HomeMy WebLinkAbout930548.tiff RESOLUTION
RE: APPROVE 1994 FAMILY PLANNING CONTRACT WITH 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 1994 Family Planning Contract
between the Colorado Department of Health and the Weld County Health Department,
commencing July 1, 1993, and ending June 30, 1994, with the 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 1994 Family Planning Contract between the Colorado
Department of Health and the Weld County Health Department 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 21st day of June, A.D. , 1993.
G !/ ii /� BOARD OF COUNTY COMMISSIONERS
ATTEST: /00G1/ ij,/� J/GG4, _Q� _ WELD COUNTY, COLORADO
Weld County Clerk to the Board
Constance Ha bert, Chairman
BY:
eputy le k o the Bo rd W.)/tester, ProUK-Tem
APPROVED AS TO FORM: 4_A
orge Baxter
ounty Att ro ndy Dale K. Hall
Barbara J. Kirkme er
930548
/4 IL-0OJ
•
Attachment E
•
STATE OF COLORADO
. COLORADO DEPARTMENT OF HEALTH of coto
Dedicated to protecting and improving the health and `'- 'environment of the people of Colorado fr� $
4300 Cheny Creek Dr.5. Laboratory Building
Denver,Colorado 80222.1530 4210 E.11th Avenue ran
Phone O03)692-2000 Denver,Colorado 80220-3716
(303)691-4700
Roy Ramer
Governor
PEanioa A.Nolan,MD,MPH
Eaeanive Dveaar
Date
TO
The Colorado Department of Health hereby notifies that
the maximum amount of reimbursement from the Family Planning Program, Contract
No. FPP , covering the period July 1, 199_ to June 30, 199_, is hereby
increased/decreased by Dollars ($ ) to a new total of Dollars ($ ) (Page 3, Paragraph 6) .
The number of comprehensive family planning patients to be served is to be
increased/decreased by patients to a new total of
_ patients; colposcopy, biopsy, and/or pap smear screening services are to
be increased/decreased by to a new total of
cryosurgery and/or pap smear screening services are to be increased/decreased
by to a new total of (Page 3, Paragraph 6) .
This notification shall not be deemed valid until it is approved by the
controller of the State of Colorado or his designee. Please sign and return
all copies of this notification to.the Family Planning Program A fully
executed copy will be returned to you.
Sincerely,
Lee Thielen
Assistant Director
Colorado Department of Health
Contractor
By
Title
Program Approval
Controller, Clifford W. Hall
By
CDH FPP 4/93
930548
COLORADO DEPARTMENT OF NEALTR - FAMILY PLANNING PROGRAM
BCRR QUARTERLY EXPENDITURE REPORT
OTHER COMMUNITY PATIENT TOTAL
MEDICAL LAB PHARMACY NEALTK RfJILTN ADM BLOC_
RECORD-a EXPENDITURES
:z::===z=:I
:==sss man"an" ===:az==s z
PERSONNEL COSTS
PERSONNEL i
FRINGE
SUBTOTAL (A)
OPERATING COSTS
TRAVEL I
SUPPLIES (PURCMASEO)I •
CONTRACTUAL I
OTBER I •
SUBTOTAL (B) I _
TOTAL DIRECT COSTS I
(TOTAL of (A) • (B))) ___::: _ ====a===:
INDIRECT COSTS (C) I
TOTAL PAIO EXPENSES I
(TOTAL A • 8 • C) I _ __ =-z:=a= s:z:==aa= =====z ========
=asst==s===ca==J•=n==— r====== stn=s=== a=_=zz__s :__
DONATED SERVICES CO)!
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DEPRECIATION• (E) I
TOTAL PROGRAM COSTS I
(A • 8 • C • 0 • E) I
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`DEPRECIATION
If you are listing a Capital equipment item (items costing 2500 or more per unit with a useful life of
2 or more years). Comptete the following using the formula_ Purchased cost divided by life years =
depreciation per year, divided by 4 quarters = depreciation amount per quarter-
PURCHASE USEFUL S
ITEM COST LIFE TEARS
a t = ==z=======z== =a=____s===
AGENCY:
COMPLETED BT:
REPORTING PERIOO:
Revised 5/90 Cal FP"
930548
Abnormal Pap Smear Follow-tip Report Form A[[acn?enc c
Today's Date .. ,amity Planning pipit
Patient Information:
Patient's Name and/ur Patient Number Mandate Social Security it
I understand that I need to have colpescopy and/or cryotherapy services because I have an abnormal Pap smear. These procedures have been explained to me. I
understand other conditions or biopsy results may require further tests or procedures that are not paid for by this program. If follow-up are is not paid for by
this program. I assume responsibility for follow-up cart.
Signature of Patient
Dace
Signature of Clinic Stag Date
Income Code Pap Smear Results(ON&Narrative)
Appointment Information:
Send billing to: Appt Date/Time
Check here if referral is within your agency
•
If Provider is outside of clinic
Name
Address
Telephone
Provider Information:
the provider agrees not to bill the patient or family for services billed on this form. This voucher and report is to be used for family planning clients who need
follow-up treatment for an abnormal Pap smear. Providers will be reimbursed up to SMS for colposcopy/biopsy procedure,and up to S75 for cryosurgery. Biopc
pathology fees will be reimbursed up to$60. Services must be provided to the patient by June 30,1993. To request payment,complete the provider portion bela
and submit to the referring family planning clinic listed above.
Date of Colposcopy Biopsy taken? Yes No If no,why?
Results of Biopsy
Treatment Recommended:_Cryotherapy Laser _I PEP No treatment needed
Provider Signature
•
•
Submit green copy when this section is complete.
Date above recommended treatment was given
If no treatment given,why?
Follow-up Recommended:
Provider Signature
Submit yellow and pink copies when treatment is completed.
FP Clinic keeps golden rod copy until treatment is completed
Given copy to be sent for coiposcopy billing
Pink copy to be sent for treatment billing
UP Clinic discards golden rod copy and keeps yellow copy when treatment is completed
Provider keeps white copy
CDfI•FPP7/92 ,
9305461
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a 3uamgo iy 930548
Department or Agency Number
FAA
Contract Routing Number
940088
CONTRACT
THIS CONTRACT, Made this 1st day of July 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 Weld
County Health Department, 1517 - 16th Avenue Court, Greeley, CO
80631-4597 hereinafter referred to as the Contractor.
WHEREAS , the authority exists in the law and Funds have been
budgeted, appropriated and otherwise made available and a
nce of emains available for
psufficint aymentein Fund nNumber e100 d a, APPR code e 25Te Contract Encumbrance
Number FAA FPP 940088 ; and
WHEREAS, required approval, clearance and coordination has
been accomplished from and with appropriate agencies; and
WHEREAS, the State has formulated a comprehensive State Plan
relative to the Family Planning Program; and
WHEREAS, said comprehensive State Plan allocates funds to be
utilized to implement the Family Planning Program 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 fulfill the requirements of the program 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 conduct a comprehensive family planning
program in Weld County which will comply with all applicable
regulations and subsequent amendments as described in Title X
(42 CFR, Subpart A, Part 59) as authorized under Section 1001
of the Public Health Service Act, published in the Federal
Register on June 30, 1980, a copy of which has been made
available to the Contractor.
2 . The Contractor will make this family planning program
available to men and women in their reproductive years and
will offer the following components as applicable:
Page 1 of 9
9305/V
a) outreach services and/or other program effort for patient
recruitment.
b) Nursing and medical services which shall include a
comprehensive health and social history and physical
examination, in accordance with Title X (42 CFR, Subpart
A, Part 59) as authorized under Section 1001 of the
Public Health Service Act, published in the Federal
Register on June 30, 1980, and the Nursing-Medical
Policies and Procedures established by the Colorado
Department of Health Family Planning Program, copies of
which have been made available to the Contractor.
c) Contraceptive information, education, and supplies
regarding all family planning methods.
d) Education and counseling regarding family planning,
family planning methods, child spacing, infertility,
sterilization, nutrition, sexually transmitted diseases,
HIV/AIDS, and related health issues .
e) Follow-up and/or referrals, as appropriate.
3 . The Contractor will, on or after the date of this contract,
employ only individuals under this con ract who
g Section meet
the
edminimum
qualifications as set up by State
il
Planning Program for each position. (If there is any reason to
question whether or not an applicant may meet these minimum
qualifications for education or experience, it is necessary to
submit the application to the Family Planning Program for review
and approval prior to employment. )
4 . The contractor agrees to render acceptable services as
determined by the Family Planning Program. This includes
compliance with applicable Nursing-Medical Policies and Procedures
established by the Colorado Department of Health Family Planning
Program, Title X (42 CFR, Subpart A, Part 59) as authorized
uthors published diunder
der
Section 1001 of the Public Health Sermadevice
of which have been
Federal Register on June 30, 1980, copies
available to the Contractor, and all fiscal and administrative
policies of the Family Planning Program. These have bpeeeno
mmade
n e
available to the Contractor. Program medical/nursing ant to nce
will be reviewed on site visits and by audits p
ursmedical/nursing standards and judged acceptable or not. The
nursing consultant and administrators assignty for ed by iodic evalFae mily
ily
Planning Program shall m haveauto ram based on standards and
of the delegate family planning program
policies established by the Family Planning Program. The
Contractor agrees to cooperate in any evaluation and program
recommendations directed by the State.
Page 2 of 9
930548
5. The State will continue payment for family planning services so
long as the Contractor submits acceptable data as determined by the
State.
6. The State will pay One hundred twenty five thousand six hundred
dollars ($125, 600. 00) to provide contraceptive services to
approximately 2000 comprehensive family planning patients, Thirty
nine thousand three hundred seventy five dollars ($39 , 375 . 00) to
provide colposcopy and biopsy services and/or pap smear screening
services to 175 patients, Four thousand Five hundred dollars
(54 , 500. 00) to provide cryosurgery services and/or pap smear
screening services to 60 patients and Two thousand six hundred
ninety eight dollars ($2 , 698) to provide chlamydia testing for 415
patients (for fiscal year 1994) . Dollar amounts and patient
numbers for fiscal year 1995 are subject to change based on
differences between estimated and actual funding appropriations and
legislative approval and will be set forth in a letter to be signed
by the State and the Contractor and approved by the State
Controller, (copy attached and by reference made part hereof as
Attachment A) . In consideration of said services by the Contractor
and conditioned upon affirmation by the Family Planning Program
that services were rendered in accordance with this contract, the
state will cause to be paid to the Contractor a sum not to exceed
One hundred seventy two thousand one hundred seventy three dollars
($172 , 173 . 00) as follows:
a) 1) The Contractor is entitled to bill for 1/6 of the
Title X contraceptive services amount ($81, 486 . 00
total, $13 , 581. 05 per month) at the end of each
month July through December and for 1/6 of the
state and Waxman contraceptive services amount
($44, 113 .70 total, $7,352 .28 per month) at the end
of each month January thru June on a signed
Contract Reimbursement Statement (copy attached and
by reference made part hereof as Attachment B) .
Payments of monthly reimbursement requests are
contingent upon contractor complying with all terms
of this contract.
2) Contractor will be reimbursed colposcopy, biopsy,
cryosurgery and chlamydia amounts as expended.
Monthly billings for colposcopy, biopsy and/or
cryosurgery must include a voucher (Abnormal Pap
Smear Follow-Up Report Form, copy attached and by
reference made part hereof as Attachment C) for
each patient served. Total numbers of each service
provided shall be submitted on the Contract
Reimbursement Statement.
b) A quarterly expenditure report (copy attached and by
reference made part hereof as Attachment D) must be
submitted by the 30th of the following month and must
show total actual costs incurred for family planning
contraceptive services during that quarter; must state
the source of funding; and the July - Sept. quarterly
report must include results of a time study giving
Page 3 of 9
930548
percentages of staff time allotted to Bureau of Common
Reporting Requirements (BCRR) cost centers and
information on square footage.
c) Recommendations made by the Family Planning Nursing
Consultant to bring the program into compliance with the
Nursing-Medical Policies and Procedures and the Title X
Guidelines (Part 59) following site visits or data
reviews must be met within a three-month period, or
evidence must be shown that progress is being made toward
meeting said recommendations.
d) Recommendations made by the Family Planning
administrative staff to bring the program into compliance
with the Title X Guidelines and State policies and
standards following site visits or data reviews must be
met within a three-month period, or evidence must be
shown that progress is being made toward meeting such
recommendations.
e) Nursing-medical chart audits will be submitted to the
family planning nursing consultant upon request.
f) Program income generated from patient fee collections and
donations must be used by the program only for family
planning purposes which further the objectives of the
legislation under which this contract is made. In
accordance with Title X guidelines (Part 59) no charges
shall be made for services provided to patients at or
below 100% of the poverty level. Patients above 100% of
poverty level will be charged based on a schedule of
discounts which has been provided to the contractor.
g) The Contractor must use the cytology laboratory chosen by
the State, or a laboratory approved by the State as
outlined in the Nursing-Medical Policies and Procedures
and the Administrative Policies and Procedures.
Follow-up information on all abnormal pap smears will be
submitted according to policies and procedures outlined
in these manuals, copies of which have been made
available to the Contractor.
7 . Changes in reimbursement amounts for the above-named
services in consideration of increased or decreased levels of
utilization from the levels funded in the original contract
shall be made with approval of the Contractor, the State
(Family Planning Program) and the State Controller as
evidenced by a mutually signed Letter of Approval (sample
attached and by this reference made a part hereof as
Attachment E) which shall include the following:
Page 4 of 9
y. . a. 930548
a) Identification of contract by contract number and
number of the affected paragraph;
b) Type of services increased or decreased;
c) Amount of increase or decrease in funding and
patients to be served;
d) Effective date of the funding change;
e) Authorized signatures of the State, the Contractor
and the State Controller. It is understood that no
change except funding amounts and resulting changes in
utilization shall be made through the Letter of Approval.
8 . Because the appropriation of funds is a legislative
function, funding availability after State fiscal year 1994 is
contingent upon an annual appropriation of funds by the
legislature, and in the event no appropriation is made, this
contract may be cancelled and terminated with no penalty to
the State.
9 . 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
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 delivery environment remains
smoke free.
10. This contract is effective beginning July 1, 1993 and
continuing through June 30, 1994 and is renewable, at the
States option, for one (1) additional one year period.
Page 5 of 9
930548
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 withholdingt shall provide and
keep in force worker's 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 other
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 other 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
:o the State Fiscal Rules.
If this contract involves the expenditure of federal funds, this contract is
ontingent 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 6 of 9 Pages
Rev. 06/01/92
930548
GENERAL PROVISIONS--Page 2 r ' 2 pages
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 that:
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; and
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 co. 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 77%
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 7 of 9 Pages
Rev. 06/01/92
930548
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 are 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 band 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 bond.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 2a-33402),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 art 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 advertisings: layoffs or terminations;rates of pay or other forms 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 April
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 feet,creed,color.
sex,national origin,or ancestry.
•
(0 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 be
discriminatory or obstruct or prevent any person from complying with the provisions of this contract or any order issued thereunder,or attempt,either directly
or indirectly,to commit any act defined in this contract to be discriminatory.
Form 6-AC-02B
Revised 1/93
J95.53-01-1022
page g of 9 pages
•
930548
Attachment A
• STATE OF COLORADO
COLORADO DEPARTMENT OF HEALTH •cot°+
Dedicated to protecting and improving the health and Er �o
environment of the people of Colorado e.
4300 Cherry Creek Dr.S. Laboratory Building ••
re�c••
Denver,Colorado 80222-1530 4210 E.11th Avenue
Phone(303)692-2000 Denver,Colorado 80220-3716
(303)691-4700 Roy Romer
Cowmor
Pao-Ida&Nolan,MD,MPH
Executive Direare
DATE
TO:
The Colorado Department of Health hereby notifies
that pursant to paragraph 6 of contract number FPP , the state will
exercise its option to renew this contract for an additional one year period
beginning July 1, 1994 through June 30, 1995, and awards $
Dollars ($ ) .
The number of comprehensive family planning patients to be served for that same
time period is . . ($ ) shall be used to provide contraceptive
services; ($ ) shall be used to provide colposcopy and biopsy services
to patients and/or pap smear screening to new patients; and
($ ) shall be used to provide cryosurgery services to patients
and/or pap smear screening to new patients.
Please sign and return all copies of this notification. A fully executed copy
will be returned to you.
This letter of amendment of contract is intended to be effective July 1, 1994 but
in no event shall this amendment be deemed valid until it shall have been
approved by the State Controller or his designee.
Sincerely,
Lee Thielen
Assistant Director
Colorado Department of Health Contractor
By
Title
Program Approval
Controller, Clifford W. Hall
By
CDHFPP 4/93 •
930548
•
(g)In the event of the contractor's non-compliance with the non-discrimination clauses of this contract or with any of such rules,regulations.or orders.
this contract may be canceled. terminated or suspended in whole or in-part and the contractor may be declared ineligible for further State contracts in
accordance with procedures. authorized in Executive Order. Equal Opportunity and Affirmative 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 Apnl 16. 1975. or by rules.regulations,or orders promulgated in accordance therewith,or as otherwise
provided try law.
(h)The contractor will include the provisions of paragraphs (a)through(h) in every sub-contract and subcontractor purchase order unless exempted by
rules.regulations.or orde_-s issued pursuant to Executive Order.Equal Opportunity and Affirmativ'eAs�tion of April 16.1975.
8so that such
h the provisions
will
be binding upon each subcontractor or vendor.The contractor will take such action wilt respect any g purchase
ting
agency may direct.as a means of enforcing such provisions.including sanctions for non-compliance: provided however,that in the event the contractor
becomes involved in.or is threatened with,litigation,with the subcontractor or vendor as a result of such direction by the contracting agency.the contractor
may request the State of Colorado to enter into such litigation to protect the interest of the Sate of Colorado.
COLORADO LABOR PREFERENCE
6a-Provisions of CRS 8-17-101 et 102 for preference of Colorado labor we applicable to this contract if public works within the State are undertaken hereunder and
are financed in whole or in part by State funds.
b.When a construction contract for a public project is,t.'s'bc 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 determined by
the officer responsible for awarding the bid that compliance with this subsection.06 may cause denial of federal funds which would orwise be l avf ailable
or would
or to
otherwise be inconsistent with requirements of Federal law,this subsection shall be suspended.but only to the extent necessary prevent
eliminate the inconsistency with Federal requirements(QS 8.19-101 and 102)
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 or 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.
defence.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 aver that they arc familiar with CR5 18-8-301.et seq..(Bribery and Corrupt Influences)and CR5 18-8J01.et.seq..(Abuse of Public Office).
and that no violation of such provisions is present. -
10.The signatories aver that to their knowledge,no state employee has any personal or beneficial interest whatsoever in We service or property described herein:
IN WITNESS WHEREOF.the panics hereto have executed this Contact on the day first above Written. .
•
Contractor:
•
(Full Legal Name) Weld •County Health Denarrneat STATE OF COLORADO
ROY ROMER,GOVERNOR
Wel County Board of Commmiiss,$,loners
ill@ /L--.7.)' .' Y/..LY to By for
m -fE�y e
06/23/93 y IXECU IVE DIRECTOR
Position(Title) Chairman •
846000813
sae, seaway Mender tI. eer DEPARTMENT HEALTH
If Corpontiom) OF
Attest(Seal) /I{/.fw/j'r�/�a/ 444 n.r VELD =Mr. ELI-t DEPsk ' -wvi
•
By /' V •/0-G -��L- C--r---`4 7
saME( xt ltitt � T la_ to Board B7: 6,l )K -<— " -
dolp& Gordon, SD., i..PE..
APPROVALS Director
ATTORNEY GatERAL CONTROLLER
By . By
•
•
Form 6-AC-02C page 9 which is the last of 9 pages
Revised INJ •$¢instructions on reverse vale �/'�,�y�� � p � �� �� �
.+ssJal-ta3o PROGRAM APPROVAIQUii�iS4'�r�U1
V
•
•
930548
i, mEmoRAnDum
rat ,,
•
IConstanceTo L. Harbert, Chairman
Board of County Commissioners Date June 17, 1993
COLORADO Jeannie K. Tacker, Business Manager, Weld County Health Dept.
From
Subject: Fy 94 Family Planning Contract
Enclosed for Board approval is a Contract between the Weld County Health
Department(WCHD) and the Colorado Department of Health for our Family Planning
Program.
The Health Department will be reimbursed $125,600 to provide contraceptive
services to comprehensive family planning patients, $39,375 to provide colposcopy
and biopsy and/or pap screening services to 175 patients, $4,500 to provide
cryosurgery services to 60 patients, and $2,698 to provide chlamydia testing for
415 patients for a total reimbursement of $172,173. This amount is an increase
of $27,620 over the prior year's contract.
The Health Department is responsible for conducting a comprehensive family
planning program in compliance with Title X and Colorado Department of Health
regulations.
The term of the contract shall be from July 1, 1993 through June 30, 1994.
I would recommend your approval of this contract.
If you have any questions, please feel free to contact me.
930548
Hello