HomeMy WebLinkAbout20081659.tiff RESOLUTION
RE: APPROVE TASK ORDER CONTRACT FOR DISEASE SURVEILLANCE PROGRAM
(WEST NILE VIRUS SURVEILLANCE AND TESTING)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 a Task Order Contract for Disease
Surveillance (West Nile Virus Surveillance and Testing) 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, 2008, and ending December 31, 2008, with
further terms and conditions being as stated in said task order contract, and
WHEREAS,after review, the Board deems it advisable to approve said task order contract,
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 the Task Order Contract for Disease Surveillance (West Nile Virus
Surveillance and Testing) 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 task order contract.
The above and foregoing Resolution was, on motion duly made and seconded, adopted by
the following vote on the 9th day of June, A.D., 2008.
BOARD OF COUNTY COMMISSIONERS
` WELD COUNTY, COLORADO
ATTEST: )G7 - "t{,--V %Lim
I -'�_) William H. Jerke, Chair
Weld County Clerk to thttBo rt1
t' t -d- 4-* EXCUSED
Robert Q. Masden, Pro-Tem
BY: 1/4 r
Deputy Clerk o the Board
Williaarcia
1 David E. Long
ounty Attorney Cll^�
7 -.. a ademach
Date of signature:
2008-1659
HL0035
Memorandum
TO: William H. Jerke, Chair
Board of County Commissioners
IFROM: Mark E. Wallace, MD, MPH, Direc or
Department of Public Health and_
Environment e f C
COLORADO DATE: May 23, 2008
SUBJECT: Task Order Contract for Disease
Surveillance (West Nile Virus
Surveillance and Testing)
Enclosed for Board review and approval is a task order contract from the Colorado Department
of Public Health and Environment for West Nile Virus surveillance including collection,
identification and submission of dead birds and vector mosquitoes for testing, public education
on prevention, and human case investigation. The contract is for$29,000. Of this amount,
$10,000 are for costs related to the collection and submission of bird and mosquito samples for
testing and investigation of human cases including personnel, travel, and equipment; $4,000 are
for laboratory supplies; and $15,000 are for maintenance of three sentinel mosquito trap zones.
The funds are passed through the Colorado Department of Public Health and Environment from
the Centers for Disease Control. The term for the contract is July 1, 2008 through December 31,
2008 I recommend your approval of this task order contract.
Enclosure
., O_ ' >
• • CD
T r-a
J C_
I . ;
nN 1 'l�
CD �)
2008-1659
•
DI PARTMENI OF PUBLIC IIFAI:ff1 AND FNVIRONMKNF
ROUTING NO.08 FHA 00330
APPROVED TASK ORDER CONTRACT-WAIVER#154
This Task Order Contract is issued pursuant to Master Contract made on 01/23/2007,with routing number 08 FAA 00052
S'TATIi: CONTRACTOR:
State of Colorado for the use& benefit of the Board of County Commissioners of Weld
Department of Public I Iealth and County
Environment 1555 North 17th Avenue
Disease Control and Environmental Greeley,Colorado 80631
Epidemiology Division
Disease Surveillance Investigation
4300 Cherry Creek Drive South
Denver, Colorado 80246
TASK ORDER MADE DATE: CONTRACTOR UNTITY TYPE:
05/20/2008 Colorado Political Subdivision
PO/SC I•NCUM13RANCIC NUMBER:
PO FHA EPI0800330
TERM BULLING STATIINiENTS RuCEI VED:
This Task Order shall be effective upon Monthly
approval by the State Controller, or designee,
or on 06/23/2008, whichever is later. The STNFU TORY AUTHORRY:
Task Order shall end on 12/31/2008. Not Applicable
PRICE slit CONTRACT PRICE NOT TO EXCEED:
Cost Reimbursement $29,000.00
PROCCRIiMI'NT NUM P lD: ItLDIIRAI.FUNDING DOLLARS: $29,000.00
Exempt SLATE FUNDING DOLLARS: $
I31D/RIP/LIST pltCI AGRIIISMI(N'1'N FMB'At: MAXIMUM AMOUNT AVAILA131.P.PERR FISCAL YEAR:
Not Applicable FY 08: $5,000.00
FY 09: $24,000.00
LAW SPECIFIED VENDOR STATUTE: FY XX: $
Not Applicable FY XX: $
FY XX: $
STATI:RI TRIPP INTATIVI::: CONTRACTOR RI:PIUSIINTAIIVI,:
John Pape Board of County Commissioners of Weld County
Department of Public Health and Environment Mark E. Wallace,MPH,MD
DCEED 1555 North 17th Avenue
DST Greeley,Colorado 80631
4300 Cherry Creek Drive South
Denver,CO 80127
SIX PI:OF WORK:
West Nile Virus (WNV) surveillance including collection,identification and submission of dead birds
and vector mosquitoes for testing,public education on prevention and human case investigation.
Page 1 of 4
•
I fXI 1113113.
The following exhibits are hereby incorporated:
Exhibit A- Additional Provisions (and its attachments if any—e.g.,A-1,A-2,etc.)
Exhibit B - Statement of Work and Budget (and its attachments if any—e.g., B-1,B-2,etc.)
Exhibit C - Limited Amendment Template for Task Orders
GENERAL PROVISIONS
The following clauses apply to this Task Order Contract. These general clauses may have been expanded upon or made
more specific in some instances in exhibits to this Task Order Contract. To the extent that other provisions of this Task
Order Contract provide more specificity than these general clauses,the more specific provision shall control.
I. This Task Order Contract is being entered into pursuant to the terms and conditions of the Master Contract
including, but not limited to, Exhibit One thereto. The total term of this Task Order Contract, including
any renewals or extensions, may not exceed five(5)years. The parties intend and agree that all work shall
be performed according to the standards,terms and conditions set forth in the Master Contract.
2. In accordance with section 24-30-202(1), C.R.S., as amended,this Task Order Contract is not valid until it
has been approved by the State Controller, or an authorized delegee thereof. The Contractor is not
authorized to, and shall not;commence performance under this Task Order Contract until this Task Order
Contract has been approved by the State Controller or delegee. The State shall have no financial obligation
to the Contractor whatsoever for any work or services or, any costs or expenses, incurred by the Contractor
prior to the effective date of this Task Order Contract. If the State Controller approves this Task Order
Contract on or before its proposed effective date,then the Contractor shall commence performance under
this Task Order Contract on the proposed effective date. If the State Controller approves this Task Order
Contract after its proposed effective date,then the Contractor shall only commence performance under this
Task Order Contract on that later date. The initial term of this Task Order Contract shall continue through
and including the date specified on page one of this Task Order Contract,unless sooner terminated by the
parties pursuant to the terms and conditions of this Task Order Contract and/or the Master Contract.
Contractor's commencement of performance under this Task Order Contract shall be deemed acceptance of
the terms and conditions of this Task Order Contract.
3. The Master Contract and its exhibits and/or attachments are incorporated herein by this reference and made
a part hereof as if fully set forth herein. Unless otherwise stated,all exhibits and/or attachments to this Task
Order Contract are incorporated herein and made a part of this Task Order Contract. Unless otherwise stated,
the terms of this Task Order Contract shall control over any conflicting terms in any of its exhibits. In the event
of conflicts or inconsistencies between the Master Contract and this Task Order Contract(including its exhibits
and/or attachments),or between this Task Order Contract and its exhibits and/or attachments, such conflicts or
inconsistencies shall be resolved by reference to the documents in the following order of priority: 1)the
Special Provisions of the Master Contract;2)the Master Contract(other than the Special Provisions)and its
exhibits and attachments in the order specified in the Master Contract;3)this Task Order Contract;5)the
Page 2 of 4
Additional Provisions- Exhibit A,and its attachments if included,to this Task Order Contract;4) the
Scope/Statement of Work-Exhibit B,and its attachments if included,to this Task Order Contract;6)other
exhibits/attachments to this Task Order Contract in their order of appearance.
4. The Contractor, in accordance with the terms and conditions of the Master Contract and this Task Order
Contract,shall perform and complete, in a timely and satisfactory manner, all work items described in the
Statement of Work and Budget, which are incorporated herein by this reference,made a part hereof and
attached hereto as"Exhibit B".
5. The State, with the concurrence of the Contractor, may, among other things, prospectively renew or extend
the term of this Task Order Contract, subject to the limitations set forth in the Master Contract, increase or
decrease the amount payable under this Task Order Contract, or add to,delete from,and/or modify this
Task Order Contract's Statement of Work through a"Limited Amendment for Task Orders"that is
substantially similar to the sample form Limited Amendment that is incorporated herein by this reference
and identified as Exhibit C. To be effective,this Limited Amendment must be signed by the State and the
Contractor, and be approved by the State Controller or an authorized delegate thereof. Upon proper
execution and approval,this Limited Amendment shall become a formal amendment to this Task Order
Contract. This contract is subject to such modifications as may be required by changes in Federal or State
law, or their implementing regulations. Any such required modification shall automatically be incorporated
into and be part of this Task Order Contract on the effective date of such change as if fully set forth herein.
6. The conditions,provisions,and terms of any RFP attached hereto, if applicable,establish the minimum
standards of performance that the Contractor must meet under this Task Order Contract. If the Contractor's
Proposal, if attached hereto, or any attachments or exhibits thereto,or the Scope/Statement of Work-
Exhibit B, establishes or creates standards of performance greater than those set forth in the RFP,then the
Contractor shall also meet those standards of performance under this Task Order Contract.
Page 3 of 4
IN WITNESS WHEREOF, the State has executed this Task Order Contract as of 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 and
accept personal responsibility for any and all damages the State may incur for any errors in such
representation.
CONTRACTOR STATE OF COLORADO:
Board of County Commissioners of Weld County BILL RITTER,JR. GOVERNOR
for the use atyd benr of the
Weld County Department of Public Health and Environment
Legal Name of contracting Entity
By dl.)416
For Executive Director
846000813 Department of Public Health and Environment
`-'1-1(— Are Department Program Approval:
Signature of Authorized Officer JUN 0 9 2008
William H. Jer Chair
Print Name&Title utho
ATTEST:
WELD COUNTY CLERK TO W E B +
fy
S;
BY: ito-ll7lzt- C42,4r
DEPUTY CLE K TO THE BOARD (f
ALL CONTRACTS MUST BE A THE STATE CONTROLLER
CRS 24-30-202 requires that the State Controller approve all state contracts. This contract is not valid until the State
Controller,or such assistant as he may delegate, has signed it. The contractor is not authorized to begin performance until
the contract is signed and dated below. If performance begins prior to the date below, the State of Colorado may not be
obligated to pay for the goods and/or services provided.
STATE CONTROLLER:
David J.McDermott CPA
By
Date a it 6
WELD COUNTY DEPARTMENT OF
PUBLIC HEALTH$N ENVI ENT
BY: G`CA
Mark E. Wallace, MD, MPH-Director
Page 4 of 4
der';_- /6-5
5 '
EXHIBIT A
ADDITIONAL PROVISIONS
To Task Order Contract Dated 05/20/2008 - Contract Routing Number 08 FHA 00330
These provisions are to be read and interpreted in conjunction with the provisions of the
Task Order Contract specified above.
Health Insurance Portability and Accountability Act(HIPAA)Business Associate Determination.
The State has determined that this contract does not constitute a Business Associate relationship under
HIPAA.
2, This Task Order Contract contains federal funds(see Catalog of Federal Domestic Assistance(CFDA)
number 93.283)
3. The United State Department of Health and Human Services("USHHS"),through the Centers for Disease
Control and Prevention("CDC")has awarded federal funds under Award number 5U50C1823801-04,
hereinafter"Award",to perform the following—provide West Nile Virus Surveillance (WNV) including
collection,identification and submission of dead birds and vector mosquitoes for testing,public
education on prevention and human case investigation.
If the underlying Award authorizes the State to pay all allowable and allocable expenses of a contractor as
of the effective date of that Award,then the State shall reimburse the Contractor for any allowable and
allocable expenses of the Contractor that have been incurred by the Contractor since the proposed effective
date of this Task Order Contract. If the underlying Award does not authorize the State to pay all allowable
and allocable expenses of a contractor as of the effective date of that Award,then the State shall only
reimburse the Contractor for those allowable and allocable expenses of the Contractor that are incurred by
the Contractor on or after the effective date of this Task Order Contract, with such effective date being the
later of the date specified in this Task Order Contract or the date the Task Order Contract is signed by the
State Controller or delegee.
4. To receive compensation under this Task Order Contract,the Contractor shall submit a signed monthly
Invoice/Cost Reimbursement Statement in a format acceptable to the State.
Invoice/Cost Reimbursement Statements shall: 1)reference this Task Order Contract by its contract routing
number,which number is located on page one of this Task Order Contract;2)state the applicable
performance dates; 3)state the names of payees;4)include a brief description of the services performed
during the relevant performance dates; 5)describe the incurred expenditures if reimbursement is allowed
and requested;and, 6)show the total requested payment. Payment during the initial,and any renewal or
extension,term of this Task Order Contract shall be conditioned upon affirmation by the State that all
services were rendered by the Contractor in accordance with the terms of this Task Order Contract.
Invoice/Cost Reimbursement Statements shall be sent to:
John Pape
DCEED
DSI
Colorado Department of Public Health and Environment
A3
4300 Cherry Creek Drive South
Denver, CO 80246
To be considered for payment, billings for payments pursuant to this Task Order Contract must be received
within a reasonable time after the period for which payment is requested,but in no event no later than sixty
(60)calendar days after the relevant performance period has passed. Final billings under this Task Order
Contract must be received by the State within a reasonable time after the expiration or termination of this
To be attached to CDPHE Page 1 of 2 Revised: 12/19/06
Task Order v1.0(11/05)contract template
EXHIBIT A
Task Order Contract;but in no event no later than sixty(60)calendar days from the effective expiration or
termination date of this Task Order Contract.
Unless otherwise provided for in this Task Order Contract,"Local Match", if any,shall be included on all
billing statements as required by the funding source.
The Contractor shall not use federal funds to satisfy federal cost sharing and matching requirements unless
approved in writing by the appropriate federal agency.
5. Time Limit For Acceptance Of Deliverables.
a. Evaluation Period. The State shall have sixty(60)calendar days from the date a deliverable is
delivered to the State by the Contractor to evaluate that deliverable,except for those deliverables
that have a different time negotiated by the State and the Contractor.
b. Notice of Defect. If the State believes in good faith that a deliverable fails to meet the design
specifications for that particular deliverable, or is otherwise deficient,then the State shall notify
the Contractor of the failure or deficiencies, in writing, within sixty(60)calendar days of: 1)the
date the deliverable is delivered to the State by the Contractor if the State is aware of the failure or
deficiency at the time of delivery;or 2)the date the State becomes aware of the failure or
deficiency. The above time frame shall apply to all deliverables except for those deliverables that
have a different time negotiated by the State and the Contractor in writing pursuant to the State's
fiscal rules.
c. Time to Correct Defect. Upon receipt of timely written notice of an objection to a completed
deliverable,the Contractor shall have a reasonable period of time,not to exceed thirty(30)
calendar days,to correct the noted deficiencies. If the Contractor fails to correct such deficiencies
within *** (**)calendar days,the Contractor shall be in default of its obligations under this Task
Order Contract and the State, at its option,may elect to terminate this Task Order Contract or the
Master Contract and all Task Order Contracts entered into pursuant to the Master Contract.
To be attached to CDPHE Page 2 of 2 Revised: 12/19/06
Task Order v1.0(11/05)contract template
Exhibit
DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT
1555 N. 17th Avenue
Greeley, CO 80631
lID
WEBSITE: www.co.weld.co.us
ADMINISTRATION: (970)304-6410
C FAX: (970)304-6412
O PUBLIC HEALTH EDUCATION & NURSING: (970) 304-6420
FAX: (970)304-6416
ENVIRONMENTAL HEALTH SERVICES:
COLORADO FAX: (970) 304-6411
May 12, 2008
John Pape
Colorado Department of Public Health and Environment
4300 Cherry Creek Drive South.
Denver, CO 80246-1530
Subject: West Nile Virus Surveillance Grant, Scope of Work for 2008
Dear Mr. Pape:
The following is our understanding of the scope of work that the Weld County Department of Public
Health& Environment will perform under the 2008 West Nile virus surveillance grant.
Weld County Health Department (WCHD)
Method of Selection: Sole Source
Period of Performance: 6/1/08 -- 12/31/08
Description of Activities: The contract supports WNV surveillance including
collection, identification and submission of dead birds and vector mosquitoes
for testing, public education on prevention and human case investigation.
Method of accountability: Submission of copies of receipts for equipment purchases.
Completed records of environmental samples tested in zoonotic disease database.
Completed CEDRS records for human cases investigation.
Surveillance $10,000
Costs related to the collection and submission of bird and mosquito samples for
testing and investigation of human cases including personnel, travel and equipment
Laboratory Supplies $4,000
Costs to purchase kits and reagents to perform 100 RT-PCR tests for WNV on birds
and mosquito pools submitted from the region. Provide back-up to CDPHE lab.
Sentinel Mosquito Zones $15,000
Maintenance of three sentinel mosquito trap zones following established protocol.
TOTAL AWARD $29,000
The WCDPHE will accept this funding to accomplish the scope of work as described.
Sincerely, /7Z
pp �.
Mark E. Wallace, MPH,MD
Director
Paae 1 of 1
•
EXHIBIT C
DEPARTMENT OR AGENCY NAME
COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
(ADD PROGRAM NAME HERE)
DEPARTMENT OR AGENCY NUMBER
***
CONTRACT ROUTING NUMBER
ELIMINATE ALL INFORMATION APPEARING IN RED
LIMITED AMENDMENT FOR TASK ORDERS #*
This Limited Amendment is made this **** day of*********, 200*, 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, LEGAL NAME
OF ENTITY, (legal type of entity), whose address or principal place of business is Street
Address, City, State & Zip Code, hereinafter referred to as the "Contractor".
FACTUAL RECITALS
The parties entered into a Master Contract, dated ******** **, ****, with contract routing
number ** *** ***** "the Master Contract").
Pursuant to the terms and conditions of the Master Contract, the parties entered into a Task Order
Contract, dated ******** **, ****, with contract encumbrance number PO *** **********
and contract routing number ** *** *****, [insert the following if previous amendment(s),
change order(s), renewal(s) have been processed: as amended by] [include all previous
amendment(s), change order(s), renewal(s) and their routing numbers], [insert the
following if previous amendment(s), change order(s), renewal(s) have been processed:
collectively] referred to herein as the "Original Task Order Contract, whereby the Contractor was
to provide to the State the following:
[Briefly describe what the Contractor was to do under the Original Task Order
Contract—indent this paragraph]
[Please choose one of the following four options and delete the other three options not
selected]
The State promises to [choose one and delete the other] increase/decrease the amount of funds
to be paid to the Contractor by ********** Dollars, ($*.**) during the current term of the
Original Task Order Contract in exchange for the promise of the Contractor to perform the
[choose one and delete the other] increased/decreased work under the Original Task Order
Contract.
Page 1 of 5
The State promises to pay the Contractor the sum of********** Dollars, ($*.**) in exchange
for the promise of the Contractor to continue to perform the work identified in the Original Task
Order Contract for the renewal term of**** years/months, ending on ******** ** ****.
The State promises to [choose one and delete the other] increase/decrease the amount of funds
to be paid to the Contractor by ********** Dollars, ($*.**)for the renewal term of****
[choose one and delete the other] years/months, ending on ******** **, ****, in exchange
for the promise of the Contractor to perform the [choose one and delete the other]
increased/decreased work described herein.
The State hereby exercises a"no cost" change to the [choose those that apply and delete those
that don't apply[ budget, specifications within the Statement of Work, project
management/manager identification, notice address or notification personnel, or
performance period within the [choose one and delete the other] current term of the
Original Task Order Contract or renewal term of 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 Limited Amendment to the Original Task Order Contract consists
of the payments and services that shall be made pursuant to this Limited Amendment,
and promises and agreements herein set forth.
2. It is expressly agreed to by the parties that this Limited Amendment is supplemental to
the Original Task Order Contract, contract routing number ** *** *****, [insert the
following language here if previous amendment(s), change order(s), renewal(s) have
been processed] as amended by [include all previous amendment(s), change
order(s), renewal(s) and their routing numbers], [insert the following word if
previous amendment(s), change order(s), renewal(s) have been processed, otherwise
delete °collectively"]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 Limited 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:
[Please choose one of the following three options and delete the two options not
selected]
A. [Use this paragraph when changes to the funding level of the Original Task
Order Contract occur during the current term of the Original Task Order
Contract] This Limited Amendment is issued pursuant to paragraph 5 of the
Original Task Order Contract identified by contract routing number ** ***
*****. This Limited Amendment is for the current term of********* **
t
Page 2 of 5
EXHIBIT C
•
****, through and including ********* ** ****. The maximum amount
payable by the State for the work to be performed by the Contractor during this
current term is [choose one and delete the other] increased/decreased by
********** Dollars, (S*.**) for an amended total financial obligation of the
State of********** DOLLARS, ($*.**). [Delete the following sentence if not
applicable in your situation] The revised Statement of Work is incorporated
herein by this reference and identified as "Attachment *". [Delete the following
sentence if not applicable in your situation] The revised Budget is incorporated
herein by this reference and identified as "Attachment *". The Original Task
Order Contract is modified accordingly. All other terms and conditions of the
Original Task Order Contract are reaffirmed.
A. [Use this paragraph when the Original Task Order Contract will be renewed
for another term] This Limited Amendment is issued pursuant to paragraph 5 of
the Original Task Order Contract identified by contract routing number ** ***
*****. This Limited Amendment is for the renewal term of********* **
****, through and including ********* **, ****. The maximum amount
payable by the State for the work to be performed by the Contractor during this
renewal term is ********** Dollars, ($*.**) for an amended total financial
obligation of the State of********** DOLLARS, ($*.**). [Delete the
following sentence if not applicable in your situation] The revised Statement of
Work is incorporated herein by this reference and identified as "Attachment *".
[Delete the following sentence if not applicable in your situation] The revised
Budget is incorporated herein by this reference and identified as "Attachment *".
The Original Task Order Contract is modified accordingly. All other terms and
conditions of the Original Task Order Contract are reaffirmed.
A. Rise this paragraph when there are "no cost changes" to the Budget, the
specifications within the original Statement of Work, allowable contract
provisions as noted, or performance period.] This Limited Amendment is
issued pursuant to paragraph 5 of the Original Task Order Contract identified by
contract routing number ** *** *****. This Limited Amendment [choose those
that apply and delete those that don't] modifies the Budget in [identify
location in contract], modifies the Statement of Work in [identify location in
contract], modifies the project management/manager identification in
[identify location in contract], modifies the notice address or notification
personnel in ]identify location in contract], modifies the period of
performance in [identify location in contract] of the Original Task Order
Contract. The revised [choose those that apply and delete those that don't]
Budget, Statement of Work, project management/manager identification,
notice address or notification personnel, or period of performance is
incorporated by this reference and identified as. All other terms and conditions of
the Original Task Order Contract are reaffirmed.
4. The effective date of this Limited Amendment is **/**/****, or upon approval of the
State Controller, or an authorized delegate thereof, whichever is later.
Page 3 of 5
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 Limited Amendment and any of the terms and provisions of the Original Task Order
Contract, the terms and provisions of this Limited 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 4 of 5
EXHIBIT C
r
IN WITNESS WHEREOF, the parties hereto have executed this Limited 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 and
accept personal responsibility for any and all damages the State may incur for any errors in such
representation.
CONTRACTOR: STATE:
[LEGAL NAME OF CONTRACTOR] STATE OF COLORADO
(a political subdivision of the State of Colorado) Bill Ritter, Jr. Governor
By: By:
Name: For the Executive Director
Title: DEPARTMENT OF PUBLIC
HEALTH AND ENVIRONMENT
PROGRAM APPROVAL:
By:
ALL CONTRACTS MUST BE APPROVED BY THE STATE CONTROLLER
CRS 24-30-202 requires that the State Controller approve all state contracts. This limited
amendment is not valid until the State Controller, or such assistant as he may delegate, has
signed it. The contractor is not authorized to begin performance until the contract is
signed and dated below. If performance begins prior to the date below, the State of
Colorado may not be obligated to pay for goods and/or services provided.
STATE CONTROLLER
David J. McDermott, CPA
By:
Date:
Page 5 of 5
•
Attachment B
if
DEPARTMENT OF PUBLIC HEALTH &ENVIRONMENT
1555 N. 17"Avenue
Greeley, CO 80631
WEBSITE: www.co.weld.co.us
ADMINISTRATION: (970) 304-6410
C FAX: (970) 304-6412
O PUBLIC HEALTH EDUCATION & NURSING: (970) 304-6420
FAX: (970) 304-6416
ENVIRONMENTAL HEALTH SERVICES: (970)304-6415
COLORADO FAX: (970)304-6411
May 12, 2008
John Pape
Colorado Department of Public Health and Environment
4300 Cherry Creek Drive South.
Denver, CO 80246-1530
Subject: West Nile Virus Surveillance Grant, Scope of Work for 2008
Dear Mr. Pape:
The following is our understanding of the scope of work that the Weld County Department of Public
Health&Environment will perform under the 2008 West Nile virus surveillance grant.
Weld County Health Department (WCHD)
Method of Selection: Sole Source
Period of Performance: 6/1/08 -- 12/31/08
Description of Activities: The contract supports WNV surveillance including
collection, identification and submission of dead birds and vector mosquitoes
for testing, public education on prevention and human case investigation.
Method of accountability: Submission of copies of receipts for equipment purchases.
Completed records of environmental samples tested in zoonotic disease database.
Completed CEDRS records for human cases investigation.
Surveillance $10,000
Costs related to the collection and submission of bird and mosquito samples for
testing and investigation of human cases including personnel, travel and equipment
Laboratory Supplies $4,000
Costs to purchase kits and reagents to perform 100 RT-PCR tests for WNV on birds
and mosquito pools submitted from the region. Provide back-up to CDPHE lab.
Sentinel Mosquito Zones $15,000
Maintenance of three sentinel mosquito trap zones following established protocol.
TOTAL AWARD $29,000
The WCDPHE will accept this funding to accomplish the scope of work as described.
Sincerely,
Ikikakdik, /lUteeaffel
Mark E. Wallace, MPH,MD
Director
Paae 1 of 1
Hello