Contract amendment for home advocacy and nursing services for HUD Lead and Healthy Homes grantCity of Dubuque
City Council
CONSENT ITEMS # 8.
Copyrighted
September 2, 2025
ITEM TITLE: Contract amendment for home advocacy and nursing
services for HUD Lead and Healthy Homes grant
SUMMARY: City Manager recommending City Council approve the
amendment and extension of the subcontract with Dubuque
Visiting Nurses Association for services related to the HUD
Lead and Healthy Homes grant for the period of performance
now extended through November 30, 2025.
SUGGUESTED Receive and File; Approve
DISPOSITION:
ATTACHMENTS:
1. MVM Memo
2. 8.14.25 MVM from Sandi F. VNA Contract Amendment for Lead and Health Homes
Grant MR's edits
3. Subcontract with VNA Lead and Healthy Homes 21-25- updated 8.13.25
REDLINED- V2
4. VNA 21 LHH Contract- Amendment 1 v3 8.14.25- signed
Page 85 of 629
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TO: The Honorable Mayor and City Council Members
FROM: Michael C. Van Milligen, City Manager
SUBJECT: Contract amendment for home advocacy and nursing services for HUD
Lead and Healthy Homes grant
DATE: August 26, 2025
Interim Housing & Community Development Director Sandi Fowler is recommending
City Council approve the amendment and extension of the subcontract with Dubuque
Visiting Nurses Association for services related to the HUD Lead and Healthy Homes
grant for the period of performance now extended through November 30, 2025.
In November 2022 the city contracted with the Dubuque Visiting Nurses Association
(VNA) for services related to the HUD Lead and Healthy Homes grant for the
performance period of September 1, 2022- March 30, 2025.
The city requested and received an extension for the HUD Lead Hazard Control and
Healthy Homes grant IALHBO773-21 period of performance from May 30, 2025, to
November 30, 2025.
In order to continue VNA services to the Lead and Healthy Homes grant program, the
current VNA subcontract must be amended to extend through November 30, 2025.
Several of VNA's Responsibilities are ongoing and must continue to align with the Lead
and Healthy Homes Grant's Period of Performance.
The State of Iowa recently passed House File 856 (HF856) amending Iowa Code
Chapter 19, which places new legal parameters on the language, practices, and
programming related to diversity, equity, and inclusion (DEI) within state and local
government operations. In response to this legislation, necessary adjustments have
been made to the contracts to ensure full compliance while maintaining our commitment
to respectful, lawful, and effective public service.
The attached redlined version of the expired contract shows the necessary changes to
comply with HF856, and adds language to replace those changes. The first amendment
document adds the new language and extends the period of the contract to November,
30, 2025.
Page 86 of 629
I concur with the recommendation and respectfully request Mayor and City Council
approval.
Mic ael C. Van Milligen
MCVM:sv
Attachment
cc: Crenna Brumwell, City Attorney
Cori Burbach, Assistant City Manager
Sandi Fowler, Interim Housing and Community Development Director
2
Page 87 of 629
THE Cj4au
DUB
Masterpiece on the Mississippi
TO: Michael C. Van Milligen, City Manager
FROM: Sandi Fowler, Interim Housing and Community Development Department
Director
SUBJECT: Contract amendment for home advocacy and nursing services for HUD
Lead and Healthy Homes grant
DATE: August 13, 2025
INTRODUCTION
In November 2022 the city contracted with the Dubuque Visiting Nurses Association
(VNA) for services related to the HUD Lead and Healthy Homes grant for the
performance period of September 1, 2022- March 30, 2025. (See attached.)
BACKGROUND
The city requested and received an extension for the HUD Lead Hazard Control and
Healthy Homes grant IALHBO773-21 period of performance from May 30, 2025, to
November 30, 2025. (See attached.)
DISCUSSION
In order to continue VNA services to the Lead and Healthy Homes grant program, the
current VNA subcontract must be amended to extend through November 30, 2025.
Several of VNA's Responsibilities are ongoing and must continue to align with the Lead
and Healthy Homes Grant's Period of Performance.
The State of Iowa recently passed House File 856 (HF856) amending Iowa Code
Chapter 19, which places new legal parameters on the language, practices, and
programming related to diversity, equity, and inclusion (DEI) within state and local
government operations. In response to this legislation, necessary adjustments have
been made to the contracts to ensure full compliance while maintaining our commitment
to respectful, lawful, and effective public service.
The attached redlined version of the expired contract shows the necessary changes to
comply with HF856, and adds language to replace those changes. The first amendment
document adds the new language and extends the period of the contract to November,
30, 2025
Service People Integrity Responsibility Innovation Teamwork
Page 88 of 629
BUDGETIMPACT
The original agreement was for $63,000. To date, $35,942 has been expended leaving
a balance of $27,058. These services are paid out of the HUD grant IALHB0773-21.
Expending the remaining $27,058 balance is important to meet the Lead and Healthy
Homes grant benchmarks.
RECOMMENDATION
I respectfully request the City Council authorize the City Manager to sign the attached
subcontract with the VNA.
Service People Integrity Responsibility Innovation Teamwork
Page 89 of 629
SUBCONTRACT
BETWEEN
THE CITY OF DUBUQUE, IOWA,
AND
THE DUBUQUE VISITING NURSE ASSOCIATION
FOR THE
HEALTHY HOMES AND CHILDHOOD LEAD POISONING PREVENTION PROGRAM
This Subcontract between the City of Dubuque, Iowa and The Visiting Nurse
Association (VNA) is dated for reference purposes the 3rd day of November, 2022.
Whereas, the City has entered into a contract with the Department of Housing and
Urban Development (HUD) for lead hazard reduction and Healthy Homes activities to
improve the housing conditions for participating clients and property owners; and
Whereas, the City of Dubuque, Iowa (City) is the Contract Administrator of the
Contracts; and
Whereas, it is necessary for City to subcontract for certain work and services; and
Whereas, City now desires to enter into this Subcontract with the Visiting Nurse
Association (VNA) to provide the work and services described herein upon the terms and
conditions set forth herein.
NOW, THEREFORE, IT IS AGREED BY AND BETWEEN CITY AND VNA AS
FOLLOWS:
SECTION 1. WORK AND SERVICES. City and VNA agree to provide the following work
and services (the Work and Services):
1.1. City's Responsibilities. City agrees that it will provide the following services for the
Healthy Homes and Childhood Lead Poisoning Prevention Program (HH & CLPPP):
(1) Submit reports/vouchers and other reporting requirements as required by the
Iowa Department of Public Health (IDPH), the Centers for Disease Control and
Prevention (CDC), and the Department of Housing and Urban Development (HUD).
(2) Provide for environmental investigations and environmental case
management for lead abatement\lead hazard reduction and healthy homes
interventions in housing units in the city of Dubuque, Iowa.
(3) Provide compensation to the VNA during the term of this Agreement not to
exceed $63,000 for the performances of VNA's responsibilities as set forth herein.
(4) Oversee and direct medical case management, healthy homes remediation,
blood lead screening, and educational/outreach activities through verbal and written
direction.
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1.2. VNA's Responsibilities. VNA agrees to provide the following services for Healthy
Homes & Childhood Lead Poisoning Prevention Program (HH & CLPPP) during the term of
this Agreement for the agreed compensation:
(1) Provide written quarterly reports and billing on lead and healthy homes
activities on a form approved by the City.
(2) Provide electronic documentation of medical case management, home
advocacy, community outreach and education, and related activities into the
City's Geographic Information System (GIS) lead and healthy homes
database systems, Healthy Homes and Lead Poisoning Surveillance System
(HHLPSS), and other related data systems as required, and of educational
activities performed for each month by the 10th of the following month.
(3) Provide for blood lead testing, medical case management, data
management, and community education per IDPH protocols for participants
in the HUD and Lead Hazard Reduction Program. Community education will
include but not be limited to new citizen engagement opportunities,
community partnerships, and maintaining the Green and Healthy Homes
Resource Coalition.
(4) Provide for client files and Home Advocate activities as described in
attachment #1.
(5) Enrollment as a Medicaid provider so that elevated blood level (EBL)
inspection services provided by the City can be recovered under Medicaid as
reimbursement and used as program income reimbursed to the City.
(6) City will provide opportunities to demonstrate this support by inviting the Executive
Director of VNA and any employees working on services covered by this agreement to
participate in the following professional development opportunities and supporting activities:
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numbering
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(A) The opportunity to be active and engaged participants in peer -learning opportunities
and strategic efforts;
(B)The opportunity to attend workshops offered or sponsored by City, including
workshops that focus on developing teams and supporting organizational culture
work with a focus for creating resiliency and promoting a sense of belonging within
VNA and through VNA's work; and
(C)Assistance in creating quarterly status reports that demonstrate the ways in which
VNA's efforts are advancing the specific community -level outcomes forwhich VNA is
provided funding.
SECTION 2. CONTRACT POLICIES AND REQUIREMENTS. In providing the Work and
Services, VNA agrees to comply with the requirements in the City Contract, including the
Special Conditions, and the General Conditions, to the extent applicable to the Work and
Services described in Section 1.
SECTION 3. ACCESS TO BOOKS AND RECORDS. VNA to provide access, upon
reasonable notice, for the purpose of audit and examination, to its documents, papers, and
records, to the extent such documents, papers, and records are related to the Work and
Services, to the City, or any of their duly authorized representatives.
SECTION 4. COSTS TO BE REIMBURSED. Attached hereto is a line item CLLLP/HH
Performance Measure budget of specific costs to be reimbursed under this Subcontract or
other cost basis for determining the amount of the Subcontract. The Healthy Homes
activities will be invoiced to the City for VNA hourly rate.
SECTION 5. INCORPORATION OF THE CONTRACT. VNA agrees that all of the
provisions of the City Contract, including audit requirements, are incorporated herein by this
reference and VNA shall have all of the same requirements, obligations and conditions as
City with respect to VNA's Work and Services.
SECTION 6. PERIOD OF PERFORMANCE
Unless terminated as provided herein, the Period of Performance for the Work and
Services shall be from the 1 st day of September, through the 30th day of November 2025.
SECTION 7. TERMINATION. Either party may terminate this Subcontract for any reason,
with or without cause, upon ten (10) days written notice to the other party. In the event of
termination, City shall compensate VNA for its Work and Services rendered through the
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date of termination.
SECTION 8 INDEMNIFICATION.
(1) VNA agrees to defend, indemnify, and hold Department, City and Contractor,
and their officers, and employees harmless from and against any and all claims of
any kind arising out of or related to VNA's negligence in the performance of the
Work and Services pursuant to this Subcontract.
(2) City agrees to defend, indemnify, and hold VNA and its officers, and
employees harmless from and against any and all claims of any kind arising out of
or related to City's negligence in the performance of the Work and Services
pursuant to this Subcontract.
SECTION 9. INSURANCE. VNA shall at its expense maintain insurance in compliance
with City Insurance Schedule G attached as Exhibit A.
ECTION 10. DISCRIMINATION
10.1 In carrying the services under this Agreement, VNA shall not discriminate against
any employee or applicant for employment because of age, color, familial status, gender
identity, marital status, mental/physical disability, national origin, race, religion/creed, sex,
or sexual orientation.
VNA shall take affirmative action to ensure that applicants for employment are employed
and that employees are treated during employment without regard to age, color, familial
status, gender identity, marital status, mental/physical disability, national origin, race,
religion/creed, sex, or sexual orientation.
Such action shall include but not be limited to the following: employment, upgrading,
demotion or transfer; recruitment or recruitment advertising; layoff or termination; rates of
Pay or other forms of compensation; and selection for training, including apprenticeship.
10.2 VNA agrees and will undertake whatever affirmative measures are necessary so that
no person shall be excluded from participation in, be denied the benefits of, or be subjected
to discrimination under any program or activities funded in whole or in part with any of the
funds made available to VNA under the terms of this Agreement because of age, color,
familial status, gender identity, marital status, mental/physical disability, national origin,
race, religion/creed, sex, or sexual orientation.
Formatted: Font: Bold
Page 93 of 629
CITY OF DUBUQUE, IOWA VISITING NURSE ASSOCIATION
By: By:
Alexis otegerMichael C. Van Milligen Stacey Killian
City Manager Administrative Director
Director of Housing
And Community Development
Page 94 of 629
FIRST AMENDMENT
TO
SUBCONTRACT BETWEEN
THE CITY OF DUBUQUE
AND
DUBUQUE VISITING NURSE ASSOCIATION
This First Amendment to Subcontract, dated for reference purposes the _2nd day of
September , 2025, is made and entered into by the City of Dubuque, Iowa, (City), and the
Dubuque Visiting Nurse Association, (Subcontractor).
WHEREAS, City and Subcontractor entered into a Subcontract dated November 3, 2022; and
WHEREAS, City and Subcontractor desire to amend the Subcontract as set forth herein.
NOW THEREFORE, IN CONSIDERATION OF THE MUTUAL TERMS AND COVENANTS CONTAINED
HEREIN, CITY AND SUBCONTRACTOR AGREE AS FOLLOWS:
SECTION 1.
Section 1.2 (VNA's Responsibilities) is hereby amended to read as follows; and
(6) City will provide opportunities to demonstrate this support by inviting the Executive
Director of Agency and any employees working on services covered by this agreement to
participate in the following professional development opportunities and supporting
activities:
(A) The opportunity to be active and engaged participants in peer -learning
opportunities and strategic efforts;
(B) The opportunity to attend workshops offered or sponsored by City, including
workshops that focus on developing teams and supporting organizational culture work
with a focus for creating resiliency and promoting a sense of belonging within Agency and
through Agency's work; and
(C) Assistance in creating quarterly status reports that demonstrate the ways in
which Agency's efforts are advancing the specific community -level outcomes for which
Agency is provided funding.
Section 6 (PERIOD OF PERFORMANCE) is hereby amended to read as follows; and
Section 6. PERIOD OF PERFORMANCE
Unless terminated as provided herein, the Period of Performance for the Work and
Services shall be from the 1st day of September, through the 30th day of November
2025.
Section 10 (DISCRIMINATION) is hereby amended to read as follows:
Section 10. DISCRIMINATION
10.1 In carrying the services under this Agreement, Agency shall not discriminate
against any employee or applicant for employment because of age, color, familial status,
gender identity, marital status, mental/physical disability, national origin, rage 95 of 629
religion/creed, sex, or sexual orientation.
Agency shall take affirmative action to ensure that applicants for employment are
employed and that employees are treated during employment without regard to age,
color, familial status, gender identity, marital status, mental/physical disability, national
origin, race, religion/creed, sex, or sexual orientation.
Such action shall include but not be limited to the following: employment, upgrading,
demotion or transfer; recruitment or recruitment advertising; layoff or termination; rates
of pay or other forms of compensation; and selection for training, including
apprenticeship.
10.2 Agency agrees and will undertake whatever affirmative measures are necessary
so that no person shall be excluded from participation in, be denied the benefits of, or be
subjected to discrimination under any program or activities funded in whole or in part
with any of the funds made available to Agency under the terms of this Agreement
because of age, color, familial status, gender identity, marital status, mental/physical
disability, national origin, race, religion/creed, sex, or sexual orientation.
SECTION 2. Except as modified herein, the Subcontract shall remain in full force and
effect.
CITY OF DUBUQUE, IOWA
By: 11�k�k
Micha I C. Van Milligen, City Manager
Visiting Nurse Association
Stacey Killian, Administrative Director