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HomeMy WebLinkAboutC10-182 HHS State Contract Rtg. No. 11-14199DEPARTMENT OR AGENCY NAME
COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
PSD-STEPP
DEPARTMENT OR AGENCY NUMBER
FLA
CONTRACT ROUTING NUMBER
11-14199
AMENDMENT FOR TASK ORDERS #3
This Amendment is made this 23rd day of April, 2010, 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 Colo_radoh 500 Broadwav, Eagle, Colorado_81631-0850, for the use and benefit of the EAGLE COUNTY
PUBLIC HEALTH AGENCY whose address or principal place of business is 551 Broadwav, 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
May 21, 2009, with contract encumbrance number PO FLA PPG1000142, and contract routing number 10 FLA
00142 as amended by Amendment for Task Orders #l, Contract Routing Number 10 FLA 5218; Amendment for
Task Orders #2, Contract Routing Number 10 FLA 12559, collectively referred to herein as the "Original Task
Order Contract, whereby the Contractor was to provide to the State the following:
The Contractor will conduct activities under the project Tobacco Free Eagle County to prevent
youth from using tobacco use, help people who use tobacco to quit, assist in the reduction of exposure
to secondhand smoke and reduce tobacco use among groups that are disproportionately affected
and/or at high risk for disease.
The State promises to increase the amount of funds to be paid to the Contractor by Seven Thousand, Three
Hundred Thirty-Eight Dollars, ($7,338.00), for the renewal term of four months, ending on October 31, 2010, in
exchange for the promise of the Contractor to perform the increased work described herein.
NOW THEREFORE, in consideration of their mutual promises to each other, stated below, the parties hereto agree
as follows:
Consideration for this Amendment to the Original Task Order Contract consists of the payments and
services that shall be made pursuant to this Amendment, and promises and agreements herein set forth.
It is expressly agreed to by the parties that this Amendment is supplemental to the Original Task Order
Contract, contract routing number 10 FLA 00142 as amended by Amendment for Task Orders #l,
Contract Routing Number 10 FLA 5218; Amendment for Task Orders #2, Contract Routing Number 10
FLA 12559, 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 Amendment as though they were expressly rewritten; incorporated, and included herein.
It is expressly agreed to by the parties that the Original Task Order Contract is and shall be modified,
Page 1 of 3
Rev 6/25/09
altered, and changed in the following respects only:
A. This Amendment is issued pursuant to paragraph 5 of the Original Task Order Contract identified
by contract routing number 10 FLA 00142. This Amendment is for the renewal term of July 1,
2010 through and including October 31, 2010. The maximum amount payable by the State for
the work to be performed by the Contractor during this renewal term is Seven Thousand. Three
Hundred Thirty-Eight Dollars, ($7,338.00), for an amended total financial obligation of the
State of FORTY-SEVEN THOUSAND, SIX HUNDRED FORTY-SIX DOLLARS,
($47,646.00). The revised Statement of Work is incorporated herein by this reference and
identified as "Exhibit E". The revised Budget is incorporated herein by this reference and
identified as "Exhibit F". The Original Task Order Contract is modified accordingly. All other
terms and conditions of the Original Task Order Contract are reaffirmed.
4. The effective date of this Amendment is July 1, 2010, or upon approval of the State Controller, or an
authorized delegate thereof, whichever is later.
Except for the Special Provisions and other terms and conditions of the Master Contract and the General
Provisions of the Original Task Order Contract, in the event of any conflict, inconsistency, variance, or
contradiction between the terms and provisions of this Amendment and any of the terms and provisions of
the Original Task Order Contract, the terms and provisions of this Amendment shall in all respects
supersede, govern, and control. The Special Provisions and other terms and conditions of the Master
Contract shall always control over other provisions of the Original Task Order Contract or any subsequent
amendments thereto. The representations in the Special Provisions to the Master Contract concerning the
absence of personal interest of state of Colorado employees and the certifications in the Special Provisions
relating to illegal aliens are presently reaffirmed.
FINANCIAL OBLIGATIONS OF THE STATE PAYABLE AFTER THE CURRENT FISCAL YEAR
ARE CONTINGENT UPON FUNDS FOR THAT PURPOSE BEING APPROPRIATED, BUDGETED,
AND OTHERWISE MADE AVAILABLE.
Page 2 of 3 Rev 6/25/09
IN WITNESS WHEREOF, the parties hereto have executed this Amendment on the day first above written.
* Persons signing for Contractor hereby swear and affirm that they are authorized to act on Contractor's
behalf and acknowledge that the State is relying on their representations to that effect.
CONTRACTOR:
BOARD OF COUNTY COMMISSIONERS
OF EAGLE COUNTY, (apolitical subdivision
of the State of Colorado), for the use and benefit
of the EAGLE COUNTY PUBLIC
HEALTH AGENCY
Signature Authorized Officer
Cpl ~~'~1.~ ~ • ~ ~~~ .1~,/'
Print Name of Authorized Officer
f: C ~~~
Print Title of Authorized Officer
STATE:
STATE OF COLORADO
Bill Ritter, Jr. Governor
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 the State Controller to approve all State Contracts. This Contract is not valid until
signed and dated below by the State Controller or delegate. Contractor is not authorized to begin
performance until such time. If Contractor begins performing prior thereto, the State of Colorado is not
obligated to pay Contractor for such performance or for any goods and/or services provided hereunder.
STATE CONTROLLER
David J. McDermott, CPA
By:
Date:
Page 3 of 3 Rev 6/25/09
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Budget Narrative
PERSONAL SERVICES: Benefits were calculated at 35oIo of salary.
Name Position Title Position Responsibilities Program Annual
Costs for the osition
Sondra Manske, .22 FTE Program coordinator: $5,508.35
MPH, CHES Tobacco Program maintenance of system's
Coordinator/Health integration strategies; local
Educator policy work; management of
budget and re orts; evaluation
Rachel Oys, JD, .03 FTE Tobacco Supervision of staff, program $1088.64
MPP Supervisor/ Public and budget; consultation on
Health Mana er evaluation
INDIRECT EXPENSE:
Indirect expenses are charged at 0 percent of all other total direct costs at $6596.99 X
0.10 = $659.70, which include executive management time, finance division time,
administrative assistant time, facility rent/lease, postage, telephone, equipment and
utilities.
Total Indirect Charge = $659.70