Exhibit C Draft SOW Health Equity.pdf

EXHIBIT C

Original Contract Number: YYYY*XXXX

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STATEMENT OF WORK

To Original Contract Number: XXX

These provisions are to be read and interpreted in conjunction with the provisions of the contract specified above.

I. Entity Name: xxx ENTITY NAME xxx

II. Project Description:

This health project serves to increase community-based interventions by providing training in addition to technical assistance (TTA) to grantees of the State Tobacco Education and Prevention Partnership (STEPP) in Colorado. One of the objectives of comprehensive tobacco control programs is the decrease of disease, disability, as well as death associated with tobacco use. By providing technical support, training, and knowledge in this area, the capabilities of Colorado's tobacco control personnel will be enhanced to increase effectiveness of tobacco control initiatives. This will be accomplished by a number of methods, including site visits, live training sessions, conferences, webinars, including communication via phone, email, and teleconference.

In Colorado, tobacco use is the single most preventable cause of death as well as disease, accounting for more than 5,100 deaths each year. In addition, it costs the state more than $1.8 billion in health care expenditures as well as more than $1 billion in lost productivity each year. The Tobacco, Education, Prevention, and Cessation 2021-2030 Strategic Plan recommends taking steps to accelerate the decline in tobacco use among populations experiencing the most tobacco-related harms and have not benefited from commercial tobacco control efforts to date, with tailored approaches where they live, work, play, and receive medical and social services. The goal of this project is to improve health through the provision of training as well as technical assistance to implement evidence-based strategies that prevent as well as postpone chronic disease while improving health promotion/prevention policy as identified by the Tobacco Education, Prevention and Cessation Program. Funding of this project was created by Colorado Revised Statutes 25-3.5-804 that supports funding for community-based and statewide tobacco education programs designed to reduce initiation of tobacco use by youth, promote cessation of tobacco use, as well as reduce exposure to secondhand smoke as well as vapor.

III. Definitions:

1. Business Days – any day in which the State is open and conducting business, but shall not include Saturday, Sunday or any day on which the State observes one of the holidays listed in §24-11-101(1), C.R.S.

2. CDPHE – Colorado Department of Public Health and Environment.

3. CDPHE Evaluation Contractor – A contractor who provide technical assistance and training for STEPP evaluation needs

4. Email – Electronic mail

5. Evidence-based training and technical assistance – Technical assistance that supports interventions based on peer-reviewed, published, high-quality research studies. These interventions have been previously implemented in one or more communities with demonstrated success in achieving the intended results.

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6. Learning Community Call – Webinars focused on a particular topic of tobacco control to build STEPP grantee capacity, foster STEPP grantee connectedness with a focus on peer-to-peer learning, and public health practice with actionable steps for application

7. LPHA CORE Framework - A comprehensive outline of approaches to Local Public Health Agency-led community tobacco initiatives in FY27-FY29

8. Peer-to-Peer Learning – An educational practice where peers or work colleagues learn from one another

9. State/National Tools – any tool or resource developed state-wide or nationally and available to STEPP grantees

10. STEPP – State Tobacco Education and Prevention Partnership

11. STEPP Grantee - A grantee of the STEPP program who implements key evidence-based strategies to reach goals of the STEPP program

12. STEPP Project Officer – primary STEPP program contact

13. STEPP Subject Matter Expert – STEPP staff person with specialized content expertise that drives direction of strategies of LPHA Core Framework

14. STEPP TA Providers – Technical Assistance and training providers, who support STEPP grantees to reach project goals and objectives aligned to the Tobacco, Education, Prevention, and Cessation 2021-2030 Strategic Plan and LPHA Core Framework

15. TA – Technical Assistance

16. TA Needs Assessment – An assessment used to determine the skills and knowledge STEPP grantees need to reach project goals and objectives aligned to the Tobacco, Education, Prevention, and Cessation 2021-2030 Strategic Plan and LPHA Core Framework

17. TA Tracking Log – A record of technical assistance provided to STEPP grantees

18. TTA – Training & Technical Assistance - Targeted group training and one-to-one technical assistance provided to STEPP grantees

19. TAP – Technical Assistance and Pillar

20. Tobacco-Focused Community Profile – An assessment of community and organizational needs, opportunities, and readiness to inform culturally sensitive, data-driven decisions and STEPP grantee strategy selection.

21. Training – A type of instruction designed to develop new skills and knowledge to be applied immediately upon arrival or return to the job. Trainings are three or more hours long and have highly effective transfer skills.

22. Vape – Aerosol, fume or smoke, used to deliver nicotine or any other substance to the person inhaling from a device, including, but not limited to e-cigarettes, e-cigars, e-pipes, vape pens, e-hookahs.

IV. Work Plan

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Goal #1: Improve the health of all Coloradans, with a specific focus on priority populations, through strategies that focus on health promotion, prevention, as well as access to health care.

Objective #1: No later than the expiration date of this contract, advance the implementation of evidence-based, culturally responsive, community-oriented tobacco control strategies that align with the Tobacco, Education, Prevention, and Cessation 2021-2030 Strategic Plan through evidence-based training technical assistance (TTA) provided to STEPP grantees.

Primary Activity #1: The Contractor shall, in collaboration with the designated STEPP Project Officer, draft a project plan outlining the following:

1. The TTA the Contractor will provide.

2. The detailed steps that the Contractor shall take to address the objective of this agreement.

3. Assign sufficient FTE for staff and potential subcontractors to ensure high-quality and timely execution of all work, including proactive outreach to grantees throughout the grant cycle.

Sub-Activity #1:

1. The Contractor shall sign the final project plan agreed upon with CDPHE.

2. The Contractor shall update the project plan, at a minimum, annually.

3. The Contractor shall sign the project plan each time the plan changes.

Primary Activity #2: The Contractor shall comply with STEPP onboarding procedures.

Sub-Activity #2:

1. The Contractor shall complete the STEPP Onboarding Checklist for each staff member who is performing work under this contract.

2. The Contractor shall provide a signed STEPP Onboarding Checklist for each staff member who is performing work under this contract after completion.

Primary Activity #3: The Contractor shall provide TTA to STEPP grantees.

Sub-Activity #3:

1. The Contractor shall contribute to the development of STEPP’s coordinated TA Needs Assessment released at the beginning of the grant cycle, to assess the TTA needs of STEPP grantees.

2. The Contractor shall use the results of the TA Needs Assessment to develop an evidence-based TTA plan, to include:

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a. Individualized, one-on-one TA to be provided to each STEPP grantee

b. Group trainings to be provided to STEPP grantees based on identified needs

c. Contractor-developed educational resources to be provided to STEPP grantees related to identified needs

d. Identified State/National Tools/resources

3. The Contractor shall implement the TTA plan.

4. The Contractor shall create a post group training feedback survey.

5. The Contractor shall distribute the post group training feedback survey to STEPP grantees no later than ten (10) business days after the group training.

6. The Contractor shall develop a TA Tracking Log.

7. The Contractor shall maintain a TA Tracking Log.

8. The Contractor shall provide a copy of the TA Tracking Log.

9. The Contractor shall collaborate with other STEPP TA Providers in order to:

e. Develop regional training materials

f. Deliver regional training materials

Primary Activity #4: The Contractor shall facilitate quarterly Learning Community Calls to promote peer-to-peer learning and increase STEPP grantee capacity.

Sub-Activity #4:

1. The Contractor shall identify learning objectives for each Learning Community Call.

2. The Contractor shall obtain approval on the identified learning objectives prior to each

Learning Community Call.

3. The Contractor shall advertise the Learning Community Calls.

4. The Contractor shall foster a peer-to-peer learning environment that allows a two-way exchange of information as peers come together on a regular basis to:

g. Share resources

h. Discuss challenges,

i. Share lessons learned,

j. Address innovative approaches

5. The Contractor shall develop learning materials to align with the identified learning objectives.

6. The Contractor shall identify speakers to deliver presentations which meet the identified learning objectives.

7. The Contractor shall record each Learning Community Call.

8. The Contractor shall create a post-call feedback survey.

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9. The Contractor shall distribute the post-call feedback survey to STEPP grantees following each Learning Community Call.

10. The Contractor shall provide the following after the completion of each Learning Community Call:

k. Learning Community call recordings

l. Learning materials

Primary Activity #5: The Contractor shall complete an evaluation plan to evaluate the TTA provided to STEPP grantees.

Sub-Activity #5:

1. The Contractor shall develop an evaluation plan.

2. The Contractor shall provide a draft version of the evaluation plan.

3. The Contractor shall implement the evaluation plan.

4. The Contractor shall report on evaluation results.

Primary Activity #6: The Contractor shall provide a minimum of one (1) article quarterly for the STEPP newsletter.

Primary Activity #7: The Contractor shall plan to participate in STEPP meetings.

Sub-Activity #7:

1. The Contractor shall attend the following meetings:

a. Monthly STEPP TA leadership meetings

b. TAP meetings

c. STEPP grantee conference content advisory group meetings

d. Tobacco-Focused Community Profile results meetings

e. Monthly Tobacco Review Committee meetings

f. STEPP Update meetings

g. Contract monitoring meetings

h. The STEPP grantee conference, if directed by CDPHE.

2. The Contractor shall prepare to collaborate with the following during meetings:

a. Other STEPP TA providers

b. STEPP staff

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Primary Activity #8: The Contractor shall complete the following reports:

1. Quarterly progress reports

2. Annual progress reports

3. Final project report

Standards and Requirements

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

2. The Contractor shall adhere to the following requirements for the project plan:

a. Develop an annual project plan to adopt and implement prioritized strategies approved by CDPHE. CDPHE will inform the Contractor of necessary modification or provide approval of the action plan within 30 business days.

b. Modify the project plan in collaboration with the STEPP Project Officer, as needed.

c. Obtain approval from CDPHE prior to beginning activities outlined in the project plan.

d. Use the project plan developed with CDPHE.

e. CDPHE’s evaluation of the Contractor’s performance will be determined by the Contractor’s adherence to the established action plan.

3. The Contractor shall, unless otherwise indicated, submit deliverables via email to the STEPP Project Officer at cdphe_stepp_pg@state.co.us.

4. The Contractor shall verify that all work follows best practices using the following as required resources. This information is incorporated and made part of this document by reference and are located at the following websites

a. CDC's Best Practices for Comprehensive Tobacco Control Programs—2014

b. Best Practices for Comprehensive Tobacco Control Programs at the Local Level

(NACHHO)

c. US Public Health Service Clinical Practice Guideline: Treating Tobacco Use and Dependence - 2008 Update

d. CDC’s Best Practices User Guide: Health Equity in Tobacco Prevention and Control mailto:cdphe_stepp_pg@state.co.us https://drive.google.com/file/d/1PDcrzBsfYlCYbx0VZOnFBkmuYs02dQ0n/view?usp=drive_link https://www.naccho.org/uploads/downloadable-resources/Best-Practices-Tobacco-Programs-Local-Level-2015.pdf https://www.naccho.org/uploads/downloadable-resources/Best-Practices-Tobacco-Programs-Local-Level-2015.pdf http://www.ncbi.nlm.nih.gov/books/NBK63952/ http://www.ncbi.nlm.nih.gov/books/NBK63952/ https://bpb-us-w2.wpmucdn.com/sites.wustl.edu/dist/e/1037/files/2011/11/UG_HealthEquity-24l2zq2.pdf

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5. The Contractor shall verify that all work follows the requirements in the LPHA Core Framework. This document is incorporated and made part of this contract by reference and is available on the following website: Tobacco Free CO

6. The Contractor shall verify that all work aligns with the Tobacco, Education, Prevention, and Cessation 2021-2030 Strategic Plan. This document is incorporated and made part of this contract by reference and is available on the following website: Tobacco, Education, Prevention, and Cessation 2021-2030 Strategic Plan

7. CDPHE will provide the STEPP Onboarding Checklist via email no later than 15 business days following the contract execution date.

8. CDPHE will provide the list of STEPP grantees and contact information via email no later than 20 business days following contract execution.

9. CDPHE will provide a copy of the TA Needs Assessment via email no later than ninety

(90) calendar days following the contract execution date.

10. The Contractor shall provide TTA via the following methods:

a. Remotely

b. In-person

c. One-on-one contacts

d. Regional small groups

e. Topical small groups

11. The Contractor shall participate in a minimum of one (1) TA meeting annually with each STEPP grantee to update each STEPP grantee’s implementation plan.

12. CDPHE will provide feedback on any TA materials within ten (10) business days.

13. The Contractor shall incorporate CDPHE and STEPP grantee feedback into TTA offerings.

14. The Contractor shall use the STEPP e-newsletter/other CDPHE-identified communication mechanisms to communicate the following:

a. Availability of Contractor-developed trainings

b. Availability of Contractor-developed TA resources

c. Other Contractor recommended opportunities and resources.

15. The Contractor shall include the following information in the TA tracking log:

a. Date TA was provided

b. Name of STEPP grantee

c. Summary of the TA guidance provided

d. Any follow-up including other TA Providers or STEPP Subject Matter Experts whom the STEPP grantee was connected to by the contractor http://www.tobaccofreeco.org/ https://cdphe.colorado.gov/chronic-disease-prevention/tobacco-education-prevention-and-cessation-grant-program https://cdphe.colorado.gov/chronic-disease-prevention/tobacco-education-prevention-and-cessation-grant-program

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e. Learning Community Call topics in addition to attendees

16. The Contractor shall develop content of the Quarterly Learning Community Calls to include:

a. Tobacco, Education, Prevention, and Cessation 2021-2030 Strategic Plan Goals

i. a) decrease tobacco use among priority populations;

ii. b) keep youth as well as young adults tobacco-free;

iii. c) protect people from secondhand smoke exposure in addition to the environment;

iv. e) expand support to people quitting tobacco

b. strengthening local smoke-free/vape-free laws

c. point of sale policies to include implementation of tobacco retail license ordinances

d. building capacity to address tobacco-related health disparities

e. promotion of capacity-building focused on:

i. tobacco cessation

ii. priority populations

f. implementation of foundational activities focused on

i. tobacco cessation

ii. priority populations

17. The Contractor shall develop materials for placement on STEPP’s Tobacco Free CO website in the following languages, unless otherwise noted by CDPHE:

a. English

b. Spanish

18. The Contractor shall collect post group training feedback survey data from attendees of group training.

19. The Contractor shall collect post-call feedback survey data from attendees of Learning Community Calls.

20. The Contractor shall include the following in the Evaluation Plan:

a. Participation in evaluation-related TTA as recommended by CDPHE

b. Coordination with the CDPHE Evaluation Contractor to provide access to project information/data

c. Compliance with data reporting requirements established by the CDPHE Evaluation Contractor

d. Attendance of, upon request by CDPHE, one quarterly meeting with the CDPHE Evaluation Contractor to provide:

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i. program updates

ii. review evaluation progress

iii. review project successes

iv. review project barriers

e. Protocols, Instruments, and Analysis Plans

21. The Contractor shall provide the draft Evaluation Plan to the STEPP Project Officer.

22. CDPHE will, in conjunction with the CDPHE Evaluation Contractor, review the Evaluation Plan within 30 business days of receipt.

23. The Contractor shall implement changes required by CDPHE and the CDPHE Evaluation Contractor within 15 business days of receipt.

24. The Contractor shall communicate to the STEPP Project Officer within 15 business days of updating the evaluation plan.

25. The Contractor shall provide, for each quarterly article submitted for the STEPP newsletter, content designed to build the capacity of STEPP grantees relative to community-based public health interventions.

26. The Contractor shall provide metrics/measures/project progress information in the following reports using the reporting tools provided by the CDPHE Evaluation Contractor:

a. quarterly progress reports

b. annual progress reports

c. final project report

27. The Contractor shall update internal tools/resources to align with the STEPP Strategic Plan as well as their STEPP Subject Matter Expert’s direction.

28. The Contractor shall obtain from each subcontractor a Memorandum of Understanding/other binding contractual agreement.

29. The Contractor shall plan to maintain a Memorandum of Understanding/other binding contractual agreement with each subcontractor.

30. The Contractor shall, upon request, provide CDPHE with copies of subcontractors’ Memoranda of Understanding/other binding contractual agreements within 15 business days of request.

31.

8. The Contractor shall prioritize priority populations in any work to reduce tobacco use in settings such as:

a. schools

b. multi-unit housing

c. health care systems

d. social service settings

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e. municipal settings

f. other applicable settings.

9. The Contractor shall comply with and the digital assets provided under this Contract shall be in compliance with all applicable provisions of §§24-85-101, et seq., C.R.S., and the Accessibility Standards for Individuals with a Disability, as established by the Colorado Governor’s Office of Information Technology pursuant to Section §24-85-103 (2.5), C.R.S. The Contractor shall also comply with all State of Colorado technology standards related to technology accessibility and with Level AA of the most current version of the Web Content Accessibility Guidelines (WCAG), incorporated in the State of Colorado technology standards.

Expected Results of Activity(s)

1. Documented progress toward TTA based upon the project plan.

2. Support the provision of TTA to STEPP grantees.

3. Support the increase of STEPP grantee knowledge, skills, and abilities at the local level to:

a. Increase knowledge for appropriate waste mitigation

b. Reduce initiation of tobacco use

c. Increase access to tobacco treatment services

d. Reduce tobacco-related health disparities among priority populations

e. Decrease exposure to secondhand smoke as well as vapor.

4. Increase the educational resources available to STEPP grantees.

Measurement of Expected Results

1. CDPHE receives the signed project plan that identifies TTA efforts the Contractor will lead.

2. CDPHE receives Quarterly Progress Reports.

3. CDPHE receives Annual Progress Reports.

4. CDPHE receives the TA Tracking Log documenting TTA provided.

5. CDPHE receives recordings of Learning Community Calls.

6. CDPHE receives educational resources developed by the Contractor as well as provided to STEPP grantees.

Deliverables

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Description Completion Date

1. The Contractor shall submit one (1) draft project plan that details the TTA the Contractor will lead.

No later than 8/31/2026.

2. The Contractor shall submit a final signed project plan.

No later than 9/15/2026.

3. The Contractor shall submit a signed project plan.

No later than 7/1 annually, following the first year of the contract, and no later than () business days after each approved change during the contract term

4. The Contractor shall submit a signed completed STEPP Onboarding checklist for each staff members.

No later than 3 months after contract execution, or no later than 3 months after hire for staff members hired after contract execution.

5. The Contractor shall submit a copy of the TA Tracking Log.

No later than one (1) week following CDPHE request.

6. The Contractor shall submit learning objectives for Learning Community Calls.

No later than five (5) business days prior to Learning Community Call.

7. The Contractor shall submit learning materials and recordings from Learning Community Calls.

No later than three (3) days following each Learning Community Call.

8. The Contractor shall submit Contractor’s survey data from Learning Community Calls and group trainings.

No later than one (1) week following CDPHE request

9. The Contractor shall submit an evaluation plan. No later than July 31, annually.

10. The Contractor shall submit evaluation results. No later than July 15, annually.

11. The Contractor shall submit one (1) quarterly article to be included in the STEPP newsletter.

No later than the newsletter submission date provided by STEPP.

12. The Contractor shall submit quarterly progress reports using the CDPHE-provided reporting tool.

No later than 10/15, 1/15, 4/15, and 7/15

13. The Contractor shall submit an annual progress report using the CDPHE-provided reporting tool.

No later than 7/15, annually.

14. The Contractor shall submit a final project report. No later than 6/31/2029.

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V. Monitoring CDPHE’s monitoring of this contract for compliance with performance requirements will be conducted throughout the contract period by the STEPP Project Officer. 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.

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

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 time line for completion will be documented in writing and agreed to by both parties. If extenuating circumstances arise that requires an extension to the time line, the Contractor must email a request to the STEPP Project Officer and receive approval for a new due date. The State will oversee the completion/implementation of the action(s) to ensure time lines are met and the issue(s) is resolved. If the Contractor demonstrates inaction or disregard for the agreed upon compliance resolution plan, the State may exercise its rights under the provisions of this contract.