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FORM 1 - GRANT CHANGE LETTER
NUMBER 1
To The
AGREEMENT
Between the
STATE OF COLORADO
DEPARTMENT OF PUBLIC SAFETY
DIVISION OF HOMELAND SECURITY AND EMERGENCY MANAGEMENT
And
Weld County
Date: Original Contract #: Original Contract CMS#80751 CMS Routing#89156
03/28/16 MG4145079337
In accordance with Section§ 20(I) of the Original Grant Agreement between the State of Colorado,
acting by and through the Department of Public Safety, Division of Homeland Security and
Emergency Management, and Weld County, the provisions of the Contract and any amendments
thereto affected by this Grant Change Letter are modified as follows:
1) Project Description. Grantee shall perform the activities listed in Grantee's Application, which is
incorporated by reference herein in accordance with the provisions of the Original Contract. This
Form 1 includes the following changes to the original grant agreement: the Total Budget for the
project is now$97,101.00, a decrease of-$36,479.00 from the original Total Budget of
$133,580.00; the Total Federal Share is now$72,825.75, a decrease of-$27,359.25 from the
original Total Federal Share of$100,185.00; and the Total Award Amount (Federal + State) is now
$84,963.38, a decrease of-$31,918.62 from the original Total Award Amount of$116,882.00.
Budget
Project Category Federal Share(75%) State Share(12.5%) Local Share(12.5%) Total Budget(100%)
Generator 18,450.00 3,075.00 3.075.00 24,600.00
Transfer Switch 30,443.25 5,073.88 5,073.87 40.591.00
Installation 19,800.00 3,300.00 3,300.00 26,400.00
A&E(Design,Permits) 4,132.50 688.75 688.75 5,510.00
Total Share $72,825.75 $12,137.63 $12,137.62 $97,101.00
Total Award Amount $84,963.38
(Federal+State)
2016-1515
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2) Price/Cost. The maximum amount payable by the State for performance of this Award Letter is
$84,963.38 and the maximum amount of Local Matching funds, if applicable, is $12,137.63.
3) Effective Date. The effective date hereof is upon approval of the State Controller.
4) Additional Requirements. None
STATE OF COLORADO ALL GRANTS REQUIRE APPROVAL BY THE
John W.Hickenlooper,GOVERNOR STATE CONTROLLER
DEPARTMENT OF PUBLI ETY
Division of Homeland Se city d Emergency CRS§24-30-202 requires the State Controller to approve
Mana eme all State Grants.This Grant is not valid until signed and
dated below by the State Controller or delegate.Grantee
B is not authorized to begin performance until such time.If
y Grantee begins performing prior thereto,the State of
Kevin Klein,Director Colorado is not obligated to pay Grantee for such
Date: 3 AC7ien performance or for any goods and/or services provided
hereunder.
STATE CONTROLLER
Robert Jaros,CPA,MBA,JD
By: C J
Colorado Department of Pudic Safety,Cindy Fredriksen,Procurement Director
Date: +1(O l
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Page 2 of 2—Form 1
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