HomeMy WebLinkAbout20101091 RESOLUTION
RE: APPROVE AMENDMENT #2 TO TASK ORDER CONTRACT FOR STATE TOBACCO
EDUCATION AND PREVENTION PARTNERSHIP GRANT 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#2 to the Task Order Contract
for the State Tobacco Education and Prevention Partnership Grant 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 July 1, 2010, and ending October 31, 2010, 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#2 to the Task Order Contract for the State Tobacco Education
and Prevention Partnership Grant 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 May, A.D., 2010.
BOARD OF COUNTY COMMISSIONERS
'I$ E�ccb, ELD COUN OLORADO
ATTEST: .u6 . fib. •..� .mot Ju
r 1861 t Y-Ariv o •las ademacher, h •
Weld County Clerk to the ! ar• F
B I l ocTh- :arbara Kirkmeyer, P -Tem
Dep Clerk t e Board (J
Sean PY_Conway
APP AS TO ( %
F. Garcia
County Attorney EXCUSED
David E. Long
Date of signature:
3 oar 1 41-O st dal /'Z 7/epo 2010-1091
Memorandum
TO: Douglas Rademacher, Chair
Board of County Commissioners
WI I
C FROM: Mark E. Wallace, MD, MPH, Director Department of Public Health and
Environment
COLORADO DATE: May 10, 2010
SUBJECT: State Tobacco Education & Prevention
Partnership (STEPP) Task Order
Amendment#2
Enclosed for Board review and approval is the Task Order Amendment#2 between the
Colorado Department of Public health and Environment and the Weld County Board of
Commissioners for the use and benefit of the Department of Public Health and Environment
(WCDPHE) State Tobacco Education and Prevention Partnership program. The amendment is
for transitional funding in the amount of$19,705 for the four-month period July 1, 2010 through
October 31, 2010.
This budget reflects an annualized modified budget from our previous grant cycle with an
additional 21% reduction. This reduction significantly impacts our staffing level, work plan and
outreach within Weld County. The transitional funding will cover a .7 FTE tobacco program
coordinator and a small amount of funding for coalition meetings.
With the reduction in funding and staffing, the work plan will focus on working with the adult
and youth coalitions to move forward with youth tobacco access initiatives, continuing to address
violations in the Colorado Clean Indoor Air Act, and partnering with multi-unit housing
managers and owners to provide smoke-free living environments. I recommend your approval of
this amendment.
Enclosure
2010-1091
STATE OF COLORADO
Bill Ritter,Jr.,Governor
Martha E. Rudolph,Executive Director oF•CO>L�
Dedicated to protecting and improving the health and environment of the people of Colorado o
4300 Cherry Creek Dr.S. Laboratory Services Division \*?T ' '*1
Denver,Colorado 80246-1530 8100 Lowry Blvd. > *
Phone(303)692-2000 Denver,Colorado 80230-6928 t�p6/
TDD Line(303)691-7700 (303)692-3090 Colorado Department
Located in Glendale,Colorado of Public Health
http://www.cdphe.state.co.us and Environment
WORK STATUS CONFIRMATION LETTER
Vendor Name: Contract Routing Number:
CRS §24-30-202 requires the State Controller to approve all State
Contracts/Amendments. The above referenced Amendment is not valid until it is
signed and dated below by the State Controller or delegate. Therefore, your agency is
not authorized to begin performance until you are notified that it's signed. If your
agency begins performing Contract tasks prior to that date, the State of Colorado is not
obligated to pay your agency for such performance or for any goods and/or services
provided prior to the date signed.
By signing below, your confirm that (Signature MUST be that of the person signing the
Amendment)
a) No work has been performed under this amendment
b) No work will begin under this amendment until the amendment is signed
by the State Controller or on the effective date, whichever is later.
Signatu a of Authorized Officer
Douglas Rademacher
Print Name of Authorized Officer
Chair
Print Title of Authorized Officer
MAY 24 2010
Date Signed
RETURN THIS FORM WITH YOUR AMENDMENT
Page 5 of 5
aOio-io9
Exhibit F
APPLICATION BUDGET FORM
State Tobacco Education&Prevention Grants Program FY11 Transitional
Check only one: ❑Year 1(July 1,2009-June 30.2010)
APPLICANT: 0 Year 2(July 1,2010-June 30.2011)
Weld County Department of Public Health and
0 Year 3(July 1,2011-June 30.2012)
Environment
PROJECT TITLE: SOURCE OF FUNDS
Weld County Tobacco Education Program Requested Other Source' Other Source'
CDPHE Source 1 Source 2
PERSONAL SERVICES FTE Monthly Monthly #of If applicable, If applicable,
funding funding
Name Position %Effort Salary Benefits Months source name source name
Bryce Kyburz Coordinator 0.70 $4,520.34 $1,606.53 4.0 $17,155.24 $0.00 $0.00
$0.00 $0.00 $0.00
$0.00 $0O0 $0.00
$0.00 $0.00 $O00
$0.00 $0.00 $0.00
$0.00 $0.00 $0.00
Subtotal Personal Services 0.70 4520.34 1606.53 17155.24 0.00 0.00
-t-A.k.0,,reararsrflettiSateigrarailifteratMADMIAtiffie.1fAMSAMPWSalleff,atiffernsAsts,
DIRECT OPERATING COSTS Unit Quantity Rate
Printing/Copying Month $0.00 $0.00
Postage/Shipping $0.00 $0.00 $0.00
Telephone,Fax,Internet Access $0.00 $0.00 $0.00
Supplies $0.00 $0O0 $0.00
Computer Equipment $0.00 $0.00 $0O0
Staff Development $0.00 $0.00 $0.00
Meeting Expenses Month 4.00 $ 150.00 $600.00 $0.00 $0.00
Other Program Cost $0O0 $0.00 $0.00
Subtotal Operating Costs $600.00 $0.00 $0.00
e L;4-- 'her 1,x:as 44a--+°aaa°-�".wa e,2.N*?4s.1a,RYv Praan'C;e. d 1 ge,w€8.n84S22'1 adtin iaii iin.- N 8&#a ag:. s"°y "sia 1S,rv`avk'/r s'.:*"r
eg
TRAVEL Unit Quantity Rate
Mileage Mile 330.00 $0.48 $ 158.40 $0.00 $0.00
Lodging day $0.00 $0.00
Meals day $ - $0.00 $0.00
Other Travel $ - $0.00 $0.00
Subtotal Travel Costs $158.40 $0.00 $0.00
,:m sfsi.' "@ c}r:.:a,e)8.e«aoa .. 3»mor+.'H §Y, ` .°88. Lws.,AR ,- 'e . 81st., eal
CONTRACTUAL Unit Quantity Rate
Consultant Hour $ - $ - $0.00 $0.00
Contract Trainer/Speaker/Honorarium Day $ - $0.00 $0.00
Subcontract Hour $ - $0.00 $0.00
Subtotal Contractual Costs $0.00 $0.00 $0.00
c.+,..e,s°,aaS.rreet eter r'afia%8 rtetrs;:;x8,srpve ¢La;Cea:,-X°a2A�R*wS�steree 9rteveaa ..-..estert:teerete terettgxgeWV 4.SS, 4 -44•444,.47,4444-
OTHER COSTS Unit Quantity Rate
Outreach/Educational Materials $ $ - '-t rr $0.00
Screening $ - '-1 11 $0.W
Treatment $ - t rr $0.00
Subtotal Other Costs
yg�,,� r�. g1 F i�,g$g, 'La g%
$1 1 $0.00
$
..e.4.,.::.'yJ.a"w9i1"�3. a`.�Jtoaa&�1"B'+3'*'iw "'''i�Fa R.z}gi.'tri"'o-,t<v- oths"RS9�;84Y.* `vf.i�'Ya'v .a�P"em ea. , °a m o,.rit�i'aN`+`"eg'
TOTAL DIRECT COST: $17,913.64 $0.00 $0.00
INDIRECT COSTS: Of Contractual $0.00
INDIRECT COSTS: 10% Of All Other $17,913.64 $1,791.36
INDIRECT COSTS: 0% Other $0O0
Total Indirect Cost(Calculated on Amount Requested from CDPHE Only) $1,791.36
:°Be31 a. ,.1,_sa ,-e,a_..,,ea,t%?a. r ' c 4rea ,°' , ,4,s-- m,.1,,aaa.41... 1'r mne4tm .—we.4.s-1 m'-..
TOTAL AMOUNT REQUESTED FROM CDPHE $ 19,705
v. q% r 1.41.'8,na, e o ,2- 8 xfrt."a +m vtat,. Mara - -1,S-u, a1 a a,Mew 11 8 1.,a: 8 >4m .2;-m ii s.mv a a."
'Other: Please indicate additional funding sources if applicable.
oug1. 'a.emacher, Chair
Je.
1 A ' MAY 242010
Signature fAuthorized'-presentative Date Rev.1O22.08
av/o - ie9/
Exhibit F
State Tobacco Education and Prevention Partnership Grants Program
Weld County Tobacco Education Program
Transitional Funding Period: July 1,2010 through October 31,2010
Budget Narrative
PERSONNEL SERVICES:
Program Coordinator Bryce Kyburz will provide overall program administration, budget
management, completion of reports and oversight of work plan
activities. Continues to serve as liaison with community coalition.
.70 FTE salary: $12,656.95 Benefits: $4,498.28
Total Salary: $12,656.95 Total Benefits: $4,498.28
(Benefits are calculated at 35.54%)
Total Salary and Benefits $17,155.24
DIRECT OPERATING COSTS:
Meeting Expenses (budget justification below) $600.00
- meeting expenses for Tobacco-Free Coalition of Weld County
Total Operating Costs: $600.00
TRAVEL:
In-state Mileage for staff contacting and meeting with community members $158.40
and system partners to effect tobacco control initiatives.
1 staff x 82.5 miles/month x $0.48 (Standard Weld County rate)
Total Travel Costs: $158.40
INDIRECT COSTS:
10.00%of the total direct costs $1,791.36
Total Travel Costs: $1,791.36
TOTAL BUDGET REQUEST: $19,705
Page 2 of 3
Exhibit F
Budget Justification for meeting expenses for coalition support
The Tobacco-Free Coalition of Weld County is a very strong community coalition. This
coalition has been supported by the Tobacco Education Program for many years. One level of
support for this coalition is providing a nutritious meal for all participants. Our coalition meets
once a month from 12:00- 1:30 pm. The community members, professionals and interested
people appreciate the fact that a lunch is provided to them during the meeting. Proving them a
lunch is a small token of appreciation for their volunteer activities.
One aspect of providing the lunch for the coalition members is the development of a sense of
community and togetherness. Long-time members use the beginning of the meeting to connect
with one another and visit with newer members of the coalition. Having a meal to share provides
a wonderful environment to bring the members together.
Page 3 of 3
DEPARTMENT OR AGENCY NAME
COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
PSD-STEPP
DEPARTMENT OR AGENCY NUMBER
FLA
CONTRACT ROUTING NUMBER
11-12699
AMENDMENT FOR TASK ORDERS#2
This Amendment is made this 23rd day of April,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,(a political subdivision of the State of
Colorado),915 101h Street,Greeley,Colorado 80632-0758,for the use and benefit of the WELD COUNTY
DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT.whose address or principal place of business
is 1555 North 171h Avenue,Greeley,Colorado 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
May 20,2009,with contract encumbrance number PO FLA PPG1000164,and contract routing number 10 FLA
00164 as amended by Amendment for Task Orders#1,Contract Routing Number 10 FLA 5260,collectively
referred to herein as the"Original Task Order Contract,whereby the Contractor was to provide to the State the
following:
The Contractor will conduct activities under the project Weld County Tobacco Education Program
to prevent youth from using tobacco use,help people who use tobacco to quit,assist in the reduction
of exposure to secondhand smoke and reduce tobacco use among groups that are disproportionately
affected and/or at high risk for disease.
The State promises to increase the amount of funds to be paid to the Contractor by Nineteen Thousand,Seven
Hundred Five Dollars,f$19,705.00),for the renewal term of four months,ending on October 31,2010,in
exchange for the promise of the Contractor to perform the increased work described herein.
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 10 FLA 00164 as amended by Amendment for Task Orders#1,
Contract Routing Number 10 FLA 5260,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.
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:
Page I of 3 Rev 6/25/09
d0/6- /09/
A. This Amendment is issued pursuant to paragraph 5 of the Original Task Order Contract identified
by contract routing number 10 FLA 00164. This Amendment is for the renewal term of July 1,
2010 through and including October 31,2010. The maximum amount payable by the State for
the work to be performed by the Contractor during this renewal term is Nineteen Thousand,
Seven Hundred Five Dollars,f$19,705.00),for an amended total financial obligation of the State
of ONE HUNDRED FIFTY-ONE THOUSAND,TWO HUNDRED EIGHTY DOLLARS,
($151,280.001. The revised Statement of Work is incorporated herein by this reference and
identified as"Exhibit E". The revised Budget is incorporated herein by this reference and
identified as"Exhibit F". 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 July 1,2010 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 terms 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.
Page 2 of 3 Rev 6/25/09
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 STATE OF COLORADO
OF WELD COUNTY,(a political subdivision Bill Ritter,Jr.Governor
of the State of Colorado),for the use and benefit
of the WELD COUNTY DEPARTMENT OF
PUBLIC HEALTH AND ENVIRONMENT
/Th
Ov 1n
r ^ By:
signature of uthorized Officer For the Executive Director
MAY 2 4 2010 DEPARTMENT OF PUBLIC HEALTH
AND ENVIRONMENT
Douglas Rademacher
Print Name of Authorized Officer
Chair
Print Title of Authorized Officer
PROGRAM APPROVAL:
By: "o
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.
TATE CONTROLLER
D<vid J.McDermott,CP'
1„�I WELD COUNTY DEPARTMENT Of
By: PUBLIC HEALTH AP;:7 ENVIRONMENT
\ jr
Date: � 1� / By;\INCti /21'tJ(N -�6D
Mark E. Wallace, MD, MPH-Director
Page 3 of 3 Rev 6/25/09
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Colorado Department
of Public Health
and Environment
STEPP
STATE TOBACCO EDUCATION
& PREVENTION PARTNERSHIP
Application 2010-2011
Transitional Funding
Part III
Budget Narrative
Budget Spreadsheet & Summary Sheet
1
Budget Justification for meeting expenses for coalition support
The Tobacco-Free Coalition of Weld County is a very strong community coalition. This
coalition has been supported by the Tobacco Education Program for many years. One level of
support for this coalition is providing a nutritious meal for all participants. Our coalition meets
once a month from 12:00- 1:30 pm. The community members, professionals and interested
people appreciate the fact that a lunch is provided to them during the meeting. Proving them a
lunch is a small token of appreciation for their volunteer activities.
One aspect of providing the lunch for the coalition members is the development of a sense of
community and togetherness. Long-time members use the beginning of the meeting to connect
with one another and visit with newer members of the coalition. Having a meal to share provides
a wonderful environment to bring the members together.
3
STATE OF COLORADO
Bill Ritter,Jr.,Governor —
aF'COQ
Martha E. Rudolph,Executive Director 4v;,_
Dedicated to protecting and improving the health and environment of the people of Colorado „�i N )
4300 Cherry Creek Dr.S. Laboratory Services Division » 4S1 *
Denver,Colorado 80246-1530 8100 Lowry Blvd. w ,�,B•'
Phone(303)692-2000 Denver,Colorado 80230-6928 �iays
TDD Line(303)691-7700 (303)692-3090 Colorado Department
Located in Glendale,Colorado of Public Health
http://www.cdphe.state.co.us and Environment
June 29,2010
Mark E. Wallace
Weld County Department of Public Health and Environment
1555 North 17th Avenue
Greeley, CO 80631
Re: Contract/Amendment for fiscal year II
FY11 Routing Number: 11 FLA 12699
Original Contract Routing Number: 10 FLA 00164
Encumbrance Number: PO FLA PPG1000164
Project: Weld County Tobacco Education Program
Dear Mr. Wallace,
Enclosed is a fully executed contract/amendment for the State Tobacco Education and Prevention Partnership(STEPP)
Program. Work can begin under this contract/amendment on July 1,2010.
Please feel free to contact Ms. Kathy Jacobsen, Contracts Monitor,at(303)692-2479,or me at(303) 692-2505 with any
questions.
Respectfully,
Chandra Hardwick
PSD Contracts and Purchasing Administrator
Enc.
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