HomeMy WebLinkAboutC02-206 EPSDT ProgramCc�
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
TDD Line (303) 691 -7700
Located in Glendale, Colorado
http: / /www.cdphe.state.co. cis
June 17, 2002
Laboratory and Radiation Services Division
8100 Lowry Blvd.
Denver, Colorado 80230 -6928
(303) 692 -3090
Contract Renewal Letter Number 04,
State Fiscal Year 2002 - 2003,
Contract Renewal Letter
Colorado Depanment
of Public Health
and Environment
Contract Routing Number 03 FAA 00210
Early and Periodic Screening Diagnosis and Treatment (EPSDT) Proerann
This Contract Renewal Letter is issued pursuant to Paragraph CC-6 of the contract with contract routing number 99 FAA 00499 and
contract encumbrance number PO FAA EPS9900499 as amended by Contract Renewal Letter 1, contract routing number 00 FAA
00022, by Contract Renewal Letter 2, contract routing number 01 FAA 00176, Contract Change Order Letter 1, contract I'Maing number
99 FAA 01530, _by Contract Renewal Letter 3, contract routing number 02 FAA 00103 by Contract Change Order Letter 2, contract
routing number 00 FAA 01124. Contract Change Order Letter 3, contract routing number 01 FAA 01188, and by Contract Change Order
Letter contract routing number 03 FAA 01019, hereinafter referred to as the "Original Contract" (a copy of which is attached hereto and
by this reference incorporated herein and made a part hereof, unless a Letter of Compliance has been submitted with this Contract Renewal
Letter) between the State of Colorado, Department of Public Health and Environment and the Board of Countv Commissioners,
Eagle County for the renewal term from Julv 1, 2002 through June 30. 2003 the parties agree that the maximum amount payable by the
State for the eligible services referenced in Paragraph B of the Original Contract is increased by TWELVE THOUSAND FIVE
HUNDRED SEVENTY TWO DOLLARS (512,572.00 for a new total financial obligation of the State of FIFTY SEVEN
T1OUSAND FIVE HUNDRED ONE DOLLARS ( 557,501.00 ). The revised Scope of Work, which is attached hereto as °Attachment
1 ", and the revised budget. which is attached hereto as " Attachment 2 ", are incorporated herein by this reference and made a part hereof.
The first sentence in Paragraph C_t of the Original Contract is hereby modified accordingly. All other terns and conditions of the Original
Contract are reaffirmed. The proposed effective date of this Contract Renewal Letter is July 1, 2002 However, in accordance with section
24 -30 -202, C.R.S., as amended, in no event shall this Contract Renewal Letter be deemed valid until it shall have been approved by [he
State Controller or such assistant as he may designate
Please sign, date, and return all four 4 originals of this Contract Renewal Letter by June 28, 2002 to the attention of: Lee Joseph
Colorado Department of Public Health and Environment, 4300 Cherry Creek Drive South, Denver, Colorado 80246 -1530, Mail
Code: PSD- MCH -A4 One original of this Contract Renewal Letter will be returned to you when fully approved.
Board of Countv Commissioners STATE OF COLORADO
of Eagle Countv Bill Owens, Governor
(a political v 4°° f [he state of Colorado
o �
tic: By: - t
Name: * For the Executive I
Title: / c- .? P p DEPARTMENT C
FEIN: 84- 6000762 �LURN AND ENVIRONM
Date: d� -cam
FOR THE STATE CONTROLLER: PROGRAM APPROVAL:
Arthur' L. Barnhart, State Controller
7
By: , < - ----
Date: 2 o 2--
HEALTH
By: _
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