HomeMy WebLinkAbout961926.tiff RESOLUTION
RE: APPROVE CONTRACT FOR CHILD HEALTH PROGRAM BETWEEN HEALTH
DEPARTMENT AND COLORADO DEPARTMENT OF PUBLIC HEALTH AND
ENVIRONMENT AND AUTHORIZE CHAIR TO SIGN
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS, the Board has been presented with a Contract for Child Health 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 Health Department, and the
Colorado Department of Public Health and Environment, commencing October 1, 1996, and
ending September 30, 1997, 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 Contract for Child Health 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 Health Department, 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 contract.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 23rd day of October,-A.D., 1996, nunc pro tunc October 1, 1996.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
¶4M
A--�YBarbara J. Kirkmeyer, Ch it
1861 .4"t. o ty Clerk to the Board ��
o, zeX e
o®p. �,, t I e E!Baxter,rra
v �• tputy Clerk to the Board
-- Dale K. Hall
AP D AS T FXCI ISFf
Constance L. Harbert
o ty Attorn c,/ 9 ird, Q_4_
H. ebster
961926
(C : /kJ-Sr HL0022
Department or Agency Number:
FAA(CDPHE)
APPROVED WAIVER FORM Contract Routing Number:
9705807
CONTRACT
THIS CONTRACT, made this 1st day of October, 1996, by and between the State of Colorado for
the use and benefit of the Department of Public Health and Environment, 4300 Cherry Creek Drive So.,
Denver, Colorado, 80222, hereinafter referred to as the State and WELD COUNTY HEALTH DEPT,1517
16th Avenue Court, GREELEY, CO 80631 586, 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.WCH9705807 in Fund number 100,
Appropriation Accounts 585 and 085, and Organization 6710; 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 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 to 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 Public Health and Environment Child
Health Manual, Screener Manual, and other policies and guidelines which have or will be made available
to the contractor and shall include:
a. Child Health Clinic Services as indicated to include:
(1) A complete health and psychosocial history and unclothed physical exam
(2) Age-appropriate screening, including developmental screening
(3) Age-appropriate immunizations
(4) Age-appropriate anticipatory guidance and teaching of risk-reducing behaviors to
parents, including injury prevention
(5) 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 indicated 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
page 1 of 8 pages 961926
c. activities in which staff have taken a leadership role and/or have actively participated that
have as their goal the improved health of children in the communities served. Such
activities will be consistent with one or more core public health functions of assessment,
assurance and policy development and implementation
d. evidence that 92%of all 2 year old children who have been enrolled in Contractors Child
Health Clinics for at least one year are current on recommended immunizations, including
Hemophilus B
e. 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 or in
which the Contractor has played an active role
f. case finding and referral through above Child Health activities for children eligible for the
Health Care Program for Children with Special Needs
g. a description of efforts to enhance collaboration and sharing of resources to improve
services to children in the community
2. The Contractor will,whenever possible, use para-professional Screeners to perform screening
components of Child Health Services. The preferred developmental screening tool is the Denver II.
Screeners using the Denver II 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
supervision for these screeners.
3. The Contractor will submit monthly to the State screening data utilizing the CoTrack data system,
or other system as may be approved by the State.
4. By September 30, 1997 and September 30, 1998 a qualitative audit will be done on 10%of
currently enrolled and active Child Health Clinic 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
75%of the problems identified in Child Health Clinic clients have shown resolution and/or improvement.
5. By September 30, 1997 and September 30, 1998, the Contractor will provide to the State in
writing the total dollar amount that was reimbursed to them for EPSDT/Medicaid screenings provided to
children seen in the agency.
6. 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).
7. 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) informthe 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 children up to 6 years of age, who are reasonably believed to
meet BC/KC family financial requirements.
8. By September 30,1997 and September 30,1998, the Contractor will submit to the State federally
required data on the number of patients served and the number of visits by: category of patient(mothers
and infants, children and adolescents, children with special health care needs and others); source of
payment(Medicaid, insurance, no coverage, or unknown); and race(1. white, black, American Indian,
Pacific Islander, other or unknown and 2. Hispanic origin yes or no). Estimates must be provided until
page 2 of 8 pages 961926
such time as actual numbers can be submitted.
9. The Contractor will not charge for services to 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$7,740 for an individual; $10,360 for a family of 2; $12,980 for a family of 3; $15,600 for a
family of 4; $18,220 for a family of 5; $20,840 for a family of 6; $23,460 for a family of 7; $26,080 for a
family of 8. For families of more than eight, add$2,620 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.
10. If any charge 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. Clients must
understand they will not be denied services for inability to pay any of the sliding fee charges.
11. 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.
12. Contractor agrees to provide services to all program participants and employees in a smoke-free
environment. In accordance with PL 103-227, also known as the Pro-Children Act of 1994, smoke-free
shall mean that smoking is not permitted in any portion of any indoor facility owned or leased or contracted
for by the contractor if said facility is routinely or regularly used for the provision of child care or health
services to any child under the age of 18 when those services are funded all or in part with Federal funds.
13. 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, 1997 and December 31, 1998.
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 form and noted as to whether these funds are used
to match other funding, and signed by a certified official.
14. The State will, in consideration of said services by the Contractor, cause to be paid to the
Contractor an amount not to exceed thirty six thousand,one hundred seventy dollars($36,170.00)for
the period between October 1, 1996 and September 30, 1997, upon receipt of signed monthly statements,
(Attachment B,which by this reference is made a part hereof), submitted in duplicate, to the FAMILY AND
COMMUNITY HEALTH SERVICES DIVISION,ADMINISTRATIVE SECTION requesting reimbursement
in the following manner:$3,522.22 per month for the first nine months and $1,490.00 per month for the
final three months for the period between 10/01/96 and 09/30/97. 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 C)to be signed by the State and the Contractor and approved by the State Controller(or
an authorized designee).
15. This contract includes$18,290.00 which represents the contractor share of the Maternal and Child
Health funds appropriated by the legislature to local health departments. Receipt of these funds requires
local match that is subject to specific audit which in this case amounts to$13,718.
page 3 of 8 pages 961926
16. The State may prospectively increase or decrease the amount payable under this contract through a
"Change Order Letter,"approved by the State Controller or his designee, in the form attached hereto as
Attachment D, subject to the following conditions:
a. The Change Order Letter("letter")shall include the following:
(1) Identification of contract by contract number and affected paragraph number(s);
(2) Identification of any service level increases or decreases and the new service level if
applicable;
(3)Amount of the increase or decrease in the level of funding and the total;
(4) Intended effective date of the funding change;
(5)A provision stating that the Change shall not be valid until approved by the State Controller or
such assistant as he may designate;
(6)Authorized signatures of the State, the Contractor, and the State Controller or his designee.
b. Upon proper execution and approval, such Letter shall become an amendment to this Contract
and, except for the General and Special Provisions of the Contract,the Letter shall supersede the
Contract in the event of a conflict between the two. It is understood and agreed that the Letter may be
used only for increased or decreased funding, and corresponding adjustments to service levels and any
budget line items.
c. If the Contractor agrees to and accepts the change, the Contractor shall execute and return the
Letter to the State by the date indicated in the Letter. In the event the Contractor does not accept the
change, or fails to return the executed letter in a timely manner, the State may, upon notice to the
Contractor, terminate this Contract effective at any time after twenty (20)days following the return
deadline specified in the Letter. Such notice shall specify the effective date of termination. In the event of
termination, the parties shall not be relieved of their obligations up to the effective date of termination.
d. Increases or decreases in the level of contractual funding made through the Letter process
during the term of this contract may be made under the following circumstances:
(1) If necessary to fully utilize Colorado State appropriations and/or appropriated federal grant
awards.
(2)Adjustments to reflect current year expenditures.
(3) Supplemental appropriations or non-appropriated federal funding changes resulting in an
increase or decrease in the amounts originally budgeted and available for the purposes of this
program.
(4) Closure of programs and/or termination of related contracts.
(5) Delay or difficulty in implementing new programs or services.
(6) Other special circumstances as deemed appropriate by the State
17. The term for this contract is beginning October 1, 1996 and ending September 30, 1998.
page 4 of 8 pages 961926
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 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 to 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-I22,and A-102 or A-IIO,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 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
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, 1O1 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).
Page 5 of 8 Pages 961926
Rev. 06/01/92 (GEN070595)
GENERAL PROVISIONS -- Page 2 of 2 pages
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.
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 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
Rev. 06/01/92(GEN07059S) 961.926
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 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 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 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 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 famish 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 fall enjoyment of work opportunity because of race,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 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(GEN070595)
Revised 1/93
195-53-01-1022
page 7 of 8 pages
961926
(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 April 16, 1975,or by rules,regulations,or orders promulgated in accordance therewith,or as otherwise provided by 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 orders issued pursuant to Executive Order,Equal Opportunity and Affirmative Action of April 16, 1975,so that such provisions will be binding
upon each subcontractor or vendor. The contractor will take such action with respect to any sub-contracting or purchase order as the contracting 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 State of Colorado.
COLORADO LABOR PREFERENCE
6a. Provisions of CRS 8-17-101& 102 for preference of Colorado labor are 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 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
determined by the officer responsible for awarding the bid that compliance with the subsection.06 may cause denial of federal funds which would otherwise
be available 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(CRS 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 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 aver that they are familiar with CRS 18-8-301,et seq.,(Bribery and Corrupt Influences)and CRS 18-8-401,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 the service or property described herein:
IN WITNESS WHEREOF,the parties hereto have executed this Contract on the day first above written.
Contractor: State of Colorado
(Full al Name)Weld Count Health Dent ROY ROMER,GOVE OR
By (1A .till (.� \ �, , ti:fi gii/4
Chair, Weld County (/ 10/23/96
Position(Title) Board of Commissioners By (1/
urtl //
' �t. ity Number or Federal I.D.Number Department
of PUBLIC HEALTH AND ENVIRONMENT
✓/i861 tCiMt,Trwn/r,it /Coin y .ite
Se ) Gce�
�0 , ra�li_41i�e �� de. .
'"'rf our[ Clerk to Board
i'.'Y4t7 % XA1F4'[fIT�'�S11C y APPROVALS
ATTORNEY GENERAL CONTROLLER
By By Clr wre
Gale A.Norton Clifford W.Hal
Form 6-AC-02C(GEN0'70595) Page 8 which is the last of 8 pages
Rev-53-1/93 961926
795-53-0I-1030 PROGRAM APPROVAL:
Actual Annual Expenditure Report Attachment A
Applicant:
Project:
Actual Expenditures for the period:
Total Source of Funds
Amount *Applicant Received
Expended and Other from CDPI{E
Personal Services:
Contractual/Fee for Service:
Supervising Personnel:
Fringe Benefits: Rate=
Personal Services J J
Operating Expenses:
(includes Building/Facility
Cost not part of Indirect)
Operating
Travel:
Travel
Equipment:
Equipment
Total Direct Costs(Personnel+Operating+Travel+Equip)
Administrative/Indirect Cost
TOTAL PROJECT COST I
Indirect= %of
Exclude equipment from indirect calculations.
`Source of Funding for"Applicant and Other"
Local:•` $�Medicaid: $ __
Patient Fees:
Other: S
Total Applicant and Other S
••Are these local funds used to match any other grant? ves _no
Signature of Director or Authorized Representative - --
961926
Attachment B
) `
o- / 7 /
/ / oo (
I
/ ^ h
/ I
] .
/ 76 .
a a 1°
f_ I / § % § 3
H
a: 41 \c 1'
- QCs
14 a .-"- ,
< a.
B .
\ / 0
tz \ \
k / a o f §
3 C
0 ]
o - /
j ® $
H . §
z _ }
O
U e
— / k
* $ 5 /
\ .. <
r. o > \ g \
\ \ E \ \
/« _ ) ( ) p
Q o j \
g O 2 R ± O
y u2 °
k \ 0 � § H O
/ ± ( \ ) / Z C §
/ \ - J61926
Attachment C
, 1996
State Fiscal Year 19_-_ Contract Routing Number
Contract Renewal Letter No.
In accordance with Paragraph_of the contract with routing number and contract number ,(as amended
by Change Order Letter routing number ,and/or Renewal Letter routing number ),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( Division)and the parties hereby
agree the Original Contract is hereby renewed for the period of , 199_through 199_The
parties agree that the maximum amount payable by the State for the eligible services during this renewal period is
DOLLARS(S )according to the work plan attached hereto as Attachment A and the budget
attached hereto as Attachment B,both incorporated herein. 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 , 199_,but in no event shall it be
deemed valid until it shall have been aooroved by the State Controller or such assistant as he may desienate.
Please sign,date and return all_originals of this letter as soon as possible to:
Colorado Department of Public Health and Environment
Division
Mail Code:
4300 Cherry Creek Drive South
Denver,Colorado 80222-1530
One original of this letter will be returned to you when fully approved.
Contractor: State of Colorado:
Full Contractor Name Roy Romer,Governor
By:
Signature
By:
Print Name: For the Executive Director
Colorado Department of Public Health
Title: and Environment
APPROVALS: APPROVALS:
PROGRAM CONTROLLER
By: By:
Clifford W. Hall 961926
Attachment D
, 1996
State Fiscal Year 19_-_ Contract Routing Number
Change Order Letter No.
In accordance with Paragraph_of the contract with routing number and contract number ,(as amended
by Change Order Letter routing number ,and/or Renewal Letter routing number ),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( Division)and ,covering the period
of , 199_through , 199_,the parties agree that the maximum amount payable by the State
for the eligible services in Paragraph_of the Original Contract is being increased/decreased by
DOLLARS($ )to a new total of DOLLARS($ )in accordance with the
revised work plan attached hereto as Attachment A and revised budget attached hereto as Attachment B,both incorporated
herein. The first sentence in Paragraph_of the Original Contract is hereby modified accordingly. All other terms of
conditions of the Original Contract are hereby reaffirmed.
This amendment to the Original Contract is intended to be effective as of , 199_,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 desienate.
Please sign,date and return all_originals of this letter as soon as possible to:
Colorado Department of Public Health and Environment
Division
Mail Code:
4300 Cherry Creek Drive South
Denver,Colorado 80222-1530
One original of this letter will be returned to you when fully approved.
Contractor: State of Colorado:
Full Contractor Name Roy Romer,Governor
w
By:
Signature
By:
Print Name: For the Executive Director
Colorado Department of Public Health
Title: cLEnvirWELD C UN t ALT DEPART NT
BY-
APPROVALS: APPROVALS: OHN . PICI E
DIRECTOR
PROGRAM CONTROLLER
By: By.
Clifford W. Hall 961926
mEmoRAnDum
WC Barbara Kirkmeyer, Chair
To Board of County Commissioners Date October 21, 1996
COLORADO
From John Pickle, Director, Health Departmei
Subject:
Child Health Program Contract
Enclosed for Board approval is a contract between the Weld County Health Department
(WCHD) and the Colorado Department of Public Health and Environment (CDPHE) for the
Child Health Program.
WCHD will provide well child clinic services to clients aged 0 to 16 years. These services will
include health and psychosocial history screenings, physical exams, immunizations,teaching of
risk-reducing behaviors to parents, and referrals to appropriate resources of children exhibiting
actual or potential physical psychosocial/emotional problems.
For these services, WCHD will receive a total reimbursement of$$36,170 for the period
October 1, 1996 through September 30, 1997. This funding is an increase of$596 over the prior
year's contract.
I recommend your approval of this contract.
Enclosures
961926
Hello