Press Alt + R to read the document text or Alt + P to download or print.
This document contains no pages.
HomeMy WebLinkAboutC16-170 Colorado Department of Public Health WICGRANT FUNDING CHANGE LETTER
Date: 4/01/2016
State Fiscal Year: 2016
Grant Funding Change
Letter (GFCL) #4
CMS Routing # 16 FHLA 89062
CORE Encumbrance # 2016* 1856
TO: Board of County Commissioners of Eagle County for the use and benefit of the Eagle County Public Health
Agency
In accordance with Exhibit A, Additional Provisions, Section 12 of the Original Contract routing number 13 FLA
47903, as amended by Grant Funding Change Letter #1, 13 FLA 56395, Grant Funding Change Letter #2, 14 FLA
57371, Amendment for Task Order #1, 14 FLA 58761, Grant Funding Change Letter #3, 14 FLA 69212, Option
Letter #1, 15 FHLA 71872, Amendment for Task Order #2, 15 FHLA 78190 and Amendment for Task Order #3,
16 FHLA 82502 between the State of Colorado, Department of Public Health and Environment and Board of
County Commissioners of Eagle County for the use and benefit of the Eagle County Public Health Agency
beginning October 1, 2015 and ending on September 30, 2016, the undersigned commits the following funds to the
Grant:
The amount of federal grant funds available and specified on the first page of the Contract 13 FLA 47903, Contract
Price Not To Exceed, is increased by $43,209.00 to new total funds for the period October 1, 2015 to September 30,
2016 of $251,622.00 for the following reason: Additional Funding Increase. The revised Budget is incorporated
herein by this reference and identified as Revised Exhibit P.
The table below reflects the original budget and all modifications to the total since the effective date of the Original
Contract.
SUMMARY OF CHANGES
Document Type
CMS Routing #
Funding Source
(federal, state, other
Period
Dollar Amount
Period
Total
Original Contract
13 FLA 47903
Federal
10/1/2012 - 9/30/2013
$236.809.00
$236,809.00
Grant Funding Change Letter # 1
13 FLA 56395
Federal
10/1/2012 - 9/30/2013
$86600
$237,675.00
Grant Funding Change Letter #2
14 FLA 57371
Federal
10/1/2012 - 9/30/2013
$744.00
$238,419.00
Amendment for Task Order # 1
14 FLA 58761
Federal
10/1/2013 - 9/30/2014
$206,246.00
$206,246.00
Grant Funding Change Letter #3
14 FLA 69212
Federal
10/1/2013 - 9/30/2014
$1,000.00
$207,246.00
Option Letter # 1
15 FHLA 71872
Federal
10/1/2014 - 9/30/2015
$199,631.00
$199,631.00
Amendment for Task Order #2
15 FHLA 78190
Federal
10/1/2014 - 9/30/2015
$32,443.00
$232,074.00
Amendment for Task Order #3
16 FHLA 82502
Federal
10/1/2015 - 9/30/2016
$208,413.00
$208,413.00
Grant Fundin Chan a Letter #4
16 FHLA 89062
Federal
10/1/2015 - 9/30/2016
$43,209.00
$251,622.00
Contract Cumulative Grand Total
$929,361.00
This Grant Funding Change Letter does not constitute an order for services under this Grant.
The effective date of hereof is upon approval of the State Controller or April 15, 2016, whichever is later.
STATE OF COLORADO
jjkhn W. Hickenlooper, GOVERNOR PROGRAM APPROVAL:
Dcripy ent of Public Health and Environment
By:
By: Lisa McGovern, Purch ing && Contracts Section Director
Date: ' Y O 1 ('0
ALL GRANTS REQUIRE APPROVAL BY THE STATE CONTROLLER
CRS §24 -30 -202 requires the State Controller to approve all State Grants. This Grant is not valid until signed and dated below by the
State Controller or delegate. Grantee is not authorized to begin performance until such time. If Grantee begins performing prior
thereto, the State of Colorado is not obligated to pay Grantee for such performance or for any goods and /or services provided
hereunder.
STATE CONTROLLER
()Robert Jaros, QrA, MBA, JD
By: t-
Date: a- Irk
Eagle County Grant Funding Change Letter #4 16 89062 Page 1 of 1
EXHIBIT P
BUDGET
To Task Order Contract Dated 08/20/2012 - Contract Routing Number 13 FLA 47903
Grant Funding Change Letter #4 Routing Number 16 FHLA 89062
Task Order - FFY 2013 Budget (October 1, 2012 — September 30, 2013)
$236,809.00
Grant Funding Letter #1 - LMS Training Funds Increase
$866.00
Grant Funding Letter #2 - Regional Training Funds Increase
$744.00
Amendment #1 - FFY 2014 Budget (October 1, 2013 — September 30, 2014)
$206,246.00
Grant Funding Letter #3 — Funding Formula Funds Increase
$1,000.00
Option Letter #1 - FFY 2015 Budget (October 1, 2014 — September 30, 2015)
$199,631.00
Amendment #2 — Additional Funds Request Increase
$32,443.00
Amendment #3 - FFY 2016 Budget (October 1, 2015 — September 30, 2016)
$208,413.00
Grant Funding Letter #4 — Additional Funds Request Increase
$35,104.00
Grant Funding Letter #4 — Training Funds Increase
$8,105.00
TOTAL CONTRACT
$929,361.00