HomeMy WebLinkAbout20053310.tiff RESOLUTION
RE: APPROVE TASK ORDER FOR IMMUNIZATION PROGRAM 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 for the Immunization Program
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 1,2006,and ending December 31,2006,with further terms and conditions being as stated
in said task order, and
WHEREAS,after review, the Board deems it advisable to approve said task order, 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 for the Immunization Program 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.
The above and foregoing Resolution was,on motion duly made and seconded,adopted by
the following vote on the 9th day of November, A.D., 2005.
��..� BOARD OF COUNTY COMMISSIONERS
IE���` WELD COUNTY, COLORADO
ATTEST: %' 7` _'� I >Yf _-r
f .; 4 illiam H. Je e, Chair
Weld County Clerk to th o-.:'
/ � '. M. ile, o- m
BY: I , 2' lGtl7�� ) ;_`9✓�
D puty slt rk to the oard
Da • E. Lon
ED AS TQO�tM:
- / Robelyrt Maslen
o Attorney
I Glenn Vaed—
__`
Date of signature: `27/CS
2005-3310
(� NL HL0032
Memorandum
TO: William H. Jerke, Chair
Board of County Commissioners
I C FROM: Mark E. Wallace, MD, MPH Director,Department of Public Health
and Environment nQ �,
COLORADO n �j DATE: October 31,2005 / k ` Q5('( W
SUBJECT: Task Order for the Immunization
Program
Enclosed for Board review and approval is a task order between the Colorado Department of
Public Health and Environment(CDPHE) and Weld County for the Immunization Program.
Under the provisions of this task order, Weld County will receive an amount not to exceed
$47,387 which is all Federal pass through funding. These funds will be used to provide
community education regarding the rules of the Colorado Board of Health pertaining to the
immunization of students attending school and rules pertaining to the infant immunization
program. WCDPHE will also conduct reminder/recall activities, will collaborate with the State's
Supplemental Nutrition Program (WIC), will serve as a resource for the Weld County
Immunization Coalition, and will provide walk-in immunization clinics each month
for persons of all ages. The time period of this task order is from January 1, 2006 through
December 31, 2006.
I recommend your approval of this task order.
Enclosure
2005-3310
i •
•
DEPARTMENT OR AGENCY NAME
COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
DEPARTMENT OR AGENCY NUMBER
FHA
CONTRACT ROUTING NUMBER
06-00175
TASK ORDER
Immunization Program
This Task Order is made this 7TH day of OCTOBER,2005 by and between:the state of Colorado,acting by and
through the COLORADO 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 kplitical subdivision of the State of Colorado) whose address or principal place of business is 1555 NORTH
lrn AVENUE.GREELEY COLORADO 80631.for the use and benefit of the Weld County Depart meat of
Public Health and Environment, whose address or principal place of business is 1555 North 17 Avenue,
Greeley Colorado 80631.hereinafter referred to as the"Contractor".
FACTUAL RECITALS
Pursuant to section 25-4-1702,et sea..C.R.S.as amended,the General Assembly of the state of Colorado has
declared that vaccine preventable diseases represent a serious public health threat to the people of this state of
Colorado. Section 25-4-902,CRS.,as amended,mandates that no child shall attend any school in the state of
Colorado unless a certificate of immunization is presented to an appropriate school official which establishes that
the child has received all necessary immumizations against those communicable diseases identified by the state of
Colorado Board of Health. Section 25-4-905,C.RS.,as amended,further states that a local health department,a
public health or school nurse(under the supervision of a licensed physician),or the department of public health and
environment in the absence of a local health department or public health nurse shall provide,at public expense to the
extent that funds are available,those immunizations which are required by Part 9 of Article 4 of Title 25,C.RS.,to
each child whose parents or guardians cannot afford to have the child immunized or,if emancipated,who cannot
afford immunization and who has not otherwise been exempted under section 24-4-903,C.RS.,as amended.
The United State Department of Health and Human Services("USDHHS"),through the Center of Disease Control
("CDC"),has awarded the State federal funds under Notice of Cooperative Agreement Award("NCAA")number
H23/CCH822564-03 to increase and enhance the availability of age appropriate immunizations for vaccine
preventable diseases. (See,Catalog of Federal Domestic Assistance("CFDA")number 93.268. The State has
formulated a comprehensive State plan,with associated budgets,to disburse these funds throughout the state of
Colorado. Under this comprehensive State plan,the State shall allocate these funds to qualified entities to provide
age appropriate immunizations for vaccine preventable diseases to the citizens of the state of Colorado on behalf of
the State.
Section 29-1-201,C.RS.as amended,encourages governments to make the most efficient and effective use of their
powers and responsibilities by cooperating and contracting with each other to the fullest extent possible to provide
any function,service,or facility lawfully authorized to each of the cooperating or contracting entities. Section 29-1-
201,C.RS.,as amended,further states that all state of Colorado contracts with its political subdivisions are exempt
from the state of Colorado's personnel rules and procurement code.
The Contractor is a political subdivision of the state of Colorado. The State and the Contractor mutually agree that
the most efficient and effective way to provide the above-described services is at the local level. The State and the
Contractor previously entered into a Master Contract with contract routing number 05 FAA 00054. This Task Order
is issued pursuant to the terms and conditions of that Master Contract.
Page 1 of 5
As to the State,authority evicts in the law and Funds have been budgeted,appropriated,and otherwise made
available,and a sufficient uncommitted balance thereof remains available for subsequent encumbering and payment
in Fund Code(s)la,Organizational Unit Code(s)3620 Appropriation Code(s)373,Program Code(s)
Function Code(s)FLWT.Object Code(s)5520,and Grant Budget Line Code(s)KA62 under Contract encumbrance
number PO FHA IMM0600175. All required approvals,clearances,and coordination have been accomplished
from and with all appropriate agencies.
NOW,THEREFORE,in consideration of their mutual promises-to each other,stated below,the parties hereto
agree as follows:
A. PERIOD OF PERFORMANCE AND TERMINATION The proposed effective date of this Contract is
January 1.2006. However,in accordance with section 24-30-202(1),C.RS.,as amended,this Task Order
is not valid until it has been approved by the State Controller,or an authorized designee thereof If the
underlying notice of award authorizes the State to pay all allowable and allocable expenses of a contractor
as of the effective date of that notice of award,then the State shall reimburse the Contractor for any
allowable and allocable expenses of the Contractor that have been incurred since the proposed effective
date of this Task Order. If the underlying notice of award does not authorize the State to pay all allowable
and allocable expenses of a contractor as of the effective date of that notice of award,then the State shall
only reimburse the Contractor for thrice allowable and allocable expenses of the Contractor that were
incurred on or after the effective date of this Task Order. The initial term of this Task Order shall
commence on its effective date and continue through and including December 31.2006. This Contract is
funded entirely with federal funds. Therefore,the State's liability for payment for all services rendered,or
goods supplied,under this Task Order is contingent upon the State's receipt of those federal funds. If the
State does not receive all,or any part,of the federal fiords necessary to pay its obligations under this Task
Order,then the State may immediately amend or terminate this Task Order without further liability to the
State. In accordance with section 24-103-503,C.A.S.,as amended,and Colorado Procurement Rule R-24-
103-503,the total term of this Task Order,including all automatic renewals,bilateral options to renew,and
extensions,may not exceed five(5)years.
B. DUTIES AND OBLIGATIONS OF THE CONTRACTOR The Contractor,in accordance with the
terms and conditions of the Master Contract and this Task Order,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"Attachment A"and
"Attachment B",respectively.
£ DUTIES AND OBLIGATIONS OF THE STATE.
1. The Contractor shall be compensated in accordance with the rates set forth in Attachment B
hereto. In consideration of those services satisfactorily and timely performed by the Contractor
under this Task Order the State shall cause to be paid to the Contractor a sum not to exceed
FORTY-SEVEN THOUSAND THREE HUNDRED EIGHTY-SEVEN DOLLARS
(547.387.00)for the initial term of this Task Order. Of the total financial obligation of the State
referenced above,$47.387.00 are identified as attributable to a funding source of the United States
government and,MOO are identified as attributable to a funding source of the state of Colorado.
2. Reimbursement under this Task Order,and any renewal or extension hereof,shall be made to the
Contractor by the State on a monthly basis. Accordingly,the Contractor shall be paid one twelfth
(1/12)of the State's financial obligation under this Task Order each month. The Contractor shall
be reimbursed THREE THOUSAND NINE HUNDRED FORTY-NINE DOLLARS
($3,949.00)a month. The final payment for the initial term of this Task Order,and any renewal or
extension hereof,is contingent upon the State's timely receipt of an annual statement from the
Contractor in the form attached hereto as"Attachment C"which is incorporated here by this
reference,made a part hereof,and attached hereto,for the contract term.
Page 2 of 5
3. The State may prospectively increase or decrease the amount payable under this Task Order
through a"Task Order Change Order Letter"that is substantially similar to the sample Task Order
Change Order Letter that is incorporated herein by this reference,made a part hereof,and attached
hereto as"Attachment D". To be effective,a Task Order Change Order Letter must be:signed by
the State and the Contractor,and,approved by the State Controller or an authorized designee
thereof. Additionally,a Task Order Change Order Letter shall include the following information:
A. Identification of the related Master Contract and this Task Order by their respective
contract routing numbers and affected paragraph number(s);
B. The type(s)of service(s)or program(s)increased or decreased and the new level of each
service or program;
C. The amount of the increase or decrease in the level of funding for each service or
program and the new total financial obligation;
D. A provision stating that the Task Order Change Order Letter is effective upon approval
by the State Controller,or designee,or its proposed effective date,whichever is later.
Upon proper execution and approval,a Task Order Change Order Letter shall become an
amendment to this Task Order. Except for the General and Special Provisions of the Master
Contract,and the Additional Provisions of the Task Order,if any,the Task Order Change Order
Letter shall supersede this Task Order in the event of a conflict between the two. It is expressly
understood and agreed to by the parties that the task order change order letter process may be used
only for increased or decreased levels of funding,corresponding adjustments to service or program
levels,and any related budget line items. Any other changes to this Task Order,other than those
authorized by the task order option to renew letter process described below,shall be made by a
formal amendment to this Task Order executed in accordance with the Fiscal Rules of the state of
Colorado.
If the Contractor agrees to and accepts a proposed Task Order Change Order Letter,then the
Contractor shall execute and return that Task Order Change Order Letter to the State by the date
indicated in that Task Order Change Order Letter. If the Contractor does not agree to and accept a
proposed Task Order Change Order Letter,or fails to timely return a partially executed Task Order
Change Order Letter by the date indicated in that Task Order Change Order Letter,then the State
may,upon written notice to the Contractor,terminate this Task Order no sooner than thirty(30)
calendar days after the return date indicated in the Task Order Change Order Letter has passed.
This written notice shall specify the effective date of termination of that Task Order. If a Task
Order is terminated under this clause,then the parties shall not be relieved of their respective
duties and obligations under that Task Order until the effective date of termination has passed.
Increases or decreases in the level of contractual finding made through the task order change
order letter process during the initial,or renewal,term of a Task Order may only be made under
the following circumstances:
E. If necty to fully utilize appropriations of the state of Colorado and/or non-
appropriated federal grant awards;
F. Adjustments to reflect current year expenditures;
G. Supplemental appropriations,or non-appropriated federal funding changes resulting in an
increase or decrease in the amounts originally budgeted and available for the purposes of
a Task Order;
Page 3 of 5
R Closure of programs and/or termination of related contracts or task orders;
I. Delay or difficulty in implementing new programs or services;and,
J. Other special circumstances as deemed appropriate by the State.
4. The State may renew a Task Order through a"Task Order Option to Renew Letter"substantially
similar to the sample Task Order Option to Renew Letter that is incorporated herein by this
reference,made a part hereof,and attached hereto as"Attachment E". To be effective,a Task
Order Option to Renew Letter must be: signed by the State and the Contractor;and,approved by
the State Controller or an authorized designee thereof. Additionally,a Task Order Option to
Renew Letter shall include the following information:
A. Identification of the related Master Contract and that Task Order by their respective
contract routing numbers and affected paragraph number(s);
B. The type(s)of service(s)or program(s),if any,increased or decreased and the new level
of each service or program for the renewal term;
C. The amount of the increase or decrease,if any,in the level of funding for each service or
program and the new total financial obligation;
D. A provision stating that the Task Order Option to Renew Letter is effective upon
approval by the State Controller,or designee,or its proposed effective date,whichever is
later.
Upon proper execution and approval,a Task Order Option to Renew Letter shall become an
amendment to this Task Order. Except for the General and Special Provisions of the Master
Contract,and the Additional Provisions,if any of that Task Order,a Task Order Option to Renew
Letter shall supersede that Task Order in the event of a conflict between the two. his expressly
understood and agreed to by the parties that the task order option to renew letter process may be
used only to: renew a Task Order;increase or decrease levels of funding related to that renewal;
make corresponding adjustments to service or program levels,and,adjust any related budget line
items. Any other changes to a Task Order,other than those authorized by the task order change
order letter process described above,shall be made by a formal amendment to a Task Order
executed in accordance with the Fiscal Rules of the state of Colorado.
If the Contractor agrees to and accepts a proposed Task Order Option to Renew Letter,then the
Contractor shall execute and return that Task Order Option to Renew Letter to the State by the
date indicated in that Task Order Option to Renew Letter. If the Contractor does not agree to and
accept the proposed renewal term,or fails to timely return a partially executed Task Order Option
to Renew Letter by the date indicated in that Task Order Option to Renew Letter,then the State
may,upon written notice to the Contractor,terminate this Task Order no sooner than thirty(30)
calendar days after the return date indicated in the Task Order Option to Renew Letter has passed.
This written notice shall specify the effective date of termination of that Task Order. If a Task
Order is terminated under this clause,then the parties shall not be relieved of their respective
duties and obligations under that Task Order until the effective date of termination has passed.
5. All attachments or exhibits to this Task Order are incorporated herein by this reference and made a
part hereof as if fully set forth herein. If a conflict or inconsistency is found to exist between the
terms and conditions of this Task Order and those of any attachment or exhibit hereto,then the
terms and conditions of this Task Order shall control.
IN WITNESS WHEREOF,the parties hereto have executed this Task Order as of the day first above written.
Page 4 of 5
CONTRACTOR: STATE:
BOARD OF COUNTY COMMISSIONERS,
OF WELD COUNTY STATE OF COLORADO
(a political subdivision of the state of Colorado) Bill Owens,Governor
for the use and benefit of the Weld County
Department of Public Health and Environment
By:
Name: William H. Jerke For the D' r
Title: Chair DEPARTMENT OF UBLIC HEALTH
FEIN: 84-6000813 AND ENVIRONMENT
Date: NOV IN 9 7UU5 Date:
ATTFS�71 / PROGRAM APPROVAL:
:1861 �.�.,.., Jb� �'G� 1
t,. 1 co F I By �r� 1 L. R } n^1 (L
4 II IA1 y�
reputy Clerk to the Board
APPROVALS:
ALL CONTRACTS MUST BE APPROVED BY 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 be 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:
Leslie M.Shenefelt
WELD COUNTY DEPARTMENT OF
PUBLIC
_ I
HEALTH ?i EENVIR0NMENT
BY:�A \0K it 1 Cam- By: l/
Mark E. Wallace, MD, MPH•Director
Date: c
Revised: 11/30/02
Page 5 of 5
c7c1os_ 33/1
Attachment A
Statement of Work
Term: January 1,2006 through December 31,2006
Immunization Program
1. The Contractor shall promote,sponsor&educate providers regarding the importance of active participation
in reminder/recall activities by engaging in one(I)or all of the following activities:
• Implement clinic based reminder/recall system.
• Collaborate to implement clinic or practice based reminder/recall systems in the community.
(i.e.,Colorado Immunization Information System-CIIS)
• Conduct trainings regarding implementing clinic or practice based reminder/recall systems.
2. The Contractor shall assure children in their community have access to vaccinations by engaging in one(1)
or all of the following activities:
A. Conduct onsite clinics with optimal access to services such as:
• Expanded clinic hours at a minimum of one(1)of the Contractor's clinics to permit clients to
obtain necessary vaccinations during at least one(1)evening or one(1)weekend per month.
• provide"express lane"and/or"drop in"appointments.
B. Collaborate with one or more agencies/private providers in their community to:
• Provide immunization services at sites other than the Contractor's site.
• Ensure that immunization histories are assessed and that children are referred for immunization
services.
• Distribute educational materials about immunizations and locally available immunization services.
3. The Contractor shall provide local support for state immunization initiatives through the Colorado
Supplemental Nutrition Program-Women,Infants,and Children(WIC)and/or the Colorado Department of
Human Services Supplemental Food Program(a P). Examples may include:
• Vaccinations available on site.
• Immunization histories are assessed and children are appropriately referred.
• Distribute educational materials about immunizations and locally available immunization services.
4. Alternative strategies may be implemented based on local need after consultation with the Immunization
Program Contract Monitor.
C:\Documents and Settings\exapotinLocal Settings\Tanp\Attachml.doc
Page 1 of 2
5. The Contractor shall submit two(2)online Immunization Program progress reports to the State. Each
progress report is due within fifteen(15)calendar days of the end of each reporting period. The progress
reports shall document the Contractor's progress towards completion of the activities described herein. The
Contractor's July and December billings shall not be reimbursed by the State until the requisite progress
report is submitted to the State by the Contractor. Reporting period and progress report due dates are as
follows:
Progress Period Due Date
January I-June 30,2006 July 15,2006
July 1-December 31,2006 January 15,2007
The Contractor shall complete the online progress report and submit it to:
Immunization Program Contractor Monitor
Colorado Department of Public Health and Environment
4300 Cherry Creek Drive South
DCEED-IMM-A4
Denver,Colorado 80246-1530
C:\Documents and Seningskxapolin\Local Settings\Temp\Attachml.doc
Page 2 of 2
Attachment B
BUDGET
APPLICANT: Weld County Department of Public Health and Environment
PROJECT: Immunization Program
FOR lilt PERIOD: January 1,2006 throuth December 31,2006
Funded
by
CDPH t
Total Budget for Renewal Term $47,387
Monthly Payment (See I.and 2.below for payment requirements) $3,949
1. July 2006 payment is contingent upon receipt of the online Immunization Progress Report
2. December 2006 payment is contingent upon receipt of the online Immuniration Progress Report
and the"Yearly Contract Reimbursement Statement"
Attachment C
COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
DIVISION OF PREVENTION AND INTERVENTION FOR CHILDREN AND YOUTH
IMMUNIZATION PROGRAM
YEARLY CONTRACT REIMBURSEMENT CERTIFICATION FORM
DUE DATE: January 15,2006
TO: Colorado Department of Public Health and Environment
Immunization Program
4300 Cherry Creek Drive South
IMM—A4
Denver,Colorado 80246-1530
FROM:
Tax ID#:
This is to certify that the contract services have been performed per Contract Routing
Number for the period of January 1, 2005 through December 31, 2005.
SIGNATURE
Contractor or Authorized Designee Date
I hereby certify that all contract requirements have been met and final payment of
$ for contract services for the period of January 1, 2005 through
December 31, 2005 is authorized.
SIGNATURE
Program Director or Authorized Designee Date
111MMUNIZATI0NNCONIRACTSWY0Nmiounizeiicats Anil ConOsaa Aai bunament Catlf:eon Faun doe
Attachment I)
TASK ORDER CHANGE ORDER LETTER
[Date]
Task Order Change Order Later Number Contract Routing Number***""
State Fiscal Year 20•"-20*", Program
This Task Order Change Order Letter is issued pursuant to paragraph•_*.of the Master Contract identified as
contract routing number** *** and paragraph*. *. of the Task Order identified as contract routing number
** *** and contract encumbrance number** *** . This Task Order Change Order Letter is
between the COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT and JLEGAL
NAME OF CONTRACTOR!. The Task Order has been amended by Task Order Option to Renew Letter*"•
contract routing number***0* and/or Task Order Change Order Letter""-contract routing number"* "**
— if any. The Task Order,as amended,if applicable,is referred to as the"Original Task Order". This Task
Order Change Order Letter is for the current term of ** """* through "*."""". The
maximum amount payable by the State for the work to be performed by the Contractor during this current term is
increased/decreased by Dollars,(S".")for an amended total financial obligation of the State of
DOLLARS *."* . The revised specifications to the original Scope of Work and the revised Budget
are incorporated herein by this reference,made a part hereof,and attached hereto as"Attachment*"and
"Attachment *". The first sentence in paragraph"_"".of the Original Task Order is modified accordingly. All
other terms and conditions of the Original Task Order are reaffirmed. This change to the Task Order shall be
effective upon approval by the State controller,or designee,or on **.**"* whichever is later.
P'ease sign,date,and return all""originals of this Task Order Change Order Letter by ""."*"• to the
attention of: ,Colorado Department of Public Health and Environment,4300
Cherry Creek Drive South,Mail Code***-**•--**,Denver,Colorado 80246. One original of this Task Order
Change Order Letter will be returned to you when fully approved.
[LEGAL NAME OF CONTRACTOR] STATE OF COLORADO
(a political subdivision of the state of Colorado) Bill Owens,Governor
By: By:
Name: For the Executive Director
Title: DEPARTMENT OF PUBLIC HEALTH
FEIN: AND ENVIRONMENT
PROGRAM APPROVAL:
(Seal-Required)
By:
ATTEST(required):
By:
ALL CONTRACTS MUST BE APPROVED BY 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
Leslie M.Shenefelt
By:
Date:
Attachment E
TASK ORDER OPTION TO RENEW LETTER
[Date]
Task Order Option to Renew Letter Number**, Contract Routing Number*****
State Fiscal Year 20**-20** Program
This Task Order Option to Renew Letter is issued pursuant to paragraph_*.of the Master Contract identified by
contract routing number** *** and paragraph*.*. of the Task Order identified by contract routing number
** *** and contract encumbrance number** *** . This Task Order Option to Renew Letter is
between the COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT and'LEGAL
NAME OF CONTRACTOR!. The Task Order has been amended by Task Order Change Order Letter** contract
routing number** *** and/or Task Order Option to Renew Letter•*,contract routing number** ***
if any. The Task Order,as amended,if applicable,is referred to as the"Original Task Order". This Task
.* *•••.
Order Option to Renew Letter is for the renewal term of ***• through **. 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 This
is an increase/decrease of(S*..*)of the amount payable from the previous term. The Budget for this renewal term
is incorporated herein by this reference,made a part hereof,and attached hereto as"Attachment*". The first
sentence in paragraph"_*.of the Original Task Order is modified accordingly. All other terms and conditions of
the Original Task Order are reaffirmed This Task Order Option to Renew Letter is effective upon approval by the
State Controller,or designee,or on **.**** whichever is later.
Please sign,date,and return all**originals of this Task Order Option to Renew Letter by ** *"** to
the attention of ,Colorado Department of Public Health and Environment,Mail
Code**!**!**,4300 Cherry Creek Drive South,Denver,Colorado 80246. One original of this Task Order
Option to Renew Letter will be returned to you when fully approved.
[LEGAL NAME OF CONTRACTOR] STATE OF COLORADO
(a political subdivision of the state of Colorado) Bill Owens,Governor
Br Br
Name: For the Executive Director
DEPARTMENT OF PUBLIC HEALTH
FEIN: AND ENVIRONMENT
PROGRAM APPROVAL:
(Seal-required)
By:
ATTEST(required):
By:
ALL CONTRACTS MUST BE APPROVED BY 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:
Leslie M.Shenefelt
Br
Date:
Hello