Lead Poisoning Prevention and Healthy Homes Funding and Agreement with the Visiting Nurse Association (VNA)City of Dubuque
City Council
CONSENT ITEMS # 11.
Copyrighted
December 1, 2025
ITEM TITLE: Lead Poisoning Prevention and Healthy Homes Funding and
Agreement with the Visiting Nurse Association (VNA)
SUMMARY: City Manager recommending City Council approval for a
renewed agreement with the Dubuque Visiting Nurse
Association for services related to the Childhood Lead
Poisoning Prevention Program and Healthy Homes Program
and to authorize the City Manager to sign the agreement.
SUGGUESTED Receive and File; Approve
DISPOSITION:
ATTACHMENTS:
1. MVM Memo
2. Staff Memo IHHS CLPP & HH Agreement w VNA FY 26
3. 2025-2026 IHHS Lead Subcontract with VNA for the HH CLPPP
4. FY26 BOH DBQ - Childhood Lead Poisoning Prevention Program —Non -
Federal —FINAL FULLY SIGNED
Page 361 of 1214
Dubuque
THE CITY OF
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TO: The Honorable Mayor and City Council Members
FROM: Michael C. Van Milligen, City Manager
SUBJECT: Lead Poisoning Prevention and Healthy Homes Funding and Agreement
with the Visiting Nurse Association (VNA)
DATE: November 24, 2025
Public Health Director Mary Rose Corrigan is recommending City Council approval for a
renewed agreement with the Dubuque Visiting Nurse Association for services related to
the Childhood Lead Poisoning Prevention Program and Healthy Homes Program and to
authorize the City Manager to sign the agreement.
I concur with the recommendation and respectfully request Mayor and City Council
approval.
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Mic ael C. Van Milligen
MCVM:sv
Attachment
cc: Crenna Brumwell, City Attorney
Cori Burbach, Assistant City Manager
Mary Rose Corrigan, Public Health Director
Page 362 of 1214
THE C
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TO: Michael C. Van Milligen, City Manager
FROM: Mary Rose Corrigan, Public Health Director
SUBJECT: Lead Poisoning Prevention and Healthy Homes Funding and Agreement
with the Visiting Nurse Association (VNA)
DATE: November 20, 2025
INTRODUCTION
This memorandum provides information regarding a renewed agreement with the VNA
for services related to the Childhood Lead Poisoning Prevention Program and Healthy
Homes Program.
BACKGROUND
Since 1994, the City Council has approved grant agreements authorizing the Health
Services Department to contract with the Iowa Health and Human Services (HHS) via
subcontract with the Dubuque County Health Department for environmental follow-up
and medical case management for children with lead poisoning according to the HHS
guidelines. The contract between HHS and the Dubuque County Board of Health has
been renewed for FY26.
DISCUSSION
The Dubuque County Board of Health subcontract with the city will allow the Health
Services and Housing and Community Development Departments to provide additional
follow-up of lead poisoned children through contracted nursing services provided by the
Dubuque Visiting Nurse Association, education for employees, and monies to do
outreach and education in targeted neighborhoods regarding lead poisoning and
healthy homes activities.
The contract also includes program performance standards, which we currently strive to
achieve through our existing protocols and outreach programs. The grant funds will be
reimbursed based on the specific activities outlined in the budget.
BUDGETIMPACT
The FY26 budget anticipated the sub -contract funding of $10,000. The sub -agreement
with the VNA will be paid utilizing funds from the Iowa Health and Human Services
grant.
Page 363 of 1214
RECOMMENDATION
It is recommended that the City Manager sign the attached agreement with the
Dubuque Visiting Nurse Association on behalf of the City of Dubuque.
M RC/cm
2
Page 364 of 1214
SUBCONTRACT
BY AND BETWEEN
THE CITY OF DUBUQUE, IOWA,
AND
THE DUBUQUE VISITING NURSE ASSOCIATION
FOR THE
HEALTHY HOMES AND CHILDHOOD LEAD POISONING PREVENTION PROGRAM
This Subcontract by and between the City of Dubuque, Iowa and The Visiting Nurse
Association is dated for reference purposes the 1st day of July 2025.
WHEREAS, Dubuque County, Iowa (Contractor) has entered into Contract
5884LP03 with the Iowa Health and Human Services (the Department) for the Healthy
Homes (HH) and Childhood Lead Poisoning Prevention Program (CLPPP) (the Contract), a
copy of which is attached hereto, pursuant to which Contractor will provide the work and
services described in the Contract in accordance with the Special Conditions therein, and
the General Conditions, a copy of which is attached hereto; and
WHEREAS, the City of Dubuque, Iowa (City) is the Contract Administrator of the
Contract between Contractor and the Department; 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 Work and
Services for the HH & CLPPP:
(1) Submit reports/vouchers and other reporting requirements as required by the
Iowa Health and Human Services (Iowa HHS), 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, and Dubuque County as
referenced in the Contract.
Page 365 of 1214
(3) Provide compensation to the VNA during the term of this Subcontract not to
exceed Ten Thousand Dollars ($10,000.00) for the performances of VNA's
responsibilities as set forth herein.
(4) Oversee and direct medical case management and educational/outreach
activities through verbal and written direction.
1.2. VNA's Responsibilities. VNA agrees to provide the following Work and Services for
Healthy Homes (HH) & Childhood Lead Poisoning Prevention (CLPPP) during the term of
this Subcontract for the agreed compensation:
(1) Provide written quarterly reports and billing on lead and healthy homes
activities utilizing the Iowa Quarterly Report Narrative Outline and the billing
form approved by City.
(2) Provide electronic documentation of medical case management and related
activities into City's lead and healthy homes database systems, Healthy
Homes and Lead Poisoning Surveillance System (HHLPSS), and of
educational activities performed for each month by the loth of the following
month.
(3) Provide for blood lead testing, medical case management, data
management, and community education outreach as referenced in the
attached Contract, dated July 1, 2025-June 30, 2026, using a form agreed to
by City and VNA.
(4) Enroll as a Medicaid provider so that elevated blood level (EBL) inspection
services provided by City can be recovered under Medicaid as
reimbursement and used as program income reimbursed to City.
(5) Support City's efforts to be a viable, livable, and equitable community, and to
advance equity and inclusion. City will provide opportunities to demonstrate
this support by inviting the Executive Director of VNA and any employees
working on services covered by this Subcontract to participate professional
development opportunities and supporting activities such as:
a. The opportunity to be active and engaged participants in Inclusive
Dubuque peer learning opportunities and strategic efforts;
b. The opportunity to attend intercultural and equity workshops offered
by City, including workshops that focus on developing an intercultural
team with a strategic plan for advancing equity and inclusion within
VNA and through VNA's work; and
C. Assistance in creating status reports that demonstrate the ways in
which VNA's efforts are advancing equity and inclusion and access to
the City's equity toolkit.
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SECTION 2. CONTRACT POLICIES AND REQUIREMENTS. In providing the Work and
Services, VNA agrees to comply with the requirements in the Contract, including the
Special Conditions, and the General Conditions, to the extent applicable to the Work and
Services.
SECTION 3. ACCESS TO BOOKS AND RECORDS. VNA agreed 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 Department, Contractor, City, or any of their duly authorized
representatives.
SECTION 4. COSTS TO BE REIMBURSED. Cost reimbursed will be based on
performance measures and outcomes as outlined in the Contract using a form agreed to by
City and VNA.
SECTION 5. INCORPORATION OF THE CONTRACT. VNA agrees that all of the
provisions of the Contract, including audit requirements, are incorporated herein by this
reference and VNA shall have all of the same requirements, obligations and conditions as
Contractor 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 1st day of July 2025,
through the 30th day of June 2026.
SECTION 7. TERMINATION. Either party may terminate this Subcontract for any reason,
with or without cause, upon ten (10) days written notice delivered to the other party. In the
event of termination, City shall compensate VNA for its Work and Services rendered
through the date of termination.
SECTION 8 INDEMNIFICATION.
(1) VNA agrees to defend, indemnify, and hold the 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 J, attached as Exhibit A.
Page 367 of 1214
CITY OF DUBUQUE, IOWA
By: k�a
Mic ael C. Van Milligen
City Manager
VISITING NURSE ASSOCIATION
By: '
Stacey Kiffian
Administrative Director
EXHIBIT A
City of Dubuque Insurance Requirements for Professional Services
INSURANCE SCHEDULE J (UpdatedSeptember2o24)
Visiting Nurse Assoc. shall furnish a signed certificate of insurance to the City of Dubuque,
Iowa for the coverage required in Exhibit I prior to commencing work and at the end of the
project if the term of work is longer than 60 days. Contractors presenting annual certificates
shall present a certificate at the end of each project with the final billing. Each certificate shall
be prepared on the most current ACORD form approved by the Iowa Department of Insurance
or an equivalent approved by the Director of Finance and Budget. Each certificate shall include
a statement under Description of Operations as to why the certificate was issued. Eg: Project #
or Project Location at or construction of
2. All policies of insurance required hereunder shall be with an insurer authorized to do business in
Iowa and all insurers shall have a rating of A or better in the current A.M. Best's Rating Guide.
3. Each certificate shall be furnished to the Finance Department of the City of Dubuque.
4. Failure to provide coverage required by this Insurance Schedule shall not be deemed a waiver of
these requirements by the City of Dubuque. Failure to obtain or maintain the required insurance
shall be considered a material breach of this agreement.
5. Contractors shall require all subconsultants and sub-subconsultants to obtain and maintain
during the performance of work insurance for the coverages described in this Insurance
Schedule and shall obtain certificates of insurances from all such subconsultants and sub-
subconsultants. Contractors agree that they shall be liable for the failure of a subconsultant
and sub- subconsultant to obtain and maintain such coverages. The City may request a copy
of such certificates from the Contractor.
6. All required endorsements shall be attached to the certificate. The certificate is due before
the contract/agreement can be approved.
7. Whenever a specific ISO form is listed, required the current edition of the form must be used,
or an equivalent form may be substituted if approved by the Director of Finance and Budget
and subject to the contractor identifying and listing in writing all deviations and exclusions
from the ISO form.
8. Contractors shall be required to carry the minimum coverage/limits, or greater if required by
law or other legal agreement, in Exhibit I. If the contractor's limits of liability are higher than
the required minimum limits then the provider's limits shall be this agreement's required
limits.
9. Contractor shall be responsible for deductibles and self -insured retention for payment of all
policy premiums and other cost associated with the insurance policies required below.
10. All certificates of insurance must include agents name, phone number, and email address.
11. The City of Dubuque reserves the right to require complete, certified copies of all
required insurance policies, including endorsements, required by this Schedule at any
time.
12. The City of Dubuque reserves the right to modify these requirements, including limits, based on
changes in the risk or other special circumstances during the term of the agreement, subject to
written mutual agreement attached hereto.
Page 369 of 1214
INSURANCE SCHEDULE J (continued)
Exhibit I
A) COMMERCIAL GENERAL LIABILITY
General Aggregate Limit $2,000,000
Products -Completed Operations Aggregate Limit $1,000,000
Personal and Advertising Injury Limit $1,000,000
Each Occurrence $1,000,000
Fire Damage Limit (any one occurrence) $50,000
Medical Payments $5,000
1) Coverage shall be written on an occurrence, not claims made, form. The general
liability coverage shall be written in accord with ISO form CG 00 01 or business owners
form BP 00 02. All deviations from the standard ISO commercial general liability form
CG 00 01, or business owners form BP 00 02, shall be clearly identified.
2) Include endorsement indicating that coverage is primary and non-contributory.
3) Include Preservation of Governmental Immunities Endorsement. (Sample
attached).
4) Include additional insured endorsement for:
The City of Dubuque, including all its elected and appointed officials, all its employees
and volunteers, all its boards, commissions and/or authorities and their board
members, employees and volunteers. Use ISO form CG 20 26.
5) Policy shall include Waiver of Right to Recover from Others endorsement.
6) Policy shall include cancellation and material change endorsement providing thirty (30)
days advance written notice of cancellation, non -renewal, reduction in insurance
coverage and/or limits and ten (10) days written notice of non-payment of premium shall
be sent to: City of Dubuque Finance Department, 50 West 13th Street Dubuque, Iowa
52001.
B) AUTOMOBILE LIABILITY
Combined Single Limit
$1,000,000
Coverage shall include all owned, non -owned, and hired vehicles. If the Contractor's business
does not own any vehicles, coverage is required on non -owned and hired vehicles.
1) Policy shall include Waiver of Right to Recover from Others endorsement.
C) WORKERS' COMPENSATION & EMPLOYERS LIABILITY
Statutory Benefits covering all employees injured on the job by accident or disease as
prescribed by Iowa Code Chapter 85.
Coverage A Statutory —State of Iowa
Coverage B Employers Liability
Each Accident $100,000
Each Employee -Disease $100,000
Policy Limit -Disease $500,000
Policy shall include Waiver of Right to Recover from Others endorsement.
Page 370 of 1214
Coverage B limits shall be greater if required by the umbrella/excess insurer.
OR
If, by Iowa Code Section 85.1A, the Contractor is not required to purchase Workers'
Compensation Insurance, the Contractor shall have a copy of the State's Nonelection
of Workers' Compensation or Employers' Liability Coverage form on file with the Iowa
Workers' Compensation Insurance Commissioner, as required by Iowa Code Section
87.22. Completed form must be attached.
D) UMBRELLA/EXCESS LIABILITY $1,000,000
The General Liability, Automobile Liability and Employer's Liability Insurance
requirements may be satisfied with a combination of primary and Umbrella or Excess
Liability Insurance. If the Umbrella or Excess Insurance policy does not follow the form
of the primary policies, it shall include the same endorsements as required of the
primary policies including but not limited to Waiver of Subrogation and Primary and
Non- contributory in favor of the City.
E) PROFESSIONAL LIABILITY $2,000,000
If the required policy provides claims -made coverage:
1) The Retroactive Date must be shown and must be before the date of
the agreement.
2) Insurance must be maintained and evidence of insurance must be provided for
at least five (5) years after completion of the work or services.
3) If coverage is canceled or non -renewed and not replaced with another
claims- made policy form with a Retroactive Date prior to the date of the
agreement, the contractor must provide "extended reporting" coverage for a
minimum of five (5) years after completion of the work or services.
F) CYBER LIABILITY/BREACH $1,000,000
x _ Yes _ No
Coverage for First and Third Party breach liability including but not limited to lost data
and restoration, loss of income and cyber breach of information.
Page 371 of 1214
Iowa Code Chapter 670, Liability of Governmental Subdivisions, provides cities with certain immunities
which may be available to you. Naming the City of Dubuque as an additional insured on your insurance
as is requested by this Insurance Schedule may result in your waiver of those immunities. If you would
like to preserve those immunities, please use this endorsement or an equivalent form. The preservation
of immunities is for your benefit.
PRESERVATION OF GOVERNMENTAL IMMUNITIES ENDORSEMENT
1. Nonwaiver of Governmental Immunity. The insurer expressly agrees and states that the
purchase of this policy and the including of the City of Dubuque, Iowa as an Additional Insured does
not waive any of the defenses of governmental immunity available to the City of Dubuque, Iowa under
Code of Iowa Section 670.4 as it now exists and as it may be amended from time to time.
2. Claims Coverage. The insurer further agrees that this policy of insurance shall cover only
those claims not subject to the defense of governmental immunity under the Code of Iowa Section
670.4 as it now exists and as it may be amended from time to time. Those claims not subject to
Code of Iowa Section 670.4 shall be covered by the terms and conditions of this insurance policy.
3. Assertion of Government Immunity. The City of Dubuque, Iowa shall be responsible for asserting
any defense of governmental immunity and may do so at any time and shall do so upon the timely written
request of the insurer.
4. Non -Denial of Coverage. The insurer shall not deny coverage under this policy and the
insurer shall not deny any of the rights and benefits accruing to the City of Dubuque, Iowa under this
policy for reasons of governmental immunity unless and until a court of competent jurisdiction has
ruled in favor of the defense(s) of governmental immunity asserted by the City of Dubuque, Iowa.
No Other Change in Policy. The above preservation of governmental immunities shall not otherwise
change or alter the coverage available under the policy.
SPECIMEN
(DEPARTMENT MANAGER: FILL IN ALL BLANKS AND CHECK
BOXES)
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O
Public Health
Dubuque County
Public Health Department
UnityPoint Health
Visiting Nurse Association
SUBAWARD AGREEMENT
Awarding Agency: Iowa Department of Health and Human Services
Award Number: 5884LP03
Assistance Listing (CFDA): 93.898
Award Date: 7/1/25
Subaward Number: DBQ-31-26-CLPPP
Pass -Through Entity PTE :
Subrecipient:
The Dubuque County Board of Health
City of Dubuque Health Department
UEI #: J6LXFF4ZKYJ3
UEI #: TLJMHPVMMUD3
Subaward Budget Period Start date: 7/1/2025 End date: 6/30/2026
Period of Performance Start date: 7/1/2025 End date: 6/30/2026
Amount of funds obligated by this action: $10,000
Total amount of funds obligated to the Subrecipient: $10,000
Total amount of funds committed to the subrecipient: $10,000
Project Title: Childhood Lead Poisoning Prevention Program
Is Project for Research & Development? ❑ Yes ONo
1. Purpose.
The purpose of this Agreement is to set forth the terms and conditions under which Dubuque County Board
of Health ("County") will provide FY26 Childhood Lead Poisoning Prevention Program Grant funding
("Subaward") to The City of Dubuque Health Department ("Subrecipient") for provision of services
described in the contract for the FY26 Childhood Lead Poisoning Prevention Program.
This Agreement shall be construed and enforced in accordance with the laws of the State of Iowa and
federal regulations. Subrecipient's performance under this Agreement is subject to the applicable
requirements published in the Uniform Administrative Requirements, Cost Principles, and Audit
Requirements for Federal Awards, Title 2 of the United States Code of Federal Regulations (C.F.R.) part
200 hereinafter referred to as the "Uniform Guidance."
2. Term of Agreement.
This Agreement shall be effective upon full execution by the Parties (the "Effective Date") and shall
terminate upon 1) completion of the project, 2) exhaustion of subaward funds, 3) termination, or 4) 6/30/26.
3. Grant Funding.
The Subrecipient shall use the Subaward only for the Childhood Lead Poisoning Prevention Program in the
community. The County agrees to provide up to $10,000 and will reimburse the Subrecipient for eligible
expenses. All funds must be spent by 6/30/2026. Because final reports from the HHS Lead Program are
FY26 BOH DBQ- Childhood Lead Poisoning Prevention Program_Non-Federal_FINAL
P a g I
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expected in July or August 2026, the final reimbursement request must be submitted to the County by
9/30/2026 to allow time for the State claim and County reimbursement.
4. Reporting and Invoicing.
The Subrecipient is required to meet all reporting requirements as set forth in the contract terms of the
grant listed above. Requests for the supporting documentation for these reports may be requested by
Dubuque County. Due dates for reports are found within the grant contract. Invoices and reports shall be
submitted to:
State of Iowa Department of Health and Human Services
Consistent with Uniform Guidance (2 C.F.R. §200.328), the Subrecipient shall provide the County with
quarterly reports and a close-out report. These reports shall include the status and progress by the
Subrecipient and all subcontractors in completing the work and the expenditure of funds under this
Agreement, in addition to any other information requested by the County. The County may request
additional information from the Subrecipient, as needed, to meet any additional guidelines regarding the
use of federal funds that may be established by the awarding agency during the scope of this Agreement.
As required by Uniform Guidance (2 C.F.R. §200.415(a)), any request for payment under this Agreement
must include a certification, signed by an official who is authorized to legally bind the Subrecipient, which
reads as follows:
"By signing this report, 1 certify to the best of my knowledge and belief that the report is true, complete,
and accurate, and the expenditures, disbursements and cash receipts are for the purposes and
objectives set forth in the terms and conditions of the Federal award. 1 am aware that any false,
fictitious, or fraudulent information, or the omission of any material fact, may subject me to criminal, civil
or administrative penalties for fraud, false statements, false claims or otherwise. (U.S. Code Title 18,
Section 1001 and Title 31, Sections 3 729-3 730 and 3801-3812)."
5. Monitoring.
Subrecipient shall permit the County to monitor the Subrecipient, including:
a. Reviewing financial and progress reports required by the County.
b. Following -up and ensuring that the Subrecipient takes timely and appropriate action on all
deficiencies pertaining to the Subaward provided to the Subrecipient from County detected
through audits, on -site reviews, and other means.
c. Issuing a management decision for audit findings pertaining to the Subaward provided to the
Subrecipient from the County as required by 2 C.F.R. §200.521 Management decision.
Subrecipient shall monitor its performance under this Agreement, as well as that of its lower level
subrecipients, contractors, consultants, etc. who are paid from funds provided under this Agreement, to
ensure that time schedules are being met, the scope of work is being accomplished within the specified
time periods, and other performance goals are being achieved.
6. Maintenance of and Access to Records
The Subrecipients shall maintain records, books, documents, and other materials relevant to its
performance under this Agreement. These records shall be subject to inspection, review, and audit by the
County or its designees, the State, and the Federal Awarding Agency for a period of 5 years beyond the
end date of the Agreement, whichever is later. If it is determined during the audit that the Subrecipients
were reimbursed for unallowable costs under this Agreement or any, the Subrecipients agree to promptly
reimburse the County for such payments upon request. Records shall be retained beyond the prescribed
period if any litigation or audit is begun or if a claim is instituted involving the grant or agreement covered
FY26 BOH DBQ- Childhood Lead Poisoning Prevention Program_Non-Federal_FINAL
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by the records. In these instances, the records shall be retained until the litigation, audit or claim has been
fully resolved.
7. Pre -award Costs
Pre -award costs, as defined in 2 CFR 200.458, may not be paid with funding from this award.
8. Closeout.
The close-out report is due ninety (90) days after termination of this Agreement or ninety (90) days after
completion of the activities contained in this Agreement, whichever first occurs. Each party's obligation to
the other shall not end until all close-out requirements are completed. Activities during this close-out period
shall include, but are not limited to making final payments, disposing of program assets, (including the
return of unused materials and equipment as required herein, unspent cash advances, program income
balances, and accounts receivable to the County), and determining the custodianship of records. The
terms of this Agreement shall remain in effect during any period that the Subrecipient has control over
federal funds. The County will close out the award when it determines that all applicable administrative
actions and all required work of the Agreement have been completed.
9. Events of Default.
The occurrence of any one or more of the following events shall constitute cause for either party to declare
the other in default of its obligations under this Agreement:
a. A breach of any term of this Agreement.
b. A material failure of the Subrecipient to make substantial and timely progress toward
performance of the Agreement.
c. Failure to comply with applicable federal, state, and local laws, rules, ordinances, regulations,
guidance, and orders when performing with the scope of this Agreement.
d. Any report required by this Agreement have not been submitted to the County or have been
submitted with incorrect, incomplete, or insufficient information.
e. Engaging in conduct that has or may expose the other Party to liability.
10. Notice of Default.
The County shall issue a written notice of default providing therein a thirty (30) day period in which the
Subrecipient shall have an opportunity to cure, provided a cure is possible and feasible. If, after opportunity
to cure, the default remains, the County may exercise any one or more of the following remedies outlined in
section 11, either concurrently or consecutively.
11. Remedies.
If an Event of Default occurs, the County may:
a. Exercise any corrective or remedial actions, to include but not be limited to:
i. Request additional information from Subrecipient to determine the reasons for the extent of
non-compliance or lack of performance.
ii. Issue a written warning to advise that more serious measures may be taken if the situation is
not corrected.
iii. Advise the Subrecipient to suspend, discontinue or refrain from incurring costs for any
activity in question.
b. Temporarily withhold cash payment pending correction of the deficiencies.
FY26 BOH DBQ- Childhood Lead Poisoning Prevention Program_Non-Federal_FINAL
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c. Disallow all or part of the cost of the activity or action not in compliance.
d. Require that the Subrecipient refund to the County any monies used for ineligible purposes
under the laws, rules and regulations governing the use of these funds.
e. Recommend suspension or debarment proceedings by U.S. Treasury.
f. Terminate this agreement, provided that the Subrecipient is given at least thirty (30) days prior
written notice of the termination.
12. Termination.
The County may terminate this Agreement for cause after thirty (30) days written notice. Cause can include
misuse of funds, fraud, lack of compliance with applicable rules, laws and regulations, failure to perform on
time, and refusal by the Subrecipient to permit public access to any document, paper, letter, or other
material. The County may terminate this Agreement for convenience or when it determines, in its sole
discretion that continuing the Agreement would not produce beneficial results in line with the further
expenditure of funds, by providing the Subrecipient with thirty (30) calendar day prior written notice.
The parties may agree to terminate this Agreement for their mutual convenience through a written
amendment of this Agreement. The amendment will state the effective date of the termination and the
procedures for proper closeout of the Agreement.
13. Procurement.
The Subrecipient shall ensure that any procurement involving funds authorized by the Agreement complies
with all applicable federal and state laws and regulations, to include 2 C.F.R. §§200.318 through 200.327
as well as Appendix II to 2 C.F.R. Part 200 (entitled "Contract Provisions for Non -Federal Entity Contracts
Under Federal Awards") of the Uniform Guidance.
14. Conflicts of Interest.
The subrecipient understands and agrees it must maintain a conflict -of -interest policy consistent with 2
C.F.R. §200.318 (c) and that such conflict -of -interest policy is applicable to each activity funded under this
award. Subrecipient must disclose in writing to the U.S. Treasury or through the County as appropriate, any
potential conflict of interest affecting the awarded funds in accordance with 2 C.F.R. §200.112.
Subrecipient agrees that it has no interest and shall not acquire any interest direct or indirect which would
conflict in any manner or degree with the performance of the work and services under this Agreement.
15. Modification.
Neither this Agreement nor any documents incorporated by reference in connection with this Agreement
may be changed, waived, discharged, or terminated, except in writing with the consent of both parties.
16. Counterparts.
This Agreement may be executed in any number of counterparts, each of which shall be deemed to be an
original, but all of which together shall constitute but one and the same instrument.
17. Notices
Whenever this Agreement requires or permits any notice or written request by one party to another, it shall
be in writing, enclosed in an envelope, addressed to the party, and mailed via US mail. Any such notice
given hereunder shall be deemed delivered upon the earlier of actual receipt or two (2) business days after
posting. The County will relay the mailing and email addresses of the Subrecipient as set forth heretofore,
as modified from time to time.
18. Defense and Indemnification.
FY26 BOH DBQ- Childhood Lead Poisoning Prevention Program_Non-Federal_FINAL
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Subrecipient agrees to defend, indemnify, and hold the County, its officers, officials, employees, agents,
and volunteers harmless from and against any and all claims, injuries, damages, losses or expenses,
including without limitation personal injury, bodily injury, sickness, disease, or death, or damage to or
destruction of property, which are alleged or proven to be caused in whole or in part by an act or omission
of the Subrecipient, its officers, directors, employees, and/or agents relating to the Subrecipient's
performance or failure to perform under this Agreement. This section shall survive the expiration or
termination of this Agreement.
19. Severability.
The parties acknowledge and agree that if any paragraph, provision, or term of this agreement is deemed
illegal or void by any court or any other appropriate authority, the remaining provisions of this agreement
shall remain in full force and effect.
20. Status of Subrecipient.
Nothing in this contract constitutes an employment relationship between the Subrecipient staff and the
County. Subrecipient staff are not eligible to participate in any employee pension, health, vacation pay, sick
pay, or other fringe benefit plan offered to employees of the County. Nothing in this contract prevents
Subrecipient staff from working with others during the length of this Agreement. Subrecipient shall
determine the method, details, and means of performing the work and services to be provided by
Subrecipient under this Agreement. Subrecipient shall be responsible to County only for the requirements
and results specified in this Agreement and, except as expressly provided in this Agreement, shall not be
subjected to County's control with respect to the physical action or activities of Subrecipient in fulfillment of
this Agreement. Subrecipient has control over the manner and means of performing the services under this
Agreement. Subrecipient is permitted to provide services to others during the same period service is
provided to County under this Agreement.
21. Assignment.
Subrecipient agrees that this Agreement nor any of the rights, interest, or obligations in it shall be assigned
by Subrecipient either whole or in part without the prior written consent of the County.
22. Entire Agreement.
This agreement constitutes the entire agreement between the parties and shall be binding upon true
successors and assignees of the parties to this agreement.
23. Compliance with Applicable Laws and Regulations.
The Subrecipient declares that to its best knowledge, it has complied with all federal, state and local laws
regarding business permits and licenses that may be required to carry out the work to be performed under
this Agreement. The Subrecipient and its employees shall comply with all applicable federal, state, and
local laws, rules, ordinances, regulations, and orders when performing the services under this Agreement,
including but not limited to all of the following:
a. Provisions outlined in 2 C.F.R. Part 200, Uniform Administrative Requirements, Cost
Principles, and Audit Requirements for Federal Awards, other than such provisions as
Treasury may determine are inapplicable to this Award and subject to such exceptions as
may be otherwise provided by Treasury. Subpart F — Audit Requirements of the Uniform
Guidance, implementing the Single Audit Act, shall apply to this award.
b. Universal Identifier and System for Award Management (SAM), 2 C.F.R. Part 25 and pursuant
to which the award term set forth in Appendix A to 2 C.F.R. Part 25 is hereby incorporated by
reference.
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c. Reporting Subaward and Executive Compensation Information, 2 C.F.R. Part 170, pursuant to
which the award term set forth in Appendix A to 2 C.F.R. Part 170 is hereby incorporated by
reference.
d. OMB Guidelines to Agencies on Government wide Debarment and Suspension (Non
procurement), 2 C.F.R. Part 180 and Treasury's implementing regulation at 31 C.F.R. Part 19.
e. Recipient Integrity and Performance Matters, pursuant to which the award term set forth in 2
C.F.R. Part 200, Appendix XII to Part 200 is hereby incorporated by reference.
f. Government -wide Requirements for Drug -Free Workplace, 31 C.F.R. Part 20.
g. New Restrictions on Lobbying, 31 C.F.R. Part 21.
h. Uniform Relocation Assistance and Real Property Acquisitions Act of 1970 (42 U.S.0 §§
4601-4655) and implementing regulations.
i. Section 6002 of the Solid Waste Disposal Act, as amended by the Resource Conservation
and Recovery Act.
j. Statutes and regulations prohibiting discrimination applicable to this award, include, without
limitation, the following:
i. Title VI of the Civil Rights Act of 1964 (42 U.S.C. §§ 2000d et seq.) and Treasury's
implementing regulations at 31 C.F.R. Part 22, which prohibit discrimination on the
grounds of race, color, or national origin under programs or activities receiving federal
financial assistance.
ii. The Fair Housing Act, Title VIII-IX of the Civil Rights Act of 1968 (42 U.S.C. § 3601 et
seq.), which prohibits discrimination in housing on the basis of race, color, national origin,
sex, familial status, or disability.
iii. Section 504 of the Rehabilitation Act of 1973, as amended (29 U.S.C. § 794), which
prohibits discrimination on the basis of handicap under any program or activity receiving or
benefitting from federal assistance.
iv. The Age Discrimination Act of 1975, as amended (42 U.S.C. §§ 6101 et seq.) and
Treasury's implementing regulations at 31 C.F.R. Part 23, which prohibit discrimination on
the basis of age in programs or activities receiving federal financial assistance; and
v. The Americans with Disabilities Act of 1990, as amended (42 U.S.C. §§ 12101 et seq.),
which prohibits discrimination on the basis of disability under programs, activities, and
services provided or made available by state and local governments or instrumentalities or
agencies thereto.
24. Publications.
Subrecipient agrees that any publications produced with funds from this award must display the following
language:
"This project is being supported, in whole or in part, by federal award number 5884TS40 awarded to
Dubuque County by the Iowa Department of Health and Human Services." (awarding agency)
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25. Protections for Whistleblowers.
In accordance with 41 U.S.C. § 4712, Subrecipient may not discharge, demote, or otherwise discriminate
against an employee as a reprisal for disclosing information to any of the list of persons or entities
provided below that the employee reasonably believes is evidence of gross mismanagement of a federal
contract or grant, a gross waste of federal funds, an abuse of authority relating to a federal contract or
grant, a substantial and specific danger to public health or safety, or a violation of law, rule, or regulation
related to a federal contract (including the competition for or negotiation of a contract) or grant.
The list of persons and entities referenced in the paragraph above includes:
a. A member of Congress or a representative of a committee of Congress;
b. An Inspector General;
c. The Government Accountability Office;
d. A Treasury employee responsible for contract or grant oversight or management;
e. An authorized official of the Department of Justice or other law enforcement agency;
f. A court of grand jury; or
g. A management official or other employee of Dubuque County, contractor, or subcontractor who
has the responsibility to investigate, discover, or address misconduct.
Subrecipient shall inform its employees in writing of the rights and remedies provided under this section,
in the predominant native language of the workforce.
26. Seat Belt Use.
Dubuque County encourages the Subrecipient to adopt and enforce on-the-job seat belt policies and
programs for its employees when operating company owned, rented, or personally owned vehicles.
27. Reducing Text Messaging While Driving.
Pursuant to Executive Order 13513, 74 FR 51225 (Oct. 1, 2009), Dubuque County encourages the
Subrecipient to adopt and enforce policies that ban text messaging while driving and to establish
workplace safety policies to decrease accidents caused by distracted drivers.
28. Certification Regarding Government -Wide Restrictions on Lobbying.
The Subrecipient certifies, to the best of his or her knowledge and belief, that:
a. No federal appropriated funds have been paid or will be paid, by or on behalf of the Contractor,
to any person for influencing or attempting to influence an officer or employee of any
Contractor, a Member of Congress, an officer or employee of Congress, or an employee of a
Member of Congress in connection with the awarding of any federal grant, agreement, the
making of any federal grant, the making of any federal loan, the entering into of any
cooperative Sub -Grant Agreement, and the extension, continuation, renewal, amendment, or
b. If any funds other than federal appropriated funds have been paid or will be paid to any person
for influencing or attempting to influence an officer or employee of any Subrecipient, a Member
of Congress, an officer or employee, or an employee of a Member of Congress in connection
with this Agreement, the Subrecipient shall complete and submit Standard Form-LLL,
"Disclosure Form to Report Federal Lobbying" in accordance with its instruction.
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29. Eligibility.
Subrecipient certifies that neither it nor its principals is/are presently debarred, suspended, proposed for
debarment, declared ineligible, or voluntarily excluded from participation in this Agreement by any Federal
department or Contractor.
30. Acknowledgements.
The parties acknowledge and agree that they have carefully read and have had an opportunity to review
with legal counsel all the provision of this Agreement, that they completely understand the terms and
conditions as set forth in the Agreement, and that they have voluntarily executed this Agreement of their
own free will, act, and deed. Each party signing below warrants to the other party, that they have the full
power and authority to execute this Agreement on behalf of the party for whom they sign.
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IN WITNESS WHEROF, this Agreement is executed and shall become effective as of the last date signed
below:
Dated this 6th day of October, 2025.
BOARD OF HEALTH
SUBRECIPIENT:
DUBUQUE COUNTY, IOWA The City of Dubuque
,A� crJl�
Authorized Representative
Authorized Representative
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