HomeMy WebLinkAbout20031481.tiff RESOLUTION
RE: APPROVE TASK ORDER OPTION TO RENEW LETTER #2 FOR FAMILY PLANNING
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 Task Order Option to Renew Letter#2
for the Family Planning 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 July 1, 2003, and ending June 30, 2004, 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 Task Order Option to Renew Letter#2 for the Family Planning
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 June, A.D., 2003.
BOARD OF COUNTY COMMISSIONERS
WELIUNTY, COLORADO
ATTEST: L
ey
ILA :00: J
'd E. L Chair
Weld County Clerk tote o A ,
6 - bert D. en,
BY: �
Deputy Clerk to the Board`
, M. J. Geile
AP AS • `CL, //Jr.(
� Willia H. Jerk
ount Attbrney� H. _
Glenn Vaade -
Date of signature: //a
2003-1481
HL0030
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May 22,2003 TASK ORDER OPTION TO RENEW LETTER Attachment D
Task Order Option to Renew Letter Number#2, Contract Routing Number 04 FLA 00074
State Fiscal Year 2003-2004 Family Planning Program
This Task Order Option to Renew Letter is issued pursuant to paragraph D. 1. of the Master Contract identified by
contract routing number 00 FAA 00008 and paragraph C.4. of the T+ask Order identified by contract routing
number 02 FLA 00026 and contract encumbrance number PO FLA FPP0200026. This Task Order Option to
Renew Letter is between the COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
and BOARD OF COUNTY COMMISSIONERS OF WELD COUNTY. The Task Order has been amended by
Task Order Option to Renewal Letter#1, contract routing number 03 FLA 00041,Task Order Change Order Letter
#1,contract routing number 02 FLA 00262, and Task Order Change Order Letter#2,contract routing number 03
FLA 00258.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 July 01,2003,through June 30,2004. The maximum
amount payable by the State for the work to be performed by the Contractor during this renewal term is One
Hundred Twenty One Thousand Eight Hundred Forty Four Dollars, ($121,844.00)for an amended total
financial obligation of the State of THREE HUNDRED EIGHTY THOUSAND NINE HUNDRED TWENTY
THREE DOLLARS,($380,923.00) This is an increase of($121,844.00)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 1". The first sentence in paragraph C. 1.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 July 01,2003,whichever is later.
Please sign, date,and return all 4 originals of this Task Order Option to Renew Letter by June 01,2003,to the
attention of Laura Montoya,Colorado Department of Public Health and Environment, Mail Code:
PSD-WHS-A5,4300 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.
BOARD OF COUNTY COMMISSIONERS OF STATE OF COLORADO
WELD COUNTY Bill Owens,Governor COpfl E
(a political subdivision of the state of Colorado) II,AI
for the use and benefit of JUN
1 '2003
WELD COUNTY DEPARTMENT OF Women's Hearth moron
PUBLIC HEALTH AND ENVIRONMENT
By: ‘1. ' By:
Name: David E. Lon: l For a ector
Title: ,- 1 • 1• 11 a DEPARTMENT PUBLIC HEALTH
FEIN: 846000813 B AND ENVIRON T
(Se /� ✓� ' PROGRAM PPR
•
+�
By. By.
Deputy Clerk to ` 1:•a�•e
ALL CONTRA �',?;t�11:��� VED BY THE STATE CONTROLLER
CRS 24-30-202 requires that the St'Co�r 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: WELD COUNTY DEPARTMENT OF
Arthur L.Barnhart PUBLIC HEAL ENVIRONMENT
By: floc a.. 6Y:�,t
Date: �—.2 o 3 Mark E. Wallace, MD, MPH-Director
lo'
Revised:08/30/02 O200 3-Py8
Attachment ],
Agency/Institution Name: Colorado Department of Public Health and Environment
Contractor's Legal Name: Board of County Commissioners of Weld County
Contract Routing Number of the Original Contract or Task Order: 02 FLA 00026
Contract Encumbrance Number of the Original Contract or Task Order: PO FLA FPP0200026
Term of the Original Task Order: July I,2001 -June 30,2002
Current Award:
Title X federal funding from the United States government provides:
$ 83,466.00 for routine family planning services (to be billed at $ 13,911.00 a month,July through December).
All federal funds must be fully expended by December 31,2003.
Finally,a funding source from the State of Colorado provides:
$ 38,378.00 for routine family planning services (to be billed at $ 6,396.33 a month,January through June).
$ 121,844.00 Total Current Award
Family planning services will be provided by the Contractor for approximately 1.468 target clients.
Funds Awarded - Contract Life-to-Date
Routing Number Term State Funds Federal Funds Total Funding
02 FLA 00026 07/01/01 -to- 06/30/02 $ 40,796 $ 56,717 $ 97,513
02 FLA 00262 07/01/01 -to- 06/30/02 $ 20,250 $ - $ 20,250
03 FLA 00041 07/01/02 -to- 06/30/03 $ 49,282 $ 79,442 $ 128,724
03 FLA 00258 07/01/02 -to- 06/30/03 ., $ - $ 12,592 $ 12,592
-to- $ - $ - $ -
-to- $ - $ - $ -
to_ $ - $ - $ -
Subtotal of All Previous Documents: $ 110,328 $ 148,751 $ 259,079
Contract Routing Number of the Current Document: 04 FLA 00074
Contract Encumbrance Number of the Current Document: PO FLA FPP0200026B
Term of the Current Document: 07/01/03-06/30/04
Not to Exceed Amount of Current Document: $ 38,378 $ 83,466 $ 121,844
Total Value of All Documents: $ 148,706 $ 232,217 $ 380,923
lwhite/fam pin attachments/fy04/Weld.xls 5/23/03 9:34 AM
Colorado Department of Public Health and Environment
Contract Reimbursement Statement-Family Planning Program
To: Family Planning Program ATTACHMENT B
PSD-Women's Health Section-A5 WHS phone - 303-692-2492
4300 Cherry Creek Drive South fax this form to Linda White
Denver, CO 80246-1530 fax#: 303-782-0095
FPP
Agency Tax ID Number Contract Number Month/Year
Please submit within 10 days of end of month and by June 30.
Amount requested for:
$ Title X Contraceptive Services Dollars (July- December 2003)
$ State Contraceptive Services Dollars (January-June 2004)
$ Title X Sterilization Services Dollars (July- December 2003)
$ State Sterilization Services Dollars (January-June 2004)
$ Federal - Chlamydia Lab Testing Dollars (July- December 2003)
$ Other
Total amount requested: $ -
This is to certify that these services were provided per above referenced contract and reimbursement is requested for same.
Signature Date
Print Name Phone with area code
I hereby certify that all contract requirements have been met and the amounts billed are correct. Payment is authorized.
(CDPHE Authorized Designee)
J:\Fiscal\Contract AttachmentslFamily Planning Invoice Form
Linda White(6/10/03)303-692-2492 Form B-Revised 6/10/03
Memorandum
29
wilpTO: David E. Long, Chair
C Board of County Commissioners I
•
COLORADO FROM: Mark E. Wallace, MD, MPH, Director
Department of Public Health and
Environment/A
DATE: June 3, 2003
SUBJECT: Task Order Renewal Letter for the Family
Planning Program
Enclosed for Board review and approval is Task Order Renewal Letter#2 between the Colorado
Department of Public Health and Environment (CDPHE) and Weld County for the Family
Planning Program.
Under the provisions of this renewal letter, Weld County will be reimbursed an amount not to
exceed $121,844 for the time period July 1, 2003 through June 30, 2004 for the Department of
Public Health and Environment to provide contraceptive services to both men and women in
their reproductive years. These services will include education and counseling, comprehensive
health and social histories, physical examinations, supplies, follow-up and/or referral services.
I recommend your approval of this task order renewal letter.
Enclosure
2003-1481
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