HomeMy WebLinkAbout20242303 Mariah Higgins
From: Bill Fritz
Sent: Wednesday, November 12, 2025 2:06 PM
To: • CTB
Cc: Shaun May;Jason Chessher
Subject: HI HIV Option Letter#4 for Communication
Attachments: HIV OL#4.pdf
Follow Up Flag: Follow up
Flag Status: Flagged
Please find Option Letter#4 for the HIV grant Attached.This is for communication to the Board.Thanks Bill
WEL*
COUNTY,CO
Bill Fritz
Finance Manager
Weld County Department of Public Health and Environment
Desk: 970-400-2122
1555 North 17th Ave., Greeley, CO 80631
o ® u ® O
Join Our Team
IMPORTANT:This electronic transmission and any attached documents or other writings are intended only for the
person or entity to which it is addressed and may contain information that is privileged,confidential or otherwise
protected from disclosure. If you have received this communication in error, please immediately notify sender by
return e-mail and destroy the communication.Any disclosure, copying,distribution or the taking of any action
concerning the contents of this communication or any attachments by anyone other than the named recipient is
strictly prohibited.
CotAK VA;eo t:onS '.NL1�cTCR�/eo) 2021-i-.2303
►l/21-I/,25 cc <<%.v/Ts !-IL 005 7
Docusign Envelope ID:17E0E639-CEB2-4AB4-B39B-87B27B5AFC8D
State of Colorado Contract Modification
Option Letter #4
State Agency Contract Performance Beginning Date
State of Colorado for the use £t benefit of August 1, 2024
the Department of Public Health and Current Contract Expiration Date
Environment June 30, 2026
Contractor Current Contract Maximum Amount
Board of County Commissioners of Weld Initial Term
County (a political subdivision of the state 8/1/2024-6/30/2025: $99,957.33
of Colorado) Extension Terms
Option Letter Number 7/1/2025-6/30/2026: $119,952.00
Option Letter#3
Original Contract Number Total for All State Fiscal Years:
2025*0283 $219,909.33
Option Contract Number
2025*1841 OL#4
1. Options:
A. Option to extend for an Extension Term
B. Option to change the quantity of Services under the Contract
2. Required Provisions:
A. In accordance with the Section 2C of the Original Contract referenced above, the State
hereby exercises its option for an additional term, beginning November 15, 2025 and ending
on the current contract expiration date shown above, at the rates stated in the Original
Contract, as amended.
B. In accordance with Section 5Bv of the Original Contract referenced above, the State hereby
exercises its option to Increase the quantity of the Services at the rates stated in the
Original Contract, as amended. Exhibit C, Budget is deleted and replaced in its entirety
with Exhibit C, Budget attached to this Option Letter. The budget is as follows: 7/1/25-
8/31/25 $19,999.96, available starting 8/1/25 $89,956.04, and an additional $9,996.00
available upon execution of this option letter.
C. The Contract Maximum Amount table on the Contract's Signature and Cover Page is hereby
deleted and replaced with the Current Contract Maximum Amount table shown above.
Page 1 of 2
Docusign Envelope ID:17E0E639-CEB2-4AB4-B39B-87B27B5AFC8D
3. Option Effective Date:
The effective date of this Option Letter is upon approval of the State Controller or November 15,
2025, whichever is later.
State of Colorado State Controller
Jared S. Polis, Governor Robert Jaros, CPA, MBA, JD
Colorado Department of Public Health and
Environment
�DocuSigned by: r—DocuSigned by:
aaSUL alit,rhsow 14.4 tvat.,04
isycetittvai Gilbertson, Procurement and `133(:"Kif Williams, Controller
Contracts Section Director
Date: 2025-11-10 Option Effective Date: 2025-11-12
In accordance with 524-30-202, C.R.S., this
Option is not valid until signed and dated
above by the State Controller or an
authorized delegate.
Page 2 of 2
Docusign Envelope ID: 17E0E639-CEB2-4AB4-B39B-87B27B5AFC8D
Exhibit C Budget
OF otc
{ti� Q 'F,
1•, �FOO• Colorado Department of Public Health and Environment
•,676•
Colorado Department Budget Justification Form
of cHh
andd Em ContractRouting-
CT2025*1841OL#4
nvimnment
Contractor Name Weld County Department of Public Program Contact Name, Annette Odell,FNP-C/Program Coordinator
Health Title,Phone and Email 970-400-2324/aodell@weld.gov
Budget Period 07/01/2025 06/30/2026 Fiscal Contact Name,Title, Bill Fritz/Finace Manager
Phone and Email 970-400-2122/bfritz@weld.gov
Project Name High Impact HIV Prevention Contract Number CT 2025'1841
Expenditure Categories
Percent of Service
Gross or Actual Time Type Match or In- Original Total
Personal Services Monthly Fringe (FTE)on HIVT, Kind(If amount Amount to Amount
Salary 37.87% Contract/ PREP, Applicable) Requested Add Request from
Purchase SYAC from CDPHE CDPHE
Order
Description of Work(for hourly
Position Title/Employee employees,please include the hourly
Name rate and number of hours in your
description)
Strategy I:collect samples,review
Public Health Nurse II results,provide navigation,provide $88,354.00 $33,460 I8°o HIVT $23,295.51 $1,000.00 $24,295.51
treatement if needed
Strategy I:collect samples,review
Public Health Nurse II results,provide navigation,provide $88,354.00 $33,460 5% PREP $5,583.42 $0.00 $5,583.42
treatement if needed
Strategy I:process and collect samples
Medical Assistant and prepare them for lab,referral and $63,569.00 $24,074 5°° HI VT $4,016.83 $1,000.00 $5,016.83
navigation support
Strategy I:process and collect smaples
Medical Assistant and prepare them for lab,referal and $63,569.00 $24,074 5% PREP $4,016.83 $0.00 $4,016.83
navigation support
Strategy 2:provide outreach planning and
oversight;logistical,scheduling,and
operational support for outreach clinics.
Program Supervisor Increase local capcity around testing and $159,734.00 $60,491 5% HIVT $10,093.42 $4,000.00 $14,093.42
treatement for those at greatest risk of
contracting and/or transmitting HIV in the
community.
Strategy 2:provide outreach planning and
oversight;logistical,scheduling,and
operational support for outreach clinics.
Program Supervisor Increase local capcity around testing and $159,734.00 $60,491 5°.0 PREP $10,093.41 $0.00 $10,093.41
treatement for those at greatest risk of
contracting and/or transmitting HIV in the
community.
Strategy 1:Provide program oversight,
Outreach Coordinator run reports,and submit data to CDPHE $76,243.00 $28,873 8.0% HIVT $7,708.25 $3,996.00 $11,704.25
for grant
Strategy L Provide program oversight,
Outreach Coordinator run reports,and submit data to CDPHE $76,243.00 $28,873 8.0% PREP $7,708.25 $0.00 $7,708.25
for grant
Total Personal Services(including fringe benefits) $0.00 $72,515.92 $9,996.00 $82,511.92
2025-1841 Option Letter#4 Page 1
Docusign Envelope ID:17E0E639-CEB2-4AB4-B39B-87B27B5AFC8D
Exhibit C Budget
Supplies&Operating Expenses
Service Original
Type Match or In Total Amount
Item Description of Item Annual Rate Quantity HIVT, kind(if .Amount Amount to Request from
PREP, applicable) Requested Add CDPHE
SYAC -
from CDPHE
HIV Confirmatory Testing Serum test after positive rapid HIV test $6.00 4 HIVT $22.50 _ $0.00 $22.50
HIV Rapid Tests HIV rapid test $549.00 II HIVT $6,209.46 $0.00 S6,209.46
Syphilis Rapid Test Syphilis rapid test $225.00 30 HIVT $6,750.00 $0.00 S6,750.00
-
Syphilis Confirmatory Test Serum test after positive rapid syphilis test $11.00 15 HIVT $165.00 $0.00 $165.00
Testing supplies Gloves,cotton balls,bandaids,lancets,sharps containers, $500.00 1.5 HIVT $750.00 $750.00
chux,misc. $0.00
Education Materials Patient handouts $0.50 235 PREP $117.75 $0.00 $117.75
Risk reduction materials Condoms(internal and external),dental dams,lubricants $500.00 1.5 HIVT $750.00 $0.00 S750.00
-
$0.00 $0.00 $0.00
$0.00 $0.00 $0.00
Total Supplies&Operating Expenses $0.00 $14,764.71 $0.00 $14,764.71
Travel
Service Original Total
Type Match or In Amount Amount to Amount
Item Description of Item Annual Rate Quantity HINT, kind(if Requested Add Request from
PREP, applicable) from CDPHE
SYAC CDPHE
$0.00 $0.00 $0.00
$0.00 $0.00 _ $0.00
$0.00 $0.00 $0.00
Total Travel $0.00 $0.00 $0.00 $0.00
Other Costs
Service Original Total
Type Match or In Amount Amount to Amount
Item Description of Item Annual Rate Quantity HIVT, kind(if Requested Add Request from
PREP, applicable) from CDPHE
SYAC CDPHE
$0.00 $0.00 $0.00
$0.00 $0.00 $0.00
$0.00 $0.00 $0.00
Total Other Costs $0.00 S0.00 $0.00 $0.00
Contractual(payments to third parties or entities)
Service Original Total
Type Match or In Amount Amount to Amount
Item Subcontractor Entity Name and/or Description of Item Annual Rate Quantity HIVT, kind(if Requested Add Request from
PREP, applicable) from CDPHE
SYAC CDPHE
$0.00 $0.00 $0.00
$0.00 $0.00 $0.00
$0.00 $0.00 $0.00
Total Contractual $0.00 $0.00 $0.00 $0.00
SUB-TOTAL BEFORE INDIRECT $87,280.63 $9,996.00 $97,276.63
Indirect
Service Original Total
Type Match or In Amount Amount to Amount
Item Description of Item HIVT, kind(if Requested Add Request from
PREP, applicable) from CDPHE CDPHE
SYAC _
Indirect Rate negotiated with CDPHE-19.74% HIVT S17,237.82 S0.00 S17,237.82
PREP S5,437.55 S0.00 S5,437.55
SYAC $0.00 S0.00 $0.00
Total Indirect $0.00 $22,675.37 $0.00 1 S22,675.37
•
TOTAL MATCH OR IN KIND $0.00
TOTAL $109,956.00 S9,996.00 $119,952.00
•
Match or In
Expenditure Categories kind(if Total Amount Requested from CDPHE
applicable)
Personal Services Including Fringe Benefits $82,511.92
Supplies and Operating Expenses $14,764.71
2025-1841 Option Letter#4 Page 2
Docusign Envelope ID: 17E0E639-CEB2-4AB4-639B-87B27B5AFC8D
Exhibit C Budget
Travel $0.00
Other Costs $0.00
Contractual Payments $0.00
Subtotal Before Indirect $97,276.63
Indirect S22,675.37
Total $119,952.00
Reporting Categories Category of Service Percentage Direct Costs Indirect Costs Total Costs
Split
HIVT HIV Testing 72.52% S69,756.97 $17,237.82 $86,994.79
PREP PrEP/PEP Navigation 27.48% $27,519.66 $5,437.55 $32,957.21
SYAC Syringe Access 0.00% $0.00 $0.00 $0.00
100.00% $97,276.63 $22,675.38 $119,952.00
2025-1841 Option Letter#4 Page 3
Mariah Higgins
From: Bill Fritz
Sent: Friday,June 20,2025 7:06 AM
To: CTB
Subject: Communication to the board
Attachments: Option Letter.docx.pdf;CT 2025_1841 OL#3 Weld HIHP Budget 20%.pdf
Follow Up Flag: Follow up
Flag Status: Flagged
Happy Friday!I have attached an option letter for two months'worth of funding for the High Impact HIV testing.
This is to continue work while the Feds decide final funding priorities.Thanks Bill
COUNTY,CO
Bill Fritz
Finance Manager
Weld County Department of Public Health and Environment
Desk:970-400-2122
1555 North 17th Ave.,Greeley,CO 80631
011000
Join Our Team
IMPORTANT:This electronic transmission and any attached documents or other writings are intended only for the
person or entity to which it is addressed and may contain information that is privileged,confidential or otherwise
protected from disclosure.If you have received this communication in error,please immediately notify sender by
return e-mail and destroy the communication.Any disclosure,copying,distribution or the taking of any action
concerning the contents of this communication or any attachments by anyone other than the named recipient is
strictly prohibited.
From:DocuSign NA3 System<dse_NA3@docusign.net>
Sent:Thursday,June 19,2025 8:41 PM
To:Bill Fritz<bfritz@weld.gov>
Subject:Completed:Request for Signature-Sign by 06/30-2025*1841 OL3 Weld HIHP
This M age�Prom an�rnal Seeder
This a il'w se so ecutsicie Weld County Government.Do not c k links or open atta unless you recognize
thesender l , contentsafe.
':-. COLORADO
Department of Public
® Health b Environment
aotAKtin,Co,-;onS 1 2o2'1-23o3
06/3o/2 5 H L 0 o S 7
Your document has been completed
VIEW COMPLETED DOCUMENTS
Shruti Pandey
shruti.pandevC�state.co.us
All parties have completed Request for Signature-Sign by 06/30-2025*1841 OL3
Weld HIHP.
You are receiving an option letter for review and signature.
Powered by dP docusign
Do Not Share This Email
This email contains a secure link to Docusign.Please do not share this email,link,or access code
with others.
Alternate Signing Method
Visit Docusigncom,click'Access Documents',and enter the security code:
31C78899D5C3416AA60CDF77605D49343
About Docusign
Sign documents electronically in just minutes.It's safe,secure,and legally binding.Whether you're
in an office,at home,on-the-go--or even across the globe--Docusign provides a professional
trusted solution for Digital Transaction ManagementTM.
Questions about the Document?
If you need to modify the document or have questions about the details in the document,please
reach out to the sender by emailing them directly.
Stop receiving this email
Report this email or read more about Declining to sign and Managing notifications.
2
Docusign Envelope ID:7BF66056-0117-4238-8188-59EA6C8B13CB
STATE OF COLORADO
DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
OPTION LETTER#3
State Agency: Original Contract Number:
Colorado Department of Public Health and Environment 2025*0217
4300 Cherry Creek Drive South
Denver,Colorado 80246 Main Task Order Contract number:
23 FAA 00051
Option Letter Contract Number:
2025*1841 Option Letter#3
Contractor:
Board of County Commissioners of Weld County
(a political subdivision of the state of Colorado)
1150"O"Street
Greeley CO 80631
for the use and benefit of the
Weld County Department of Public Health and Environment
1555 North 17th Avenue
Greeley CO 80631
Contract Performance Beginning Date: Current Contract Expiration Date:
August 1,2024 August 31,2025
CONTRACT MAXIMUM AMOUNT TABLE
Document Contract Federal State Funding Other Funding Term(dates) Total
Number Funding Amount Amount
Type Amount
Original 2025*0283 $85,522.72 $0.00 $0.00 8/1/2024- $85,522.72
Contract
5/31/2025
Option Letter 2025*0283 $14,434.61 $0.00 $0.00 09/01/2024- $14,434.61
5/31/2025
#1 Option
Letter#1
Option Letter 2025*0283 $0.00 $0.00 $0.00 06/01/2025- $0.00
06/30/2025
#2 Option
Letter#2
Option Letter 2025*1841 $19,999.96 $0.00 $0.00 07/01/2025- $19,999.96
#3 Option 08/31/2025
Letter#3
Current Contract Maximum $119,957.29
Cumulative Amount
1. OPTIONS:
Agreement:2025*1841 Option Letter#3 Page 1 of 3 Version OSCA12.24/CDPHE Al2.24
Docusign Envelope ID:7BF660 56-01 1 7-42 38-81 88-59EA6C8B13CB
A. Option to extend for an Extension Term
B. Option to change the quantity of Services under the Contract
2. REQUIRED PROVISIONS:
A. In accordance with Section 2C of the Original Main Task Order Contract referenced above,the State
hereby exercises its option for an additional term,beginning July 1,2025 and ending on the current
contract expiration date shown above,at the rates stated in the Original Task Order Contract,as
amended for the following reason:to extend the terms of the contract for additional two months to
continue the work.
B. In accordance with 5Bv of the Original Main Task Order Contract referenced above,the State hereby
exercises its option to increase the quantity of services at the rates stated in the Original Contract as
amended,Exhibit C—Budget is deleted and replaced in its entirety with Exhibit C—Budget,for
the following reason:to add funding for the additional term
C. The Contract Maximum Amount table on the Contract's Cover Page is hereby deleted and replaced
with the Current Contract Maximum Amount table shown above.
Agreement:2025*1841 Option Letter#3 Page 2 of 3 Version OSCA12.24/CDPHE Al2.24
Docusign Envelope ID:7BF66056-0117-4238-8188-59EA6C8B13CB
3. OPTION EFFECTIVE DATE:
A. The effective date of this Option Letter is upon approval of the State Controller or July 1,2025,
whichever is later.
STATE OF COLORADO In accordance with§24-30-202 C.R.S.,this Option is not
Jared S.Potts,Governor valid until signed and dated below by the State Controller or
Colorado Department of Public Health and Environment an authorized delegate.
Jill Hunsaker Ryan,MPH,Executive Director STATE CONTROLLER
Robert Jams,CPA,MBA,JD
CDoeuSigned by: ,-Doousigned by:
aUbt&411,U4SOIA, est4:C.AGiteri.
By:Signature .-aooaaoocncisacs... By:Signature
Chelsea Gilbertson Erica Benton
Name of Executive Director Delegate Name of State Controller Delegate
Procurement&Contracts Section Environmental Divisions Controller
Title of Executive Director Delegate Title of State Controller Delegate
2025-06-16 2025-06-19
Date: Option Effective Date:
Agreement:2025.1841 Option Letter#3 Page 3 of 3 Version OSCA12.24/CDPHE Al2.24
Exhibit C Budget
Docustpn Envelope ID: 78F6S058- 0117- 423841188 •• 66EA6C8B13C8
a Colorado Department of Public Health and Ens inmment
-• etS' BUDGET JUSTIFICATION FORM
• a rs Contract Routing - CT 2025 . 1841 OL# 3
Colorado Department
of Public Heahh
sad Environment
Contractor Name Weld County Department of Public Health Program Contact Battle , Title , Phone and Email Baylee Monson , Public Health Nurse, btnomosn (, weld el l %
Budget Period 07 /01 /2025 -08/31 / 2025 Fiscal Contact Name . Title . Phone and Email Bill Fritz. , Finace Manager , bfritzgweldgov
Project dame High Impact 111V Prevention Contract Number CT 20254' 1841
Expenditure ( * ategories
Percent of Actual Match or In
-
Gross or Monthly Fringe Time ( FTE ) on Service Type H1VT . Total Amount Requested
Personal Services hind Of
Salary 37 . 87 % Contract / PREP , SYAC from CDPHE
Applicable )
Purchase Order
Description of Work ( for hourly employees , please include
Position 1itle , Emplosee Name
the hourly rate and number of hours in your description )
Public I ltalth Nurse ll Strategy l o shier samples , revicsy results , provide navigation . S $ 8 , 354 . 00 S33 • i (, ( ; x ' • l r14 ' ! 53 . n ; t z
provide treatment if needed
Public [ Icalth Nurse ! ! Strategy I : collect samples , review results , provide navigation , 588 , 354 . 00 + 1 t ( iC '
provide trcatement if needed i iZ 1 ! S1 . 01 I
Strategy 1 process and collect smaplts and prepare than for
Makes ) Assistant $63 . 569 . 00 5l i . ' . .174 ' ' ' i i ? V ! 5730 33
lab , refers ) and navigation support
Medical AssistantStrategy 1 : process and collect smaples and prepare them for 563 . 569 . 00 ! ' Ki 1 ' 5730 . 33
lab , refers ) and navigation support , ,
Strategy 2 provide outreach planning and oversight , logistical ,
scheduling , and operational support for outreach clinics .
' riftrsir. Sur/ os : so ( Increase local capcity around testing and treatanent for those at 5159 , 734 . 00 560 , 4h ) 1 ! F. � ' ! 51 , 835 17
grimiest nsk of contracting and / or transmitting HIV in the
community
Strategy 2 : provide outreach planning and oversight , logistical ,
scheduling , and operational support for outreach clinics
Fromm Supervisor Increase local capaty around testing and treatanent for those at 5159 , 734 . 00 soft , ti 1 PRI 1 ' ti : ' `
greatest risk of contracting and /or transmitting I IIV in the
community
Outreach Coordinator Strategy 1 Provide program oversight , run reports , and submit 576 , 243 00 S28 , 873 s Pig1 1 i i V ; S1 . 401 SO
data to CDPHfi for grant
Outreach Coordinator Strategy 1 Provide program oversight , tun reports , and submit $ 76 , 243 00 528 . 873 ! , � i 1 ` ci
8 . 0 % l ' i 5
data to CDP } IE for _grant _
Total Personal Services ( Including fringe benefits ) SILO ° S12 .603 . 50
Supplies & Operating ; Expenses
Item Description of Item Annual Rate Quantity Sen ice Type HIVT , Match or In kind Total Amount Requested
PREP , SYAC ( if applicable ) from CDPHE
I - IiV Confirmatory Testing Serum test after positive rapid 11IV test $6 00 5 I IIVT 55 00
111V Rapid Tests HIV rapid test $ 549 . 00 E � HIVT $ 1 , 372 . 50
Syphilis Rapid Test Syphilis rapid test S225 . 00 a ( ) HIVc 51 , 500 . 00
Syphilis Confirmatory Test Scrum test after positive rapid syphilis test Sl 1 00 alf HIV ) S36 67
Toting suppliex gloves , cotton balls , bandaids , lancets , sharps containers , chux , mist S500 . 00 _ 2 HIV ! 5166 . 67
Education Matenals Patient handouts SO 50 ; 14 PRIMP $ 26 . 17
Risk nxluctiom matcnals Condoms ( internal and external ) , dental dams , lubncants S500 . 00 1 I IIVI • 5166 . 67
50 00
So 00
Total supplies ktiOperatinc Expenses No . 00 $ 3 .273 . 67
Travel
Item Description ol' Item Annual Rate Quantity Sen ice Type HIVT , Match or in kind Total Amount Requested
PREP , SYAC ( if applicable ) from CDP } IE
S0 . 00
5.0 . 00
50 . 00
Total Travel *slum St1 . 011
( )the r Costs
lien ice Type HiVT , Match or In kind Total Amount Requested
Item Description of Item Annual Rate Quantity
PREP , SYA ( ( if applicable ) from CDPHE
$ O . t -0
Total Other Costs Stl , tai S0 . 00
Contractual ( payments to third parties or entities )
Service Type HiVT , Match or in kind Total Amount Requested
Item Subcontractor E . ntits \ ante and / or Description of Item Annual Rate Quantity PREP , SYAC ( if applicable ) from CUP } iE
i
WAX )
SO . ( X)
I oral Contractual NU . oli $ 0 , 00
2025 • 0841 Option Letter # 3 Page ) of
Docustpn Envelope IDI 7BF66056 - 0117 - 4238 -8188 - 59EA6CBB13CB Exhibit C Budget
SUB -TOTAL BEFORE INDIRECT S15 .877 . 17
Indirect
Item Description of Item Service Type HIVT , Match or In kind Total Amount Requested
PREP , SYAC ( if applicable ) from CDPHE
Indirect Rate negotiated with CDPI IE - 19 . 7441/0 I11V1 . $ 3 , 134 . 15
PRIP $ 988 65
SYAC $0 . 00
Total Indirect S0 .00 54 , 122 . 80
TOTAL MATCH OR IN KIND 50 . 00
TOTAL S19999 . %
Expenditure Categories Match or In kind Total Amount Requested
( if applicable ) from CDPHE
Personal Services Including Fringe Benefits S 12 ,603 . 50
Supplies and Operating Expenses S3 ,273 . 67
Travel S0 . 00
Other Costs S0 . 00
Contractual Paymenb S0 . 00
Subtotal Before Indirect S 15 .877 . 17
Indirect S4 , 122. 80
Total S 19999 . 96
Reporting Categories Category of Service Percentage Split Direct Costs Indirect Costs Total Costa
InVT HIV Testing 70 02 % S 10 , 868 83 $ 3 , 134 . 15 $ 14 , 002 . 99
PREP PrEP / PEP Navigation 29 98% $ 5 ,008 . 33 S988 65 $ 5 , 996 98
SYAC Synnge Access 0 00 % $ 0 . 00 $ 0 . 00 S0 . 00
100 . 00 % S15 ,877 . 17 S4 , 122 . 81 S 19999 . 96
2025 ' 1841 Option Letter 33 Page 2 of 2
Mariah Higgins
From: Bill Fritz
Sent: Thursday,May 29,2025 11:40 AM
To: CTB
Cc: Jason Chessher;Shaun May
Subject: For Communication
Attachments: Option Letter weld.docx.pdf
Follow Up Flag: Follow up
Flag Status: Flagged
This is an option letter to just extend the time period for a grant,extending it one month so it matches up with most
other state funded grants.Please add to Communications.Thanks Bill
wutaz,..ot
COUNTY,CO
Bill Fritz
Finance Manager
Department of Public Health and Environment
Desk:970-400-2122
1555 North 17th Ave.,Greeley,CO 80631
0111000
Join Our Team
IMPORTANT:This electronic transmission and any attached documents or other writings are intended only for the
person or entity to which it is addressed and may contain information that is privileged,confidential or otherwise
protected from disclosure.If you have received this communication in error,please immediately notify sender by
return e-mail and destroy the communication.Any disclosure,copying,distribution or the taking of any action
concerning the contents of this communication or any attachments by anyone other than the named recipient is
strictly prohibited.
Coµ►Aun•,C.o.+;onS 1 20211-2303
o6tog/2S —I 00 S
•
Docusign Envelope la 64C95891-7457-44DB-92BA-ABFD7415DAC4
STATE OF COLORADO
DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
OPTION LETTER#2
State Agency: Original Contract Number:
Colorado Department of Public Health and Environment 2025*0283
4300 Cherry Creek Drive South
Denver,Colorado 80246 Main Task Order Contract number:
23 FAA 00051
Option Letter Contract Number:
2025*0283 Option Letter#2
Contractor:
Board of County Commissioners of Weld County
(a political subdivision of the state of Colorado)
1150"O"Street
Greeley CO 80631
for the use and benefit of the
Weld County Department of Public Health and Environment
1555 North 17th Avenue
Greeley CO 80631
Contract Performance Beginning Date: Current Contract Expiration Date:
August 1,2024 June 30,2025
CONTRACT MAXIMUM AMOUNT TABLE
Document Contract Number Federal State Other Funding Term(dates) Total
Funding Funding Amount
Type Amount Amount
Original 2025*0283 $85,522.72 $0.00 $0.00 08/01/2024- $85,522.72
Contract
05/31/2025
Option Letter 2025*0283 $14,434.61 $0.00 $0.00 09/1/2024- $14,434.61
05/31/2025
#1 Option
Letter#1
Option Letter 2025*0283 $0.00 $0.00 $0.00 06/01/2025- $0.00
06/30/2025
#2 Option
Letter#2
Current Contract Maximum $99,957.33
Cumulative Amount
1. OPTIONS:
A. Option to extend for an Extension Term
Agreement:2025*0283 Option Letter#2 Page 1 of 3 Version OSCA12.24/CDPHE Al2.24
Docusign Envelope ID:64C95891-7457-44DB-92BA-ABFD7415DAC4
2. REQUIRED PROVISIONS:
A. In accordance with Section 2C of the Original Main Task Order Contract referenced above,the State
hereby exercises its option for an additional term,beginning June 1,2025 and ending on the current
contract expiration date shown above,at the rates stated in the Original Task Order Contract,as
amended for the following reason:to extend the terms of the contract for one month to continue
the work.
B. The Contract Maximum Amount table on the Contract's Cover Page is hereby deleted and replaced
with the Current Contract Maximum Amount table shown above.
OPTION EFFECTIVE DATE:
A. The effective date of this Option Letter is upon approval of the State Controller or June 1,2025,
whichever is later.
Agreement:2025.0283 Option Letter#2 Page 2 of 3 Version OSCA12.24/CDPHE Al2.24
Docusign Envelope ID:64C95891-7457-44DB-92BA-ABFD7415DAC4
STATE OF COLORADO In accordance with§24-30-202 C.R.S.,this Option is not
Jared S.Polis,Governor valid until signed and dated below by the State Controller or
Colorado Department of Public Health and Environment an authorized delegate.
Jill Hunsaker Ryan,MPH,Executive Director STATE CONTROLLER
Robert Jams,CPA,MBA,JD
CDocuSigned by: DocuSigned by:
aulstA,atletitsow EK.4,4 W;,u;,..a
L(.7Jytt416bGatl7... 73385F4A4A884nv...
By:Signature By:Signature
Chelsea Gilbertson Kurt Williams
Name of Executive Director Delegate Name of State Controller Delegate
Procurement&Contracts Section Controller
Title of Executive Director Delegate Title of State Controller Delegate
2025-04-29 2025-05-29
Date: Option Effective Date:
Agreement:2025.0283 Option Letter#2 Page 3 of 3 Version OSCA12.24/CDPHE Al2.24
Mariah Higgins
From: Bill Fritz
Sent: Monday,August 26,2024 10:05 AM
To: CTB
Cc: Jason Chessher;Shaun May
Subject: Option Letter#1 HIHP Grant For Consent
Attachments: HIHP Option Letter#1.pdf
Follow Up Flag: Follow up
Flag Status: Flagged
Good morning,the HIHP grant that was approved on July 31sY increased the amount of funding available.This is the
option letter that requires no signature.Please let me know if you need anything else.Thanks Bill
Bill Fritz
Finance Manager
Weld County Department of Public Health and Environment
1555 North 17th Avenue
Greeley,CO 80631
Direct Phone:970.400.2122
r" v
wpm
VISION:Everyone in Weld County has the opportunity to live their healthiest lives.
MISSION:We serve Weld County by cultivating partnerships to promote public health and environmental quality
through the delivery of relevant,innovative,and cost-effective services.
Confidentiality Notice:This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain
information that is privileged,confidential or otherwise protected from disclosure.If you have received this communication in error,please immediately notify sender by return a-mail and
destroy the communication.Any disclosure,copying,distribution or the taking of any action concerning the contents of this communication orany attachments by anyone otherthan the
named recipient is strictly prohibited.
CoMJAun;Coy+:on S 1
20oq,/o4/�H H 2Lo°S7
Docusign Envelope ID:CODBA8EB-A3D8-464C-8FF6-7DDBE92BC2CD
STATE OF COLORADO
DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
OPTION LETTER#1
State Agency: Original Contract Number:
Colorado Department Of Public Health and Environment 2025*0283
4300 Cherry Creek Dr S
Denver,CO 80246
Option Letter Contract Number:
Contractor: 2025*0283 Option Letter#1
Board of County Commissioners of Weld County(a
political subdivision of the state of Colorado)
1150"O"Street
Greeley CO 80631
for the use and benefit of the Weld County Department of
Public Health and Environment
1555 North 17th Avenue
Greeley CO 80631
Contract Performance Beginning Date: Current Contract Expiration Date:
August 1,2024 May 31,2025
CONTRACT MAXIMUM AMOUNT TABLE
Document Contract Federal State Funding Other Funding Term(dates) Total
Number Funding Amount Amount
Type Amount
Original 2025*0283 $85,522.72 $0.00 $0.00 8/1/2024- $85,522.72
Contract 5/31/2025
Option Letter 2025*0283 $14,434.61 $0.00 $0.00 9/1/2024- $14,434.61
#1 Option 5/31/2025
Letter#1
Current Contract Maximum $99,957.33
Cumulative Amount
1)OPTIONS
A.Option to change the quantity of services under the Contract.
2)REQUIRED PROVISIONS:
A. In accordance with Section 5Bv of the Original Main Task Order Contract referenced above,
the State hereby exercises its option to increase the quantity of the services at the rates stated
in the Original Task Order Contract,as amended.Exhibit C-Budget is deleted and replaced
in its entirety with Exhibit C-Budget attached to this Option Letter,for the following reason:
to:to add additional funding to the current term.
C. The Contract Maximum Amount table on the Contract's Cover Page is hereby deleted and
replaced with the Current Contract Maximum Amount table shown above.
3)OPTION EFFECTIVE DATE:
A. The effective date of this Option Letter is upon approval of the State Controller or September
1,2024 whichever is later.
Option Letter Contract Number:2025*0283 OL#1 Page 1 of 2 Ver.A 27.01.20
Docusign Envelope ID:CODBA8EB-A3D8-464C-8FF6-7DDBE92BC2CD
SIGNATURE PAGE
STATE OF COLORADO In accordance with§24-30-202 C.R.S.,this Option is not
Jared S.Polis,Governor valid until signed and dated below by the State Controller or
Colorado Department of Public Health and Environment an authorized delegate.
Jill Hunsaker Ryan,MPH,Executive Director STATE CONTROLLER
Robert Jaros,CPA,MBA,JD
DomSigned by: ,..-Docusigned by:
CauistA ain.xlsow Watt,.
[Gia9i2a�652a61_._ �73365F4A4A684BC
By:Signature By:Signature
Chelsea Gilbertson Kurt Williams
Name of Executive Director Delegate Name of State Controller Delegate
Procurement&Contracts Section controller
Title of Executive Director Delegate Title of State Controller Delegate
2024-08-15 2024-08-23
Date: Option Effective Date:
--Signature Page End--
Option Letter Contract Number:2025.0283 OL#1 Page 2 of 2 Ver.A 27.01.20
Hello