HomeMy WebLinkAbout992344.tiff RESOLUTION
RE: APPROVE CONTRACT RENEWAL LETTER#2 FOR STATE EMERGENCY MEDICAL
SERVICES COUNTY SUBSIDY CONTRACT 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 Contract Renewal Letter#2 for the
State Emergency Medical Services County Subsidy Contract 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 Ambulance Service, and the Colorado Department of Public Health
and Environment, with terms and conditions being as stated in said renewal letter, and
WHEREAS, after review, the Board deems it advisable to approve said renewal letter, 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 Contract Renewal Letter#2 for the State Emergency Medical
Services County Subsidy Contract 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
Ambulance Service, 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 renewal letter.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 22nd day of September, A.D., 1999.
BOARD OF COUNTY COMMISSIONERS
ELD COUNTY, OLORADO
ATTEST: /ad/
7ale K. Hall, Chair
Weld County Clerk to the t ,��n
C� Fir 4 i.•arbara . Kirkmey- , Pro-Tem
BY: . rle. (,lp , .,
Deputy Clerk to the Boar.'�� lV •
George axter
APpED AS TO FO
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ountyAttorne i�
Glenn
992344
Ann
AM0012
COUNTY SUBSIDY PAYMENT DISTRIBUTION FORM
COLORADO EMERGENCY MEDICAL SERVICES SUBSIDY PROGRAM FOR
COUNTIES
In accordance with the provision of CRS 25-3.5-605, the undersigned hereby requests an EMS
county subsidy distribution payment for the improvement and expansion of prehospital EMS. It
is understood that payment is contingent upon approval of the statutatory reporting requirements
by the State Advisory Council on EMS.
Payment To: Board of County Commissioners. Weld County
Name of Board of County Commissioners (payee)
P.O. Box 758
Address
Greeley, CO 80632
(City) (State) (Zip)
Chairperson Board ofcounty Commissioners ,-
SIGNATURE:.._ DATE: 09/22/99
Printed Name: Dale K. Hall, Chair
SIGN AND RETURN" THIS FORM ALONG WITH ALL REPORTING DOCUMENTATION
For use only by Department of Public Health and Environment
Amount: $ 15.092.33
Approved By: Date:
Grants Manager
Date:
Fiscal Officer
Fund Agency nrg Apnr Code Func Orb' GBL
409 FLA 8300 839 FLWT 5120 000S
Original Contract Number:9807612
Renewal Routing#: 0000196
Vendor #:846000813 U
STATE OF COLORADO
Bill Owens,Governor oce•CO40
Jane E.Norton, Executive Director .of
Dedicated to protecting and improving the health and environment of the people of Colorado 'yf/�';:�: S
• G:il ' .
4300 Cherry Creek Dr.S. Laboratory and Radiation Services Division 1, .,.,a,.- •
Denver,Colorado 80246-1530 8100 Lowry Blvd. •1876
Phone(303)692-2000 Denver CO 80220-6928
Located in Glendale,Colorado (303)692-3090 Colorado Department
of Public Health
http://www.cdphestate.co.us and Environment
September 15, 1999
State Fiscal Year 1999-2000 Contracting Routing Number
FLA 0000196
Contract Renewal Letter No. 2
In accordance with Paragraph 10 of the contract with routing number 9807612 and contract number FAA, EMS 9807612 ,
hereinafter referred to as the Original Contract(copy attached and by this reference made a part hereof)between the State of
Colorado, Department of Public Health and Environment EMSP Division and Weld County,the parties hereby agree the Original
Contract is hereby renewed for the period of January I,2000 through December 31,2000. The parties agree that the maximum
amount payable by the State for the eligible services during this renewal period is FIFTEEN THOUSAND NINETY TWO
DOLLARS AND THIRTY THREE CENTS($15,092.33)u .1:.,gt the work plan att“.,1,,11.,..,a, Att....l.......t A,...1 th.,
budget attaehed hereto 0s Attat,l.....,..t B,L N .. .Y . tcd h . i.r. The terms of conditions of the Original Contract are hereby
reaffirmed and shall continue in full force and effect throughout this renewal period unless otherwise stated.
This amendment to the Original Contract is intended to be effective as of January 1,2000, but in no event shall it be deemed valid
until it shall have been approved by the State Controller or such assistant as he may designate.
Please sign,date and return all three originals of this letter as soon as possible to:
Arleen Way, Grants Manager
Colorado Department of Public Health and Environment
EMSP Division
Mail Code: EMSPD-PCP-A5
4300 Cherry Creek Drive South
Denver,Colorado 80246-1530
One original of this letter will be returned to you when fully approved.
Contractor: Weld County State of Colorado:
Bill Owens,Governor
///
Signature 09/22/99 1
By: \
Print Name: Da 1 a K
For the Executive Dir tor
H�1J Colorado Department f Public Health
Title: Chairperson, Board of County Commissioners And Environment
APPROVALS: APPROVALS:
PROG ) / CONTROLLER
By: P/'1 By:
Arthur L. ernhart
STATE OF COLORADO
Bill Owens,Governor op-eo\
Jane F. Norton, Executive Director ,�. - _.
Dedicated to protecting and improving the health and environment of people of Colorado Iv''', �
4300 Cherry Creek Dr.S. Laboratory and Radiation Services Division ,*mot to,**
Denver,Colorado 80246-1530 8100 I owry Blvd. '!1g76
Phone(303)692-2000 Denver CO 80220-6928 - _
I ocated in Glendale,Colorado (303)692-3090 Colorado Department
of Publc Health
http://www.cdphestate.co.us and Environment
September 15, 1999
Weld County, Board of County Commissioners
c/o County Administrator
P.O. Box 758
Greeley, CO 80632
Dear County Administrator:
As you know, the State and your county have a contract in place for disbursument of the Emergency Medical Services
County Subsidy funds. Enclosed is the second year renewal letter for that contract and the Payment Distribution Form
necessary for payment.
• All three copies of a renewal letter must be signed by the chairperson of your Board of County Commissioners.
• The Payment Distribution form must also be signed by the chairperson of the board.
• DO NOT remove the copy of the original contract that is attached to one copy of the renewal letter.
It is important that we have a signed agreement and payment form as soon as possible- return these to:
Arleen Way, Grants Manager
Colorado Department of Public Health and Environment
EMSP Division
Mail Code: EMSPD-PCP-A5
4300 Cherry Creek Drive South
Denver, Colorado 80246-1530
If you have any questions, please give me a call at (303)692-2987.
Si e�
t
(13
Arleen Way �
Grants Manager
Pre-Hospital Care Program
cc: Second year renewal letter
One Copy of the Original Contract
Payment Distribution Form
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