HomeMy WebLinkAbout20172018RESOLUTION
RE: APPROVE TASK ORDER CONTRACT FOR LOCAL PLANNING AND SUPPORT 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 Task Order for Local Planning and
Support between the County of Weld, State of Colorado, by and through the Board of County
Commissioners of Weld County, on behalf of the Department of the Weld County Department of
Public Health and Environment, and the Colorado Department of Public Health and Environment,
commencing July 1, 2017, and ending June 30, 2018, with further terms and conditions being as
stated in said task order contract, and
WHEREAS, after review, the Board deems it advisable to approve said task order
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 Task Order Contract for Local Planning and Support between the
County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld
County, on behalf of the Department of the Weld County Department of Public Health and
Environment, 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 task order contract.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 10th day of July, A.D., 2017, nunc pro tunc July 1, 2017.
BOARD OF COUNTY COMMISSIONERS
WELD COU TY, COLORADO
ATTEST: ditAdiv
�C • �,
Weld County Clerk to the Board
BY: v.2,
uty Clerk to the Board
APP' : ' ' D AS T
ounty A torney
Date of signature: 1 f aCo
Julie A. Cozad, Chair
Steve Moreno, Pro -Tern
Sean P. Conway
ike Freeman
I A ijr
Barbara Kirkmeye jitiAilli
cc Ht.CST(TGf(MO
4s/8/I7
2017-2018
HL0049
Memorandum
TO: Julie A. Cozad, Chair
Board of County Commissioners
FROM: Mark E. Wallace, MD, MPH
Executive Director
Department of Public Health & Environment
DATE: June 28, 2017
SUBJECT: FY17-18 Local Planning and Support (Per
Capita) Task Order Contract Renewal
For the Board's approval is the annual Task Order Contract between the Board of County
Commissioners of Weld County for the use and benefit of the Weld County Department of Public
Health and Environment (WCDPHE) and the State of Colorado, acting by and through the
Colorado Department of Public Health and Environment (CDPHE), Office of Planning,
Partnerships and Improvement (OPPI).
The purpose of this contract is to provide support for public health services, as established by the
State Board of Health pursuant to §25-1-503(1), C.R.S. and in accordance with Section §25-1-512
C.R.S. and Section §24-75.1104.5 (1.5) (a) (IV) C.R.S. WCDPHE will participate in assessment and
planning efforts at the state, regional, and local level facilitated by the Office of Planning,
Partnerships and Improvement. These efforts shall include maintaining and improving local
capacity to provide services as established by the State Board of Health. The required core public
health services include Assessment, Planning and Communication, Vital Records, Communicable
Disease Prevention, Investigation and Control, Prevention and Population Health Promotion,
Emergency Preparedness and Response, Environmental Health and Administration and
Governance.
The Local Planning and Support (Per Capita) funding for the period of July 1, 2017, through June
30, 2018, will be an amount to not exceed $414,809.04.
This contract was approved for placement on the Board's agenda via pass -around dated June 27,
2017. I recommend approval of this Task Order Contract for the FY17-18 Local Planning and
Support renewal.
2017-2018
t -I L bc-4g
DEPARTMENT OF PUBLIC HEALTH AND
EN VIRON MENT
CMS ROUTING NO. CURRENT CNIS#
18 FAA 97502
APPROVED TASK ORDER CONTRACT - WAIVER #154
This task order contract is issued pursuant to master contract made on 11/23/2016, with routing number 18 FAA 00051.
STATE:
State of Colorado for the use & benefit of the
Department of Public Health and Environment
Office of Planning, Partnerships and Improvement
4300 Cherry Creek Drive South
Denver, Colorado 80246
CONTRACT MADE DATE MAY 4, 2017
CORE ENCUMBRANCE NUMBER
CT FAAA 2018288
TERM
This contract shall be effective upon approval by
the State Controller, or designee, or on 7/01/2017,
whichever is later. The contract shall end on 6/30/2018.
PROCUREMENT METHOD:
Exempt
BID/RFP/LIST PRICE AGREEMENT NUMBER:
Not Applicable
LAW SPECIFIED VENDOR STATUTE:
Not Applicable
STATE REPRESENTATIVE:
Heather Weir
Department of Public Health and Environment
Office of Planning, Partnerships and Improvement
4300 Cherry Creek Drive South
Denver, CO 80246
PROJECT DESCRIPTION:
CONTRACTOR:
Board of County Commissioners of Weld County
(a political subdivision of the state of Colorado)
for the use and benefit of the
Weld County Department of Public Health and Environment
1555 North 17`h Avenue
Greeley, CO 80631
CONTRACTOR ENTITY TYPE
Political Subdivision Colorado
BILLING STATEMENTS RECEIVED:
Quarterly
STATUTORY AUTHORITY
CLASSIFICATION:
Not Applicable
Subrecipient
CONTRACT PRICE NOT TO EXCEED: $414,809.04
FEDERAL FUNDING DOLLARS:
STATE FUNDING DOLLARS:
OTHER FUNDING DOLLARS:
Specify "Other":
MAXIMUM AMOUNT AVAILABLE PER FISCAL YEAR:
$414,809.04
FY 18: $414,809.04
PRICE STRUCTURE:
Fixed Price
CONTRACTOR REPRESENTATIVE:
Mark Wallace, Executive Director
Weld County Department of Public Health and Environment
1555 North 17th Avenue
Greeley, CO 80631
Provide support for public health services, as established by the State Board of Health pursuant to §25-1-503(1), C.R.S. and in accordance with Section
§25-1-512 C.R.S. and Section §24-75.1 104.5 (1.5) (a) (IV) C.R.S. The district public health agency shall participate in assessment and planning efforts at the
state, regional, and local level facilitated by the Office of Planning of Partnerships. These efforts shall include maintaining and improving local capacity to
provide services as established by the State Board of Health.
Weld_task order_FY18-I.docx ver 26.6.17
Page 1 of 12
EXHIBrrs:
The following exhibits are hereby incorporated:
Exhibit A -
Exhibit B -
Exhibit C -
Exhibit D -
Exhibit E -
Additional Provisions (and any of its Attachments; e.g., A-1, A-2, etc.)
Statement of Work (and any of its Attachments; e.g., B -1, B-2, etc.)
Budget (and any of its Attachments; e.g., C -1, C-2, etc.)
Option Letter
Grant Funding Change Letter
GENERAL PROVISIONS
The following clauses apply to this Task Order Contract. These general clauses may have been expanded upon or made
more specific in some instances in exhibits to this Task Order Contract. To the extent that other provisions of this Task
Order Contract provide more specificity than these general clauses, the more specific provision shall control.
I. This Task Order Contract is being entered into pursuant to the terms and conditions of the Master Contract
including, but not limited to, Exhibit One thereto. The total term of this Task Order Contract, including any
renewals or extensions, may not exceed five (5) years. The parties intend and agree that all work shall be
performed according to the standards, terms and conditions set forth in the Master Contract.
2. In accordance with section 24-30-202(1), C.R.S., as amended, this Task Order Contract is not valid until it has
been approved by the State Controller, or an authorized delegee thereof. The Contractor is not authorized to,
and shall not; commence performance under this Task Order Contract until this Task Order Contract has been
approved by the State Controller or delegee. The State shall have no financial obligation to the Contractor
whatsoever for any work or services or, any costs or expenses, incurred by the Contractor prior to the effective
date of this Task Order Contract. If the State Controller approves this Task Order Contract on or before its
proposed effective date, then the Contractor shall commence performance under this Task Order Contract on
the proposed effective date. If the State Controller approves this Task Order Contract after its proposed
effective date, then the Contractor shall only commence performance under this Task Order Contract on that
later date. The initial term of this Task Order Contract shall continue through and including the date specified
on page one of this Task Order Contract, unless sooner terminated by the parties pursuant to the terms and
conditions of this Task Order Contract and/or the Master Contract. Contractor's commencement of
performance under this Task Order Contract shall be deemed acceptance of the terms and conditions of this
Task Order Contract.
3. The Master Contract and its exhibits and/or attachments are incorporated herein by this reference and made a
part hereof as if fully set forth herein. Unless otherwise stated, all exhibits and/or attachments to this Task Order
Contract are incorporated herein and made a part of this Task Order Contract. Unless otherwise stated, the terms of
this Task Order Contract shall control over any conflicting terms in any of its exhibits. In the event of conflicts or
inconsistencies between the Master Contract and this Task Order Contract (including its exhibits and/or
attachments), or between this Task Order Contract and its exhibits and/or attachments, such conflicts or
inconsistencies shall be resolved by reference to the documents in the following order of priority: 1) the
Special Provisions of the Master Contract; 2) the Master Contract (other than the Special Provisions) and its
exhibits and attachments in the order specified in the Master Contract; 3) this Task Order Contract; 4) the
Weld_task order_FY 18- I .docx ver 26.6.17
Page 2 of 12
Additional Provisions — Exhibit A, and its attachments if included, to this Task Order Contract; 5) the
Scope/Statement of Work — Exhibit B, and its attachments if included, to this Task Order Contract; 6) other
exhibits/attachments to this Task Order Contract in their order of appearance.
4. The Contractor, in accordance with the terms and conditions of the Master Contract and this Task Order
Contract, shall perform and complete, in a timely and satisfactory manner, all work items described in the
Statement of Work and Budget, which are incorporated herein by this reference, made a part hereof and
attached hereto as "Exhibit B" and "Exhibit C".
5. The State, with the concurrence of the Contractor, may, among other things, prospectively renew or extend the
term of this Task Order Contract, subject to the limitations set forth in the Master Contract, increase or
decrease the amount payable under this Task Order Contract, or add to, delete from, and/or modify this Task
Order Contract's Statement of Work through a contract amendment. To be effective, the amendment must be
signed by the State and the Contractor, and be approved by the State Controller or an authorized delegate
thereof. This contract is subject to such modifications as may be required by changes in Federal or State law,
or their implementing regulations. Any such required modification shall automatically be incorporated into and
be part of this Task Order Contract on the effective date of such change as if fully set forth herein.
6. The conditions, provisions, and terms of any RFP attached hereto, if applicable, establish the minimum
standards of performance that the Contractor must meet under this Task Order Contract. If the Contractor's
Proposal, if attached hereto, or any attachments or exhibits thereto, or the Scope/Statement of Work — Exhibit
B, establishes or creates standards of performance greater than those set forth in the RFP, then the Contractor
shall also meet those standards of performance under this Task Order Contract.
7. STATEWIDE CONTRACT MANAGEMENT SYSTEM [This section shall apply when the Effective Date
is on or after July I, 2009 and the maximum amount payable to Contractor hereunder is S100,000 or higher/
By entering into this Task Order Contract, Contractor agrees to be governed, and to abide, by the provisions of
CRS §24-102-205, §24-102-206, §24-103-601, §24-103.5-101 and §24-105-102 concerning the monitoring of
vendor performance on state contracts and inclusion of contract performance information in a statewide
contract management system.
Contractor's performance shall be evaluated in accordance with the terms and conditions of this Task Order
Contract, State law, including CRS §24-103.5-101, and State Fiscal Rules, Policies and Guidance. Evaluation
of Contractor's performance shall be part of the normal contract administration process and Contractor's
performance will be systematically recorded in the statewide Contract Management System. Areas of review
shall include, but shall not be limited to quality, cost and timeliness. Collection of information relevant to the
performance of Contractor's obligations under this Task Order Contract shall be determined by the specific
requirements of such obligations and shall include factors tailored to match the requirements of the Statement
of Project of this Task Order Contract. Such performance information shall be entered into the statewide
Contract Management System at intervals established in the Statement of Project and a final review and rating
shall be rendered within 30 days of the end of the Task Order Contract term. Contractor shall be notified
following each performance and shall address or correct any identified problem in a timely manner and
maintain work progress.
Should the final performance evaluation determine that Contractor demonstrated a gross failure to meet the
performance measures established under the Statement of Project, the Executive Director of the Colorado
Department of Personnel and Administration (Executive Director), upon request by the Colorado Department
of Public Health and Environment and showing of good cause, may debar Contractor and
Weld_task order_FYI8-I.docx ver 26.6.17
Page 3 of 12
prohibit Contractor from bidding on future contracts. Contractor may contest the final evaluation and result by:
(i) filing rebuttal statements, which may result in either removal or correction of the evaluation (CRS §24-105-
102(6)), or (ii) under CRS §24-105-102(6), exercising the debarment protest and appeal rights provided in
CRS §§24-109-106, 107, 201 or 202, which may result in the reversal of the debarment and reinstatement of
Contractor, by the Executive Director, upon showing of good cause.
8. If this Contract involves federal funds or compliance is otherwise federally mandated, the Contractor and its
agent(s) shall at all times during the term of this contract strictly adhere to all applicable federal laws, state
laws, Executive Orders and implementing regulations as they currently exist and may hereafter be amended.
Without limitation, these federal laws and regulations include the Federal Funding Accountability and
Transparency Act of 2006 (Public Law 109-282), as amended by §6062 of Public Law 110-252, including
without limitation all data reporting requirements required there under. This Act is also referred to as FFATA.
Weld_task order_FY 18-I.docx ver 26.6.17
Page 4 of 12
SIGNATURE PAGE
Contract Routing Number: 18 FAA 97502
THE PARTIES HERETO HAVE EXECUTED THIS CONTRACT
Each person signing this Contract represents and warrants that he or she is duly authorized to execute this Contract and to bind the party authorizing his or her
signature.
By:
CONTRACTOR
Board of County Commissioners of Weld County for
the use and benefit of the Weld County Department of
Public Health and Environment
Political Subdivision
Julie A. Cozad
Print Name of Authorized Individual
Chair, County Commis Toners
P, 'nt Title of Auth
STATE OF COLORADO
John W. Hickenlooper, Governor
Colorado Department of Public Health and
Environment
Larry Wolk, MD, MSPH, Executive Director and
Chief Medical Officer
By:
d Individual " Lisa McGovern
Purchasing and Contracting Section Director, CDPHE
Signature of Authorize
July 10, 2017
Date
n
Iv'
ual
PROGRAM APPROVAL
Colorado Department of Public Health and Environment
Signature of Authorized CDPHE Program Approver
Date
Date
In accordance with §24-30-202 C.R.S., this Contract is not valid until signed and dated below by the State Controller or an
authorized delegate.
By:
STATE CONTROLLER
R''. ert Jaros, C , MBA, JD
/ /a -t
A4'ad
Effective Date:
Weld_task order FY18-I.docx ver 26.6.17
712-01
Page 5 of 12
aon-Dots-(i)
This page left intentionally blank.
Weld_task order_FYI8-I.docx ver 26.6.17
Page 6 of 12
Exhibit A
ADDITIONAL PROVISIONS
To Task Order Contract Dated 05/04/2017 CMS Task Order Routing Number 18 FAA 97502
These provisions are to be read and interpreted in conjunction with the provisions of the Task Order Contract specified above.
1. This Task Order Contract contains state funds.
2. Time Limit For Acceptance Of Deliverables.
a. Evaluation Period. The State shall have thirty (30) calendar days from the date a deliverable is
delivered to the State by the Contractor to evaluate that deliverable, except for those deliverables
that have a different time negotiated by the State and the Contractor.
b. Notice of Defect. If the State believes in good faith that a deliverable fails to meet the design
specifications for that particular deliverable, or is otherwise deficient, then the State shall notify
the Contractor of the failure or deficiencies, in writing, within thirty (30) calendar days of: 1) the
date the deliverable is delivered to the State by the Contractor if the State is aware of the failure or
deficiency at the time of delivery; or 2) the date the State becomes aware of the failure or
deficiency. The above time frame shall apply to all deliverables except for those deliverables that
have a different time negotiated by the State and the Contractor in writing pursuant to the State's
fiscal rules.
c. Time to Correct Defect. Upon receipt of timely written notice of an objection to a completed
deliverable, the Contractor shall have a reasonable period of time, not to exceed thirty (30)
calendar days, to correct the noted deficiencies. If the Contractor fails to correct such deficiencies
within thirty (30) calendar days, the Contractor shall be in default of its obligations under this
Task Order Contract and the State, at its option, may elect to terminate this Task Order Contract or
the Master Contract and all Task Order Contracts entered into pursuant to the Master Contract.
3. Health Insurance Portability and Accountability Act (HIPAA) Business Associate Determination.
The State has determined that this Contract does not constitute a Business Associate relationship under
HIPAA.
4. This award does not include funds for Research and Development.
5. The State may require continued performance for a period of 4 terms at the same rates and same terms specified
in the Contract. If the State exercises the option, it will provide written notice to Contractor at least 30 days prior to
the end of the current contract term in a form substantially equivalent to Exhibit D. If exercised, the provisions of
the Option Letter shall become part of and be incorporated into the original contract. The total duration of this Task
Order, including the exercise of any options under this clause, shall not exceed 5 years.
6. The State may increase or decrease the quantity of goods/services described in Exhibit B based upon the rates
established in the task order. If the State exercises the option, it will provide written notice to Contractor at least 30
days prior to the end of the current contract term in a form substantially equivalent to Exhibit D.
Delivery/performance of the goods/service shall continue at the same rates and terms. If exercised, the provisions of
the Option Letter shall become part of and be incorporated into the original task order.
7. The State, at its discretion, may unilaterally increase or decrease the total funds available under this Grant, the
funds available under the Grant during any State fiscal Year or the funds available for any specific line items
described in this Grant. In order to exercise this right, the State shall provide written notice to Grantee in a form
substantially equivalent to Exhibit E. The exercise of this right shall not be valid until it has been approved by the
contractor.
Weld_task order_FY 18-I.docx ver 26.6.17
Page 7 of 12
Exhibit B
STATEMENT OF WORK
To Original Contract Routing Number 18 FAA 97502
These provisions are to be read and interpreted in conjunction with the provisions of the contract specified above.
Project Description:
Local public health agencies are essential to the provision of quality and comprehensive public health services
throughout the state and are critical partners with the Colorado Department of Public Health and Environment
in maintaining a strong public health system. Each local public health agency shall assure the provision of
Core Public Health Services within their jurisdiction. The scope of the provision of each Core Public Health
Service is determined at the local level, and may differ across agencies based on community needs, priorities,
funding and capacity. The Office of Planning, Partnerships and Improvement and the local public health
agency are accountable in assuring state moneys are being used effectively to provide Core Public Health
Services.
II. Definitions:
1. CDPHE: Colorado Department of Public Health and
Environment
2. CDS: CYSHCN Data System
3. CFPS: Child Fatality Prevention System
4. CYSHCN: Children and Youth with Special Health Care Needs
5. HCP: Program for Children and Youth with Special Health Care Needs
6. MCH: Maternal and Child Health
III. Work Plan:
A. Local Planning and Sunaort
Goal #1: Strengthen Colorado's public health system by ensuring core public health services are available statewide.
Objective #1: No later than the expiration of the contract, the Contractor shall provide support for Core Public Health
Services.
Primary Activity #1
The Contractor shall provide or assure the provision Core Public Health Services within their
jurisdiction.
Sub -Activities #1
1. The Contractor shall participate in assessment and planning efforts at the state, regional and
local level facilitated by the Office of Planning, Partnerships and Improvement.
Standards and
Requirements
1. The content of electronic documents located on CDPHE and non-CDPHE websites and
information contained on CDPHE and non-CDPHE websites may be updated periodically
during the contract term. The contractor shall monitor documents and website content for
updates and comply with all updates.
2. The Contractor shall comply with the Core Public Health Services Rule 6 CCR 1014-7.
This document is incorporated and made part of this contract by reference and is available
on the following website: http://www.sos.state.co.us/CCR/Welcome.do.
3. The Contractor shall utilize the Colorado Health Assessment and Planning System
(CHAPS) guidance as a technical assistance resource for all activities. This information is
located on the CDPHE local public health and environmental resources website
https://www.colorado.gov/cdphe-lpha.
Weld_task order_FY 18-I .docx ver 26.6.17
Page 8 of 12
Exhibit B
4. The Contractor shall be guided by Colorado Minimum Quality Standards for Public Health
Services 6CCR 1014-9. This document is incorporated and made part of this contract by
reference and is available on the following website:
http://www.sos.state.co.us/CCR/Welcome.do.
5. The Contractor shall contribute funding for its local health services as determined
necessary by the Contractor to meet their local health needs.
6. CDPHE will compile data that has been provided by the Contractor to other CDPHE
programs to verify services provided or assured.
Expected Results of
Activity(s)
Increase or maintain core public health services within the Contractor's jurisdiction to meet
local needs.
Measurement of
Expected Results
Data provided in the Contractor yearly report provides evidence of the services provided or
assured through another local public health agency and how these services are funded.
Additional data is provided at the program level to CDPHE.
�
Deliverables
Completion Date
The Contractor shall submit a yearly report electronically to the No later than April
Administrative Manager in a format provided the Office of Planning, 30, 2018
Partnerships and Improvement.
C. Monitoring:
CDPHE's monitoring of this contract for compliance with performance requirements will be conducted throughout
the contract period by the Office of Planning, Partnerships and Improvement's Contract Monitor. Methods used will
include a review of documentation determined by CDPHE to be reflective of performance to include progress
reports, site visits and other fiscal and programmatic documentation as applicable. The Contractor's performance
will be evaluated at set intervals and communicated to the contractor. A Final Contractor Performance Evaluation
will be conducted at the end of the life of the contract.
D. Resolution of Non -Compliance:
The Contractor will be notified in writing within (7) calendar days of discovery of a compliance issue. Within
(30) calendar days of discovery, the Contractor and the State will collaborate, when appropriate, to determine
the action(s) necessary to rectify the compliance issue and determine when the action(s) must be completed.
The action(s) and time line for completion will be documented in writing and agreed to by both parties. If
extenuating circumstances arise that requires an extension to the time line, the Contractor must email a
request to the Contract Monitor and receive approval for a new due date. The State will oversee the
completion/implementation of the action(s) to ensure time lines are met and the issue(s) is resolved. If the
Contractor demonstrates inaction or disregard for the agreed upon compliance resolution plan, the State may
exercise its rights under the provisions of this contract.
Weld_task order FY 18- I .docx ver 26.6.17
Page 9 of 12
Exhibit C
BUDGET
To Task Order - Contract Routing Number 18 FAA 97502
Budget:
Quarter
Local Planning and
Support Amount
TOTAL Payment
July 1 through September 30, 2017
$103,702.26
$103,702.26
October 1 through December 31, 2017
$103,702.26
$103,702.26
January 1 through March 31, 2018
$103,702.26
$103,702.26
April 1 through June 30, 2018
$103,702.26
$103,702.26
Total
$414,809.04
$414,809.04
Weld_task order_FY 18-I.docx ver 26.6.17
Page 10 of 12
Exhibit D
OPTION LETTER
Date:
State Fiscal Year:
Option Letter No.
CMS Routing #
CORE Encumbrance #
1) OPTIONS: Choose all applicable options listed in §1 and in §2 and delete the rest.
a. Option to renew only (for an additional term)
b. Change in the amount of goods within current term
c. Change in amount of goods in conjunction with renewal for additional term
d. Level of service change within current term
e. Level of service change in conjunction with renewal for additional term
f. Option to initiate next phase of a contract
2) REQUIRED PROVISIONS. All Option Letters shall contain the appropriate provisions set forth below:
a. For use with Options 1(a -e): In accordance with Section(s) of the Original Contract
routing number between the State of Colorado, Insert Name of Department or Higher Ed
Institution , and Contractor's Name, the State hereby exercises its option for an additional term
beginning Insert start date and ending on Insert ending date at a cost/price specified in Section
, AND/OR an increase/decrease in the amount of goods/services at the same rate(s) as
specified in Identify the Section, Schedule, Attachment, Exhibit etc.
b. For use with Option 1(f), please use the following: In accordance with Section(s) of the
Original Contract routing number between the State of Colorado, Insert Name of
Department or Higher Ed Institution , and Contractor's Name, the State hereby exercises its option
to initiate Phase indicate which Phase: 2, 3, 4, etc for the term beginning Insert start date and
ending on Insert ending date at the cost/price specified in Section
c. For use with all Options 1(a -f): The amount of the current Fiscal Year contract value is
increased/decreased by $ amount of change to a new contract value of Insert New $ Amt to as
consideration for services/goods ordered under the contract for the current fiscal year indicate
Fiscal Year. The first sentence in Section is hereby modified accordingly. The total contract
value including all previous amendments, option letters, etc. is Insert New $ Amt.
3) Effective Date. The effective date of this Option Letter is upon approval of the State Controller or
, whichever is later.
STATE OF COLORADO
John W. Hickenlooper, Governor
Department of Public Health and Environment
PROGRAM APPROVAL
Colorado Department of Public Health and
Environment
By: By:
Lisa McGovern Heather Weir
Purchasing and Contracting Section Director, CDPHE Director, Office of Planning, Partnerships & Improvement
Date Date
In accordance with §24-30-202 C.R.S., this Contract is not valid until signed and dated below by the State Controller or an authorized
delegate.
STATE CONTROLLER
Robert Jaros, CPA, MBA, JD
By:
Effective Date:
Weld_task order_FY18-Ldocx ver 26.6.17
Page I I of 12
Exhibit E
GRANT FUNDING CHANGE LETTER
Date:
State
Fiscal Year:
Grant
Change
Letter
(GFCL)
Funding
#
CMS Routing
#
CORE
Encumbrance #
TO: <Insert Grantee's name>
In accordance with Section of the Original Contract routing number , [insert the following language
here if previous amendment(s), renewal(s) have been processed] as amended by [include all previous
amendment(s), renewal(s) and their routing numbers], [insert the following words here if previous amendment(s),
renewal(s) have been processed] between the State of Colorado, Department of Public Health and Environment and
<insert contractor name> beginning <insert start date of original contract> and ending on
<insert ending date of current contract amendment>, the undersigned commits the following funds to the Grant:
The amount of (federal, state, other) grant funds available and specified in Section of <insert previous
contract modification number and routing number> is ❑ increased or ❑ decreased by $ amount of change to
new total funds for the period <date to date> of $ <insert new period cumulative total> for the
following reason: Section is hereby modified accordingly. The revised Budget is incorporated herein
by this reference and identified as Revised Exhibit *. (if budget attached; delete sentence if no budget included.)
Complete the table below; insert/delete rows as needed.
The table below reflects the original budget and all modifications to the total since the effective date of the Original
Contract.
SUMMARY
OF
CHANGES
Document Type
CMS
Routing
#
Funding
(federal,
state,
Source
other)
Period
Dollar
Amount
Period
Total
Original Contract
$
$
$
$
$
$
$
$
$
$
Contract
Cumulative
Grand
Totalw
�k
t his vran t funding Change Letter does not constitute an order for services under this Grant.
The effective date of hereof is upon approval of the State Controller or <insert projected effective date>,
whichever is later.
STATE OF COLORADO
John W. Hickenlooper, Governor
Department of Public Health and Environment
By: By:
Lisa McGovern
Purchasing and Contracting Section Director. CDPHE
Date
PROGRAM APPROVAL
Colorado Department of Public Health and
Environment
Heather Weir
Director. Office of Planning. Partnerships & Improvement
Date
In accordance with §24-30-202 C.R.S., this Contract is not valid until signed and dated below by the State Controller or an authorized
delegate.
STATE CONTROLLER
Robert Jaros, CPA, MBA, JD
By:
Name of Agency Delegate -Please delete if contract will be routed to OSC for approval.
Effective Date:
Weld_task order_FY 18-1.docx ver 26.6.17
Page 12 of 12
Hello