No preview available
HomeMy WebLinkAboutC01-140 State of Colorado TB control servicesC_ v 1— t c.ke; - z z � STATE OF'COLORADO Bill Owens, Governor Jane E. Norton, Executive Director Dedicated to protecting and improving the health and environment of the people of Colorado 4300 Cherry Creek Dr. S. Denver, Colorado 80246 -1530 Phone (303) 692 -2000 Located in Glendale, Colorado http: / /Www.cdphestate.ca.us July 1, 2001 Laboratory and Radiation Services Division 8100 Lowry Blvd. Denver CO 80220 -6928 (303) 692 -3090 oF' Coto r� N { 1876 Colorado Department of Public Health and Environment State Fiscal Year 2001 - 2002, Contract Renewal Letter Number 02, Contract Routing Number 02 -00011 Pursuant to Section C. 8. of the Contract with contract routing number 00 FHA 00017 and contract encumbrance number PO FHA EPI 0000017, (as amended by Contract Renewal Letter number 01, contract routing number 01 FHA 00013) hereinafter referred: to as the "Original Contract" (a copy 'of which is attached hereto. and by this reference incorporated herein -and trade a part hereof) between the State of Colorado, DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT and the EAGLE COUNTY PUBLIC HEALTH NURSING SERVICE, for the renewal term from July 1, 2001, through June 30, 2002, the parties agree that the maximum amount payable by the State for the eligible services referenced in: Section B. of the Original Contract is increased by SEVEN THOUSAND FIFTY DOLLARS, ($7,050.00); and, that the Blanket Encumbrance amount in Section C,1. B. of the Original Contract is decreased to TWENTY SEVEN THOUSAND DOLLARS, ($27,000.00) for Statewide Tuberculosis Direct Observed Therapy for a new total financial obligation of the State of NINETEEN THOUSAND FOUR HUNDRED TWO DOLLARS, ($19,402.00). The revised reimbursement schedule is outlined in the budget below. The first sentence in Section C,1. of the Original Contract is hereby modified accordingly. - All other terns and conditions of the Original Contract are hereby reaffirmed. - This amendment to the Original Contract is intended to be effective as of July 1. 2001. However, in no event shall this amendment be deemed valid until it shall have been approved by the State Controller or such assistant as he may designate. Budget TB Control July 1, 2001- June 30, 2002 Description of Reimbursement Tuberculosis Control Services Direct Observed Therapy @ $12.50 /visit Amount Funding Source $7,050.00 State As Administered State Total $7,050.00 Please sign, and return all 4 originals of this Contract Renewal Letter to. the attention of:: Juli Bettridge, Colorado Department of Public Health and Environment, 4300 Cherry Creek Drive South, Denver, Colorado 80246, Mail Code: WEED TB A -3. One original of this Contract Renewal Letter will be returned to you when fully approved. Page 1 of 2 Pages IATB\02TBContracts\Eagle02.doc Created by Juh Bettridge Last printed 4/13/0110:57 AM 8 Printed on Recycled Paper EAGLE COUNTY PUBLIC HEALTH NURSING SERVICE (a political subdivision of the State of Colors By: Print Name: Title: FEIN: 846000762 OFFICE OF THE STATE CONTROLLER: Arthur L. Barnhart, State Controller By: I: \TB\02TBContracts\Eagle02.doc Created by 7uli Bettridge Last printed 4/13/01 10:57 AM STATE OF COLORADO Bill Owens, Governor v � fACCgcO By: For the Executive 'rector * DEPARTMENT OF PUBLIC HEALTH on�►'�° AND ENVIRONMENT APPROVALS: Page 2 of 2 Pages PROGRAM: S 1 Officer