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Home My WebLink About20110272.tiff RESOLUTION RE: APPROVE AMENDMENT#4 TO TASK ORDER CONTRACT FOR COLORADO FAMILY PLANNING INITIATIVE AND AUTHORIZE CHAIR TO SIGN WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS,the Board has been presented with Amendment#4 to the Task Order Contract for the Colorado Family Planning Initiative between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Weld County Department of Public Health and Environment, and the Colorado Department of Public Health and Environment, commencing January 15, 2011, and ending June 30, 2011, with further terms and conditions being as stated in said amendment, and WHEREAS,after review,the Board deems it advisable to approve said amendment, a copy of which is attached hereto and incorporated herein by reference. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that Amendment#4 to the Task Order Contract for the Colorado Family Planning Initiative between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Weld County Department of Public Health and Environment, and the Colorado Department of Public Health and Environment be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said amendment. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 24th day of January, A.D., 2011, nunc pro tunc January 15, 2011. BOARD OF COUNTY COMMISSIONERS W D COUNTY, O RADO ATTEST: ' .I;_, ,,� 'arbara Kirkmey , Chair Weld County Clerk to the .are: ,gl4 'mean P. way,Pro-Tem BY: ,.r" Deputy Clerk to the Boar• �(, ^,'t"'\ � � w- . Gars APPROVp L evj e4 David E. Long 0 Lon C. ty Attorney EXCUSED Douglas Rademacher 02/7 Date of signature a pal. 4o-,.\„s,,, C • "L- 2011-0272 1-a5 -U I , -, --/ i HL0038 8 6 2 0 1 Memorandum TO: Barbara KirkmeCounty Co, Chair Board of County Commissioners W E L DEC O U N T Y FROM: Mark E. Wallace, MD, MPH, Director Department of Public Health and Environment DATE: January 3,2011 SUBJECT: Amendment for Task Orders #4 Colorado Family Planning Initiative Contract Enclosed for Board review and approval is Amendment#4 to a previously approved task order contract between the Colorado Department of Public Health and Environment and the Board of County Commissioners of Weld County on behalf of the Department of Public Health and Environment(WCDPHE) for funds to continue the Colorado Family Planning Initiative program. Under the provisions of the contract, WCDPHE will provide comprehensive family planning services with an emphasis on increasing the total number of men and women accessing services and increasing utilization of long acting reversible methods of contraception (LARC) among existing clients. This Amendment is for the renewal term of January 15, 2011 through and including June 30, 2011. WCDPHE will reimbursed an additional amount not to exceed $31,590.00. The funding is provided entirely by a private anonymous donor through the State of Colorado. I recommend your approval of this amendment. 2011-0272 STATE OF COLORADO John W.Hickenlooper,Governor Christopher E. Urbina,MD, MPH c�loA Executive Director and Chief Medical Officer Ne, Dedicated to protecting and improving the health and environment of the people of Colorado �,* t 4300 Cherry Creek Dr.S. Laboratory Services Division 1 Denver,Colorado 80246-1530 8100 Lowry Blvd. 876 Phone(303)692-2000 Denver,Colorado 80230-6928 Colorado Department Located in Glendale,Colorado (303)692-3090 of Public Health http://www.cdphe.state.co.us and Environment February 15,2010 Weld County Department of Public Health and Environment 1555 North 17th Avenue Greeley,CO 80631 Ms.Nero, This letter serves as notification of your FULLY EXECUTED Colorado Dept of Public Health&Environment(CDPHE) Amendment for Task Orders listed below: Contractor Name: Weld County Amendment for Task Orders#4: II-FLA-26088 Original Contract Number: 09-FLA-00684 Division: Prevention Services Division (PSD) Program Name: Women's Health Unit/CFPI Project Name: Colorado Family Planning Initiative Reason for Amendment: Increase funding-$31,590.00—the increased funds provided through this Amendment for Task Orders are for the purchase of long-acting reversible contraceptive methods(LARC)and NuvaRing, and the provision of sterilization procedures to male and female clients. The Amendment for Task Orders listed above has been fully executed and you may begin work on February 4,2011. An original hard copy of the Amendment for Task Orders will be mailed to you soon. Please contact Jacqueline 0'Bryan at 303-692-2485 orjlobrvan(cdcdphe.state.co.us with questions or concerns. Sincerely, Fiscal Service Unit Center for Healthy Families and Communities Prevention Services Division, CDPHE N DEPARTMENT OR AGENCY NAME COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT PSD-CFPI DEPARTMENT OR AGENCY NUMBER FLA CONTRACT ROUTING NUMBER 11-26088 AMENDMENT FOR TASK ORDERS#4 This Amendment is made this 24th day of November,2010,by and between the State of Colorado,acting by and through the DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT,whose address or principal place of business is 4300 Cherry Creek Drive South,Denver,Colorado 80246,hereinafter referred to as the"State"; and,BOARD OF COUNTY COMMISSIONERS OF WELD COUNTY for the use and benefit of the WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT,(a political subdivision of the state of Colorado),whose address or principal place of business is 1555 North 17`"Avenue,Greeley,CO 80631, hereinafter referred to as the"Contractor". FACTUAL RECITALS The parties entered into a Master Contract,dated January 23,2007,with contract routing number 08 FAA 00052 . Pursuant to the terms and conditions of the Master Contract,the parties entered into a Task Order Contract,dated August 15,2008,with contract encumbrance number PO FLA FPP09000684,and contract routing number 09- FLA-00684,as amended by Contract Amendment#1,09-FLA-00869, Grant Funding Change Letter#1,contract routing number 09-FLA-00930,Contract Amendment#2,contract routing number 10-FLA-00247, Grant Funding Change Letter#2,contract routing number 10-FLA-11214,and Amendment for Task Orders#3,contract routing number 11-FLA-15919,collectively referred to herein as the"Original Task Order Contract,whereby the Contractor was to provide to the State the following: Contractor will provide a comprehensive family planning program with an emphasis on increasing the total number of men and women accessing services and increasing utilization of long acting reversible methods of contraception(LARC)among existing clients. The State promises to increase the amount of funds to be paid to the Contractor by Thirty-One Thousand,Five Hundred Ninety Dollars,($31,590.00)during the current tenn of the Original Task Order Contract in exchange for the promise of the Contractor to perform the increased work under the Original Task Order Contract. NOW THEREFORE,in consideration of their mutual promises to each other,stated below,the parties hereto agree as follows: 1. Consideration for this Amendment to the Original Task Order Contract consists of the payments and services that shall be made pursuant to this Amendment,and promises and agreements herein set forth. 2. It is expressly agreed to by the parties that this Amendment is supplemental to the Original Task Order Contract,contract routing number 09-FLA-00684,as amended by Contract Amendment#1,09-FLA- 00869, Grant Funding Change Letter#1,contract routing number 09-FLA-00930,Contract Amendment #2,contract routing number 10-FLA-00247, Grant Funding Change Letter#2,contract routing number 10- FLA-11214,and Amendment for Task Orders#3,contract routing number 11-FLA-15919 collectively referred to herein as the Original Contract,which is by this reference incorporated herein. All terms, conditions,and provisions thereof,unless specifically modified herein, are to apply to this Amendment as though they were expressly rewritten,incorporated,and included herein. Page 1 of 1 Rev 3/16/2010 "'// (' -2 V 3. It is expressly agreed to by the parties that the Original Task Order Contract is and shall be modified, altered,and changed in the following respects only: A. This Amendment is issued pursuant to paragraph 5 of the Original Task Order Contract identified by contract routing number 09-FLA-00684. This Amendment is for the renewal term of January 15.2011,through and including June 30,2011. The maximum amount payable by the State for the work to be performed by the Contractor is increased by Thirty-One Thousand,Five hundred Ninety Dollars,($31,590.00)for an amended total financial obligation of the State of SIX HUNDRED EIGHTY THOUSAND,NINE HUNDRED THIRTY DOLLARS. ($680,930.00). This is a increase of Thirty-One Thousand,Five Hundred Ninety Dollars, ($31,590.00)of the amount payable from the previous term. The revised Statement of Work is incorporated herein by this reference and identified as"Attachment K-3". The revised Budget is incorporated herein by this reference and identified as"Attachment K-I"and the revised Budget Narrative is incorporated herein by this reference and identified as"Attachment K-2". The Original Task Order Contract is modified accordingly. All other terms and conditions of the Original Task Order Contract are reaffirmed. 4. The effective date of this Amendment is January 15,2011,or upon approval of the State Controller,or an authorized delegate thereof,whichever is later. 5. Except for the Special Provisions and other terms and conditions of the Master Contract and the General Provisions of the Original Task Order Contract, in the event of any conflict,inconsistency,variance,or contradiction between the terms and provisions of this Amendment and any of the terms and provisions of the Original Task Order Contract,the terms and provisions of this Amendment shall in all respects supersede,govern,and control. The Special Provisions and other teems and conditions of the Master Contract shall always control over other provisions of the Original Task Order Contract or any subsequent amendments thereto. The representations in the Special Provisions to the Master Contract concerning the absence of personal interest of state of Colorado employees and the certifications in the Special Provisions relating to illegal aliens are presently reaffirmed. 6. FINANCIAL OBLIGATIONS OF THE STATE PAYABLE AFTER THE CURRENT FISCAL YEAR ARE CONTINGENT UPON FUNDS FOR THAT PURPOSE BEING APPROPRIATED,BUDGETED, AND OTHERWISE MADE AVAILABLE. This page left intentionally blank. Page 2 of 2 Rev 3/16/2010 IN WITNESS WHEREOF,the parties hereto have executed this Amendment on the day first above written. * Persons signing for Contractor hereby swear and affirm that they are authorized to act on Contractor's behalf and acknowledge that the State is relying on their representations to that effect. CONTRACTOR: STATE: BOARD OF COUNTY COMMISSIONERS OF WELD COUNTY for the use and benefit of the WELD COUNTY DEPARTMENT OF PUBLIC STATE OF COLORADO HEALTH AND ENVIRONMENT(a political Bill Ritter,Jr.Governor subdivision of the state of Colorado) // 1 l./ By: d — Signature of uthorized Dicer IAAi O 42011 For the Executive Director DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT Barbara Kirkmeyer Print Name of Authorized Officer Chair Print Title of Authorized Officer PROGRAM APPROVAL: By: a... �. -Z _ 7'1J ALL CONTRACTS MUST BE APPROVED BY THE STATE CONTROLLER CRS §24-30-202 requires the State Controller to approve all State Contracts.This Contract is not valid until signed and dated below by the State Controller or delegate.Contractor is not authorized to begin performance until such time. If Contractor begins performing prior thereto,the State of Colorado is not obligated to pay Contractor for such performance or for any goods and/or services provided hereunder. ATE CONTROLLER Da id J.McDermott,CPA ,�- By: a F Date: Page 3 of 3 Rev 3/16/2010 2ff'/i -C' 70 This page left intentionally blank. Page 4 of 4 Rev 3/16/2010 Attachment K-1 as modified by Amendment#4 contract routing number 11-FLA-26C FAMILY PLANNING AND COLORADO FP INITIATIVE BUDGET APPLICATION Weld County Department of Public Health and APPLICANT:Environment FOR THE BUDGET PERIOD: CFPI July 1,2010-June 30,2011 Salary %Tine CDPIIE-WHU PLEASE ROUND ALL FIGURES JULY 1,2010-JUNE 30,2011 TO THE NEAREST DOLLAR F-pT CFPI PERSONNEL ETPENSES:Mtutr name k till.fm crib e�la>u cberg,d IrCUI'F0 runa,E Yeodo i::iced lnh,i thrnnn.md i,4e tun ewplgeu clu®e]only,o Nno L DH IF rwWng Office Technician II $21,8]] 587 000% Once Technician III $50,964 15000°6 medical Assistant $70,442 20000% Medical Assistant Supervisor $27,443 ]0110% Office Manager $21,544 400°n PIIND $47,529 9000°/ Debbie Drew,Nurse Practitioner $87,752 100.00% Arme0e ODell,Nurse Practitioner $66,191 80 00°/ Laurie Dunn,Nurse Prarotitner $84,]86 100.00% $33,043 Nurse Practitioner Supervisor $44,890 80 00% Public Health Nurse Supervsor $16,386 2500% Public Health Nurse Dreclor 59,450 10 00°/ BoIWAIk'EMIa7TIdFIAaeat zx`I+.- .. _. $33043 Fnn$e Benefit Rate and Epe see 3554%„ ,� i $11,743 T1t1fy:P[[It4itittl4�}il(kli'iM�rT t,u '. #$81,254 "O.t $44,]86 CONTRACTUAL:(weeendem emb.cl,rfn cubit be°"' lt,.u.e.r+,=umn. phvn em,n ae pnetitionen,sit In CWl pstiee ONLY,nddrtkmlrnlntbi,recton Won't Gina of Greeley $131,590 Radiology $25,000 WGDPHE Referral Fm $5,000 iphRCsp(Ilt{py12tgioNgi1°{^'' t , $161,590 OPERATING: C haw MedsMu[k.CFt'1 pilim ONLY,10%.dinn keen Ia Included hi thin i,e) $21443 Twtire e¢te-wbioli uicluhrreeunenm tor.newt I $1,500 CMueyd,.nre(Iry°aM wrw N..tin t.e,Sine e.tr tin W.bmryuW no nsuJn be rnuw INN m yw n alit sa nnM fluIgnv4Jimn r°r [Nr.ydirl flOer i,abte F4auttnui mnunW(Wrcbmm,e¢) Clinical supplies 00 oeniten:in0 sumlin[plun,tlwu,pm2.v.) OTHER OHER pnue Lent utilities,°eiann.°a) (Spede)edkrg I $452 Eke.,mk amoral m°.d. North Colorado Alliance Membership EQUIPMENT:(Compute 'ref,°,' .:.•h: $30,}95 (Cnmpuarg Office fumiturtn) . ..IIWTAG.UIREC.'CEXP#it+.�.. $236,77 d ItTMECPII YRd,r,Raa'TIIRE 1241%. IYdIrM(tavern.: m.,I ADri rEMpaeum Gtaati Rallo!- 1¢1M aefaa9 prt � J ,m 7y'e$ i ln�,9de � d y . tdnp yh;PYa"Wj: ;Id2j 'T �'t � $4,524 ONE- 50 1'IFInflYntl9RCnaan knit) TPTAC.if0UNr'RtQDE$3E6.:' 55 5 Yellow cells are not included in the CFPI admen tee calculation $'Budget ImelcoMaa Amendment D«amentalw wAREvls®weld_eadget Application Worksheet 20101101 xis Page 1 of 1 Attachment K-2 as modified by Amendment#4 contract routing number 11-FLA-26088 t . .,_$I y11 QN Regular Grant,.With Expansion.Grant/i applicable,. APPLICANT: Weld County Department of Public Health and Environment FOR THE PERIOD: July 1,2010-June 30,2011 For Personnel category list title of position Relationship to project How is the total amount required Total For all other categories list the line calculated? item from the budget a! ':;`. '2844,786.06 Laurie Dunn Nurse Practitioner 1.0 NP provides direct care and outreach Annual Salary of$84,786.00.4 VIE CFPI $33,043 00 at 2 sites.4 FTE in CFPI grant Fringe Benefit Rate 35.54% .08%Workmans comp, 11.9%PERA .39%life ins,4.61%vacation, $11,743.00 4.23 Holiday 2.3%sick, 10.49 Health ins 1.45%medicare 09 Unemloyment GOL 4 1LS13R Yiv7 'mss ;,: x t-_ g.n } n .,$161,5g000 Womens clinic of Greeley OB/ lEssure insertions for our clients 166 insertions at$200O00/in9;rtion I $131,590.00 GYN physicians NCMC Radiology HSG's post Essure tes 50 procedures at$500.00 each $25,000 0 WCDPHE referral fee 10O 00 per referral x 50 $5,000.0 OPERATtG±4 E PENSES rt ;' , Mileage NP travels to 2 locations to provide PP services Estimate 1,004 miles at$0 45/mile $452.0 and local travel for CHI outreach activities Nuvanngs$15.75 each,Mirena$373; LARC,Tubal ligation and Vasectomy Purchase of various'ARC methods Paragard 195.25;Imphnon$285 $28,443.0 Training - NP and RN registration to relevant trainings $300O0 for 4NP's and I RN total$1500.00 $1,500 O ADMIt'IST�, `1'1r1Zt4'E}S ° . _ ]CFPI Calculated at 10% $41524 0 y �}y�ryy �(y �t .,, ONYf IOENSE . . 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N N -3 .≥ o 0 O a 6. n D Z ot M ^ en v O v O C R y C DUllf-C) Xinf i, O w0 £aeaA E— 6TTt .\ MEMORANDUM o WI 1 P To: Office of Clerk to the Board of Weld County Commissioners e Date: febeucoui a 4, Doll COLORADO From: lea IMA, be A YI q f it 5 , Health Department Subject: Ca 'Fenn; y ?l o nni nq Con be c T Attached to this memo is the finalized contract, amendment to a contract, letter of renewal, change order letter or other document as listed below. Please sign and date below in the designated areas indicating you have received the finalized document and return this signed memo to me in the Administration Division of the Health Department. Thank you for your assistance with the processing of this document. Att. vl p l vJ'p,,, ptmendmrn� afi hlROCT �p n I ✓e Co Document Name: Co 10tad0 ramt,ly 1 'Q" lni in) r FP.T) Resolution Number: a o l i — 097 9 Finalized Document Received By: \ 1 a-t& Date Received: ,Qh),5/ rr ! ' U7 Hello