HomeMy WebLinkAboutC11-144 Family Planning Program (12-FLA-29943) DEPARTMENT OR AGENCY NAME
COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
PSD -CFPI
DEPARTMENT OR AGENCY NUMBER
FLA
CONTRACT ROUTING NUMBER
12 -29943
AMENDMENT FOR TASK ORDERS #5
This Amendment is made this 28th day of March, 2011, 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. whose address or principal place of
business is 500 Broadway Eagle, Colorado 81631 -0850 for the use and benefit of the EAGLE COUNTY
PUBLIC HEALTH AGENCY, (a political subdivision of the state of Colorado), whose address or principal
place of business, 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
November 1, 2008, with contract encumbrance number PO FLA FPP0900663, and contract routing number 09
FLA 00663, as amended by Contract Amendment #1, contract routing number 09 -FLA- 00854, Contract
Amendment #2, contract routing number 10 -FLA- 00227, Contract Amendment #3, contract routing number 10-
FLA -9455, Grant Funding Letter #1, contract routing number 10 -FLA- 13357, Amendment for Task Orders #4,
contract routing number 11 -FLA- 15888, and Grant Funding Letter #3, contract routing number 11 -FLA- 26621,
collectively referred to herein as the "Original Task Order Contract, whereby the Contractor was to provide to the
State the following:
Contractor will provide a comprehensive family planning program with an emphasis on
increasing the total number of men and women accessing services and increasing utilization
of long acting reversible methods of contraception (LARC) among existing clients.
The State promises to pay the Contractor the sum of Forty -Eight Thousand, Nine Hundred Forty-Nine Dollars,
($48,949.00) in exchange for the promise of the Contractor to continue to perform the work identified in the
Original Task Order Contract for the renewal term of 12 months, ending on June 30, 2012.
NOW THEREFORE, in consideration of their mutual promises to each other, stated below, the parties hereto agree
as follows:
1. 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.
2. It is expressly agreed to by the parties that this Amendment is supplemental to the Original Task Order
Contract, contract routing number 09 FLA 00663, as amended by Contract Amendment #1, contract
routing number 09 -FLA- 00854, Contract Amendment #2, contract routing number 10 -FLA- 00227,
Contract Amendment #3, contract routing number 10 -FLA -9455, Grant Funding Letter #1, contract routing
number 10 -FLA- 13357, Amendment for Task Orders #4, contract routing number 11- FLA - 15888, and
Grant Funding Letter #3, contract routing number 11 -FLA- 26621, 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
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rewritten, incorporated, and included herein.
3. It is expressly agreed to by the parties that the Original Task Order Contract is and shall be modified,
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 FLA 00663. This Amendment is for the renewal term of July 1,
2011, through and including June 30, 2012. The maximum amount payable by the State for the
work to be performed by the Contractor during this renewal term is Forty -Eight Thousand,
Nine Hundred Forty -Nine Dollars, ($48,949.00) for an amended total financial obligation of the
State of TWO HUNDRED EIGTHY -EIGHT THOUSAND, ONE HUNDRED TWENTY -
SIX DOLLARS, ($288,126.00). This is an increase of Forty -Eight Thousand, Nine Hundred
Forty -Nine Dollars, ($48,949.00) of the amount payable from the previous term. The revised
Additional Provisions is incorporated herein by this reference and identified as "Exhibit L." The
revised Statement of Work is incorporated herein by this reference and identified as "Exhibit M ".
The revised Budget is incorporated herein by this reference and identified as "Attachment M -1 ".
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, 2011, or upon approval of the State Controller, or an
authorized delegate thereof, whichever is later.
5. 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.
6. 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.
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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: STATE:
BOARD OF COUNTY COMMISSIONERS STATE OF COLORADO
OF EAGLE COUNTY for the use and benefit of the John W. Hickenlooper, Governor
EAGLE COUNTY PUBLIC HEALTH AGENCY
(a political subdivision of thitate of Colorado)
it i
4k. � A V
By:
ili re of Authorized- 1 icer For the Executive Director
DEPARTMENT OF PUBLIC HEALTH
.i,i STK N AND ENVIRONMENT
Print Name of Authorizet Officer
Print Title of Authorized Officer
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:
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EXHIBIT L
ADDITIONAL PROVISIONS
To Contract Dated 03/28/2011- Contract Routing Number 12 FLA 29943
These provisions are to be read and interpreted in conjunction with the provisions of the contract specified
above.
The revised Additional Provisions are effective July 1, 2011.
1. Health Insurance Portability and Accountability Act (HIPAA) Business Associate Determination. The State
has determined that this contract does not constitute a Business Associate relationship under HIPAA.
2. To receive compensation under this Task Order Contract, the Contractor shall submit a signed Monthly
Colorado Family Planning Initiative (CFPI) Cost Reimbursement Statement in a format acceptable to the
State. A CFPI Cost Reimbursement Statement is incorporated and made part hereof by reference. This
document is located at:
http: / /www.cdphe. state. co. us /pp/ womens/ FPNursingConsntsForms.html ?col2 =open. A Cost
Reimbursement Statement must be submitted within sixty (60) calendar days of the end of the billing
period for which services were rendered. CFPI Cost Reimbursement Statements must be accompanied by
detailed cost ledger to reflect all purchases being invoiced under that contract and should include date of
payment, payee name and amount, and check or voucher number, when available. Expenditures shall be in
accordance with the CFPI Budget, Budget Narrative and FY12 Estimated Funding Amounts attached
hereto as Attachment M -1 and the Statement of Work attached hereto as Exhibit M. These items may
include, but are not limited to, the Contractor's salaries, fringe benefits, supplies, travel, operating,
administrative costs which are allowable, and other allocable expenses related to its performance under this
Task Order Contract.
CFPI Cost Reimbursement Statements shall: 1) reference this Task Order Contract by its contract routing
number, which is located on page one of this Task Order Contract; 2) state the applicable performance
dates; 3) state the names of payees; 4) include a brief description of the services performed during the
relevant performance dates; and, 5) show the total requested payment. Payment during the initial, and any
renewal or extension, term of this Task Order Contract shall be conditioned upon affirmation by the State
that all services were rendered by the Contractor in accordance with the terms of this Task Order Contract.
CFPI Cost Reimbursement Statements shall be sent to:
Fiscal Officer
Family Planning Program
Prevention Services Division
Colorado Department of Public Health and Environment
PSD - A4
4300 Cherry Creek Drive South
Denver, CO 80246
Final billings under this Task Order Contract must be received by the State within a reasonable time after
the expiration or termination of this Task Order Contract; but in no event no later than sixty (60) calendar
days from the effective expiration or termination date of this Task Order Contract.
4. The Contractor is authorized to make limited transfers of funds from one line item in its Budget to another
line item in its Budget but must notify the Program Director by email prior to the transfer. A transfer from
one line item to another line item may not exceed ten percent (10 %) or One Thousand Dollars ($1000),
which ever amount is more, of the total amount of the line item from which the transfer is made unless
prior written approval is received from the Program Director. If the Contractor desires to transfer more
than ten percent (10 %) or One Thousand Dollars ($1000), which ever amount is more, from one line item
in its budget to another line item in its budget then the Contractor shall request and receive prior written
approval from the Program Director by completing and submitting a Budget Revision Request Form,
To be attached to CDPHE Page 1 of 3 Revised: 4/1/04
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EXHIBIT L
incorporated and made part hereof by reference. This document is located at:
http: / /www.cdphe. state.co.us /pp /womens /FPNursingConsntsForms. htm l ?col2= open.
5. The services or activities under this Contract may be carried out by the Contractor, or through subcontracts
with other providers or, through collaborative partnerships with other community partners. The State
authorizes the Contractor to subcontract some, or all, or the services that are to be performed under this
Contract. However, a subcontractor is subject to all of the terms and conditions of this Contract.
Additionally, the contractor remains ultimately responsible for the timely and satisfactory completion of all
work performed by any subcontractor(s) under this Contract. The Contractor shall maintain, at a minimum
a Memorandum of Understanding or other binding contractual agreement. The Contractor shall provide a
list of all current family planning subcontractors to the Family Planning Program Director within 15 days
of executing this Contract and any new subcontractors at least 15 calendar days prior to an agreement being
executed. The Contractor shall maintain records of any subcontractors for a minimum of three years.
6. Contractor agrees to provide services to all Program participants and employees in a smoke -free
environment in accordance with Public Law 103 -227, also known as "the Pro - Children Act of 1994 ", (Act).
Public Law 103 -227 requires that smoking not be permitted in any portion of any indoor facility owned or
leased or contracted for by an entity and used routinely or regularly for the provision of health, day care,
early childhood development services, education or library services to children under the age of 18, if the
services are funded by Federal programs either directly or through State or local governments, by Federal
grant, contract, loan, or loan guarantee. The law also applies to children's services that are provided in
indoor facilities that are constructed, operated, or maintained with such Federal funds. The law does not
apply to children's services provided in private residences; portions of facilities used for inpatient drug or
alcohol treatment; service providers whose sole source of applicable Federal funds is Medicare or
Medicaid; or facilities where Women Infant and Children (WIC) coupons are redeemed. Failure to comply
with the provision of Public Law 103 -227 may result in the imposition of a civil monetary penalty of up to
$1,000 for each violation and /or the imposition of an administrative compliance order on the responsible
entity. By signing this Contract, the Contractor certifies that the Contractor will comply with the
requirements of the Act and will not allow smoking within any portion of any indoor facility used for the
provision of services for children as defined by the Act. The Contractor agrees that it will require that the
language of the Act be included in any subcontracts which contain provisions for children's services and
that all contractors shall sign and agree accordingly.
7. Contractor shall ensure that the provisions of Section 601 of Title VI of the Civil Rights Act of 1964 are
carried out. That Act states that "no person in the United States shall on the ground of race, color, or
national origin, be excluded from participation in, be denied the benefits of, or be subjected to
discrimination under any program or activity receiving Federal financial assistance." The Office of Civil
Rights has concluded that it is the responsibility of any program which is a recipient of funds from the
Department of Health and Human Services to ensure that clients who do not speak or understand English
well, be provided interpretation services to ensure that the service provider and the client can communicate
effectively. The Contractor shall have policies and procedures to ensure that interpretation services are
available for clients with Limited English Proficiency and will advise such clients that an interpreter will be
provided for them. If a client has their own interpreter, they shall be advised that the Contractor will
provide an interpreter if the client so chooses.
8. The State may require forms attached to this contract and incorporated herein by reference by updated
during the term of this contract. The Contractor will be informed of the new forms as they are developed.
Forms may be sent to contractors or will be available on the Family Planning website:
littp://www.cdphe.state.co.us/pp/wornens/famplan.html.
9. Notwithstanding anything herein to the contrary, the parties understand and agree that all terms and
conditions of this Task Order Contract and the exhibits and attachments hereto which may require
continued performance, compliance or effect beyond the termination date of this Task Order Contract shall
survive such termination date and shall be enforceable by the State as provided herein in the event of such
failure to perform or comply by the Contractor.
To be attached to CDPHE Page 2 of 3 Revised: 4/1/04
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EXHIBIT L
Funding adjustments may be made during the term of this contract. The State makes funding adjustments
on this contract using a Funding Letter substantially equivalent to Exhibit D of Original Contract and
bearing the approval of the State Controller or his designee; the funding letter shall not be deemed valid
until the State Controller or his designee has approved it.
•
To be attached to CDPHE Page 3 of 3 Revised: 4/1/04
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EXHIBIT M
STATEMENT OF WORK
To Contract Dated 03/28/2011 - Contract Routing Number 12 FLA 29943
1) The Contractor shall conduct a comprehensive family planning program ( "the program ") in Eagle county. This
program shall comply with section 1001 of the federal Act and all applicable federal regulations, as amended,
contained in Title X, 42 C.F.R., Subpart A, Part 59, as well as all applicable state regulations. (Federal funding
from HHS, CFDA #93.217 FP Services). The funding for this program will be spent in accordance with the
CFPI Budget, Budget Narrative and FY12 Estimated Funding Amounts attached hereto and referred to as
Attachment M -1.
2) The Contractor shall make its program available to men and women in their reproductive years and shall offer
the following services under the Title X family planning program:
A. Outreach services and/or other program efforts designed to improve client recruitment.
B. Nursing and medical services, which shall include a comprehensive health and social history and
physical examination administered in accordance with all applicable Title X regulations and, all
applicable nursing - medical policies or procedures which have been, or may be, established by the
State's Women's Health Unit (WHU).
C. Contraceptive information, education, and supplies regarding all family planning methods.
D. Education and counseling services regarding family planning, family planning methods, child
spacing, infertility, sterilization, nutrition, sexually transmitted diseases, Human immunodeficiency
virus (HIV)/ Acquired immunodeficiency syndrome (AIDS), adolescent counseling and other related
health issues, as outlined in the Nursing and Administrative Manual.
E. Follow -up and/or referral services, as appropriate.
3) All money received by the Contractor from the State under the Colorado Family Planning Initiative (CFPI) shall
be used by the Contractor to provide contraceptive services. The Contractor shall make its program available to
men and women in their reproductive years and shall offer the following services under the CFPI:
A. Utilize CFPI funding to purchase long acting reversible methods of contraception and contraceptive
rings. These are limited to Intrauterine Devices (IUD) Mirena and Paraguard, contraceptive implants and
contraceptive rings.
B. Utilize CFPI funding to provide the referral process and cover the actual costs of tubal ligation and
vasectomy procedures.
C. Utilize CFPI funding for Family Planning staff to attend reproductive health related training with
preference to those related to long acting reversible methods of contraception.
D. Provide comprehensive family planning services to sustain the total number of qualifying family
planning clients (fertile clients receiving contraceptive services) receiving services, 528 clients, in FY12;
Pre - approved activities to include 1) Sustaining capacity; 2) Outreach; 3) Media and Marketing; 4)
Training and Education; 5) Information Technology and Data Management; 6.) Third Party Billing and
Coding Resources; and 7) Other approved activities.
4) The services provided by the Contractor to the clients it serves shall be performed pursuant to law in accordance
with prevailing medical standard of care for the same or similar medical, nursing and professional services. The
services provided shall also comply with applicable Title X regulations, WHU nursing - medical policies and
To be attached to CDPHE Page 1 of 3 Revised: 4/1/04
Version 1.0 (4/04) contract template
EXHIBIT M
procedures, and any applicable fiscal or administrative policies of the State or Federal government which can be
located at http: / /www.cdphe. state. co. us /pp /womens /famplan.html ?col2 =open. Contractor acknowledges that it
has reviewed these policies and procedures.
5) The Contractor shall provide the State's family planning program consultants and administrators with
reasonable access to its operations to perform: periodic site reviews, data reviews, fiscal reviews or other
evaluations of the Contractor's family planning program. Evaluations of the Contractor's program shall be
based on established standards and policies of the State or the Federal government. The Contractor shall
cooperate during all periodic site visits, data reviews, fiscal reviews or other evaluations conducted by the State.
The established standards and policies for the Family Planning Program can be located in the Family Planning
Administrative Manual and the Family Planning Nursing Manual located on the Family Planning website at
http: / /www.cdphe. state. co .us /pp/womens /famplan.html.
6) If necessary, the Contractor shall comply with all recommendations, including development and implementation
of a Performance Improvement Plan, made by the State's family planning program consultants and/or
administrators after a periodic site visit, data review, fiscal review or other evaluations that are necessary to
bring its program into compliance with all program requirements and applicable federal and state laws, policies
and regulations. The Contractor shall be in full compliance with a recommendation, if any, within three (3)
months of the date a recommendation is made by the State. If the Contractor cannot obtain full compliance
within this three (3) month period, then on or before the expiration date of that three (3) month period the
Contractor shall present sufficient written evidence to the State: to show that continuing progress is being made
towards full compliance; and, the date when full compliance shall occur. In no event, however, shall full
compliance with a recommendation occur any later than six (6) months after the date that a recommendation
was initially made by the State. Notwithstanding the foregoing provisions, the State may disregard these cure
periods and immediately terminate the contract without liability if it has solely determined that Contractor's
noncompliance places the health, safety or welfare of persons receiving services in jeopardy.
7) On a monthly basis, the Contractor shall collect and provide to the State, by the fifteenth calendar day of the
following month unless otherwise specified by CDPHE, all pertinent data as defined by CDPHE regarding all
services offered, and all family planning clients served, by its program during the preceding month, submitted
through the IRIS data system. This data shall be verified on a quarterly basis to help assure accuracy. The
Contractor must adhere to the Data Security, Use and Confidentiality Agreement (also known as the Secure
External User form), incorporated and made part hereof by reference. This document is located at:
http: / /www.cdphe. state. co. us /pp/ womens /FPNursingConsntsForms.html ?colt =open. Contractor also agrees to
respond to other data requests required by the program.
8) During the term of this Contract, the Contractor agrees to provide the State with the semi - annual Family
Planning Expenditure/Revenue Reports. The Expenditure/Revenue Report (ERR) is located on pages 19 -21 in
the Financial Management Section of the Family Planning Administrative Manual, this information can also be
accessed online on the CDPHE Family Planning website at
http: / /www.cdphe. state .co.us /pp /womens /famplan.html . Final due dates will be specified by CDPHE.
9) The Contractor shall protect the confidentiality of all client records and other materials that are obtained,
created, or maintained by the Contractor under this contract. Except for purposes directly related to the
administration of this contract, no information about, or obtained from, any client shall be disclosed by the
Contractor in any form that would identify that client without the prior written consent of that client. As of the
acceptance date of this contract by the Contractor, the Contractor shall have written policies governing the
access to and, the duplication and dissemination of, all such information. The Contractor shall advise its
directors, officers, employees, agents, servants, and subcontractors, if any, that they are subject to these
confidentiality requirements.
10) The services provided by the Contractor must be deemed acceptable, in good faith, by WH. For a service to be
"acceptable" it must comply with all applicable: Title X regulations, WH nursing - medical policies and
procedures, and any applicable fiscal and administrative policies and procedures of the State and Federal
To be attached to CDPHE Page 2 of 3 Revised: 4/1/04
Version 1.0 (4/04) contract template
EXHIBIT M
government. All applicable Title X regulations, WH nursing - medical policies and procedures, and all
applicable fiscal or administrative policies of the State have been provided to the Contractor by the State as of
the effective date of this Contract.
11) During the term of this Contract, the Contractor agrees to provide the State with quarterly surveys, an Annual
Family Planning Work Plan and to submit semi - annual work plan progress reports by dates specified by
CDPHE.
12) The Contractor shall require any new family planning coordinator or fiscal staff working on Family Planning
Program services to participate in Fiscal Orientation within forty -five (45) days of employment.
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Attachment M -1
WORKSHEET
APPLICANT: Eagle County Public Health
Federal Title X June 30, 2011 - June 29, 2012
FOR THE BUDGET PERIOD: State Title X July 1, 2011- June 29, 2012
CFPI July 1, 2011 - June 30, 2012
Salary % Time CDPHE -WHU :' " ,
JULY 1, 2011
PLEASE ROUND ALL FIGURES JUNE 30, 2012 ,
TO THE NEAREST DOLLAR
FTE
•
4
CFPI ? '
PERSONNEL EXPENSES: (Include name &
title for each employee charged to CDPHE funding.
You do not need to list the name and title for
employees charged only to Non -CDPHE funding)
Tammy Brunk, CNM $44,460 100% $7,020 t
Michelle Valencia, Clinic Assistant $37,856 40%
Jennie Wahrer, Nurse Manager $85,490 10 %.
_ $7,020
Fringe Benefit Rate and Expenses
$7,020
CONTRACTUAL: (Independent contractor for tubal ligation, Essure, vasectomy,
h sicians nurse practitioners, e c
t In CFPI portion ONLY, referral e '
p y p i LY, fee in this
section.
Vasectomies contractor TBD 16 procedures $10,800
Tubals & Essure Contractor TBD 3 procedures $7,800
Medical Officer /Pharmac Consultation
$18,600
OPERATING:
ontraceptive Met o s s (for CFPI portion 0 LY, 10° 0 admin fee can be
included in this line.) $16,849
Training costs - which includes registration fees, travel $1,500
Chlamydia tests
Other Lab tests
Educational materials (brochures, etc.)
Clinical supplies
Office operating supplies (papers, charts, pens, etc.) ��' - `
Office expense (rent, utilities, maintenance)
OTHER: Systems upgrade to be compatible w/billing requirements $4,980 1 %, A %t
Page 1 of 4
Attachment M -1
- OTHER (Specify): CNM malpractice liability insurance , 7 1
r ., , _ (3 � 7 S C T , z $23,3291 i � R _
EQUIPMENT: (Computers, Off furniture)
,3. r 9 I 9aa�Y° t �� 9 t $0i_. . _,
G 1
{ $48,949
,
Z ')7' 14
? '�
i l , 4 it 41 4 4 f. , :
$
$Of
Yellow cells are not included in the CFPI admin fee calculation.
Feel free to add cells as needed. Be sure to update the total formulas if this is needed.
Page 2 of 4
Attachment M -1
T e '�1�3 ���9!.3gr�� � a�� 3 �r��i 7 x E� K }} � `-� 711:"+� .�
4 t r 6� i i
uYMI�'a�. � § E 3 i - � Fa r
- ..eta
3 �fC7
APPLICANT: Eagle County Public Health
FOR THE PERIOD: July 1, 2011- June 30, 2012
For Personnel category list title of
position
Relationship to project How is the total amount required Total
For all other categories list the line calculated?
item from the budget
Additional 156 hours /yr (3 hrs /wk) @
Tamm Brunk CNM Provider $45/hr $7,020.00
Vasectomies Contractor TBD 16 procedures x $675 each $10,800.00
Tubals & Essures Contractor TBD 3 procedures x $2,600 each $7,800.00
Includes LARC methods including: Mirena,
ParaGuard, NuvaRing, shipping costs, and a
Contraceptive Methods 10% admin fee limited to the costs of $16,849.00
ordering, maintaining inventory and
stocking.
Training Costs Includes registration fees, meals, hotel and ■ $1,500.00
travel
Upgrade current system "Aylers" to be
Systems upgrade $4,980.00
compatible with billing requirements.
.1 1 i 4 ii i 2� r�
Page3of4
Attachment M -1
Colorado Family Planning Initiative (CFPI)
FY12 ESTIMATED FUNDING AMOUNTS
FOR BUDGET WORK SHEET AND BUDGET NARRATIVE
AGENCY NAME: Eagle County Public Health Agency
CFPI Methods, Tubal $ 35,449 July 1, 2011 — June 30, 2012
Ligations & Vasectomies
CFPI CFPI Training $ 1,500 July 1, 2011 — June 30, 2012
CFPI Sustainability Grants $ 12,000 July 1, 2011 — June 30, 2012
TOTAL CFPI $ 48,949
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