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HomeMy WebLinkAboutC03-275 Colorado Department of Public Health and Environment - Prenatal CareC®PH ~ E ~' 03 -~75-- ~ ~ oc~ o ~ Zoo3 ~ Women's Health Section September 9, 2003 CONTRACT OPTION TO RENEW LETTER Attachment D Contract Renewal Letter Number #3, Contract Routing Number 04 FAA 00148 State Fiscal Year 2003 - 2004, Prenatal Care Proeram This Contract Option to Renew Letter is issued pursuant to paragraph C. 4. of the Contract identified by contract routing number Ol FAA 00759 and contract encumbrance number PO FAA PRN0100759. This Contract~Option to Renew Letter is between the COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT and BOARD OF COUNTY COMMISSIONERS OF EAGLE COUNTY. The Contract has been amended by Contract Option to Renew Letter #1, contract routing number 02 FAA 00560, Contract Option to Renew Letter #2, contract routing number 03 FAA 00430, Contract Change Order Letter #1, contract routing number 03 FAA 00894. Contract, as amended, if applicable, is referred to as the "Original Contract". This Contract Option to Renew Letter is for the renewal term of October 1.2003, through September 30, 2004. The maximum amount payable by the State for the work to be performed by the Contractor during this renewal term is One Hundred Twelve Thousand Five Hundred Dollars, ($112,500.00) for an amended total financial obligation of the State of FOUR HUNDRED THIRTY NINE THOUSAND DOLLARS, ($439,000.00). This is an increase of ($112,500.00) of the amount payable from the previous term. The Budget for this renewal term is incorporated herein by this reference, made a part hereof, and attached hereto as "Attachment 1". The first sentence in pazagraph C. 1. of the Original Contract is modified accordingly. All other terms and conditions of the Original Contract are reaffirmed. This Contract Option to Renew Letter is effective upon approval by the State Controller, or designee, or on October 1, 2003, whichever is later. Please sign, date, and return a114 originals of this Contract Option to Renew Letter by September 25.2003, to the attention of: Laura Montoya, Colorado Department of Public Health and Environment, 4300 Cherry Creek Drive South, Denver, Colorado 80246, Mail Code: PSD-WHS-A5. One original of this Contract Option to Renew Letter will be returned to you when fully approved. BOARD OF COUNTY COMMISSIONERS OF EAGLE COUNTY (apolitical subdivision of the state of Colorado) By: _. ~ Name: Title: FEIN: STATE OF COLORADO Bill Owens, Gover or By: Fo t zecutive Director DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT ~~~ ` 'ATTEST: ~~ .~C,~PRO~GRAM APPROVAL: ~. ._ By: By: l~ ~.~,~,.t~,.,,.,x,~.!~.~ CRS 24-30-202 requires that the State Controller approve all state contracts. This contract is not valid until the State Controller, or such assistant as he may delegate, has signed it. The contractor is not authorized to begin performance until the contract is signed and dated below. ff performance begins prior to the date below, the State of Colorado may not be obligated to pay for the goods and/or services provided. STATE CONTROLLER: Arthur L. Barnhart Date: 90 - ~ - a 3 Revised: 08/30/02 Page 1 of 1 r a 9/25/03 - Attachment 1 Agency/Institution Name: Colorado Department of Public Health and Environment Contractor's Legal Name: Boazd of County Commissioners of Eagle County (apolitical subdivision of the state of Colorado) Contract Routing Number ofthe Original Contractor Task Order. Ol FAA 00759 Contract Encumbrance Number of the Original Contract or Task Order. PO FAA PRN0100759 Term of the Original Contract or Task Order. Oct. 1, 2000 - Sept. 3Q, 2001 Current Award: Maternal Child Health (MCH) federal funding from the United States government provides: $ 67,500.00 to administer the prenatal services program, purchase medical supplies and $ 5,625.00 a month, Oct. 2003 through Sept. 2004. phamraceudcals, provide medical, laboratory, education and counseling services to low income women. $ 45,000.00 diagnostic testing $ 3,750.00 a month, Oct. 2003 through Sept. 2004. $ 112,500.00 Total Current Award Prenatal program services will be provided by the Contractor for approximately 150 clients. Routing Number. Ol FAA 00759 02 FAA 00560 03 FAA 00430 03 FAA 00894 Subtotal of All Previous Documents: Funds Awarded -Contract Life-to-Date Term State Funds Federal Funds Total Funding 10/O1/00 -to- 09/30/01 $ - $ 112,500 $ 112,500 10/O1/Ol -to- 09/30/02 $ - $ 112,500 $ 112,500 10/01/02 -to- 09/30/03 $ $ 112,500 $ 112,500 10/01/02 -to- 09/30/03 $ - $ (11,000) $ (11,000) $ - $ 326,500 $ 326,500 Contract Routing Number of the Current Document Contract Encumbrance Number of the Current Document: Term of the Current Document: Not to Exceed Amount of Current Document: Total Value of All Documents: 04 FAA 00148 PRN0100759C 10/Ol /03 - 09/30/04 $ - $ 112,500 $ 112,500 $ - $ 439,000 $ 439,000 J:\fiscal\contract attachments\FY04 PRN\Eagle\Attachment 10/2/2003 1:16 PM