Exhibit [XX]

INSERT PURCHASE ORDER#: 1 of 17 Updated 06/08/26

Statement of Work

Purchase Order Number PO XXXX*XXXX

These provisions are to be read and interpreted in conjunction with the provisions of the purchase order specified above, as amended.

I. Entity Name:

II. Project Description

The Clean Watershed Needs Survey (CWNS) is a congressionally mandated requirement which serves to address both public health and environmental concerns by surveying the nationwide capital improvement needs related to state's wastewater, stormwater, and non-point source infrastructure needs. The

CWNS is required under Section 205(a) of the Clean Water Act and Section 516 of the Water Quality Act of 1987. States will conduct an inventory of all, state-wide, existing infrastructure utilizing technical documentation to assess the condition of facilities and to calculate the anticipated capital costs for improvements to existing and/or construction of new facilities. This information is entered by each state into EPA's Data Entry Portal where it will be further compiled into a report to congress. The report outlines the cost for each state, and more broadly the national cost, to meet the water quality and water-quality-related public health goals of the CWA and provides congressional members with the information needed to make budgeting and funding decisions. The eventual funding received at the state level serves to benefit both human and environmental health. The survey is conducted every four years and is a very time consuming, intensive effort that exceeds the current staffing capacity of the state and therefore additional, qualified personnel or contractor(s) must be deployed to successfully conduct the survey.

III. Definitions

A. CWNS - Clean Watershed Needs Survey

B. EPA - United States Environmental Protection Agency

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C. IUP - Intended Use Plan

D. WPCRF - Water Pollution Control Revolving Fund

E. WWTF - Wastewater Treatment Facilities

F. SOW - Statement of Work, this Exhibit to the Purchase Order that outlines the work to be completed by the Contractor including the project’s goal, objectives, activities, standards, and requirement, deliverables, and timelines.

IV. Work Plan

Program Goal #1: To improve and protect public health and the environment by surveying the capital improvement needs related to Colorado wastewater, stormwater, and non-point source projects.

Project Objective #1: No later than the expiration of the purchase order, successfully complete the 2027 CWNS reporting need for Colorado.

Primary Activity (PA) #1: The Contractor shall review EPA CWNS manuals and guidance.

PA #1 Sub-Activity(ies):

1. The Contractor shall review the final EPA CWNS state coordinator manual available from EPA’s CWNS Data Entry Portal.

2. The Contractor shall review the EPA CWNS Data Entry Portal including:

a. Instructions,

b. user manuals

c. guidance on the data entry portal.

3. The Contractor shall review recorded presentations from CWNS training sessions including:

a. trainings

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b. webinars

PA #1 Standards and Requirements:

1. The content of electronic documents located on CDPHE and non-CDPHE websites and information contained on CDPHE and non-CDPHE websites may be updated periodically during the contract term. The contractor shall monitor documents and website content for updates and comply with all updates.

2. The EPA’s CWNS Data Entry Portal can be found on https://waa.epa.gov/ and incorporated in this contract by reference.

3. The Contractor shall contact survey respondents if needed to follow up on submitted information.

4. CDPHE will provide the Non-IUP Entity List to the Contractor within 30 calendar days of execution of the contract.

5. CDPHE will provide the Compliance Schedule Entity List to the Contractor within 30 calendar days of execution of the contract.

6. CDPHE will provide the Additional NPS List to the Contractor within 60 calendar days of execution of the contract.

7. Monthly progress reports shall be included in pay request submittals to CDPHE

8. The Contractor shall submit all deliverables electronically on a shared drive as specified by WQCD personnel.

PA #1 Deliverable(s):

Deliverable #1: A formal Readiness Memo submitted to the WQCD shared drive certifying that all contractor staff have completed the required training, possess access to the EPA CWNS Data Entry Portal, and are actively monitoring CDPHE and EPA websites for mandatory updates.

Due:

Deliver To:

Deliverable #2: Monthly Progress Reports submitted concurrently with pay requests, accompanied by a digital tracking log on the WQCD shared drive. The report

INSERT PURCHASE ORDER#: 4 of 17 must detail contractor activities, respondent follow-up efforts, list processing status, and compliance with any newly updated EPA/CDPHE web guidelines.

Due:

Deliver To:

Primary Activity (PA) #2: The Contractor shall survey the capital improvement needs of entities listed in the most recent and available WPCRF IUP.

PA #2 Sub-Activity(ies):

1. The Contractor shall review submitted WPCRF eligibility surveys provided by

WQCD for all entities listed in Appendix A of the most recent and available

WPCRF IUP.

2. The Contractor shall collect the backup documentation from the entities that support the capital needs reported in the eligibility surveys.

3. The Contractor shall complete screening to verify EPA reporting standards are met for the following:

a. project data

b. documentation

4. The Contractor shall enter the project data for the capital needs of all entities into the EPA CWNS data entry portal.

PA #2 Deliverable(s):

Deliverable #3: A master tracking register detailing survey review statuses and document collection progress, alongside a finalized digital repository of all gathered backup documentation submitted to the WQCD shared drive.

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Deliverable #4: An EPA screening verification matrix confirming all documentation and project data meet federal standards, plus a CWNS portal confirmation report verifying successful data entry for all assigned entities.

Primary Activity (PA) #3: The Contractor shall survey the capital needs of wastewater, stormwater, decentralized wastewater treatment, and non-point source entities not listed on the IUP.

PA #3 Sub-Activity(ies):

1. The Contractor shall survey entities not listed on the IUP.

2. The Contractor shall send the survey to the Non-IUP Entity List provided by

WQCD

3. The Contractor shall collect documentation from entities that respond to the survey.

4. The Contractor shall plan to report to EPA survey responses from 50 additional non-point source projects provided on the Additional NPS Project List by

CDPHE.

5. The Contractor shall verify EPA reporting and documentation standards are met in the survey responses.

6. The Contractor shall enter the project data for the capital needs of all entities into the EPA CWNS data entry portal.

PA #3 Deliverable(s):

Deliverable #5: A detailed survey outreach and response log tracking all Non-

IUP and NPS entity engagement, accompanied by a digital repository of all collected backup documentation submitted to the WQCD shared drive.

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Deliverable #6: An EPA compliance screening matrix confirming documentation validity, plus a CWNS portal summary report verifying successful data entry for all applicable Non-IUP entities and the 50 additional NPS projects.

Primary Activity (PA) #4: The contractor shall survey the capital improvement needs of wastewater treatment facilities with compliance schedule requirements.

PA #4 Sub-Activity(ies):

1. The Contractor shall review the list of WWTFs with compliance schedule requirements provided by WQCD.

2. The Contractor shall allocate time for up to an additional 100 entities on the list provided by CDPHE.

3. The Contractor shall contact the list of entities provided by CDPHE.

4. The Contractor shall collect the required information from the entities needed for the EPA submission through the Data Entry Portal.

5. The Contractor shall verify EPA reporting and documentation standards are met in the survey responses.

6. The Contractor shall enter project data into the EPA cost-estimating tool as necessary to report project costs.

7. The Contractor shall enter the project data for the capital needs of all the entities into the EPA CWNS data entry portal.

PA #4 Deliverable(s):

Deliverable #5: A detailed communication and data collection log tracking engagement with all assigned WWTFs, alongside a repository of the collected submission data and output reports generated from the EPA cost-estimating tool.

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Deliverable #6:An EPA compliance screening matrix validating the documentation for all assigned WWTFs, and a final CWNS portal summary report verifying successful entry of their capital needs data into the system.

Primary Activity (PA) #5: The Contractor shall respond to EPA review and audits on project data reported.

PA #5 Sub-Activity(ies):

1. The Contractor shall respond to EPA audits required on all projects greater than $40 million.

2. The Contractor shall respond to EPA quality assurance audits on up to 5% of all projects reported.

3. The Contractor shall respond to all EPA communication on project data reported.

PA #5 Deliverable(s):

Deliverable #5: A master Audit & Communication Tracking Log maintained on the WQCD shared drive detailing all EPA inquiries, target response timelines, entity clarification efforts, and resolution statuses.

Due:

Deliver To:

Deliverable #6: An EPA Audit Resolution Package containing all formatted audit response submittals, updated CWNS portal record confirmations, and written verification of final EPA acceptance for all audited projects.

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Primary Activity (PA) #6: The Contractor shall attend meetings and trainings as needed.

PA #6 Sub-Activity(ies):

1. The Contractor shall conduct a project kickoff meeting with the WQCD personnel.

2. The Contractor shall conduct, at a minimum, monthly project progress meetings with WQCD personnel.

3. The Contractor shall provide, at a minimum, monthly progress reports that include:

a. percent completion of primary activities.

b. number of surveys completed in the Data Entry Portal.

c. number of projects that were successfully responded to on EPA reviews.

d. percent of project budget expended.

4. The Contractor shall attend EPA quarterly survey progress meetings.

5. The Contractor shall attend EPA quarterly trainings.

PA #6 Deliverable(s):

Deliverable #5: Meeting agendas, finalized minutes, and action-item logs for all

WQCD meetings, alongside a maintained attendance and training log documenting participation in all required EPA quarterly sessions, submitted to the WQCD shared drive.

Due:

Deliver To:

Deliverable #6: Formal Monthly Progress Reports detailing the exact percent completion of primary activities, the total number of surveys completed in the CWNS

Data Entry Portal, the number of successfully resolved EPA project reviews, and the percentage of the project budget expended.

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General Standards and Requirements

1. The content of electronic documents located on CDPHE and non-CDPHE websites, and information contained on CDPHE and non-CDPHE websites, may be updated periodically during the contract term. The Contractor shall monitor electronic documents and website content and information for changes to comply with all updates.

2. Contractor shall inform CDPHE of any nonfunctioning linked or incorporated hyperlinks, documents, or resources within ten (10) days of discovery.

Expected Results of Activity(ies):

1. Contractor will successfully complete the reporting for the EPA Clean

Watershed Needs Survey

Measurement of Expected Results:

1. Project data entered in the EPA Data Entry Portal

V. Deliverable Schedule:

Description: Due Date:

1. PA #1 Deliverables: EPA CWNS Training & System Readiness Memo.

2. PA #6 Deliverables

a. Kickoff project meeting minutes and action item list.

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2. PA #1 & PA #6 Deliverables:

a. Comprehensive Progress

Reports (detailing percent completion, survey follow-ups, and budget expended).

Monthly reports due by the 10th of the following calendar month.

3. PA #2, #3, & #4 Deliverables (Phase 1):

a. Survey Review Master

Tracking Registers.

b. Backup Documentation

Portfolios & Digital Repositories.

c. Compliance Schedule Outreach & Cost-Estimating Files.

TBD No later than February 28,

4. PA #2, #3, & #4 Deliverables (Phase 2):

a. EPA Compliance Screening

Matrices.

b. CWNS Portal Data Entry Confirmation Reports (Documentation demonstrating that EPA accepts all project data reported).

TBD No later than May 31, 2023

5. PA #5 Deliverables:

a. EPA Audit & Communication

Tracking Log.

b. EPA Audit Resolution &

Verification Package (Documentation demonstrating reviews by EPA during the final review period have been successfully addressed).

TBD

VI. Budget

Joseph Sturgeon - CDPHE Per EPA pre-survey package data entry begins January 4, 2027 and ends October 29, 2027. Will need to iron out a time for final deliverable submission.

EPA pre-survey package isn't clear on when this step will be done. Need more info

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VII. Monitoring

CDPHE’s monitoring of this purchase order for compliance with performance requirements will be conducted throughout the purchase order period by the Project

Monitor. Methods used will include a review of documentation determined by CDPHE to be reflective of performance to include progress reports, [insert other documentation/reports specific to monitoring Contractor performance under this

SOW] and other fiscal and programmatic documentation as applicable. The

Contractor’s performance will be evaluated at set intervals and communicated to the

Contractor. A Final Contractor Performance Evaluation will be conducted at the end of the life of the purchase order.

VIII. Resolution of Non-Compliance

The Contractor will be notified in writing within [10] calendar days of discovery of a compliance issue(s). Within [15] calendar days of discovery, the Contractor and the

State will collaborate, when appropriate, to determine the action(s) necessary to rectify the compliance issue and determine when the action(s) must be completed.

The action(s) and timeline for completion will be documented in writing and agreed to by both parties. If extenuating circumstances arise that require an extension to the timeline, the Contractor must email a request to the Contract Manager and receive approval for a new due date. The State will oversee the completion and implementation of the agreed-upon action(s) to ensure timelines are met and the compliance issue(s) is resolved. Failure by the Contractor to diligently pursue the compliance resolution plan, or to reach an agreement with the State on such a plan, may result in the State exercising its rights under the provisions of the purchase order.

IX. Additional Provisions

A. Invoicing Provisions

[Select the appropriate invoicing language and delete the other option or insert standard invoicing language for your division. Delete all text shown in brackets.]

Joseph Sturgeon - CDPHE I assume we're going to ask for all invoices to be submitted electronically?

Kyra Gregory - CDPHE correct I would ask Anna if there is templated language here.

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[Entities using CDPHE reimbursement invoice form:]

To receive compensation under the Purchase Order, the Contractor shall submit a signed Monthly, Quarterly, or other CDPHE Reimbursement Invoice Form from the CDPHE Standardized invoice form website. The CDPHE Standardized invoice form website is incorporated and made part of this Contract by reference. CDPHE will provide technical assistance in accessing and completing the form. The CDPHE Reimbursement Invoice Form and Expenditure Details page must be submitted no later than forty-five (45) calendar days after the end of the billing period for which services were rendered. Expenditures shall be in accordance with this Statement of Work and Budget.

[If you prefer to include all of the submission options listed below, include the following (mail, scan).]

The Contractor shall submit the invoice using one of the following methods:

[If you are limiting the option for submission to one method, delete the previous sentence, choose the appropriate paragraph below and delete those that do not apply.]

Mail to:

(Name & Position Title) (Division & Program) Colorado Department of Public Health and Environment (Mail Code) 4300 Cherry Creek Drive South Denver, Colorado 80246

Scan the completed and signed CDPHE Reimbursement Invoice Form into an electronic document. Email the scanned invoice with the Excel workbook containing the Expenditure Details page to: (Name & Position Title), (Email address)

Final billings under the Purchase Order must be received by the State within a reasonable time after the expiration or termination of the Purchase Order; but in any event no later than forty-five (45) calendar days from the effective expiration or termination date of the Purchase Order.

Unless otherwise provided for in the Purchase Order, “Local Match”, if any, shall be included on all invoices as required by funding source.

https://cdphe.colorado.gov/standardized-invoice-form

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The Contractor shall not use federal funds to satisfy federal cost sharing and matching requirements unless approved in writing by the appropriate federal agency.

Contractor shall request prior approval in writing from the State for all modifications to the Statement of Work, or for any modification to the direct costs in excess of twenty-five percent (25%) of the total budget for direct costs, or for any modifications to the indirect cost rate. Any request for modifications to the Budget in excess of twenty-five percent (25%) of the total budget for direct costs, or any modifications to indirect cost rates, shall be submitted to the State at least ninety (90) days prior to the end of the purchase order period and will require a modification in accordance with the provisions of this Purchase Order.

[Entities using their own reimbursement invoice form:]

To receive compensation under the Purchase Order, the Contractor shall submit a signed Monthly, Quarterly, or other Invoice Form. The Invoice Form must be submitted no later than forty-five (45) calendar days after the end of the billing period for which services were rendered. Expenditures shall be in accordance with the Statement of Work and Budget.

[If you prefer to include all of the submission options listed below, include the following (mail, scan).]

The Contractor shall submit the invoice using one of the methods listed below:

[If you are limiting the option for submission to one method, delete the previous sentence, choose the appropriate paragraph below and delete those that do not apply. Include the following paragraph if supporting documentation is required. Delete if it does not apply.]

The Contractor shall submit the following documentation with the completed invoice; [list your supporting documentation requirements here].

Mail to:

(Name & Position Title) (Division & Program) Colorado Department of Public Health and Environment (Mail Code) 4300 Cherry Creek Drive South Denver, Colorado 80246

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Scan the completed and signed Invoice Form (and supporting documentation) into an electronic document. Email the Invoice form (and supporting documentation) to: (Name & Position Title), (Email address)

Final billings under the Purchase Order must be received by the State within a reasonable time after the expiration or termination of the Purchase Order; but in any event no later than forty-five (45) calendar days from the effective expiration or termination date of the Purchase Order.

Agencies (Contractors/Subrecipients) may move a cumulative total of up to 25% of their project’s Total Direct and Indirect Costs between approved major budget categories (Personal Services, Operating, Travel, Contractual, and Indirect budget categories). Any budget adjustments in excess of this threshold requires a written Budget Revision Request Form approved by your program, contracting and fiscal contacts at CDPHE. Budget flexibility is allowed only when there is no change to the approved Statement of Work.

B. Independent Contractor

1. Vendor Engagement In Independent Trade, Occupation, Profession or Business; Free Form, Direction and Control By The State Pursuant To CRS §8-70-115

The parties intend to create an independent contractor relationship between the State and the Vendor and for the State to obtain a rebuttable presumption of an independent contractor relationship pursuant to §8-70-115 by meeting the nine points below (A through I). The Vendor shall perform all of its services and other obligations under the Purchase Order (PO), free from the direction and control of the State. The Vendor represents that it is customarily engaged in an independent trade, occupation, profession, or business related to the services performed. These are material representations made by the Vendor to the State, upon which the State relied in issuing the PO, and without which, the PO would not have been issued. In accordance with the foregoing, the State does not and shall not:

a. Require Vendor to work exclusively for the State; Vendor is free to perform work for other entities, and represents that it does hold itself out to perform work for other entities on a regular, ongoing basis. Vendor may schedule and perform similar work for others any time it wishes, including on the same day it does so for the State;

Establish a quality standard for Vendor; except that the State can provide plans and specifications regarding the work but cannot

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b. Pay a salary or hourly rate but rather a fixed or contract rate that has been negotiated by the parties;

c. Terminate the work during the PO period unless Vendor violates the terms of the PO or fails to produce a result that meets the specifications of the PO;

d. Provide training, instruction, briefings, and orientations to Vendor regarding performance of the work, except as specifically stipulated within the PO scope of work. The State shall notify Vendor when Vendor may begin performing the work and its other obligations;

e. Supply Vendor with State-owned or leased real property, tools, benefits, equipment, supplies, or other property to perform the work, except as specifically stipulated within this PO scope of work.

Vendor shall perform and maintain its own real property, tools, or rent or lease tools, equipment, supplies, or other personal property, and/or other items needed for the performance of the work under this PO and its other obligations hereunder and when applicable;

f. Dictate the time of performance; except that a completion schedule and a range of mutually agreeable work hours may be established;

g. Pay Vendor personally but rather makes checks payable to the trade or business name of Vendor; and

h. Combine the State’s business operations in any way with Vendor’s business, but instead maintain the State’s and Vendor’s operations as separate and distinct.

2. Benefits Disclosure

Vendor and its employees and agents are not entitled to unemployment insurance or workers compensation benefits through the State and the State shall not pay for or otherwise provide such coverage for Vendor or any of its agents or employees. Unemployment insurance benefits shall be available to Vendor and its employees and agents only if such coverage is made available by Vendor or a third party. Vendor shall pay when due all applicable employment taxes and income taxes and local head taxes incurred pursuant to this Contract. Vendor shall (a) provide and keep in force workers' compensation and unemployment compensation insurance in the amounts required by law, (b) provide proof thereof when requested by the State, and (c) be solely responsible for its acts and those of its employees and agents.

C. Deliverable Acceptance Process

1. The Contractor shall coordinate and prioritize all work to ensure that all deliverables, due dates, and timelines are met.

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2. The Contractor shall employ an internal quality control process to ensure that all deliverables are complete, accurate, easy to understand, and of high quality.

3. The Contractor shall provide deliverables that, at a minimum, are responsive to the relevant Standards and Requirements in the SOW, organized in a logical order, contain no spelling or grammatical errors, are formatted uniformly, and contain accurate information and correct calculations.

4. The Contractor shall maintain all work papers related to the development of all Deliverables for reference through the duration of the purchase order.

5. The Contractor shall provide, at no cost to the State, copies of any work papers or supporting documentation related to the development of any Deliverable within [insert number(##)] calendar days of request by the State.

6. The Contractor shall submit each Deliverable to the State by the specific due date for each Deliverable outlined in the Deliverable Schedule for review and approval.

7. Review - Unless specifically outlined elsewhere in the SOW, the State will have

[insert number(##)] calendar days from the date the deliverable is due to the

State by the Contractor to evaluate that Deliverable.

8. Notice - Unless specifically outlined elsewhere in the SOW, if the State, in its sole discretion, determines that a submitted Deliverable fails to meet the

Standards and Requirements or is otherwise deficient, the State will notify the

Contractor of the failure or deficiency within [insert number(##)] calendar days of the date the State becomes aware of the failure or deficiency.

9. Revision - Unless specifically outlined elsewhere in the SOW, the Contractor shall have [insert number(##)] calendar days from notice of a Deliverable’s failure or deficiency to revise the Deliverable and resubmit it to the State for review and approval.

10. The Contractor shall participate in the Deliverable review and revision process until the State provides written acceptance of the Deliverable.

Joseph Sturgeon - CDPHE Unsure of specific number to use here

Kyra Gregory - CDPHE TBD for now

Joseph Sturgeon - CDPHE Also unsure of specific number

Kyra Gregory - CDPHE TBD for now

Joseph Sturgeon - CDPHE same same

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11. At no time shall payment or partial payment for a Deliverable constitute acceptance of the Deliverable and excuse Contractor’s obligation to participate in the Deliverable review and revision process until such time as the State issues written acceptance of the Deliverable.

D. [Add program/divisional specific provisions, or delete.]

I don't believe there are program/divisional specific provisions so I will leave it for now.

Kyra Gregory - CDPHE Nothing that I am aware of but we can ask Anna