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HomeMy WebLinkAboutC12-199 Colorado Rural Health Care Grant - Avon 44 4 M eaC GRANT PROGRAM Colorado Rural Health Care Grant Program Letter of Agreement Grant Period: July 1, 2012 to June 30, 2013 Governor Bill Ritter's Executive Order (B 007 07) created the Colorado Rural Health Care Grant Council. The Council is responsible for developing and providing oversight for the Colorado Rural Health Care Grant Program, funded by the UnitedHealth Group. The purpose of this grant program is to fund projects that support Colorado's rural health infrastructure and strengthen the capacity of rural entities to provide outpatient primary care services. Your application was selected for funding. Congratulations on your award! This Letter of Agreement contains reporting requirements of the Colorado Rural Health Care Grant Program. If you agree with the conditions, and have the authority to enter into such agreements with the applicant organization, please sign and return this letter to Shelly Collings at the Colorado Rural Health Center by Friday, June 15, 2012. Grant No.: 12 -041 -1 Organization: Eagle County Public Health -Avon Office Amount of Award: $9,849.00 By signing this Letter of Agreement, I agree to the following: • I agree to use the awarded funds only as described in our application and understand that the proposed projects and activities cannot be renegotiated. • I agree to complete our proposed project and activities within the one year grant period; by June 30, 2013. • I understand that if we are unable to utilize any funds for the specific activities proposed in our application by June 30, 2013, and these unused funds equal greater than 1% of our total award, we must return these funds to the Colorado Rural Health Center by July 13, 2013. • Upon completion of the grant period, I will provide the Colorado Rural Health Care Grant Council with a final report detailing the use of funds, project evaluation and results, and any other information requested by the Council. I understand that this report will be due to the Council by July 30, 2013. A (� 6D-6 i S . C141,k 1\t."(SLC Printed Name Title � • 1 A. (, 0-1 12 Signature , Date Please return the signed Letter of Agreement & W9 by June 15, 2012 to Shelly Collings at the Colorado Rural Health Center, 3033 S. Parker Rd., Ste. 606, Aurora, CO 80014, (720) 248 -2742, (800) 851 -6782, or Fax: (303) 832 -7496.