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