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HomeMy WebLinkAboutC04-247 Colorado Department of Public Health and Environment – WIC
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DEPARTMENT OR AGENCY NAME
COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIItONMENT
WIC PROGRAM
DEPARTMENT OR AGENCY NUMBER
FLA
CONTRACT ROUTING NUMBER
05-00114
LIMITED AMENDMENT #2
This Limited Amendment is made this 1ST day of JULY. 2004, by and between the State of Colorado, acting by
and through the DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT, whose address or principal
place of business is 4300 Cherry Creek Drive South, Denver, Colorado 80246, hereinafter referred to as the
"State"; and, the BOARD OF COUNTY COMMISSIONERS OF EAGLE COUNTY (a uolitical subdivision
of the State of Colorado), whose address or principal place of business is 500 Broadway. Eagle. Colorado. 81631,
hereinafter referred to as the "Contractor".
FACTUAL RECITALS
The parties entered into a contract dated July 22, 2002, with contract encumbrance number PO FAA WIC0300363,
and contract routing number 03 FAA 00363, whereby the Contractor was to provide to the State the following:
Conduct and administer a component of the Special Supplemental Nutrition Program for Women, Infants,
and Children, hereinafter referred to as the "WIC Program", as described in the applicable regulations and
the State WIC Procedure Manual.
The State promises to pay the Contractor the sum of One Hundred Eleven Thousand Five Hundred Seventy
Four Dollars, ($111.574.00) in exchange for the promise of the Contractor to continue to perform the work
identified in the Original Contract for the renewal term of one year, ending on September 30, 2005.
NOW THEREFORE, in consideration of their mutual promises to each other, stated below, the parties hereto agree
as follows:
1. Consideration for this Limited Amendment to the Original Contract consists of the payments and services
that shall be made pursuant to this Limited Amendment, and promises and agreements herein set forth
2. It is expressly agreed to by the parties that this Limited Amendment is supplemental to the original
contract, contract routing number 03 FAA 00363, as amended by Contract Change Order Letter No. 1
contract routing number 03 FAA 00808, Contract Change Order Letter No, 2, contract routing number 04
FAA 00205, Contract Renewal Letter No. ~ contract routing number 04 FAA 00239, and Limited
Amendment No. i contract routing number 04 FAA 00425, collectively referred to herein as the Original
Contract, which is by this reference incorporated herein. All terms, conditions, and provisions thereof,
unless specifically modified herein, are to apply to this Limited Amendment as though they were expressly
rewritten, incorporated, and included herein.
3. It is expressly agreed to by the parties that the Original Contract is and shall be modified, altered, and
changed in the following respects only:
A. This Limited Amendment is issued pursuant to paragraph C_9, of the Original Contract identified
by contract muting number 03 FAA 00363. This Limited Amendment is for the renewal term of
October 1.2004, through and including Seutember 30.2005. The maximum amount payable by
the State for the work to be performed by the Contractor during this renewal term is
_One Hundred Eleven Thousand Five Hundred Seventy Four Dollars, ($111,574.00) for an
amended total financial obligation of the State of THREE HUNDRED THIRTY THREE
THOUSAND ONE HUNDRED SIX DOLLARS ($333.106.00). T'he first sentence in
Page 1 of 2
. ,,
paragraph Hof the Original Contract is modified accordingly. All other terms and conditions of
the Original Contract are reaffirmed.
The effective date of this Amendment is October 1.2004, or upon appnwai of the State Controller, or an
authorized delegate thereof, whichever is later.
Except for the General Provisions and Special Provisions of the Original Contract, in the event of any
conflict, inconsistency, variance, or contradiction between the terns and provisions of this Amendment and
any of the terms a~ provisions of the Original Contract, the terms and provisions of this Amendment shall
in all rejects supersede, govern, and control. The Special Provisions shall always control over other
provisions of the Original Contract ~ any subsequent amendments thereto. The representations in the
Special Provisions to the Original Contract concerning the absence of personal interest of state of Colorado
employees is presently reaffirmed.
6. FINANCIAL OBLIGATIONS OF THE STATE PAYABLE AFTER TAE CURRENT FISCAL YEAR
ARE CONTINGENT UPON FUNDS FOR THAT PURPOSE BEING APPROPRIATED, BUDGETED,
AND OTHERWISE MADE AVAILABLE.
IN WITNESS WHEREOF, the parties hereto have executed this Form Amendmant on the day first above written.
CONTRACTOR:
BOARD OF COUNTY
OF EAGLE COUNTY
(a political subdivision oft State of Colorado)
By:
Name: om G. on/ F
Title: GIfW 1 R /-'l A
FEIN:
ATTEST:
)if the Contractor is a corporation
or governmental entity, then an attestation
is required.
STATE:
STATE OF COLORADO
Bill Owens, Gov or
By:
E utive irect r
DEPAR ENT OF PUBLIC HEALTH
AND ENVIRONMENT
PROGRAM APPRO~VAL~
By:
(Seal, if veil le.) "' ti~~ ~,,~ `~
County Clerk '~ r,~ti~~==
* ~ r ~'.,
ALL CONTRACTS MUST BE APPROVED BY THE STATE CONTROLLER
C1t5 24-30-202 requires that the State Controller approve all state contracts. This limited amendment 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. H performance begins prior to
the date bebw, the State of Colorado may not be obligated to pay for goods and/or services provided.
STATE CONTROLLER
Leslie M. Shenefelt
Date: ~-/,~-oz/
Page 2 of 2
EAGLE
BOARD OF COUNTY COMMISSIONERS OF EAGLE COUNTY
500 BROADWAY, EAGLE, CO 81631
FIN #846000762 L
ORIG CONTRACT NO. WIC0300363 10/02-09/03 10/03-09/04 10/04-09/OS TOTAL
ORIG ROUTE NO. 03-00363 S 100,262
CHG LET #1 03-00808 S 6,731
CHG LET #2 04-00205 $ 2,965
RENEW LET #1 04-00239 S 106,993
LIlvIITED AMENDMENT #1 04-00425 S 4,581
LIMITED AMENDMENT #2 05-00114 S 111,574
LIIvIlTED AMENDMENT #3
TOTAL S 109,958 S 111,574 $ 111,574 S 333,106
STATE OF COLORP,DO
BiN Owens, Governor
Douglas H. BeneverrEo, Executive Director
Dedicated ~ protecting and improving ttte health and environlT-ent of ti18 people OF Colorado
4300 Cherry Creek ~. $.
Denver, Colorado 80246-1530
Phone (303) 692-2000
TDD Line (303) 691-7700
Located in Glendale, Colorado
httpJ/www.odphe.stats.co.us
September 13, 2004
Becky McCaulley, R.N.
Eagle County Nursing Service
P. O. Box 660
Eagle, CO 8163104
Dear Becky:
w'~I
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yew
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Colorado Depaztment
of PublicHealth
and Environment
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~y ~~~~
. ~ , S~ ~ l ~ Zt?i74
Enclosed please find the fully approved copy of your FY 2005 Limited Amendment renewing
your contract with the State WIC Program for the period between October 1, 2004 and
September 30, 2005.
Please call me at 303-692-2457 if you have any questions. Thank you.
Sincerely,
Audrey Christensen
WIC Fiscal Officer
Laboratory $ervire3 Dlvislon
8100 Lowry Blvd.
Denver, Colorado 80230-6928
(303)692-3090