1A7D4FC bulky Jovy By: Signature 38BC56E631 1D5441 Lisa MCGovern By: Signature Becky Joyce For Scott Fetchenhier Name ofl Executive Director Delegate Procurement & Contracts Section Director ft Name of Person Signing for Contractor Director for Chairman of BOCC Title of Executive Director Delegate Title of Person Signing for Contractor 2022-05-03 Date: 2022-05-03 Date: In accordance with $24-30-202 C.R.S., this Contract is not valid until signed and dated below by the State Controller or an authorized delegate. STATE CONTROLLER Robert Jaros, CPA, MBA, JD DocuSigned by: Jusfiu (eiple C4BA540EBA79405 By: Signature Justin Weigle Name of State Controller Delegate Health Divisions Controller Title of State Controller Delegate 2022-06-03 Amendment Effective Date: - Signature and Cover Pages End = Page 3 of4 Amendment Contract Number: 2022*3211 Amendment #5 Ver 06.05.20 DocuSign Envelope ID: 74623A2A-BF68-4D02-A0F4-9881B453A2A9 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 interpreted 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 under the State Controller Signature. The State shall not be bound by any provision ofthis Amendment before that Amendment Effective Date, and shall have no obligation to pay Contractor for any Work performed or expense incurred under this Amendment either before or after of 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 under the State Controller Signature or July 1, 2022, whichever is later and shall terminate on the termination of the Contract or June 30, 2023, whichever is earlier. 4. PURPOSE The Parties entered into the agreement to reduce and eliminate vaccine preventable diseases in Colorado by increasing and maintaining immunization coverage. Local public health agencies will provide core immunization services, according to established best practices and standards, to improve the health of individuals and communities. The Parties now desire to renew for an additional term and change current Contract Maximum Total for the following reason: to renew. 5. MODIFICATIONS The Contract and all prior amendments thereto, ifany, are modified as follows: A. The Contract Maximum Amount table is deleted and replaced with the Current Contract Maximum Amount shown on the Signature and Cover Page for this Amendment. B. 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. C. The Parties now agree to modify Exhibit G, Statement ofWork ofthe agreement. Exhibit G, Statement of Work, is deleted and replaced in its entirety with Exhibit G, Statement of Work, attached to this Amendment for the following reason: to update the work plan for the renewal period. D. The Parties now agree to modify Exhibit H, Budget of the agreement. Exhibit H, Budget, is deleted and replaced in its entirety with Exhibit H, Budget, attached to this Amendment for the following reason: to add funds for the renwal period. E. The Parties now agree to modify Exhibit I, Federal Provisions. Exhibit I, Federal Provisions, is deleted and replaced in its entirety with the Exhibit I, Federal Provisions, attached to this Amendment, for the following reason: to reflect changes to the federal award identification information. 6. LIMITS OF EFFECT AND ORDER OF PRECEDENCE This Amendment is incorporated by reference into the Contract, and the Contract and all prior amendments or other modifications to the Contract, ifany, remain in full force and effect except as specifically modified in this Amendment. Except for the Special Provisions contained in the Contract, in the event of any conflict, inconsistency, variance, or contradiction between the provisions oft this Amendment and any ofthe provisions of the Contract or any prior modification to the Contract, the provisions of this Amendment shall in all respects supersede, govern, and control. The provisions of this Amendment shall only supersede, govern, and control over the Special Provisions contained in the Contract to the extent that this Amendment specifically modifies those Special Provisions. Page 4 of4 Amendment Contract Number: 2022*3211 Amendment #5 Ver 06.05.20 DocuSign Envelope ID: 74623A2A-BF68-4002-A0F4-9881B453A2A9 EXHIBIT G STATEMENT OF WORK To Original Contract Routing Number: 19 FHHA 108966 Amendment Contract Number: 2022*3211 Amendment #5 These provisions are to be read and interpreted in conjunction with the provisions of the contract specified above. I. Entity Name: San Juan County Public Health Service II. Project Description: This project serves to maintain immunization awareness, and increase vaccination rates in Colorado. The Colorado Department of Public Health and Environment (CDPHE) is funded by the Centers for Disease Control and Prevention (CDC) to address potentially life-threatening diseases and reduce risk. The project supports Local Public Health Agencies (LPHAs) through the Vaccines for Children (VFC) program, and creates a coordinated infrastructure to align with national immunization standards. The project supplies Section 317 vaccines at no cost to remove the financial barrier for adults without insurance. The project counters anti-vaccination attitudes and beliefs by engaging the community, and delivering education in the service area. The project encourages healthcare providers and school-based settings to use the Colorado Immunization Information System (CIIS), and to contribute to the centralized system by entering data. The project is intended to convene the public and health professionals, reduce mortality and morbidity rates caused by vaccine-preventable diseases, and protect the health ofColoradans. III. Definitions: 1.ACIP: Advisory Committee on Immunization Practices 2.CALPHO Colorado Association of Local Public Health Officials 3.CCC: Child Care Centers as defined by Colorado State Board ofHealth Rule 6 CCR 1009-2 4.CCR: Code of Colorado Regulations 5. CDC: Centers for Disease Control and Prevention 6. CDPHE: Colorado Department of Public Health and Environment 7. CIB: Colorado Immunization Branch 8. CIIS: Colorado Immunization Information System 9. Core Immunization Services (Core Services): Basic and essential vaccination services provided within the LPHA 'sj jurisdiction. 10. Deputization: The formal extension of authority to provide VFC vaccines to eligible underinsured children from a participating FQHC or RHC to another VFC-enrolled provider; typically a local public health agency. Previously called Delegation of. Authority. 11. Evidence-based: Conscientious use of current scientific evidence and clinical expertise. 12.1 FAQ: Frequently Asked Questions 13. FQHC: Federally Qualified Health Center 14. Insured: Aj person who is covered by health insurance. 15. Jurisdiction: Power or right ofa legal or political agency to exercise its authority over a person, subject matter, or territory. 16. LPHA: Local public health agency 17. MMR Measles, mumps, and rubella vaccine. 18. MOU: Memorandum of Understanding 19. RHC: Rural Health Center 20. School: As defined by the Colorado Board ofl Health rule 6 CCR 1009-2, all child care facilities licensed by the Colorado Department ofH Human Services including: child care centers, school-age child care center, preschools, day camps, resident camps, day treatment centers, family child care homes, foster care homes, and head start programs; Page of7 Amendment Contract Number: 2022*3211 Amendment #5 Ver.01.11.19 DocuSign Envelope ID: 74623A2A-BF68-4D02-A0F4-9881B453A2A9 EXHIBIT G public, private, or parochial kindergarten, elementary or secondary schools through grade twelve, or a college or university. 21. Section 317 Vaccine: Vaccine funding used to support infrastructure critical to vaccine program success including vaccine for: uninsured and underinsured adults, outbreak response and preparedness support. 22. VFC: Vaccines for Children 23. VPD: Vaccine-preventable disease 24. WIG: Wildly Important Goal a current strategic priority of CDPHE IV. Work Plan: Goal #1: Reduce vaccine-preventable diseases in Colorado by increasing or maintaining immunization coverage. Objective #1: No later than the expiration of the contract, provide core immunization services intended to improve the health ofi individuals and communities. Primary Activity #1 The Contractor shall implement core immunization services within its jurisdiction. Sub-Activities #1 1. The Contractor shall promote within the jurisdiction all AC/P-recommended vaccines available through the following distribution channels: a. VFC vaccines available through the VFC program for the eligible population served. b. Section 317 vaccines available through the Section 317 program for the eligible population served. C. Privately-purchased vaccines available for the eligible insured population served. 2. The Contractor shall analyze the need for provision of immunizations within the. jurisdiction. a. According to the analysis, the Contractor shall provide immunizations within the jurisdiction. 3. The Contractor shall screen patients for eligibility to receive publicly funded vaccine. 4. The Contractor shall send immunization data to CIIS for all immunizations administered by the agency within seven (7) days of vaccine administration. 5. The Contractor shall promote use ofCIIS to providers in the jurisdiction. 6. The Contractor shall review the county level Immunization Rates Report provided by CIB for the following information: a. Children 19-35 months ofage no later than 30 days after distribution by CIB b. Adolescents 13-17 years of age no later than 30 days after distribution by CIB C. Compare to the CDC National Immunization Surveys; Child and Teen and CIIS-generated statewide rates provided by CIB in order to increase awareness of county versus state and national immunization rates within the 30 days that the rates report is distributed by the CIB. 7. The Contractor shall provide immunization subject matter expertise to the following: a. Decision makers b. Policy makers C. Health care providers d. The public Page 2 of7 Amendment Contract Number: 2022*3211 Amendment #5 Ver. 01.11.19 DocuSign Envelope ID: 74623A2A-BF68-4D02-A0F4-9881B453A2A9 EXHIBIT G 8. The Contractor shall meet with local stakeholders to implement a minimum of one (1) evidence-based strategy that is culturally and linguistically appropriate to reduce the following: a. immunization disparities by race b. immunization disparities by ethnicity C. immunization disparities by socio-economic status 9. The Contractor shall promote informed vaccine decision making by educating a minimum of one (1) of the following: a. consumers b. health care providers C. staff who administer immunizations d. policy makers 10. The Contractor shall address vaccine hesitancy by educating a minimum of one (1) oft the following: a. consumers b. health care providers C. staff who administer immunizations d. policy makers 11. The Contractor shall promote vaccine services availability by educating a minimum of one (1) oft the following: a. consumers b. healthcare providers C. staff who administer immunizations d. policy makers 12. The Contractor shall promote seasonal influenza vaccine to improve preparedness in the event of an influenza pandemic according to the following criteria: a. The Contractor shall promote seasonal influenza vaccine with new organizations. b. The Contractor shall continue seasonal influenza vaccine coordination with existing organizations. c. The Contractor shall promote seasonal influenza vaccine with commercial sector organizations. 13. The Contractor shall maintain a deputization MOU with an FQHC/RHC. 14. The Contractor shall deliver information to schools and CCCS about the Colorado State Board ofHealth Rule 6 CCR 1009-2 annual reporting requirement. a. The Contractor shall follow up with schools who fail to report data. b. The Contractor shall follow up with CCCs who fail to report data. 15. The Contractor shall support a network of VFC providers. a. The Contractor shall perform ongoing recruitment of new VFC providers. b. The Contractor shall educate current VFC providers about the VFC program requirements. 16. The Contractor shall respond to cases of VPD in the jurisdiction in order to implement core immunization services. Page 3 of7 Amendment Contract Number: 2022*3211 Amendment #5 Ver, 01.11.19 DocuSign Envelope ID: 74623A2A-BF68-4D02-A0F4-9881B453A2A9 EXHIBIT G 17. The Contractor shall maintain staff readiness for a VPD outbreak. 18. The Contractor shall participate in CIB Immunization calls for up-to-date information. a. The Contractor shall listen to the audio recording of the call provided by the CIB within 30 days when the Contractor does not attend call. 19. The Contractor shall attend a minimum of one (1) immunization-related training or conference. Objective #2: No later than the expiration of the contract, implement evidence-based strategies to improve immunization rates in populations identified as underimmunized. Primary Activity #1 The Contractor shall utilize immunization strategies to address strategic priorities. Sub-Activities #1 1. The Contractor shall utilize immunization strategies to address underimmunization in populations. 2. The Contractor shall review the list of strategies from Strategies to improve Colorado vaccination rates. 3. The Contractor shall plan local activities to use evidence-based strategies that are culturally and linguistically appropriate to increase immunization rates with the following: a. Health care providers b. Pharmacists C. Long-term care facility staff d. Infection control specialists e. School offiçials f. The public Standards and 1. The content of electronic documents located on CDPHE and non-CDPHE Requirements websites and information contained on CDPHE and non-CDPHE websites may be updated periodically during the contract term. The contractor shall monitor documents and website content for updates and comply with all updates. 2. The Contractor shall use the final results oft the CDC National Immuniation Surveys: Child and Teen and CIIS-generated statewide rates provided by CIB via email communication in order to increase awareness of county versus state and national immunization rates. 3. The Contractor shall comply with the requirements for enteringsubmitting immunization data into CIIS as agreed to in the CIS Letter of Agreement found within the online CIIS Resource Center located on the following website, https: www. sephrsomtemtoy:inap. The content oft this website is incorporated and made part of this contract by reference. 4. The Contractor shall comply with the ACIP recommendations for vaccine administration located on the following website, http:Avww.ede. gow ascinsaipinks.hmml. The content oft this website is incorporated and made part of this contract by reference. 5. The Contractor shall promote compliance with school immunization rules within the Colorado State Board ofHealth Rule 6 CCR 1009-2 located on the following website, https:! drivegoogle.com: file/dy ICNIIShkuIalg-bOn/VoNdhe TOCVvicw. This document establishes immunization standards and is incorporated and made part of this contract by reference. Page 4 of7 Amendment Contract Number: 2022*3211 Amendment #5 Ver. 0111.19 DocuSign Envelope ID: 74623A2A-BF68-4D02-A0P4-9881B453A2A9 EXHIBIT G 6. The Contractor shall create a login to access the school and childcare immunization data for the Contractor'sj jurisdiction located on the following website, passhntpapufasatsttahallsas mmunziliumsm-sputine The content of this website is incorporated and made part of this contract by reference. 7. The Contractor shall maintain a signed VFC recertification agreement when providing VFC vaccines for the jurisdiction. 8. The Contractor shall comply with the requirements for utilizing VFC vaccine agreed to in the VFC recertification agreement packet provided by CIB when providing VFC vaccines for the jurisdiction. 9. The Contractor shall comply with the eligibility requirements for utilizing Section 317 vaccine as provided by CIB via email when providing 317 vaccines for the jurisdiction. 10. The Contractor shall review and use a minimum of one (1) evidence-based strategy to reduce coverage disparities by race, ethnicity and socio-economic status from Strategies to improve Colorado vaccination rates located on the following website, pehgckamiaumst 4/I4B701374B XISCAGHN.Oikge ma2FgnekeudEsedit The content of this website is incorporated and made part of this contract by reference. 11. The Contractor shall use deputization MOU guidance as provided by CIB via email. 12. CDPHE will provide programmatic technical assistance, upon request. 13. The Contractor shall complete an electronic quarterly progress report using the. FY23 Immunization Core. Services Quarterly Progress Report, via the following website, https:/ fs9.formsite.com Cwimaamsmrva CoreProgressReport index. htm!. The content of this website is incorporated and made part of this contract by reference. 14. The Contractor shall complete the final electronic quarterly progress report as a non-reimbursable deliverable. 15. The Contractor shall provide signed VFC recertification packet and agreements via the following website when providing VFC vaccines for the jurisdiction: https: fs9. fommite.com/ColoradlMMprogram: Karfymhw.imaes.htm, The content oft this website is incorporated and made part of this contract by reference. 16. The Contractor shall utilize strategies of CALPHO and CDPHE's Colorado Public Health System Transformation: Core. Public Health Services Needs Assessment Report. Jan 2020 located on the following website, prsaadaain V-IChlIZeAI AeTPAURbLNrivie uspEsharing This document establishes immunization standards and is incorporated and made part ofthis contract by reference. 17. The Contractor shall access the MMR and Flu Dashboard and Report Card via the following website: Page 5 of7 Amendment Contract Number: 2022*3211 Amendment #5 Ver.01.11.19 DocuSign Envelope ID: 74623A2A-BF68-4D02-A0F4-9881B453A2A9 EXHIBIT G hups. coheallhvizdphe: statecoisHitel DC EED Public/views PHAMM OKMDAADNTaLw The content of this website is incorporated and made part of this contract by reference. 18. The Contractor shall strive to meet immunization targets for the jurisdiction set by the CIB to attain a WIG. 19. CDPHE will provide each jurisdiction'* s immunization targets via email within 90 days ofthe execution of the contract. 20. The CIB will maintain a LPHA Corelmmunization Services FAQ document to address questions regarding this project. The content of this website is incorporated and made part of this contract by reference. 21. The Contractor shall utilize immunization strategies to address underimmunization in populations as defined by CDPHE. 22. The Contractor shall review a list of strategies from Strategies 10 improre CMnalachndture. The content ofthis website is incorporated and made part of this contract by reference. Expected Results of 1. Immunizations are offered within the Contractor's, jurisdiction. Activity(s) 2. Immunizations are marketed within the Contractor' 'sj jurisdiction. 3. Immunizations are administered within the Contractor's jurisdiction. Measurement of Expected 1. Data contained in the Immunization Rates Report. Results 2. Data contained in the CDPHE MMR Dashboard and Report Card. 3. Data contained in quarterly progress reports. Completion Date Deliverables 1. For Contractors providing VFC vaccines, the No later than 30 Contractor shall electronically submit signed VFC business days recertification packet and agreements. following the receipt of the recertification packet 2. The Contractor shall submit an electronic quarterly No later than 30 progress report using the Immunization Core. Services calendar days Quarterly Progress Report. following the last calendar day of September, December, and March 3. The Contractor shall submit the final electronic No later than 15 days quarterly progress report using the Immunization Core after the end term of Services Quarterly Progress Report. the contract 4. The Contractor shall submit immunization data for No later than seven (7) all immunizations administered by the Contractor's days following vaccine agency to CIIS. administration Page 6 of7 Amendment Contract Number: 2022*3211 Amendment #5 Ver. 01-11:19 DocuSign Envelope ID: 74623A2A-BF68-4D02-A0F4-9881B453A2A9 EXHIBIT G V. Monitoring: CDPHE's monitoring oft this contract for compliance with performance requirements will be conducted throughout the contract period by the CDPHE Contract Monitor. Methods used will include a review of documentation determined by CDPHE to be reflective of performance to include progress reports and other fiscal and programmatic documentation as applicable. The Contractor's performance will be evaluated at set intervals and communicated to the contractor. VI. Resolution of Non-Compliance: The Contractor will be notified in writing within 15 calendar days of discovery of a compliance issue. Within 30 calendar days of discovery, the Contractor and the State will collaborate, when appropriate, to determine the action(s) necessary to rectify the compliance issue and determine when the action(s) must be completed. The action(s) and timeline for completion will be documented in writing and agreed to by both parties. Ifextenuating circumstances arise that requires an extension to the timeline, the Contractor must email a request to the CDPHE Contract Monitor and receive approval for a new due date. The State will oversee the completomimplememation ofthe action(s) to ensure timelines are met and the issue(s)i 1s 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 7 of7 Amendment Contract Number: 2022*3211 Amendment #5 Ver. 01.11.19 DocuSign Envelope ID: 74623A2A-BF68-4D02-A0F4-9881B453A2A9 EXHIBIT H To Original Contract Routing Number: 19 FHHA 108966 Original Budget Immunization Core Activities San Juan County State $8,428.00 Federal $2,202.00 Total Amount $10,630.00 Amendment Contract Number: 2022*3211 Amendment #5 Page 1 of 1 DocuSign Envelope ID: 74623A2A-BF68-4D02-A0F4-9881B453A2A9 Exhibit I Federal Provisions - CDC-RFA-IP19-1901 Immunization and Vaccines for Children For the purposes of this Exhibit only, Contractor is also identified as "Subrecipient." This Contract has been funded, in whole or in part, with an award of Federal funds. In the event of a conflict between the provisions of these Supplemental Provisions for Federal Awards, the Special Provisions, the Contract or any attachments or exhibits incorporated into and made a part of the Contract, the Supplemental Provisions for Federal Awards shall control. In the event ofa a conflict between the Supplemental Provisions for Federal Awards and the FFATA Supplemental Provisions (ifany), the FFATA Supplemental Provisions shall control. 1) Federal Award Identification. a, Subrecipient: San Juan County Public Health Service b. Subrecipient DUNS number: 182859199 C. The Federal Award Identification Number (FAIN) is NH231P922600. d. The Federal award date is To Be Determined. e. The subaward period of performance start date is 07/01/2021 and end date is 06/30/2022. f. Federal Funds: Federal Budget Period Total Amount of Federal Amount of Federal Funds Funds Awarded Obligated to CDPHE 7/1/2019 - 6/30/2024 $6,210,954.00 $5,809,059.00 g. Federal award title of project or program: Immunization and Vaccines for Children. h. The name of the Federal awarding agency is: The Department of Health and Human Services Centers for Disease Control and Prevention and the contact information for the awarding official is Hilary Oliphant, 4770 Buford Highway, Chamblee, GA 30341,770- 433-3973; the name ofthe pass-through entity is the State ofColorado, Department of1 Public Health and Environment (CDPHE), and the contact information for the CDPHE official is Patsy Parker, 4300 Cherry Creek Drive South, A-3, Denver, Colorado 80246 303-692- 2669. i. The Catalog of Federal Domestic Assistance (CFDA) number is 93.268 and the grant name is Immunization and Vaccines for Children. j. This award is not for research & development. k. Subrecipient is not required to provide matching funds. In the event the Subrecipient is required to provide matching funds, Section 8 of this Attachment applies. I. The indirect cost rate for the Federal award (including if the de minimis rate is charged per 2 CFR $200.414 Indirect (F&A) costs) is pre-determined based upon the State ofColorado and CDPHE cost allocation plan. 2) Subrecipient shall at all times during the term ofthis contract strictly adhere to the requirements under the Federal Award listed above, and all applicable federal laws, Executive Orders, and implementing regulations as they currently exist and may hereafter be amended. Page 1 of4 Amendment Contract Number: 2022*3211 Amendment #5 Ver. 25.02.20 DocuSign Envelope ID: 74623A2A-BF68-4D02-A0F4-9881B453A2A9 3) Any additional requirements that CDPHE imposes on Subrecipient in order for CDPHE to meet its own responsibility to the Federal awarding agency, including identification of any required financial and performance reports, are stated in the Exhibits. 4) Subrecipient's approved indirect cost rate is as stated in the Exhibits. 5) Subrecipient must permit CDPHE and auditors to have access to Subrecipient's records and financial statements as necessary for CDPHE to meet the requirements of2 CFR $200.331 Requirements for pass- through entities, SS 200.300 Statutory and National Policy Requirements through $200.309 Period of performance, and Subpart FAudit Requirements ofthis Part. 6) The appropriate terms and conditions concerning closeout of the subaward are listed in Section 16 of this Attachment. 7) Performance and Final Status. Subrecipient shall submit all financial, performance, and other reports to CDPHE no later than 45 calendar days after the period of performance end date or sooner termination ofthis Contract containing an evaluation and review of Subrecipient" 's pertormance and the final status of Subrecipient's obligations hereunder. 8) Matching Funds. Subrecipient shall provide matching funds as stated in the Exhibits. Subrecipient shall have raised the full amount of matching funds prior to the Effective Date and shall report to CDPHE regarding the status of such funds upon request. Subrecipient's obligation to pay all or any part of any matching funds, whether direct or contingent, only extends to funds duly and lawfully appropriated for the purposes ofthis Contract by the authorized representatives: of the Subrecipient and paid into the Subrecipient' 's treasury or bank account, Subrecipient represents to CDPHE that the amount designated as matching funds has been legally appropriated for the purposes oft this Contract by its authorized representatives and paid into its treasury or bank account. Subrecipient does not by this Contract irrevocably pledge present cash reserves for payments in future fiscal years, and this Contract is not intended to create a multiple-fiscal year debt ofthe Subrecipient. Subrecipient shall not pay or be liable for any claimed interest, late charges, fees, taxes or penalties of any nature, except as required by Subrecipient's laws or policies. 9) Record Retention Period. The record retention period previously stated in this Contract is replaced with the record retention period prescribed in 2 CFR $200.333. 10) Single Audit Requirements. IfSubrecipient expends $750,000 or more in Federal Awards during Subrecipient' S fiscal year, Subrecipient shall procure or arrange for a single or program-specific audit conducted for that year in accordance with the provisions of Subpart F-Audit Requirements of the Uniform Guidance, issued pursuant to the Single Audit Act Amendments of 1996, (31 U.S.C. 7501-7507). 2 CFR $200.501. 11) Contract Provisions. Subrecipient shall comply with and shall include all of the following applicable provisions in all subcontracts entered into by it pursuant to this Contract: a. Office ofl Management and Budget Circulars and The Common Rule for Uniform Administrative Requirements for Grants and Cooperative Agreements to State and Local Governments, as applicable; b. when required by Federal program legislation, the "Davis-Bacon Act", as amended (40 U.S.C. 3141-3148) as supplemented by Department ofLabor Regulations (29 CFR Part 5, "Labor Standards Provisions Applicable to Contracts Covering Federally Financed and Assisted Construction"): C. when required by Federal program legislation, the Copeland "Anti-Kickback" Act (40 U.S.C. 3145), as supplemented by Department ofl Labor regulations (29 CFR Part 3, "Contractors and Subcontractors UII Public Building ufPublic Work Financed in Whole or in Part by Loans or Grants from the United States"). Page 2of4 Amendment Contract Number: 2022*3211 Amendment #5 Ver., 25,02.20 DocuSign Envelope ID: 74623A2A-BF68-4D02-A0F4-9881B453A2A9 d. 42 U.S.C. 6101 et seg., 42 U.S.C. 2000d, 29 U.S.C. 794 (regarding discrimination); e. the "Americans with Disabilities Act" (Public Law 101-336; 42 U.S.C. 12101, 12102, 12111 - 12117, 12131 - 12134, 12141 - 12150, 12161 - 12165, 12181 - 12189, 12201 - 12213 and 47 U.S.C. 225 and 47 U.S.C. 611); f. when appliçable, the Contractor shall comply with the provisions ofthe "Uniform Administrative Requirements for Grants and Cooperative Agreements to State and Local Governments' " (Common Rule); g. The Federal Funding Accountability and Transparency Act of 2006 (Public Law 109-282), as amended by $6062 of Public Law 110-252, including without limitation all data reporting requirements required there under. This Act is also referred to as FFATA. h. Contractor shall comply with the provisions of Section 601 ofTitle VI oft the Civil Rights Act of 1964, as amended. 1. Except as otherwise provided under 41 CFR Part 60, all contracts that meet the definition of "federally assisted construction contract" in 41 CFR Part 60-1.3 comply with the equal opportunity clause provided under 41 CFR 60-1.4(b), in accordance with Executive Order 11246, "Equal Employment Opportunity: (30. FR 12319, 12935, 3 CFR Part, 1964-1965 Comp., p. 339), as amended by Executive Order 11375, "Amending Executive Order 11246 Relating to Equal Employment Opportunity,' and implementing regulations at 41 CFR part 60, "Office of Federal Contract Compliance Programs, Equal Employment Opportunity, Department of Labor. j. where applicable, Contract Work Hours and Safety Standards Act (40 U.S.C. 3701-3708). k. ifthe Federal award meets the definition of" "funding agreement" under 37 CFR S 401.2 (a) and the recipient or subrecipient wishes to enter into an agreement with a small business firm or nonprofit organization, comply with the requirements of37 CFR Part 401, "Rights to Inventions Made by Nonprofit Organizations and Small Business Firms Under Government Grants, Contracts and Cooperative Agreements,' and any implementing regulations issued by the awarding agency. 1. the Clean Air Act (42 U.S.C. 7401-7671q.) and the Federal Water Pollution Control Act (33 U.S.C. 1251-1387), as amended. m. ifapplicable, comply with the mandatory standards and policies on energy efficiency contained within the State of Colorado' 's energy conservation plan issued in compliance with the Energy Policy and Conservation Act, 42 U.S.C. 6201. n. the Contractor and all principals are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any federal department or agency; the Contractor and all principals shall comply with all applicable regulations pursuant to Executive Order 12549 (3 CFR Part 1986 Comp., p. 189) and Executive Order 12689 (3 CFR Part 1989 Comp., p. 235), Debarment and Suspension; and, 0. the Contractor shall comply where applicable, the Byrd Anti-Lobbying Amendment (31 U.S.C. 1352). 12) Compliance. Subrecipient shall comply with all applicable provisions of The Office of Management and Budget Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance), including but not limited to these Supplemental Provisions for Federal Awards. Any revisions to such provisions automatically shall become a part ofthese Supplemental Provisions, without the necessity of either party executing any further instrument. CDPHE may provide Page 3of4 4 Amendment Contract Number: 2022*3211 Amendment #5 Ver. 25,02.20 DocuSign Envelope ID: 74623A2A-BF68-4D02-A0F4-9881B453A2A9 written notification to Subrecipient of such revisions, but such notice shall not be a condition precedent to the effectiveness of such revisions. 13) Procurement Procedures. Subrecipient shall use its own documented procurement procedures which reflect applicable State, local, and Tribal laws and regulations, provided that the procurements conform to applicable Federal law and the standards identified in the Uniform Guidance, including without limitation, $$200.318 through 200.326 thereof. 14) Certifications. Unless prohibited by Federal statutes or regulations, CDPHE may require Subrecipient to submit certifications and representations required by Federal statutes or regulations on an annual basis (2 CFR $200.208). Submission may be required more frequently if Subrecipient fails to meet ar requirement ofthe Federal award. Subrecipient shall certify in writing to CDPHE at the end oft the Contract that the project or activity was completed or the level of effort was expended. 2 CFR $200.201(b)(3). Ifthe required level of activity or effort was not carried out, the amount ofthe Contract must be adjusted. 15) Event of Default. Failure to comply with the Uniform Guidance or these Supplemental Provisions for Federal Awards shall constitute an event of default under the Contract pursuant to 2 CFR $200.339 and CDPHE may terminate the Contract in accordance with the provisions in the Contract. 16) Close- Out. Subrecipient shall close out this Contract within 45 days after the End Date. Contract close out entails submission to CDPHE by Subrecipient of all documentation defined as a deliverable in this Contract, and Subrecipient's final reimbursement request. Ifthe project has not been closed by the Federal awarding agency within 1 year and 45 days after the End Date due to Subrecipient's failure to submit required documentation that CDPHE has requested from Subrecipient, then Subrecipient may be prohibited from applying for new Federal awards through the State until such documentation has been submitted and accepted. 17) Erroneous Payments. The closeout of a Federal award does not affect the right of the Federal awarding agency or CDPHE to disallow costs and recover funds on the basis of a later audit or other review. Any cost disallowance recovery is to be made within the record retention period. EXHIBIT END Page 4 of 4 Amendment Contract Number: 2022*3211 Amendment #5 Ver. 25.02.20 SAN JUAN COUNTY DEPARTMENT OF SOCIAL SERVICES Department of Social Services Phone 970-387-5631 * Fax 970-387-5326 Martha Johnson, Director 4/30/2022 Date 5/25/2022 Transmittal No. 4 Vendor Date Num Amount Lal Plata County 04/30/2022 11603 $ 3,064.08 San Juan Cty 04/30/2022 11604 S 4,920.99 TOTAL $ 7,985.07 1 MARTHA. JOHNSON, Director of Social Services of San Juan County of Colorado, hereby certify that the payments listed above are available for inspection and have been paid to the payees listed. Mlata - a 30)2 MARTHA JOHNSON 1, Scott Fetchenhier, Chairman of the San. Juan County Board of Commissioners, hereby certify that the payments as set forth above have this date been approved and warrants inj payment thereof issued upon the Social Services Fund. Scott Fetchenhier Post Office Box 376 Silverton, CO 81433-0376 (970)387-5631 9:43 AM San Juan County Social Services 06/25/22 Accrual Basis Profit & Loss Budget VS. Actual January through December 2022 TOTAL Jan 22 Feb22 Mar22 Apr22 Jan Dec 22 Budget Ordinary income/Expense Income 400.001 REVENUE-State Alloc 21,882.82 5,600.18 5,908.76 6,866.90 40,258.66 159,238.80 400.010 Property Tax Current 0.00 2,088.83 3,307.17 1,145.02 6,541.02 16,000.00 400.020 Specific Ownership tax 114.51 85.80 104.71 89.90 394.92 1,320.00 400.040 Penaltles/Int on Tax 0.00 0.00 0.00 0.17 0.17 6.00 400.145 REVENUE-CSGB Grant 527.20 0.00 0.00 0.00 527.20 996.00 400.180 REVENUE-EOC 150.00 0.00 0.00 50.00 200.00 400.220 REVENUE-Program Refunds 150.00 175.00 0.00 0.00 325.00 0.00 Total Income 22,824.53 7,949.81 9,320.64 8,151.99 48,246.97 177,560.80 Expense 500.100 EXPENSEAdministration 5,086.16 4,973.56 5,666.08 5,850.25 21,576.05 69,000.00 500.110 EXPENSE-Adult Protectio 0.00 0.00 0.00 0.00 0.00 2,220.00 500.120 EXPENSE-Child Care 0.00 0.00 0.00 0.00 0.00 2,000.00 500.130 EXPENSE-Chlld Support 12.33 9.34 0.00 0.00 21.67 600.00 500.140 EXPENSE-Child Welfare 0.00 0.00 0.00 0.00 0.00 12,000.00 500.145 EXPENSE-CSGB Grant 0.00 0.00 0.00 0.00 0.00 1,000.00 500.150 EXPENSE-Colorado Works 16,520.41 0.00 0.00 0.00 16,520.41 75,000.00 500.160 EXPENSE-Core Services 2,000.00 2,000.00 2,000.00 2,000.00 8,000.00 24,000.00 500.200 EXPENSE-LEAP 182.39 323.11 201.72 134.82 842.04 1,200.00 500.210 EXPENSE-OAP 0.00 0.00 0.00 0.00 0.00 2,000.00 Total Expense 23,801.29 7.306.01 7,867.80 7,985.07 46,960.17 189,020.00 Net Income -976.76 643.80 1,452.84 166.92 1,286.80 -11,459.20 Z:Finance CommoniDHSMonth. Endi20221San Juan countyl4. AprinDirector report/Apr-22 Income SiatementlsxShet! Page 1 of 1 San Juan County CDHS Allocation and Expenditures report For State Fiscal Vear 2022 4/30/2022 FIPS 111 % of Fiscal % Year Program Allocation Expenditures Remaining Remaining Remaining CDHS County Admin 81,954 14,962 66,992 81.74% 16.67% HCPF Regular 21,279 7,027 14,252 66.98% 16.67% HCPF Enhanced 39,174 1,831 37,343 95.33% 16.67% APS Admin 2,315 3,467 -1,151 -49.73% 16.67% APS Client 2,000 J 2,000 100.00% 16.67% Child Care 8,088 2,497 5,591 69.13% 16.67% CARE CRSSA Funding 5,000 46 4,954 99.08% 16.67% Colorado Works 43,050 13,991 29,059 67.50% 16.67% Child Welfare 80/20 25,496 21,252 4,244 16.65% 16.67% Child Welfare 100% 2,266 48 2,218 97.87% 16.67% Child Welfare PRTF 1,129 0 1,129 100.00% 16.67% CORE 80/20 8,724 7,648 1,075 12.33% 16.67% CORE 100% 15,902 12,352 3,550 22.33% 16.67% SEAP 374 374 100.00% 16.67% LEAP outreach 237 1,341 -1,104 465.70% 41.67% Locked-in PHE Non-En 40 0 40 100.00% 16.67% Locked-in PHE Enhanc 2,525 U 2,525 100.00% 16.67% Snap incentive 97 97 0 0.00% 16.67% Total 259,650 86,558 173,092 9 SAN JUAN COUNTY ROAD DEPARTMENT Road Maintenance Report MAY 2022 County road #2 Eureka., grading pull ditches, tram and spread some gravel. Called About mag-chloride application we will not get any till after the 4th of] July the old supply and demand. The cost per gallon is 0.92 cents with additional cost a fuel surcharges. Signs for the Rock pirates came in and will be around $700.00. The stop sign at Howardsville is not a good idea does not make any sense unless there is a three way stop!! I think just a speed reduction and some enforcement if possible. 1-772G grader, 15 hours. 2-772G grader, 4 hours. 936 loader, 4 hours' 60 tons gravel. Pickups, 13 hours. 1-772 G grader, broke down with electronic module issues. County road #2 Animas Forks, Engineer Pass, Opened to the top/ Hinsdale county line on 5/10/22. Plowed Ouray county section once again over the top this should be the last year for that Ouray county will have to do from now on. D6T tractor got stuck in the mud near Denver Lake trying to ditch water. Had to bring up 936 loader and 772G grader to pull it out. Worked on road with grader and loader on the way down. NOT MUCH SNOW! D6T tractor, 17 hours. 936 loader, 9 hours. 2-772G grader, 6 hours. Pickups, 6 hours, County road #17 Mineral Creek lower Engineer Pass, snow removal. Opened to county line 5/12/22. D6T tractor, 6 hours. County road #18 Mineral Point, snow removal. D6T tractor, 1 hour. County road #110 Gladstone, grading, road repairs, clean ditches and rock removal. Almost no highwater issues the spring. 1-772G grader, 15 hours. 2-772G grader, 6 hours. 936 loader, 5 hours. Pickups, 16 hours. County road #10-#11 Corkscrew Pass, snow, tree and rock removal. Plugged culverts delt with. Opened to the top 5/11/22 not muck snow but lots ofice. D6N tractor, 13 hours. Pickups, 3 hours. County road #10 Hurricane Pass, snow, rock and ice removal. Opened to top 5/19/22. D6N tractor, 12 hours, Pickups, 3 hours. County road #10-#19 Top Hurricane to top of California Pass, Snow removal fair amount snow in bottom. Road icy to top California Pass on 5/26/22. Using D6N tractor on these road since Dave has been on vacation for almost three weeks. D6N tractor, 17 hours. Pickups, 3 hours. County road #99 opened, snow and tree removal. Have not opened this in the spring ever. D6T tractor, 6 hours. County road #9 Placer Gulch, melted out partway up will open over the top when Dave returns. County road #25 Eureka Gulch, rock, tree and snow removal open to Lake Emma 5/26/22. 936 loader, 4 hours. County road #23 Maggie Gulch to Ruby intersection, rock tree and slough removal and some grading. 2-772G grader, 2 hours. County road #22A East river road, rock removal, fill a hole and berm off road for Jepson's!!! 936 loader, 2 hours. County road #24 Minnie Gulch, rock, tree and slough removal and repair creek crossing up to the Esmeralda Mine. 936 loader, 3 hours. County road #57 Caldonia Mine/ Kitty Mack road. Tree and slide removal. 936 loader, 2 hours. County road #4 Cunningham Gulch to above the Highland Mary Mill, clear slide debris. Fill washed culvert and holes. Opened 5/17/22. 936 loader, 5 hours. County road #4A Upper Cunningham, grade road and rock removal. 1-772G grader, 3 hours. Pickup, 1 hour. County road #14 Brooklyn Mine and ST. Paul, open road to above the Brooklyn mine, snow and tree removal. Opened road on Red Mt. side up to Darwin's cabin. 936 loader, 5 hours. Pickup, 1 hour. County road #7 South Mineral, grade road and remove trees towards Bandora, three trees removed off the road. 1-772G grader, 10 hours. County road #12 Clear Lake, clear over 30 trees off the road, rocks and culverts. Blew tire on motorgrader and had to change on first switchback. 936 loader, 4 hours. 1-772G grader, 2 hours. Pickup. 1 hour hauling tire. Equipment Repairs and Maintenance, 39 hours.