HomeMy WebLinkAbout951241.tiffRESOLUTION
RE: APPROVE CHANGE ORDER LETTER NO. 1 TO IMMUNIZATION CONTRACT 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 Change Order Letter No. 1 to Immunization
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 Health Department, and the
Colorado Department of Public Health and Environment, for the period beginning January 1, 1995,
and ending December 31, 1995, with further terms and conditions being as stated in said change
order, and
WHEREAS, after review, the Board deems it advisable to approve said change order, a
copy of which is attached hereto and incorporated herein by reference.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld
County, Colorado, that Change Order Letter No. 1 to Immunization 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 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 Chairman be, and hereby is, authorized
to sign said change order.
The above and foregoing Resolution was, on motion duly made and seconded, adopted by
the following vote on the 19th day of June, A.D., 1995, nunc pro tunc, January 1, 1995.
BOARD OF COUNTY COMMISSIONERS
ATTEST:
I
Weld Count
BY:
Deputy Clerk hthe.Board
AP ED AS TO FOR
o my ttorne
Cc ; sfat14)
Dale K. Hall, Chairman
D COUNTY, COLQRAD
Barbara J. Kirkmeyer,PPro-Tem
George'E. Baxter
Constance L. Harbert
W. H. Webster
951241
HL0021
STATE OF COLORADO
Roy Romer, Governor
Patti Shwayder, Acting Executive Director
Dedicated to protecting and improving the health and environment of the peaple of Colorado
Main Building
4300 Cherry Creek Dr. S.
Denver, Colorado 80222-1530
Phone (303) 692-2000
Laboratory Building
4210 E. 11th Avenue
Denver, Colorado 80220-3716
(303) 691-4700
Colorado Department
of Public Health
and Environment
May 15, 1995
State Fiscal Year 1995-96 Routing Number 95-1639
Change Order Letter No. 1
In accordance with Paragraph 18 of routing number 95-0706, of contract number EPI950706, (copy
attached and by this reference made a part hereof) between the State of Colorado Department of Public
Health and Environment (Disease Control and Environmental Epidemiology Division) and Weld County
Commissioners of behalf of the Weld County Health Department covering the period of January 1,
1995 through December 31, 1995 the undersigned agree that the maximum amount payable by the State
for eligible services in Paragraph 16 is being increased by $3,000 to a new total of $100,258 to be spent
as allocated in the revised budget outlined below. The first sentence in Paragraph 16 is hereby modified
accordingly. The terms and conditions of the original contract shall remain the same.
January 1, 1995 - December 31, 1995
Personnel/Fringe
Printing
Postage
Travel
Annual IAP Meeting
Supplies
Indirect
$ 77,758
$ 3,000
$ 3,500
$ 4,300
$ 500
$ 1,000
$ 10,200
REVISED TOTAL $ 100,258
This amendment to the contract is intended to be effective as of 06/30/95, 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.
O
Printed on Recycled Paper
Poem 6 -AC -CM (It 1/88)
DEPARTMENT OR AGENCY NUMBER
26000 -FHA
CONTRACT ROUTING NUMBER
95-0706
CONTRACT
THIS CONTRACT, made this 5th day of December, 1994 by and between the State of Colorado for the
use and benefit of the Department of Public Health and Environment, 4300 Cherry Creek Drive South,
Denver, Colorado 80222-1530 hereinafter referred to as the State, and Weld County Commissioners on
behalf of the Weld 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 unencumbered balance thereof remains available for payment
in Fund Number 100, APPR code la, Contract Encumbrance Number FHA EPI950706; and
WHEREAS, required approval, clearance and coordination has been accomplished from and with
appropriate agencies; and
WHEREAS, the State and Disease Control and Environmental Epidemiology Division of the
Colorado Department of Public Health and Environment (CDPHE) has received funding from the U.S.
Department of Health and Human Services, Centers for Disease Control and Prevention (CDC) for an
Immunization Action Plan to increase and enhance availability of age -appropriate immunizations for
children; and
WHEREAS, in order to implement said comprehensive plan, the State has established provisions
by which to provide supplementary support to various public health agencies; and
WHEREAS, the Contractor is considered by the State to be an appropriate organization to provide
these services as herein stated.
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. In cooperation with CDPHE, the Contractor will coordinate and collaborate with other local
Immunization Action Plan (IAP) contractors and with Women, Infants and Children (WIC) clinics to the
extent possible, to provide services as outlined in this contract in order to increase the immunization
levels in children aged two and under.
2. The Contractor will improve aeress to immunization services at the Greeley clinic through
extended hours, including evening, lunch hour and Saturday services.
3. The Contractor will continue providing two clinic sites in low socioeconomic areas in Greeley.
4. The Contractor will continue to refine and implement a county -wide tracking, recall and reminder
system in Weld County.
Page I oil Page.
5. By January 31, 1995, the Contractor will invite members from child health care services,
including WIC and AID to Families with Dependent Children, to join the Weld County Immunization
Coalition and develop strategies to best serve clients.
6. By March 1, 1995, the Contractor will establish a quality assurance process which will include
annual patient record audits, a vaccine management system at each site, up-to-date protocols, a specified
nurse to process and report adverse vaccine reactions, education and training for all immunization staff
and a plan for regular ongoing inservice education.
7. By December 31, 1995, the Contractor will transfer responsibility for providing immunization to
Weld County Health Department rural staff in six rural sites.
8. The Contractor will designate Rosemary Spence to provide statewide Colorado School
Immunization Law training to day care home providers seeking licensing and agencies who train day care
home providers ($1,000 in travel. provided).
9. The Contractor will continue to coordinate the Weld County Immunization Coalition whose
membership includes public and private vaccine providers, members of federally funded programs,
licensed day care organizations, and community -based organizations to develop strategies to increase
immunization levels in target populations.
10. The Contractor will designate at least one person working directly with the Immunization Action
Plan to attend the annual IAP Coordinator's Meeting to be held in October, 1995.
11. The Contractor agrees to design interventions to improve coverage by implementing
recommendations from the Standards for Pediatric Immunization Practices.
12. Using the CDC Foxclin/Clinic Assessment Software Application and the CDC Guidelines for
Assessing Vaccination Levels of the two -year -old population in a clinic setting, the Contractor agrees to
conduct a survey beginning April 1, 1995 in order to measure progress toward reaching the 90% goal
of immunization levels in children aged two -and -under.
13. The Contractor agrees to maintain internal medical and administrative records in a manner which
ensures confidentiality and security and is consistent with procedures for clinical services.
14. The Contractor will provide to the State a quarterly narrative progress report which is due within
fifteen days after the end of the quarter. This report shall document progress toward the goals of
ensuring that 90% or more of Colorado two -year -olds receive all recommended immunizations. Monthly
billings will not be reimbursed until such time as delinquent progress reports have been received. Time
frames to be addressed are as follows:
Progress Period
January - March
April - June
July - September
October - December
Page 2 of 1 Pages
Due Date
April 15
July 15
October 15
January 15
15. The Contractor agrees that any data collection and analysis done as a result of this study will be
done in collaboration with CDPHE and CDC, and that no data shall be published prior to approval by
these agencies.
16. The State will, in consideration of said services by the Contractor, cause to be paid to the
Contractor a sum not to exceed Ninety Seven Thousand Two Hundred Fifty Eighty Dollars ($97,258) for
the period between January 1, 1995 and December 31, 1995. Reimbursement shall be conditioned upon
affirmation by the State Immunization Program that services were rendered in accordance with this
contract, as follows:
a. Upon receipt of signed monthly statements requesting reimbursement, submitted in
duplicate within sixty days following the end of the month during which services were
rendered. Said statements shall set forth dates, names of payees, brief description of
expenditures, amounts, and total requested. Reimbursement shall be conditioned upon
affirmation by the State Immunization Program, that all services were rendered in
accordance with the terms of this contract.
17. The following budget shall govern the expenditure of funds for the period between January 1,
1995 and December 31, 1995 by the Contractor as well as the subsequent reimbursement by the State.
Transfer of funds from one line item to another must have written approval by the State:
Personnel/Fringe
Printing
Postage
Travel
Annual IAP Meeting
Supplies
Indirect
$ 77,758
$ 3,000
$ 3,500
$ 1,300
$ 500
$ 1,000
$ 10,200
TOTAL $ 97,258
18. Changes in reimbursement amounts for any of the budget periods 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 Immunization Program, and the State
Controller or an approved designee as evidenced by a mutually signed Change Order Letter, sample
attached and by this reference made a part hereof as Attachment A, which shall include the following:
a. Identification of contract by contract number and number of the 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. Effective date of the funding change;
e. Authorized signatures of the State, the Immunization Program, the Contractor, and
the State Controller or an approved designee. It is understood that no change
except in utilization shall be made through the Change Order Letter.
19. The term of this contract is beginning January 1, 1995 and continuing through December 31,
1995.
Page 3 of 7 Pages
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. co perform. audits and to make
inspections for the purpose of evaluating performance under this contract.
3. Eicher 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 co
perform their obligations up to the dace 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 ocher 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.
276A -276A-5). This act requires that
contractors or sub -contractors to work on
assistance must be paid wages not less
project by the Secretary of Labor;
d) 42 USC 6101 et seq, 42 USC 2000d. 29 USC 794. These acts require that
person shall, on the grounds of race, color, national origin, age, or handicap,
d
excluded from participation in or be subjected to discrimination in any program
activity funded, in whole or in part, by federal funds; and
1494, Mar. 3, 1921, Chap. 411, 40 USC
all laborers and and mechanics employed by
construction projects financed by federal
than those established for the locality of the
4
Page of
Rev. 06/01/92
Pages
no
be
Or
G6NERAL.PR01(ISION5--Page 2 o 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 chat:
a) the contractor is in compliance with therequirements: 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 arid
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 co 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 th three
years after the date of issuance of the audit report. This contract
contain federal funds as of the dace 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 5 of 7 Pages
Rev. 06/01/92
SPECIAL PROVISIONS
I'ONTROLl.ER'ti APPROVAL
1. This contract shall not he 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 ohligations 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 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 terns 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,
andAfof vActionapplicable. dated p respecting
discrimination and unfair employment practices (CRS 24-34-402). and as required by Executive Order. Equal Opportunity and
til 16.
1975. Pursuant thereto, the following provisions shall he contained in all Stare contracts or sub -contracts.
During the performance of this contract. the contractor agrees as follows:
ational a The contractor reli will not discriminate orphysicalzinst any
handica . or age.employee
oroThe conapplicant
ractor will take affirmativeactionto insurecreed,
that applicants are employed.tand that
marital mstatus, religion. ancestry. P•
employees are treated dining empbym<m, 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: lay-offs 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.
(bl 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 (or employment without regard to race, creed. color, national origin. sex, marital status. religion. ancestry. mental or physical handicap.
or age.
tc) 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.
(dl The etiritractor and labor unions will furnish all information and tepnns required by Executive Order. Equal Opportunity and Affirmative Action of April
Ib. 1475. and by the rules. regulations and Orders of the Governor, or pursuant thereto, and will permit access in 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.
it) 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 race. creed, color.
sex, national origin. or ancestry.
(O 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.
Rona n -A('.0211
Revised WO)
395-53-01-1022
6 7
page__ of pages
(g) In the event of the contractor's non-compliance with the nondiscrimination 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 Suite are undertaken hereunder and
are financed in whole or in pan 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 this 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 roles 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 it pan 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 an familiar with CRS 18-8.301, et, seq.. (Bribery and Corrupt Influences) and CRS 18-8-401, a. seq.. (Abuse of Public Office).
and that no violation of such provisions is present.
Ill. 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:
(Full Legal Name)
WELD COUNT
BOARD OF COMMISSIONERS
DALE K. HALL
9
Position (Title) CHAIRMAN
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"InmEY GENERAL
ATTORNEY GENERAL
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Assistant Attorney General
,oral Legal Services
STATE OF COLORADO
ROY ROME
By
3 IXECInIVE DIRECTOR
DEPARTMENT
OF PUBLIC HEALTH & ENVIRONMENT
WELD COUNTY
B
DEPARTMENT
PICKLE, M.S.E.H.
APPROVALS f DIRECTOR
•
CONTROLLERF " I P
ATE CONTROLLER
By
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PROGRAM APPROVAL:
JCL ji.LL U
ATTACHMENT A
STATE OF COLORADO
COLORADO DEPARTMENT OF HEALTH
Dedicated to protecting and improving the health and
environment of the people of Colorado
4300 Cherry Creek Dr. S.
Denver, Colorado 80222-1530
Phone: (303) 692-2000
Date
State Fiscal Year 19_-_
Change Order Letter No.
Laboratory Building
4210 E. 11th Avenue
Denver, Colorado 80220-3716
(303) 691-4700
RoutingNumber
Roy Romer
Governor
Patricia A. Nolan, MD, MPH
Executive Director
In accordance with Paragraph 4 of routing number = _, of contract number _, (copy attached and
by this reference made a part hereof) between the State of Colorado Department of Public Health and
Environment (Disease Control and Environmental Epidemiology Division) and
covering the period of , 19 through , 19 the undersigned agree that the maximum
amount payable by the State for eligible services in Paragraph_ is being increased by $ to a new
total of $ . The first sentence in Paragraph _ is hereby modified accordingly. The terms and
conditions of the original contract shall remain the same.
This amendment to the contract is intended to be effective as of / / , 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 copies of this letter on or before , 19 to:
Audrey Christensen
Colorado Department of Public
Health and Environment
DCEED-ADM-A3
4300 Cherry Creek Drive South
Denver, Colorado 80222-1530.
A verified copy of this letter will be returned to you when it is fully approved.
State of Colorado:
Roy Romer, Governor
By: By:
Name Lee Thielen, Assistant Director
Title For the Executive Director
Colorado Department of Health
APPROVALS:
By:
Lee Koleski, Fiscal Officer
Disease Control and Environmental
Epidemiology Division
By:
State Controller or
Authorized Designee
® Pl lnlrll nn Rem led l5pv
Please sign, date, and return all copies of this letter on or before May 31, 1995:
Audrey Christensen
Colorado Department of Public
Health and Environment
DCEED-ADM-A3
4300 Cherry Creek Drive South
Denver, Colorado 80222-1530.
A verified copy of this letter will be returned to you when it is fully approved.
Weld County Commissioners on behalf of
Weld County Health Department:
State of Colorado:
Roy Romer, Governor
By:
B �:e2�-e..
Y
Name Lee Thielen, Assistant Director
Title 7 For the Executive Director
Colorado Department of Health
APPROVALS:
By:
Lee eski, fiscal Officer
Disease Control and Environmental
Epidemiology Division
WELD C0UNTY�EALTH D PARTM NT,
OH S. PICKLE, M.S.E.H.
DIRECTOR
!Y;
ATTEST:
WELD
BY:
isty Commissioners
aft 4:C
DEPUTY CLERK TO THE BOAR
RQ
By:
State Controller or
Authorized Designee
Ei CONTR0LLEFI
gaDYea. LL
An vi
Ink
COLORADO
MEmoRIInuum
Dale Hall, Chairman
To Board of County Commissioners
From
Subject:
Date June 15, 1995\
John Pickle, Director, Health Department
Change Order Letter to Immunization Contract
Enclosed for Board review and approval is a Change Order Letter to the contract Weld County
Health Department has with the Colorado Department of Public Health and Environment for the
Immunization Program. This letter increases the travel category of the current contract by
$3,000. The additional funding has been added to accommodate the amount of travel necessary
for the state-wide day care consultation and the county tracking system. Total funding for this
_contract for the period January 1, 1995 through December 31, 1995 will now be $100,258.
I recommend approval of this change order letter..
Enclosure
951241
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