HomeMy WebLinkAboutC17-077 Colorado Department of Human Services - Nurse Family Partnership - NOT FULLY EXECUTEDCONTRACT AMENDMENT #5
SIGNATURE AND COVER PAGE
State Agency
Original Contract Number
State of Colorado far the use & benefit of the
15 IHIA 68716
Department of Human Services
Office of Early Childhood
1575 Sherman Strect, la Floor
Denver, CO 80203
Contractor
Amendment Contract Number
Eagle County Government, dba Health and Human Services
18 IHIA 97682
PO Box 660
Eagle. CO 81631
Current Contract Maximum Amount
Contract Performance Beginning Date
Initial Tenn
July 1, 2014
State Fiscal Year 2015
5373,823
Extension Terms
Current Contract Expiration Date
State Fiscal Year 2016
5384,786
lune 30, 2018
State Fiscal Year 2017
5426,080
State Fiscal Year 2018
5417,512
Total for All State Fiscal Years
$1.602,201
THE PARTIES HERETO HAVE EXECUTED THIS AMENDMENT
Each person signing this Amendment represents and warrants ilial he or she is duly authorized to execute this Amendment
to bind the
Eagle County Government,
dba Health and Human Services
� �1/� a �
B}+' liar[ H. Ryan, Chair, B and of County Commissioner
his or her
STATE OF COLORADO
John W. Hickenlooper, Governor
Department of Human Services
Reggie Bicha, Executive Director
By: Mary Anne Snyder, Director. Office of Early Childhood
Date — 3� 12a [�? { Date:
In accordance with §2430-202 C.R.S., this Amendment is not valid until signed and dated below by the State Controller or an
authorized delegate.
STATE CONTROLLER
Robert Jaros, CPA, MBA, JD
By:
Clint Woodruff'/ Valri Gimplc
Amendment Effective Date:
Amendment Contract Number 19 11-11A 976B2 Page 1 of 3
C17-077
t. PARTIES
This Amendment (the "Amendment") to the Original Contract shown on the Signature and Cover
Page for this Amendment (the "Contract") is entered into by and between the Contractor, and the
State.
2. TERMINOLOGY
Except as specifically modified by this Amendment, all terms used in this Amendment that are
defined in the Contract shall be construed and interpreted in accordance with the Contract.
3. AMENDMENT EFFECTIVE DATE AND TERM
A. Amendment Effective Date
This Amendment shall not be valid or enforceable until the Amendment Effective Date
shown on the Signature and Cover Page for this Amendment. The State shall not be bound
by any provision of this Amendment before that Amendment Effective Date, and shall have
no obligation to pay Contractor for any Work performed or expense incurred under this
Amendment either before or after of the Amendment term shown in §3.B of this
Amendment.
B. Amendment Term
The Parties' respective performances under this Amendment and the changes to the
Contract contained herein shall commence on the Amendment Effective Date shown on the
Signature and Cover Page for this Amendment or July 1, 2017, whichever is later and shall
terminate on the termination of the Contract.
4. PURPOSE
The Parties entered into the Contract for/to provide trained visiting nurses to help educate
mothers on the importance of nutrition and avoiding alcohol and drugs, including nicotine, and to
assist and educate mothers in providing general care for their children. This amendment will
increase funds by $417,512 for services to be provided in FYI 8, and amends Exhibit B.
5. MODIFICATIONS
The Contract and all prior amendments thereto, (Original Contract CMS 15 IHIA 68716; Option
Letter #1 CMS 15 IHIA 77070; Option. Letter #2 CMS 16 IHIA 78997; Amendment #1 CMS 16
IHIA 79377; Amendment #2 CMS 16 IHIA 87025; Amendment #3 CMS 17 IHIA 88643;
Amendment #4 CMS 17 IHIA 95146), are modified as follows:
A. Increase budget by S4I7,5I2 for FY18
i. The "Contract Price Not to Exceed" of $1,184,689 is increased by $417,512 for a new
"Contract Price Not to Exceed" amount of 51,602,201.
ii. The Contract Maximum Amount table on the Contract's Signature and Cover Page of
this Amendment is hereby added to the contract.
B. Exhibit B — Budget
Exhibit B — Amendment #5, which is attached and incorporated into this Amendment, is
hereby added to the Original Contract.
Amcndmcni Como Number: 181HIA 97692 Page 2 of 3
6. LIMITS OF EFFECT AND ORDER OF PRECEDENCE
This Amendment is incorporated by reference into the Contract, and the Contract and all prior
amendments or other modifications to the Contract, if any, remain in full force and effect except
as specifically modified in this Amendment. Except for the Special Provisions contained in the
Contract, in the event of any conflict, inconsistency, variance, or contradiction between the
provisions of this Amendment and any of the provisions of the Contract or any prior modification
to the Contract, the provisions of this Amendment shall in all respects supersede, govern, and
control. The provisions of this Amendment shall only supersede, govern, and control over the
Special Provisions contained in the Contract to the extent that this Amendment specifically
modifies those Special Provisions.
Amendment Contract Number 181HIA 97683 Page 3 o(3
®V COLORADO Colorado Department of Human Services
oreK..r urty t:a•tral�a
m...rr.�.. r .., Office of Early Childhood
BUDGET WITH JUSTIFICATION FORM
t.nntrpcim N+rea
Eajlr County Gorsrnment. dba
Health and Human Sw*cs
ntrigat Period
July 1, 2017 . June 311, I-V
Prointnane
Nurse Home Visitor Program
Came" Sand
Eagle
EAhlbit B -Amendment NS
Progriern Contactle
TkM
Jennie Waterer, Maternal L Child Health Manager;
Pharteeerd Parton
970.126.26611vnde.wahrtrpaajlecounry us
Fltnt Fpntstt Na111R 7Hfe
Marie Hermatllla, Program Support Trchn'clan, 970 3266649
Phone and [man
maHehermas9btaea jlecaunry.us
Funded C"elaed
62
rwIelI
Expenditure Cate6orlet
PMorarselsenices-Sa 18,4461j, Implert
F72ala
PmHloaillWEm a Name
Askerlptlaa &f Fdergr
Time an
Dasalntlwr o! Work hrq'KI `
Friose MneAar ■m perardeq rate or MrAy aNakNed ■pin ra an uladelL Total Sonet of L rMdlraid C 3 .Furiiiq
Gross or JlamvlLV�arWd
Indudeawatkara'tornjlrarrrarru wmplalrnerdkwarnnor,long-termdl abliftFKA. Fo LsOmela
rtlnment.welkrnaprepan,ire■hh,duda4andAM" lawnrn.Theyaft cdculaledon
NHV,V UVlna Bevera a -salaried
C educt hams Nub L cuardinale Visilinr uhWvks with fampkt $33.409 $35203
low= M310 S S
$90.310
NHV 2? Anne Shatnhaltt -0146.4
Candud home visits. L Hoard nate wisiruy ache Wn*Hh lami0n $67846 Slk,7E0
3110%' 399,556 S
199.536
NHVIfMa" Cueval-salaried
hsmaNstULwardaa4Nd0 schedureawhrylame3n $47.296 517.605
1110%. wimi S
Nurse SuperviswiJamie Wahravularkd
7raddesmren%KanhianceamarwgtmentlarNHvl S91,526 523,562
SM SSUSA S
j;jj354L
Pr am Su rt/ Bell Matlas•hoW
Provides data trout L Interpretation serrkn 540.343 S6.sj2
LJ% 1 T3 f
L Total Personnel Services h
fi34 f
pts 5
FY 2018
Nerve
oMMoelon of Ham
faormaf LM.111.1d t il�Fwe+irg
E$Yrrwse - i
OMse OPwatlnj Srymea p e sWpaes, pmt, He 1 imme Mees tupanel such as Penh than Won. Paper L binder, dips, tape, etc. necestary for everyday work
5 S
SUM
joint Support warle"als
Neenlarvto purdhate tient w mstnlals for fandet NHVPL POPE handouts
S S
$1.OtS
cellars pr�fe.allrnl
Ngcuwry for c0ent rrnlad malerlats ad kAonl. stw.r suffmilon 16"lorem, teference putwasims
1 I S
S I.S00
P +� ashippin j}nrsn
FEVEX4011 for ah irpitig Fr,nI materials to COHS, Tanen so 1an61n
S S
5150
communkallens it a Img a -,lance. telkdar and
GII Phones L tartrate, tablets necessary for everyday HHV work and safety at NHV
$ $
SL706
Medttai wvpsn
Slethowa n- . BP t. Items for NHV woe mili
with faes
S
8300
;L Total i
TraWric and TedwJWAstitterm
Expelroes S
FY2e38
7
Name
Desai Isn of Werk In
OL
sae mof LldedlraM 1 CmWWd4l
■ Teaal rmskeigs bsimsse
sat Suppers pet sapervlta
t Supervisor, covers requwrd cost for NFP err IvP Sa,tlsi
t R S f
54D69
r[ms.he Wn, Mtsupmlrar
156ysMdor. two& required cost ror euwesar support Msm SLW4
1 -SEW 1
Tw—
EQAUMen 1*4
3NHV. 1NS, covenresltafreaanedpakdn s Pro SWOM 560
Ai la S
1240
estrOnal Orrelrpnmt
1 NHV INS. taws carts n enPM
Vi trawngt roe Vt and sv"rw l
rLm5600
MlreHy
A Sl.eD7 S f
$2,400
3 Tota and U&d4ol AWMwe Ex
S13,M f s 13
ql 10ftir S3.110e Ver Item
FYZM.-
sisesselptlen of Item
Fardlrot EtYrntY
N I casts In Ihk a edit be reienbwsed CM
S 1 S
_
4_ T&tW S Is
Travel
FY 20fa
Hem
oeewt Ion of Ilam
TiMMof CMMceld C.tal9ipse�idej
raefrnala s
sate Nwtr SaaeMser Mnlirgt
1 is nates so that NS can attend necessary en"he
5 5 S
1.210
oma vrhor mut
Cod h neon" $a that JOHNS tan travel to climb' hornet to deliver Services
$ S S
1 LOW
rraidng and Meeting travel j$wervuaM
unnl
Cosa Is nedeslary so that NHNs L NS can attend trtces$ary meeting L tra!mngs Imds for lodgag and per dwmy
I S S
3676
S.TeWTrpaal S D
i
Contra b sited atlas or eMltl
FV 20L
Name
lwnvasrF LMswoL .CL4�ilaisMri9'
pwqpm Eaee eft
Mental H"Ithconsu uum 111031 aotuska
Mental Health muutsisomk nKesmyto wlrport nurses M their work with tamers
S S 5
2,5(10
ILTOW Can
S s
MaI1m1111MAkwnEcsr33s7s S
431
Indeed Call;
not to tassel 2016 unlet &led federal hdrstt cast tate or NM tilted State indltad Cast este Is attadwisel
FY2019
Nem
DessaiodwofIlam
7wreaof LtAedkstd C;1'AiKh2rina
Fseriq"ij rb-dersaa
10%N111e0ntr
Indirect rate at30%aftetalperserentimsb ---
S 3 S
1430
-
Teti lar iUlm
T=WAVI$ - '-S
417
rwIelI