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HomeMy WebLinkAboutC08-385DEPARTMENT OR AGENCY NAME COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT Tuberculosis DEPARTMENT OR AGENCY NUMBER FHA CONTRACT ROUTING NUMBER 09-00155 LIMITED AMENDMENT FOR TASK ORDERS #1 This Limited Amendment is made this 22"d day of October, 2008, 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, Board of County Commissioners of Eagle County, (a political subdivision of the State of Colorado), whose address or principal place of business is 500 Broadway, Eagle, Colorado 81631, for the use and benefit of the Eagle County Health & Human Services, whose address or principal place of business is 551 Broadway Eagle, Colorado 81631 hereinafter referred to as the "Contractor". FACTUAL RECITALS The parties entered into a Master Contract, dated January 23, 2007, with contract routing number 08 FAA 00016. Pursuant to the terms and conditions of the Master Contract, the parties entered into a Task Order Contract, dated Apri127, 2007, with contract encumbrance number PO FHA EPI0800022, and contract routing number 08 FHA 00022, referred to herein as the "Original Task Order Contract, whereby the Contractor was to provide to the State the following: Assist in supporting tuberculosis (TB) prevention and control activities in Eagle County. The State promises to increase the amount of funds to be paid to the Contractor by Five Hundred Dollars, $500.00 during the current term, in exchange for the promise of the Contractor to continue to perform the work identified in the Original Task Order Contract. 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 Task Order Contract consists of the payments and services that shall be made pursuant to this Limited Amendment, and promises and agreements herein set forth. Page 1 of 3 IN WITNESS WHEREOF, the parties hereto have executed this Limited Amendment on the day first above written. * Persons signing for Contractor hereby swear and agirm that they are authorized to act on Contractor's behalf and acknowledge that the State is relying on their representations to that effect and accept personal responsibility for any and all damages the State may incur for any errors in such representation. CONTRACTOR: STATE: Board of County Commissioners of Eagle County STATE OF COLORADO (a political subdivision of the State of Colorado) Bill Ritter, Jr. Governor for the use and benefit of the Eagle County Health & Human Services By: Nam. Title; By: For the Executive Director DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT PROGRAM APPROVAL: By: ALL CONTRACTS MUST BE APPROVED BY THE STATE CONTROLLER CRS 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. If performance begins prior to the date below, the State of Colorado may not be obligated to pay for goods and/or services provided. STATE CONTROLLER David J. McDermott, CPA By: Date: Page 3 of 3 Revised Exhibit D Budget for Eagle County Health and Human Services Description Tuberculosis Control and Outreach Tuberculosis Control and Outreach Diagnostic Services Direct Observed Therapy ($12.50 per onsite visit) ($25.00 per field visit) TOTAL Funding Source State Federal State State Amount $6000.00 $500.00 As Administered As Administered $ 6500.00 Page 1 of 1