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HomeMy WebLinkAboutC96-039 Colorado Department of Public Health and EnvironmentC196 3 9 2 0 /�"ATTACHMEW A
STATE Ot-'COLORADO
Roy Romer, Governor of
Patti Shwayder, Acting Executive Director
Dedicated to protecting and improving the health and environment of the people of Colorado Ne
4300 Cherry Creek Dr. S. Laboratory Building it
Denver, Colorado 80222-1530 4210 E. 11th Avenue r r 76
Phone (303) 692-2000 Denver, Colorado 80220-3716
(303) 6914700 Colorado Departrnent
of Public Health
and Environment
Date October 1, 1995 ;
State Fiscal Year 19-96--97- Routing Number-9&--1527--
Contract
umber-9& >I S27Contract Renewal #-J—
In accordance with Paragraph 74 of routing number 95 -.11568 of contract number FAA WIC 950568 (by
this reference made a part hereof), as amended by Contract Amendment 1 #95=- dated January 1, 1995,
and Contract Amendment 2 #96--1454 dated June 30, 1995, between the State of Colorado Department of
Public Health and Environment, Special Supplemental Food Program for Women, Infants, and Children (WIC
Program) and eagle. Cntmty Rnard of rn "ntv turn ccinn rc covering the period October 1 19 C4
through Sentemher 10 , 19-b_ ("Contract") the undersigned agree the Contract is renewed for one year,
October 1, 1995 through September 30, 1996, and that the allowable administrative costs will be reimbursed
based upon the lesser of actual documented "out-of-pocket" expenditures or a maximum of $-L3,696-00- per
quarter for the period 10/ 1 /95 - 12/31/95 ; and a maximum of $ 11. R47 00 per quarter for the period
1/1/96 - 9/30/96 , resulting in a maximum amount of $-49,232-W-. The additional $1,849 in the first quarter
is for salary and fringe during ASPENS training.
Paragraphs 24 and 25 are hereby modified accordingly. The terms and conditions of the Contract shall remain
the same other than as expressly modified herein.
This amendment to the contract is intended to be effective as of 10 /1llJ95 , but in no event shall it he
deemed valid until it shall have hewn ani rnv_ P hw the State rnntrnil r nr his authorized decignap
Please sign, date, and return all copies of this letter on or before November 30 , 1991- to:
Robin Lambrecht
Colorado Department of Public Health
& Environment
FCHSD-NS-A4
4300 Cherry Creek Drive South F
Denver, Colorado 80222-1530Fi`;`;Y4
A copy of this letter will be returned to you when it has been fully approved.
Contractor:
Na James E. nson r.
Title Chairman, Eagle CO BOCr
APPROVALS:
By:
Robin Lambrecht, Fiscal Administrator
Nutrition Services/WIC Program
State of
Roy Roi
—Lee Thielhn, Assistant Director
For the Executive Director
Colorado Department of Health
By:
State Con ller or
Authorized Designee
STATE CONTROLLER
CLIFFORD W RALE
,j 1
—Lee Thielhn, Assistant Director
For the Executive Director
Colorado Department of Health
By:
State Con ller or
Authorized Designee
STATE CONTROLLER
CLIFFORD W RALE