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HomeMy WebLinkAboutC97-351 Colorado Department of Public HealthR
C097 35 12 0 A' FAC;MVMNT A
514
TE Ol COLORADO
Roy Romer, Governor
Patti Shwayder, Executive Director
Dedicated to protecting and improving the health and environment of the people of Colorado
4300 Cherry Creek Dr. S. Laboratory and Radiation Services Division
Denver, Colorado 80246-1530 8100 Lowry Blvd.
Phone (303) 692-2000 Denver CO 80220-6928
Located in Glendale, Colorado (303) 692-3090
http://Www.cdphestatL-.ca.us
Date September 15, 1997
State Fiscal Year 19 98 - 99
Contract Renewal #1
NOV 2 0 1997
NUTRMON SERVICES Wir rr�(}Gp
COLO DEFT or pU9 IiAM
LTH-AMD
El'VIRONMENT
go
M
f
� s
rt 76
Colorado Depa=ent
of Public Health
and F3mvinonment
Routing Number 98-07799
In accordance with Paragraph 27 of routing number 97 - 05726 of contract number FAA WIC 9705726 (by
this reference made a part hereof), as amended by Change Order Letter #1, routing number 97-06441, and by
Change Order Letter #2, routing number 98-07681, between the State of Colorado Department of Public
Health and Environment, Special Supplemental Nutrition Program for Women, Infants, and Children (WIC
Program) and Eagle County Board of Commissioners covering the period October 1, 1996 and September
30, 1998, the undersigned agree the Contract is renewed for one year, October 1, 1997 through September
30, 1998, and that the allowable administrative costs will be reimbursed upon the basis of actual documented
"but -of -pocket" expenditures or a maximum of $13,799 per quarter, whichever is less for a total contract
amount of $55,196.
Paragraphs 27 and 28 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 10/1/97, but in no event shall it be deemed
valid until it shall have been approved by the State Controller or his authorized designee
Please sign, date, and return all copies of this letter to:
Robin Lambrecht
Colorado Department of Public Health
& Environment
FCHSD-NS-A4
4300 Cherrf' C.-ael D -141 -We S;,utl:
Denver, Colorado 80222-1530
A copy of this letter will be returned to you when it has been fully approved.
Contractor:
11�ag;e County Board of Commissionersof E114F C,
Name
Title
APPROVALS:
By: - OA n Det e4
Robin Lambrecht, Fiscal Administrator
Nutrition Service&VIC Program
State of Colorado:
Roy Ro r m r r
By: F—I W7
Lee Thielen, Assistant ireor
For the Executive Di or
Colorado Department of.Public Health and
Environment
By: e -c
State Contro r or
Authorized Designee