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TASK ORDER CHANGE ORDER LETTER
November 21. 2006
Task Order Change Order Letter Number 01,
State Fiscal Year 2007 - 2007,
Contract Routing Number 07 FHA 00133
Immunization Proe:ram
This Task Order Change Order Letter is issued pursuant to paragraph F.3 of the Master Contract identified as
contract routing number 05 FAA 00132 and paragraph C.3 of the Task Order identified as contract routing number
06 FHA 00140 and contract encumbrance number PO FHA IMM0600140. This Task Order Change Order Letter
is between the COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT and BOARD
OF COUNTY COMMISSIONERS OF EAGLE COUNTY (a political subdivision of the state of Colorado),
for the use and benefit of the Eae:le County N ursine: Service. The Task Order, as amended, if applicable, is
referred to as the "Original Task Order". This Task Order Change Order Letter is for the renewal term of January
01, 2007, through June 30,2007. The maximum amount payable by the State for the work to be performed by the
Contractor during this renewal term is increased by Four Thousand Seven Hundred Thirty-Nine Dollars,
($4,739.00) for an amended total financial obligation of the State of Fourteen Thousand Two Hundred Sixteen
DOLLARS, ($14,216.00). The revised specifications to the original Scope of Work and the revised Budget are
incorporated herein by this reference, made a part hereof, and attached hereto as "Attachment F" and "Attachment
G". The first sentence in paragraph C.1. of the Original Task Order is modified accordingly. All other terms and
conditions of the Original Task Order are reaffirmed. This change to the Task Order shall be effective upon
approval by the State controller, or designee, or on January 1, 2007, whichever is later.
Please sign, date, and return all 1 originals of this Task Order Change Order Letter by December 20, 2006, to the
attention of: IMMUNIZA nON PROGRAM, Attn: Erikka Apolinar, Colorado Department of Public Health
and Environment, 4300 Cherry Creek Drive South, Mail Code DCEED, IMM -A4, Denver, Colorado 80246.
One original of this Task Order Change Order Letter will be returned to you when fully approved.
BOARD OF COUNTY COMMISSIONERS OF
EAGLE COUNTY
(a political subdivision of the state of Colorado),
for the use and benefit of the
Ea Ie Count Nursin
BY:~
Name:
Title:
FEIN:
STATE OF COLORADO
Bill Owens, Governor
By:
For the Executive Director
DEPARTMENT OF PUBLIC HEALTH
AND ENVIRONMENT
PROGRAM APPROVAL:
By:
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ALL CONTRACTS MUST BE APPROVED BY THE STATE CONTROLLER
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. If 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:
Leslie M. Shenefelt
By:
Date:
Revised: 11/5/04
ATTACHMENT F
Statement of Work
Immunization Program 01101107-06/30/07
A. The contractor shall perform an assessment of the available immunization services within their
jurisdiction and monitor the health of their communities and children at risk for under immunization by:
. Collaborating with one or more agencies to:
1. determine the availability of immunization services within their communities.
2. ensure immunization services are readily accessible at sites other than the
Contractor's site.
3. provide community education regarding vaccines and immunization through
distribution of immunization educational materials, provision of educational
workshops, submission of press releases with relevant news and updates,
providing technical advice and m;sistance for providers and other appropriate
activities.
B. The contractor shall formulate public policies, in collaboration with community leaders designed to
solve local immunization access issues by:
. promoting, educating and sponsoring providers regarding the value of active participation in
reminder and recall activities through:
4. community and provider trainings regarding implementing clinic and practice
based reminder and recall systems.
5. collaboration with community providers to implement clinic and practice
based reminder and recall systems (i.e. Colorado Immunization and
Information System - CnS).
6. implementation of Contractor clinic based reminder and recall systems.
C. The contractor shall assure all populations have access to appropriate immunization services and
evaluate the effectiveness of that service in their communities by:
. conducting onsite clinical services with optimal access such as:
1. Expanding clinic hours at a minimum of one (1) of the Contractor's clinics to
permit clients to obtain necessary vaccinations during evening or weekend hours.
2. Providing "express lane" and or drop-in appointments at the Contractor's
clinic(s).
. conducting clinic, practice or school based assessment for immunization coverage rates and
implementing appropriate strategies to improve coverage rates as necessary.
D. The contractor shall assure all populations have access to appropriate immunization services in their
communities by:
. providing support for immunization initiatives through the Colorado Supplemental Nutrition
program - Women, Infants and Children (WIC) and/or the Colorado Department of Human
Services Supplemental Food program (CSF) by:
1. providing vaccinations on site
2. assessing immunization histories and referring children appropriately
3. distributing educational materials regarding immunizations and locally available
clinic services.
ATTACHMENT G
BUDGET
APPLICANT: Eagle County Public Health Nursing Service
PROJECT: Immunization Program
FOR THE PERIOD: January 1, 2007 through June 30, 2007
Funded
by
CDPHE
Total Budget for Renewal Term $4,739
Monthly Payment
$790
