HomeMy WebLinkAbout931051.tiff RESOLUTION
RE: APPROVE CHILD HEALTH PROGRAM CONTRACT BETWEEN HEALTH DEPARTMENT AND
COLORADO DEPARTMENT OF HEALTH AND AUTHORIZE CHAIRMAN 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 Child Health Program Contract
between the Weld County Health Department and the Colorado Department of Health,
commencing October 1, 1993, and ending September 30, 1995, with further terms and
conditions being as stated in said contract, and
WHEREAS, after review, the Board deems it advisable to approve said
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 Child Health Program Contract between the Weld County
Health Department and the Colorado Department of Health be, and hereby is,
approved.
BE IT FURTHER RESOLVED by the Board that the Chairman be, and hereby is,
authorized to sign said contract.
The above and foregoing Resolution was, on motion duly made and seconded,
adopted by the following vote on the 11th day of October, A.D. , 1993, nunc pro
tunc October 1, 1993.
I /)
BOARD OF COUNTY COMMISSIONERS
ATTEST: /09 I % 1, / WELD COUNTY, COLORADO
Weld County Cle k to the Board (6-1 _e_.
Constance L. Harbert, Chairman
g
BY: /�4f, /�"' 'L..4 i�i r it .�+/l,% _ity
Deputy Clerk to the Board_ W. . Webster, Pro-Tem 6
APPROVED A 0 FORM: EXCUSED
George E. Bax r
my Attorney w Dale K. Hale
EXCUSED
Barbara J. Kirkmeyer
931051
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FORM 6-AC-OZA(R5/85)
DEPARTMENT OR AGENCY NAME
Health
DEPARTMENT OR AGENCY NUMBER
ROUTING NUMBER
940672
CONTRACT
THIS CONTRACT, made this 1st day of October, 1993 , by and
between the State of Colorado for the use and benefit of the
Department of Health, 4300 Cherry Creek Drive South, Denver,
Colorado, 80222-1530, hereinafter referred to as the State and
2Weld County Health Department, 1517 16th Avenue Court, Greeley,
Colorado 80631 hereinafter referred to as the Contractor.
WHEREAS, authority exists in the Law and Funds have been
budgeted, appropriated and otherwise made available and a
sufficient uncommitted balance thereof remains available for
encumbering in and subsequent payment of this contract under
Encumbrance No.WCH940672 in Fund number 100, Appropriation Account
585, and Organization 6710
WHEREAS, required approval, clearance and coordination has
been accomplished from and with appropriate agencies: and
WHEREAS, the State has formulated a comprehensive State Plan
to carry out a Maternal and Child Health Program, funded by Federal
Health and Human Services funds; and
WHEREAS, said comprehensive State Plan and Federal budget
allocates funds to be utilized for the implementation of the
program through various agencies in order to provide these health
care services to the people of Colorado; and
WHEREAS, the Contractor is considered by the State to be an
appropriate agency to provide these services as herein set forth.
NOW THEREFORE, it is hereby agreed that for and in
consideration of their mutual promises to each other, hereinafter
stated, the parties hereto agree as follows:
1. The Contractor will provide Child Health Services between
10/1/93 to 09/30/94 , to a minimum of 600 unduplicated clients 0-16
years of age through public health nursing prevention and health
promotion activities designed to enhance the health status of
children. Public health nursing assessments and interventions
shall be consistent with recommendations for child health care as
delineated in the Colorado Department of Health Child Health
Manual , Screener Manual, Well Child Flow sheet and age appropriate
forms and other policies and guidelines which have or will be made
available to the contractor and shall include, a, c, d and e below,
and b as appropriate & indicated below:
Page 1 of 8 Pages 931051
a. Well Child Clinic Services to include:
i. A complete health history and unclothed physical exam
ii. Age-appropriate screening, including developmental screening
iii. Age-appropriate immunizations
iv. Age-appropriate anticipatory guidance and teaching of risk-
reducing behaviors to parents
v. Appropriate nursing management and/or referral to appropriate
resources of children exhibiting actual or potential problems
in physical and/or psychosocial/emotional status.
b. Home visiting services as an adjunct to clinical services, not to
include postpartum newborn visits through the Colorado Prenatal Program,
to infants and children and their families, the primary purpose of which
is public health nursing intervention designed to reduce the risk of
injury and disease to the child and to strengthen child and family
development.
c. Provide evidence that 92% of all 2 year old children who have been
enrolled in Contractor's Well Child Clinics for at least one year
are current on recommended immunizations, including Hemophilus B.
d. Provide a description of at least two activities, the primary
purpose of which is the prevention of, or early intervention in,
child abuse and neglect, which the Contractor has implemented of in
which the contractor has played an active role.
e. Provide case finding, referral and reasonable follow-up for children
eligible for the Handicapped Children's Program.
2. The Contractor will, whenever possible, use para-professional Screeners to
perform screening components of Well Child Services, specifically the Denver
Developmental Screening Test (Denver II) . Screeners will be trained and
evaluated as determined appropriate by the State Screening Program Manager.
Contractor will assign public health nurse(s) to provide day-to-day direction for
these screeners.
3. The Contractor will submit to the State screening data utilizing the
ADD'S:5 data system, CoTrack data system, or other system as may be implemented
or approved by the State.
4. By September 30, 1994 and September 30, 1995 a qualitative audit will be
done on 10% of currently enrolled and active Well Child records, using the State
Child Health Impact Tool or similar paper or computerized audit format approved
by the Child Health Program Director. A copy of the aggregate audit results
shall be submitted to the Child Health Program Director and shall demonstrate
that 65% of the problems identified in Well Child Clinic clients have shown
resolution and/or improvement.
5. The Contractor will provide to the State in writing the total dollar amount
that was reimbursed to them for EPSDT/Medicaid screenings provided in Well Child
Clinics by December 31, 1994 and December 31, 1995.
6. The Contractor will submit to the State, at the request of the Child Health
Program Director, written or computerized progress reports and data indicating
numbers of children served and other relative information.
7 . Title V funds may not be used to pay for any item or service (other than
an emergency item or service) furnished by an individual or entity convicted of
a criminal offense under the Medicare or any State health care program (i.e. ,
Medicaid, Maternal and Child Health, or Social Services Block Grant programs) .
Page 2 of 8 Pages
931051
8. The Contractor shall: (1) inform potentially eligible recipients that the
"Colorado Baby Care/Kid's Care Program" (BC/KC) exists and that potentially
eligible recipients should apply for coverage under that program through the
local county department of Social Services; (2) inform the potential recipient
that BC/KC may be a potential source of payment for their child's care; and (3)
inform the potential recipient that in order to receive continuing coverage under
BC/KC they be encouraged to complete an application fully as soon as possible
(BC/KC allows for up to 60 days of presumptive eligibility for pregnant women who
are registered with Medicaid. ) ; and (4) obtain from Medicaid and have present at
their facility current information regarding eligibility and services under
BC/KC. Potentially eligible recipients are pregnant women, up to two months
postpartum, and their babies up to one year of age, who are reasonably believed
to meet BC/KC family financial requirements.
9. The Contractor will submit to the State new federally required data on the
number of patients and the number of visits by: category of patient (mothers and
infants, children and adolescents, children with special health care needs) ; type
of service (prenatal care, postpartum care, preventive and primary care, family
planning, other, service to children with special health care needs) ; race
(white, black, American Indian, Pacific Islander, other) ; Hispanic origin (yes
or no) ; and source of payment (Medicaid EPSDT, Medicaid, other sources,
insurance, self-pay, no source) . The Progress Reports will be revised by the
State to include the data items listed above. Estimates must be provided until
such time as actual numbers can be submitted.
10. The Contractor will not charge for services those individuals of families
at or below the official poverty line as defined by the Office of Management and
Budget in accordance with Title V, Section 501 (B) (2) and Section 505 (2) (d) .
The 100% of poverty income guideline for farm or non-farm families is currently
at $9,430 for a family of 2; $11,890 for a family of 3; $14,350 for a family of
4; $16,810 for a family of 5; $19,270 for a family of 6; $21,730 for a family of
7; $24,190 for a family of 8. For families of more than eight, add $2,460 for
each additional member. These guidelines will change during the contract year.
When the new poverty income guidelines are received by the State from the Office
of Management and Budget, they will be forwarded to the Contractor and should be
used upon receipt. -
11. If any charges are imposed for services to clients who are above the 100%
of poverty level, such charges must be on a sliding scale which takes into
account the client's family size, income and resources. These charges and the
sliding fee scale must be made available to the general public and to all clients
and must be based on the agency's usual and customary cost for the service.
12. The Contractor shall protect the confidentiality of all applicant/recipient
records and other materials that are maintained in accordance with this contract.
Except for purposes directly connected with the administration of this
Program/Project, no information about or obtained from any applicant/recipient
shall be disclosed in a form identifiable with the applicant/recipient without
the prior written consent of the applicant/recipient or a minor's parent or
guardian or as otherwise properly ordered by a court of competent jurisdiction.
The contractor shall have written policies governing access to duplication and
dissemination of all such information. The Contractor shall advise its
employees, agents, servants, and subcontractors, if any, that they are subject
to these confidentialities.
13. Contractor agrees to provide services to all program participants and
employees in a smoke-free environment. Smoking may not be permitted in waiting
areas, examination rooms, formal sessions providing education, therapy, or
Page 3 of 8 Pages
931051
similar services. Designated smoking areas may be established for staff, program
participants, family members, and visitors. These designated areas should be
well ventilated in order that the waiting area and the service environment
remains smoke free.
14. The Contractor will submit to the State an accounting of actual
expenditures, for this project on standardized forms (Attachment A, which by this
reference is made a part hereof) or similar format. Such accounting of actual
expenditures for the contract period is to be sent to the Family and Community
Health Services Division, attention Administrative Section, before December 31,
1994 and December 31, 1995. Because this information will be used in part to
match Federal funds, the source of "Applicant and Other" funding must be detailed
in the space provided on the forma and noted as to whether these funds are used
to match other funding, and signed by a certified official.
15. The State will, in consideration of said services by the Contractor, cause
to be paid to the Contractor an amount not to exceed Thirty Five Thousand Five
Hundred Eighty One Dollars and no cents ($35,581) for the period between October
1, 1993 and September 30, 1994, upon receipt of signed monthly statements,
submitted in duplicate, to the FAMILY AND COMMUNITY HEALTH SERVICES DIVISION,
ADMINISTRATIVE SECTION requesting reimbursement in the following manner:
$3,479.58 per month for the first 9 months and $1,421.59 per month for the last
3 months for the period between 10/01/93 and 09/30/94 (funding for the subsequent
funding periods will be set forth in a Letter of Renewal (sample attached and by
this reference made a part hereof as Attachment B) to be signed by the State and
the Contractor and approved by the State Controller (or an authorized designee) .
16. This contract includes $18,522 which represents your share of the $ 413,053
Maternal and Child Health funds appropriated by the legislature to local health
departments for the period July 1, 1993 to June 30, 1994. Receipt of these funds
requires local match that is subject to specific audit which in this case,
amounts to $13,891.
17. Changes in total reimbursement amounts for any of the budget periods for
the above-named services in consideration of increased or decreased levels of
utilization in the original contract shall be made with approval of the State,
Well Child program, the Contractor, and the State Controller (or an authorized
designee) , as evidenced by a mutually signed Letter of Approval (sample attached
and by this reference made a part hereof as Attachment C) which shall include the
following:
a. Identification of contract by Contract number and number of affected
paragraph;
b. Type of services increased, decreased or extended;
c. Amount of increase or decrease in funding and new total for current
year;
d. Amount of increase or decrease in utilization;
e. Effective date of the funding change;
f. Authorized signatures of the State, the Contractor and the State
Controller (or and authorized designee) . It is understood that no
change except funding amounts and resulting changes in utilization
shall be made through the letter of approval.
18. The term of this contract is beginning October 1, 1993 and ending September
30, 1995.
Page 4 of 8 Pages 931051
COLORADO DEPARTMENT OF HEALTH - hereinafter, under the General Provisions referred to as
'Health".
GENERAL PROVISIONS -- page 1 of 2 pages
1. The contractor shall perform its duties hereunder as an independent contractor and
not as an employee. Neither the contractor nor any agent or employee of the contractor
shall be or shall be deemed to be an agent or employee of the state. Contractor shall
pay when due all required employment taxes and income tax withholding, shall provide and
keep in force workers! compensation (and show proof of such insurance) and unemployment
compensation insurance in the amounts required by law. Contractor will be solely
responsible for its acts and the acts of its agents, employees, servants and
subcontractors during the performance of this contract.
2. Contractor authorizes Health, or its agents, to perform audits and to make
inspections for the purpose of evaluating performance under this contract.
3. Either party shall have the right to terminate this agreement by giving the ocher
party thirty days notice by registered mail, return receipt requested. If notice is so
given, this agreement shall terminate on the expiration of the thirty days, and the
liability of the parties hereunder for the further performance of the terms of this
agreement shall thereupon cease, but the parties shall not be relieved of the duty to
perform their obligations up to the date of termination.
4. This agreement is intended as the complete integration of all understandings
between the parties. No prior or contemporaneous addition, deletion, or ocher amendment
hereto shall have any force or effect whatsoever, unless embodied herein in writing. No
subsequent novation, renewal, addition, deletion, or other amendment hereto shall have
any force or effect unless embodied in a written contract executed and approved pursuant
co the State Fiscal Rules.
5. If this contract involves the expenditure of federal funds, this contract is
contingent upon continued availability of federal funds for payment pursuant to the
terms of this agreement. Contractor also agrees to fulfill the requirements of:
a) Office of Management and Budget Circulars A-87, A-21 or A-122, and A-102 or
A-110, "whichever is applicable;
b) the Hatch Act (5 USC 1501-1508) and Public Law 95-454 Section 4728. These
statutes state that federal funds cannot be used for partisan political purposes of any
kind by any person or organization involved in the administration of federally-assisted
programs; .
c) the Davis-Bacon 'Act (40 Stat. 1494, Mar. 3, 1921, Chap. 411, 40 USC
276A-276A-5) . This act requires that all laborers and and mechanics employed by
contractors or sub-contractors to work on construction projects financed by federal
assistance must be paid wages not less than those established for the locality of the
project by the Secretary of Labor;
d) 42 USC 6101 et seq, 42 USC 2000d, 29 USC 794. These acts require that no
person shall, on the grounds of race, color, national origin, age, or handicap, be
excluded from participation in or be subjected to discrimination in any program or.
activity funded, in whole or in part, by federal funds; and
Page 5 of _8 Pages
931951
GENERAL PROM S I ONS--Page 2' bf-2' pa'ge's'
e) the Americans with Disabilities Act (Public Law 101-336; 42 USC 12101, 12102,
12111 - 12117, 12131 - 12134, 12141 - 12150, 12161 - 12165, 12181 - 12189, 12201 - 12213
and 47 USC 225 and 47 USC 611.
f) " if the contractor is acquiring real property and displacing households or
businesses in the performance of this contract, the contractor is in compliance with the
Uniform Relocation Assistance and Real Property Acquisition Policies Act, as amended
(Public Law 91-646, as amended and Public Law 100-17, 101 Stat. 246 - 256);
g) when applicable, the contractor is in compliance with the provisions of the
"Uniform Administrative Requirements for Grants and Cooperative Agreements to State and
Local Governments (Common Rule) .
6. By signing and submitting this contract the contractor states chat:
a) the contractor is in compliance with the requirements of the Drug-Free
Workplace Act (Public Law 100-690 Title V, Subtitle D, 41 USC 701 et seq. ) ;
b) the contractor is not presently debarred, suspended, proposed for debarment,
declared ineligible, or voluntarily excluded from covered transactions by any federal
department or agency.
7. To be considered for payment, billings for payment pursuant to this contract must
be received within 60 days after the period for which payment is being requested and
final billings on the contract must be received by Health within 60 days after the end
of the contract term.
8. If applicable, Local Match is to be submitted on the monthly payment statements, in
the column provided, as required by the funding source.
9. If Contractor receives $25,000.00 or more per year in federal funds in the
aggregate from Health, Contractor agrees to have an annual audit, by an independent
certified public accountant, which meets the requirements of Office of Management and
Budget Circular A-128 or A-133, whichever applies. If Contractor is required to submit
an annual indirect cost proposal to Health for review and approval, Contractor's auditor
will audit the proposal in accordance with the requirements of OMB Circular A-87, A-21
or A-122. Contractor agrees to furnish one copy of the audit reports to the Health
Department Accounting Office within 30 days of their issuance, but not later than nine
months after the end of Contractor's fiscal year. Contractor agrees to take appropriate
corrective action within six months of the report's issuance in instances of
noncompliance with federal laws and regulations. Contractor agrees to permit Health or
its agents to have access to its records and financial statements as necessary, and
further agrees to retain such records and financial statements for a period of three
years after the date of issuance of the audit report. This contract does (100%)
contain federal funds as of the date it is signed. This requirement is in addition to
any other audit requirements contained in other paragraphs within this contract.
10. Contractor agrees to not use federal funds to satisfy federal cost sharing and
matching requirements unless approved in writing by the appropriate federal agency.
Page 6 of 8 Pages 931051
Rev. 06/01/9?
•
SPECIAL PROVISIONS
CONTROLLER'S APPROVAL
I.This contract shall not be deemed valid until it shall have been approved by the Controller of the State of Colorado or such assistant as he may designate. This
provision is applicable to any contract involving the payment of money by the State.
FUND AVAILABILITY
2.Financial obligations of the State of Colorado payable after the current fiscal year arc contingent upon funds for that purpose being appropriated,budgeted.
and otherwise made available.
BOND REQUIREMENT
3. If this contract involves the payment of more than fifty thousand dollars for the construction,erection,repair,maintenance,or improvement of any building.
road,bridge,viaduct,tunnel,excavation or other public work for this State,the contractor shall,before entering upon the performance of any such work included
in this contract,duly execute and deliver to the State official who will sign the contract,a good and sufficient bond or other acceptable surety to be approved by
said official in a penal sum not less than one-half of the total amount payable by the terms of this contract.Such bond shall be duly executed by a qualified corporate
surety conditioned upon the faithful performance of the contract and in addition,shall provide that if the contractor or his subcontractors fail to duly pay for any
labor,materials,team hire,sustenance,provisions,provendor or other supplies used or consumed by such contractor or his subcontractor in performance of the work
contracted to be done or fails to pay any person who supplies rental machinery.tools.or equipment in the prosecution of the work the surety will pay the same in
an amount not exceeding the sum specified in the bond,together with interest at the rate of eight per cent per annum.Unless such bond is executed,delivered and
filed,no claim in favor of the contractor arising under such contract shall be audited,allowed or paid.A certified or cashier's check or a bank money order payable
to the Treasurer of the State of Colorado may be accepted in lieu of a band.This provision is in compliance with CRS 38-26-106. •
INDEMNIFICATION
4.To the extent authorized by law,the contractor shall indemnify, save, and hold harmless the State, its employees and agents, against any and all claims,
damages,liability and court awards including costs,expenses, and attorney fees incurred as a result of any act or omission by the contractor,or its employees,
agents,subcontractors,or assignees pursuant to the terms of this contract.
DISCRIMINATION AND AFFIRMATIVE ACTION
5.The contractor agrees to comply with the letter and spirit of the Colorado Antidiscrimination Act of 1957, as amended, and other applicable law respecting
discrimination and unfair employment practices(CRS 24-34-402),and as required by Executive Order, Equal Opportunity and Affirmative Action,.dated April 16,
1975.Pursuant thereto,the following provisions shall be contained in all State contracts or sub-contracts.
During the performance of this contract,the contractor agrees as follows:
(a) The contractor will not discriminate against any employee or applicant for employment because of race, creed, color, national origin. sex.
marital status,religion.ancestry,mental or physical handicap.or age.The contractor will take affirmative action to insure that applicants are employed,and that
employees are treated during employment,without regard to the above mentioned characteristics.Such action shall include,but not be limited to the following:
employment upgrading,demotion,or transfer.recruitment or recruitment advenisings:lay-offs or terminations:rates of pay or other fortes of compensation:and
selection for training, including apprenticeship. The contractor agrees to post in conspicuous places,available to employees and applicants for employment.
notices to be provided by the contracting officer setting forth provisions of this non-discrimination clause.
(b)The contractor will,in all solicitations or advertisements for employees placed by or on behalf of the contractor,state that all qualified applicants will
receive consideration for employment without regard to race,creed,color,national origin.sex,marital status,religion,ancestry,mental or physical handicap.
or age.
(c) The contractor will send to each labor union or representative of workers with which he has a collective bargaining agreement or other contract or
understanding.notice to be provided by the contracting officer,advising the labor union or workers'representative of the contractor's commitment under the
Executive Order.Equal Opportunity and Affirmative Action,dated April 16, 1975.and of the rules,regulations,and relevant Orders of the Governor.
(d)The contractor and labor unions will furnish all information and reports required by Executive Order,Equal Opportunity and Affirmative Action of Apnl
16, 1975. and by the rules. regulations and Orders of the Governor, or pursuant thereto, and will permit access to his books, records, and accounts by the
contracting agency and the office of the Governor or his designee for purposes of investigation to ascertain compliance with such rules,regulations and orders
(e)A labor organization will not exclude any individual otherwise qualified from full membership rights in such labor organization.or expel any such individual
from membership in such labor organization or discriminate against any of its members in the full enjoyment of work opportunity because of sate,creed.color
sex,national origin.or ancestry.
(f) A labor organization,or the employees or members thereof will not aid,abet. incite,compel or coerce the doing of any act defined in this contract to hi
discriminatory or obstruct or prevent any person from complying with the provisions of this contract or any order issued thereunder:or attempt.either direct],
or indirectly.to commit any act defined in this contract TO be discriminatory.
Form 6-AC-02B
Revised IRA
395-53.01.1021
of 8 P'Se• 931051
Form 6-AC-O2C
(7) In the event of the contractor's non-compliance with the nondiscrimination clauses of this contractor or with any of such rules,regulations,or orders,this
contract may be cancelled.terminated or suspended in whole or in pan and the contractor may be declared ineligible for further State contracts in accordance
with procedures.authorized in Executive Order,Equal Opportunity and ARrmauve Action of April 16,1975 and the rules,regulations,or orders promulgated
in accordance therewith,and such other sanctions as may be imposed and remedies as may be invoked as provided in Executive Order,Equal Opportunity and
Affirmative Action of April 16, 1975.or by rules, regulations,or orders promulgated in accordance therewith-or as otherwise provided by law.
(8) The contractar wdl include the provisions of paragraph(I)through(8)in every sub-contract and subcontractor purchise order unless exempted by roles,
regulations,or orders issued pursuant to Executive Order,Equal Opportunity and Affirmative Action of April 16,1975,so that such upon each subcontractor or vendor.The contractor will take such action with the provisions gw agency binding
direct,as a means of enforcing such provisions,including sanctions for non-compliance:c m pry subcontracting or that he order event theas contracting becomes may
u prov by,however,e in s the ,the contractor mayrequest
e State
involved
in,f or l threatened to ed with,olineationwith to protect
the or vendor a result of such direction by the contracting agency,the contractor may request the
of Colorado to enter into such litigation to the interest of the State of Colorado.
COLORADO LABOR PREFERENCE
6a. Provisions of 8-17-101&102,CRS for preference of Colorado labor are applicable to this contract if public works within the State are undertaken hereun-
der and are financed in whole or in part by State funds.
b. When construction contract for a public project is to be awarded to a bidder,a resident bidder shall be allowed a preference against a non-resident bidder
from a state or foreign country equal to the preference given or required by the state or foreign country in which the non-resident bidder is a resident If it is deter-
mined by the officer responsible for awarding the bid that compliance with this subsection.06 may cause denial of federal funds which would otherwise be avail-
able or would otherwise be inconsistent with requirements of federal law,this subsection shall be suspended,but only to the extent necessary to prevent denial of
the moneys or to eliminate the inconsistency with federal requirements (section 8-19-101 and 102, CRS).
GENERAL
7. The laws of the State of Colorado and rules and regulations issued pursuant thereto shall be applied in the interpretation,execution and enforcement of this
contract.Any provision of this contract whether or not incorporated herein by reference which provides for arbitration by any extra judicial body or person or
which is otherwise in conflict with said laws,rules and regulations shall be considered null and void.Nothing contained in any provision incorporated herein by
reference which purports to negate this or any other special provision in whole or in part shall be valid or enforceable or available in any action at law whether by
way of complaint,defense or otherwise.Any provision rendered null and void by the operation of this provision will not invalidate the remainder of this contract to
the extent that the contract is capable of execution.
8. At all times during the performance of this Contract,the Contractor shall strictly adhere to all applicable federal and state laws,rules and regulations that
have been or may hereafter be established.
9. The signatories hereto aver that they are familiar with 18-8-301,et seq.,(Bribery and Corrupt Influences)and 18-8-401.et seq.,(Abuse of Public Office).
CRS 1978 Replacement Vol., and that no violation of such provisions is present
de 10. The signatories aver that to their knowledge, no state employee has a personal or beneficial interest whatsoever in the service or property
scribed herein:
IN WITNESS WHEREOF,the parties hereto have executed this Contract on the day first above written.
Contractor
(Full gal Name) Weld County B and of Commissioners STATE OF COLORADO
.f7R1/_ e2J--_--� Rio tecz ROY ROME R, GOVE OR
Constance L. Harbert 10/13/93 7
By f e for the
•5 Ex DETRE !RECTOR.
Position (Tine) Chairman ,
84-6000813�
Sacs!
n Hai et F7 ray.j ry"^� DEPARTMENT .
(If Corporation:) G ' /, / OF HEALTH
ariiih
Anest (Seal) f� ��w� Weld County Health Department
By '� * �//�7 it -/rdirir�� By: I. S ^^'..:y
%nmagc lhaf x�cAaattw�cxmmtm.4arC to Board John S. Pickle
APPROVALS Di r iceikato sR
STATE
ATTORNEY GENERAL CONTROLLER UFFORD W. HALL
By
By +-k,
PROGRAM APPROVAL : �'�PA 4�!
WS 514.11 1010 l ile•nnl IAN, I••o .a nn,. b.,.a I3 p.rc.
IF HI:1O••S.
931051
ATTACHMENT A
APPLICANT:
PROJECT:
FOR THE PERIOD:
Annual Number Total Source of ands .
Salary Months Amount *Applicant .Requested
Rate Bu ffet Required. and Oilier.
PERSONAL SERVICES:
Contractual/Fee for Service:
Supervising Personnel:
Fringe Benefits: Rate=
Sub total Personal Services
OPERATING EXPENSES:
includcsBuilding/Facili ty
Cost not part of Indirect
Sub total Operating •
TRAVEL
Sub total Travel
EQUIPMENT:
Sub Total Eqiupment
Administrative/Indirect Cost
TOTAL PROJECT COST`
`Source of Funding for 'Applicant and Other'
Local:** $
Medicaid: $
Patient Fees: $
Other: $
Total Applicant and Other
**Are these local funds used b match any other grant? Yes No
Signature of Director or Authorized Representative
931051.
AT I AUHMEN'1' $
STATE OF COLORADO
COLORADO DEPARTMENT OF HEALTH . -co
Dedicated to protecting and improving the health and .
environment of the people of Colorado r,. --: •
• mr
4300 Cherry Creek Dr.S. Laboratoy Building
Denver,Colorado 80222-1530 4210 E.11th Avenue r:1
Phone(303)692-2000 Denver,Colorado 80220-3716
(303)691-4700
Roy Ramer
Governor
SAMPLE LETTER OF RENEWAL Patricia A.Nolan,MD,MPH
Executive Director
Weld County Health Department
1517 16th Avenue Court Routing No. 94-XXXX
Greeley, Colorado 80631
December 1, 199X
Dear Contractor:
This is to notify you that pursuant to Paragraph 15 of Contract WCH940672
, Routing Number 940672, the allocation of funds for the period beginning October
1, 1994, and continuing through September 31, 1995 is $
($XXXXX.00) , to be spent in the following manner: $ _per month
for the first 9 months and $ per month for the last 3 months for the
period between 10/1/94 and 09/30/95.
This contract includes $ which represents your share of the $413,053
total Maternal and Child Health funds appropriated by the legislature to local
health departments for the period July 1, 1994 to June 30, 1995. Receipt of
these funds requires local match that is subject to specific audit which in this
case amounts to $
The Contractor will provide Child Health Services to a minimum of
unduplicated clients between 10/1/94 and 09/30/95.
Please sign the original and all three copies (four total) of this notification
and return all four copieSnibacado Department of Health
Family & Community Health Services Div, Well Child Program
ATTN: Betina Smith-EL-senussi
FCHSD-ADM-A4
4300 Cherry Creek Drive South
Denver, CO 80222-1530
This letter is intended to be effective on October 1, 1994, but in no event shall
be deemed valid until it has been approved by the State Controller (or his
designee) . A verified copy of this letter will be returned to you when it is
fully approved.
Sincerely,
Betina Smith-EL-senussi
Fiscal Officer, FCHS-Well Child Program Contractor
APPROVED:
Lee Thielen State Controller or Designee
Assistant Director, Department of Health
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A11NLfrntN1 L
STATE OF COLORADO
COLORADO DEPARTMENT OF HEALTH of c.
Dedicated to protecting and improving the health and
environment of the people of Colorado „� •
• ta
4300 Cherry Creek Dr.S. Laboratory Building � �' !ry
Denver,Colorado 80222.1530 4210 E.11th Avenue •t:ye"
Phone(303)692.2000 Denver,Colorado 80220-3716
(303)691-4700
Roy Romer
Governor
SAMPLE LETTER OF APPROVAL Patricia A.Nolan,MD,MPH
Weld County Health Department
1517 16th Avenue Court Routing No. 94-XXXX
Greeley, Colorado 80631
December 1, 199X
Dear Contractor:
This is to notify you that pursuant to Paragraph 16 of Contract WCH940672,
Routing Number 940672, the allocation of funds for the period beginning October
1, 1993, and continuing through September 31, 1994 is (increased or decreased)
by $ ($XXXXXX.00), for a new total of $ ($XXXXXX.00) to
be spent in the following manner: $ _per month for the for the period
between 10/1/94 and 09/30/95.
The Contractor shall (increase or decrease) Child Health Services by to
a new total of unduplicated clients.
This letter is intended to be effective on 1994, but in no event shall
be deemed valid until it has been approved by the State Controller (or his
designee) . A verified copy of this letter will be returned to you when it is
fully approved.
Please sign the original and all three copies (four total) of this notification
and return all four copies to:
Colorado Department of Health
Family & Community Health Services Div, Well Child Program
ATTN: Betina Smith-EL-senussi
FCHSD-ADM-A4
4300 Cherry Creek Drive South
Denver, CO 80222-1530
Sincerely,
Betina Smith-EL-senussi
Fiscal Officer, FCHS-Well Child Program Contractor
APPROVED:
Lee Thielen State Controller or Designee
Assistant Director, Department of Health
931°51
STATE OF COLORADO
COLORADO DEPARTMENT OF HEALTH
Dedicated to protecting and improving the health and ti<
environment of the people of Colorado s ': G 4 .. ;
4300 Cherry Creek Dr.S. Laboratory Building .• •
Denver,Colorado 80222-1530 4210 E.11th Avenue
Phone(303)692-2000 Denver,Colorado 80220-3716
(303)6914700 Roy Romer
Governor
September 20, 1993 Patricia A.Nolan,MD,MPH
Executive Director
John Pickle
Acting Director
Weld County Health Dept.
1517 16th Ave. Ct.
Greeley, CO 80631
Dear John:
Enclosed please find your FY 1993-94 contracts for Child Health
services funded with Maternal and Child Health (MCH) Block Grant
dollars. Four copies are to be signed and returned to Tina Smith-
El-Senussi.
Again this year, the Child Health Program received no additional
MCH dollars - there has been essentially level funding from the
Block for the past several years. I have put small increases into
those programs which have been receiving a somewhat smaller share
of MCH dollars relative to caseload served. Those of you who are
using your share of the $413 , 000 MCH percapita replacement dollars
for child health services will note that amount reflected in your
overall contract dollars. If you are one of those agencies, please
note special language in your contract that refers to those
additional MCH dollars and the reporting and budgetary requirements
attached to those dollars. If you have any questions about that
section of your contract, please contact our chief fiscal officer,
Bob Davis, at 303-692-2312.
Please read the contract carefully, especially the objectives for
the coming year. Note the language referring to home visits as an
option - I know that several of you are planning to use some of
your MCH dollars to fund home visiting activities in the coming
year. If you are one of those agencies and have not yet sent me
the number you plan to serve and your objectives for your home
visiting program, please contact me as soon as possible to discuss
your plans. We have kept the requirements for numbers of children
to be served at the some level as this year. You may, however,
split those numbers among children served in Well Child Clinics and
home visits or other appropriate child health activities.
We are not planning to hold a State meeting this year but will
instead hold regional meetings in conjunction with the HCP staff.
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You may find somewhat fewer travel dollars in your budgets as a
result. If there is a shortfall for travel to regional meetings we
will make up the difference with State funds.
As always, it is a pleasure to send these dollars, although
limited, to you. You should know that the Child Health Program
receives consistently high reviews in the grant process due largely
to the excellent services provided in your agencies. I continue to
be pleased by the significant impact that Medicaid reimbursement
has had on several of your agencies but I am well aware that the
need for MCH support remains great.
Please do not hesitate to call if I can answer any questions or be
of assistance in any way. I will plan on scheduling a site visit
to each agency sometime in the Spring of 1994 but am always
available to you for any consultation needs. I look forward to
working with all of you in the coming year.
Sincerely,
Courtney Thomas, RN, C. , MSN
Child Health/EPSDT Program Director
Child Health Nurse Consultant
93CONTLET
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Pry'' , mE�YIORAf1DUm
Constance L. Harbert, Chairman
To Board of County Commissioners Cosmii October 5, 1993
Date
COLORADO From John S. Pickle, Director, Weld County Health Dept.
Subject: Well Child Program Contract
Enclosed for Board approval is a renewal contract between the Weld County Health
Department (WCHD) and the Colorado Department of Health for the Child Health
Program.
The Health Department will provide well child clinic services to a minimum of 600
unduplicated clients 0-16 years of age. The services will include health history
screenings, physical exams, immunizations and referrals to appropriate agencies,
if necessary.
The Health Department will receive a total reimbursement of $35,581, $18,522 of
which represents the department's share of the Maternal and Child Health funds
appropriated by the legislature to local health departments. The base contract
amount ($17,059) is a decrease of $750 over the prior years contract. However
in light of a decrease in client load from 800 to 600 this is reasonable.
The term of the contract shall be form October 1, 1993 through September 30,
1994.
If you have any questions, please feel free to contact me.
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