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HomeMy WebLinkAboutC97-317 Colorado Department of Public Health and EnvironmentCONTRACT .0 :°97 317 2 U DEPARTMENT OR AGENCY NUMBER FAA ----------------------------------------------------- CONTRACT ROUTING NUMBER 9807714 THIS CONTRACT, made this 1st day of October 1997, by and between the State of Colorado for the use and benefit of the Department of ` Public Health and Environment 4300 Che= Creek Drive South Denver. Colorado. 80222 hereinafter referred to as the State, and Eagle County Commissioners. c/o Nursing Service. P.O. Box 86. Eagle.. CO 81631 hereinafter referred to as the contractor. WHEREAS, authority exists in the Law and Funds have been budgeted, appropriated and otherwise made available and a sufficient unencumbered balance thereof remains available for payment in Fund Number 100 , APPR code 585, Contract Encumbrance Number FAA PRN9807714 and; WHEREAS, required approval, clearance and coordination has been accomplished from and with appropriate agencies; and WHEREAS, the State has formulated a comprehensive State plan relative to the Maternal and Child Health Division, Prenatal Program; and WHEREAS, said comprehensive State plan and federal budget allocates funds to other agencies in order to provide these health care services to the people of Colorado; and WHEREAS, the Contractor is considered by the State to be an appropriate agency to fulfill the requirements of the program as herein set forth. NOW THEREFORE, it is hereby agreed that for and in consideration of their mutual promises to each other, hereinafter stated, the parties hereto agree as follows: The Contractor will offer the following program components to pregnant women: a) Coordinated care between medical providers and the local health agency including assistance in securing delivery services. b) Prenatal Plus services, in accordance with the "Prenatal Care Guidelines", a copy of which has been made available to the Contractor. C) Referrals and assistance in seeking continuous infant and child health care. d) Free pregnancy testing in order to provide referrals for women with positive tests; and contraceptive education, referral, and if appropriate non -prescriptive contraceptives to women with negative pregnancy tests. 1 of 7 2. Individual records on each maternity patient will be maintained by the Contractor and are subject to audits, either self or independent, to be determined by the State. 3. The Contractor will subcontract with local providers for medical prenatal care for patients with no other payer source. The Contractor may only subcontract with medical providers that carry adequate medical liability insurance. Written letters of agreement should be kept on file for review by the State. A copy of the "Prenatal Care Guidelines" should be given to the subcontractor by the Contractor. Payment in the amount of $425, to include required laboratory work, should be paid to the provider after delivery. In the event a patient terminates care prior to delivery, $160 is paid for the initial office visit and laboratory work, and $16 for each remaining visit prior to termination from the Program. This amount cannot exceed the total reimbursement of $425. 4. Payment for patients who transfer from one Contractor to another will be negotiated between the two Contractors, with assistance from the State. 5. The Contractor agrees to maintain at least the same level of local/county funding for the Prenatal Program as in the previous year, as reported on the final expenditure/revenue report. 6. Program income generated from patient fee collections and donations must be used by the program only for prenatal services which further the objectives of the legislation under which this contract is made. In accordance with Title V, Section 501 (b) (2) and Section 505 (2) (d) no charges shall be made for services provided to patients at or below 100% of the poverty level. Federal poverty guidelines have been provided to the Contractor. Patients between 100% and 185% of poverty may be charged on a sliding fee scale. Patients at or below 133% of poverty must be instructed to apply for Medicaid. In accordance with Title V, Section 504 (b) (6) Title V funds may not be used to pay for any item or service (other than an emergency item or service) furnished by an individual or entity convicted of a criminal offense under the Medicare or any State health care program (i.e. Medicaid, Maternal and Child Health, or Social Services Block Grant programs). The Contractor agrees to provide services to all program participants and employees in a smoke-free environment. In accordance with PI 103-227, also known as the Pro -Children Act of 1994, smoke-free shall mean that smoking is not permitted in any portion of any indoor facility owned or leased or contracted for by contractor if said facility is routinely or regularly used for the provision of child care or health services to any child under the age of 18 when those services are funded all or in part with Federal funds. 2 of 7 9. The State will pay Forty-two thousand five hundred Dollars s 42.500) * for subcontractor reimbursement for medical services for 100 patients; and thirty thousand Dollars ($30.000) for diagnostic testing. Inconsideration of said services by the Contractor and conditioned upon affirmation by the Women's Health Section Prenatal Program that services were rendered in accordance with this contract, the State will cause to be paid to the Contractor a sum not to exceed Seventy -two thousand five hundred Dollars ($72.5001 as follows: a) Contractor will request reimbursement on a signed Contract Reimbursement Statement hereto attached as Attachment A. b) The Contractor will submit to the State a semi-annual report of total expenses and revenues by April 30 and November 15 using the form hereto attached as Attachment B. 10. The State will continue payment for prenatal services so long as the Contractor submits acceptable data as determined by the State. 11. This contract amount may be increased or decreased based on increases or decreases in the final Maternal and Child Health Block Grant award from the Public Health Service. 12. Changes in total reimbursement amounts for the above named services in consideration of increased or decreased levels of utilization from the levels funded in the original contract shall be made with approval of the Contractor, the State (Prenatal Program), and the State Controller as evidenced by a mutually signed Contract Change Letter (sample attached and by reference made a part hereof as Attachment C) which shall include the following: a. Identification of Contract by Contract number and number of affected paragraph; b. Amount of increase or decrease in funding; C. Amount of increase or decrease in utilization; d. Effective date of the funding change; . e. Authorized signatures of the State, the"Contractor and the State Controller. It is understood that no change except funding amounts and resulting changes in utilization shall be made through the letter of approval. 13. This Contract is effective beginning October 1, 1997 and continuing through September 30, 1998 and is renewable at the state's option for three additional one year periods by Contract Renewal Letter in the form attached hereto as Attachment D. Dollar amounts and patient numbers for any renewal period are subject to change from prior contract period based on actual funding appropriations and legislative approval for each state fiscal year. 3 of 7 COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT- hereinafter, under the General Contract 3rovisions, referred to as "CDPHE". GENERAL CONTRACT PROVISIONS -- page 1 of 2 pages 1. THE CONTRACTOR SHALL PERFORM ITS DUTIES HEREUNDER AS AN INDEPENDENT CONTRACTORAND NOT AS AN EMPLOYEE. NEITHER THE CONTRACTOR NOR ANY AGENT OR EMPLOYEE OF THE CONTRACTOR SHALL BE OR SHALL BE DEEMED TO BE AN AGENT OR EMPLOYEE OF THE STATE. CONTRACTOR SHALL PAY WHEN DUE ALL REQUIRED EMPLOYMENT TAXES AND INCOME TAX AND LOCAL HEAD TAX ON ANY MONIES PAID PURSUANT TO THIS CONTRACT. CONTRACTOR ACKNOWLEDGES THAT THE CONTRACTOR AND ITS EMPLOYEES ARE NOT ENTITLED TO UNEMPLOYMENT INSURANCE BENEFITS UNLESS THE CONTRACTOR OR A THIRD PARTY PROVIDES SUCH COVERAGE AND THAT THE STATE DOES NOT PAY FOR OR OTHERWISE PROVIDE SUCH COVERAGE. CONTRACTOR SHALL HAVE NO AUTHORIZATION, EXPRESS OR IMPLIED, TO BIND THE STATE TO ANY AGREEMENTS, LIABILITY, OR UNDERSTANDING EXCEPT AS EXPRESSLY SET FORTH HEREIN. CONTRACTOR SHALL PROVIDE AND KEEP IN FORCE WORKERS' COMPENSATION (AND SHOW PROOF OF SUCH INSURANCE) AND UNEMPLOYMENT COMPENSATION INSURANCE IN AMOUNTS REQUIRED BY LAW, AND SHALL BE SOLELY RESPONSIBLE FOR THE ACTS OF THE CONTRACTOR, ITS EMPLOYEES AND AGENTS. 2. Contractor authorizes CDPHE, or its agents, to perform audits and to make inspections for the purpose of evaluating performance under this contract. 3. Either party shall have the right to terminate this agreement by giving the other party thirty days notice by registered mail, return receipt requested. If notice is so given, this agreement shall terminate on the expiration of the thirty days, and the liability of the parties hereunder for the further performance of the terms of this agreement shall thereupon cease, but the parties shall not be relieved of the duty to perform their obligations up to the date of termination. 4. This agreement is intended as the complete integration of all understandings between the parties. No prior or contemporaneous addition, deletion, or other amendment hereto shall have any force or effect whatsoever, unless embodied herein in writing. No subsequent novation, renewal, addition, deletion, or other amendment hereto shall have any force or effect unless embodied in a written contract executed and approved pursuant to the State Fiscal Rules. 5. If this contract involves the expenditure of federal funds, this contract is contingent upon continued availability of federal funds for payment pursuant to the terms of this agreement. Contractor also agrees to fulfill the requirements of: a) Office of Management and Budget Circulars A-87, A-21 or A-122, and A-102 or A-110, whichever is applicable; b) the Hatch Act (5 U.S.C. 1501-1508) and Public Law 95-454 Section 4728. These statutes state that federal funds cannot be used for partisan political purposes of any kind by any person or organization involved in the administration of federally -assisted programs; c) the Davis -Bacon Act (40 Stat. 1494, Mar. 3, 1921, Chap. 411, 40 U.S.C. 276A -276A-5). This act requires that all laborers and mechanics employed by contractors or sub -contractors to work on construction projects financed by federal assistance must be paid wages not less than those established for the locality of the project by the Secretary of Labor; d) 42 U.S.C. 6101 et seq, 42 U.S.C. 2000d, 29 U.S.C. 794. These acts require that no person shall, on the grounds of race, color, national origin, age, or handicap, be excluded from participation in or be subjected to discrimination in any program or activity funded, in whole or in part, by federal funds; Page 4 of 7 Pages Rev. 05/07/97 (GEN) GENERAL CONTRACT PROVISIONS -- Page 2 of 2 pages e) the Americans with Disabilities Act (Public Law 101-336; 42 U.S.C. 12101, 12102, 12111 - 12117, 12131 - 12134, 12141 - 12150, 12161 - 12165, 12181 - 12189, 12201 - 12213 and 47 U.S.C. 225 and 47 U.S.C. 611; f) if the contractor is acquiring real property and displacing households or businesses in the performance of this contract, the contractor is in compliance with the Uniform Relocation Assistance and Real Property Acquisition Policies Act, as amended (Public Law 91-646, as amended and Public Law 100-17, 101 Stat. 246 - 256); and g) when applicable, the contractor is in compliance with the provisions of the "Uniform Administrative Requirements for Grants and Cooperative Agreements to State and Local Governments" (Common Rule). 6. By signing and submitting this contract the contractor states that: a) the contractor is in compliance with the requirements of the Drug -Free Workplace Act (Public Law 100-690 Title V, Subtitle D, 41 U.S.C. 701 et seq.); b) the contractor is not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any federal department or agency. 7. To be considered for payment, billings for payment pursuant to this contract must be received within 60 days after the period for which payment is being requested and final billings on the contract must be received by CDPHE within 60 days after the end of the contract term. 8. If applicable, Local Match is to be submitted on the monthly payment statements, in the column provided, as required by the funding source. 9. If contractor receives federal funds in an aggregate amount per year from CDPHE which exceeds the applicable threshold dollar amount specified in the Office of Management and Budget Circulars A-128 or A-133, contractor agrees to have an annual audit, by an independent certified public accountant, which meets the requirements of Office of Management and Budget Circular A-128 or A-133, whichever applies. If contractor is required to submit an annual indirect cost proposal to CDPHE for review and approval, contractor's auditor will audit the proposal in accordance with the requirements of OMB Circular A-87, A-21 or A-122. Contractor agrees to furnish one copy of the audit reports to the CDPHE Department Accounting Office within 30 days of their issuance, but not later than nine months after the end of contractor's fiscal year. Contractor agrees to take appropriate corrective action within six months of the report's issuance in instances of noncompliance with federal laws and regulations. Contractor agrees to permit CDPHE or its agents to have access to its records and financial statements as necessary, and further agrees to retain such records and financial statements for a period of three years after the date of issuance of the audit report. This contract (DOES / DOES NOT) contain federal funds as of the date it is signed. This requirement is in addition to any other audit requirements contained in other paragraphs within this contract. 10. Contractor agrees to not use federal funds to satisfy federal cost sharing and matching requirements unless approved in writing by the appropriate federal agency. Page 5 of 7 Pages Rev. 05/07/97 (GEN) SPECIAL PROVISIONS �^ CONTROLLER'S APPROVAL 1 . This contract shall not be deemed valid until it shall have been approved by the Controller of the State of Colorado or such assistant as he may designate. This pr ovision is applicable to any contract involving the payment of money by the State. FUND AVAILABILITY 2. Finxicial obligations of the State of Colorado payable after the current fiscal year are contingent upon funds for that purpose being appropriated, budgeted, and o t.erwise made available. BOND REQUIREMENT 3. If this contract involves the payment of more than fifty thousand dollars for the construction, erection, repair, maintenance, or improvement of any building, road. bridge, viaduct, tunnel, excavation or other public work for this State, the contractor shall, before entering upon the performance of any such work included in this contract, duly execute and deliver to the State official who will sign the contract, a good and sufficient bond or other acceptable surety to be approved by said official in a penal sum not less than one-half of the total amount payable by the terms of this contract. Such bond shall be duly executed by a qualified corporate surety conditioned upon the faithful performance of the contract and in addition, shall provide that if the contractor or his subcontractors fail to duly pay for any labor, materials, team hire, sustenance, provisions, provendor or other supplies used or consumed by such contractor or his subcontractor in performance of the work contracted to be done or fails to pay any person who supplies rental machinery, tools, or equipment in the prosecution of the work the surety will pay the same in an amount not exceeding the sum specified in the bond, together with interest at the rate of eight per cent per annum. Unless such bond is executed, delivered and filed, no claim in favor of the contractor arising under such contract shall be audited, allowed or paid. A certified or cashier's check or a bank money order payable to the Treasurer of the State of Colorado may be accepted in lieu of a bond. This provision is in compliance with CRS 38-26-106. INDEMNIFICATION 4. To :he extent authorized by law, the contractor shall indemnify, save, and hold harmless the State, its employees and agents, against any and all claims, damages, liability and court awards including costs, expenses, and attorney fees incurred as a result of any act or omission by the contractor, or its employees, agents, subcontractors, or assignees pursuant to the terms of this contract. DISCRIMINATION AND AFFIRMATIVE ACTION 5. The contractor agrees to comply with the letter and spirit of the Colorado Antidiscrimination Act of 1957, as amended, and other applicable law respecting discrimination and unfair employment practices (CRS 24-34-402), and as required by Executive Order, Equal Opportunity and Affirmative Action, dated April 16, 1975. Pursuant thereto, the following provisions shall be contained in all State contracts or sub -contracts. During the performance of this contract, the contractor agrees as follows: (a) The contractor will not discriminate against any employee or applicant for employment because of race, creed, color, national origin, sex, marital status, religion, ancestry, mental or physical handicap, or age. The contractor will take affirmative action to insure that applicants are employed, and that employees are treated during employment, without regard to the above mentioned characteristics. Such action shall include, but not be limited to the following: employment upgrading, demotion, or transfer, recruitment or recruitment advertisings; lay-offs or terminations; rates of pay or other forms of compensation; and selection for training, including apprenticeship. The contractor agrees to post in conspicuous places, available to employees and applicants for employment, notices to be provided by the contracting officer setting forth provisions of this non-discrimination clause. (b) The contractor will, in all solicitations or advertisements for employees placed by or on behalf of the contractor, state that all qualified applicants will receive consideration for employment without regard to race, creed, color, national origin, sex, marital status, religion, ancestry, mental or physical handicap, or age. (c) The contractor will send to each labor union or representative of workers with which he has a collective bargaining agreement or other contract or understanding, notice to be provided by the contracting officer, advising the labor union or workers' representative of the contractor's commitment under the Executive Order, Equal Opportunity and Affirmative Action, dated April 16, 1975, and of the rules, regulations, and relevant Orders of the Governor. (d) The contractor and labor unions will furnish all information and reports required by Executive Order, Equal Opportunity and Affirmative Action of April 16, 1975, and by the rules, regulations and Orders of the Governor, or pursuant thereto, and will permit access to his books, records, and accounts by the contracting agency and the office of the Governor or his designee for purposes of investigation to ascertain compliance with such rules, regulations and orders. (e) A labor organization will not exclude any individual otherwise qualified from full membership rights in such labor organization, or expel any such individual from membership in such labor organization or discriminate against any of its members in the full enjoyment of work opportunity because of race, creed, color, sex, national origin, or ancestry. (f) A labor organization, or the employees or members thereof will not aid, abet, incite, compel or coerce the doing of any act defined in this contract to be discriminatory or obstruct or prevent any person from complying with the provisions of this contract or any order issued thereunder; or attempt, either directly or indirectly, to commit any act defined in this contract to be discriminatory. (g) In the event of the contractor's non-compliance with the non-discrimination clauses of this contract or with any of such rules, regulations, or orders, this contract may be canceled, terminated or suspended in whole or in part and the contractor may be declared ineligible for further State contracts in accordance with procedures, authorized in Executive Order, Equal Opportunity and Affirmative Action of April 16, 1975 and the rules, regulations, or orders promulgated Form 6 -AC -02B (GEN060197) Revised 06/01/97 Page 1; of _7 pages in acccioance therewith, and such other sancti s may be imposed and remedies as may be invoked a vided in Executive Order, Equal Opportunity and Affirmative Action of April 16, 1975, or by ru,,s, regulations, or orders promulgated in accordance therewith, or as otherwise providcd by law. (h) The contractor will include the provisions of paragraphs (a) through (h) in every sub -contract and subcontractor purchase order unless exempted by rules, regulations, or orders issued pursuant to Executive Order, Equal Opportunity and Affirmative Action of April 16, 1975, so that such provisions will be binding upon each subcontractor or vendor. The contractor will take such action with respect to any sub -contracting or purchase order as the contracting agency may direct, as a means of enforcing such provisions, including sanctions for non-compliance; provided, however, that in the event the contractor becomes involved in, or is threatened with, litigation, with the subcontractor or vendor as a result of such direction by the contracting agency, the contractor may request the State of Colorado to enter into such litigation to protect the interest of the State of Colorado. COLORADO LABOR PREFERENCE 6a. Provisions of CRS 8-17-101 & 102 for preference of Colorado labor are applicable to this contract if public works within the State are undertaken hereunder and are financed in whole or in part by State funds. b. When a construction contract for a public project is to be awarded to a bidder, a resident bidder shall be allowed a preference against a non-resident bidder from a state or foreign country equal to the preference given or required by the state or foreign country in which the non-resident bidder is a resident. If it is determined by the officer responsible for awarding the bid that compliance with the subsection .06 may cause denial of federal funds which would otherwise be available or would otherwise be inconsistent with requirements of Federal law, this subsection shall be suspended, but only to the extent necessary to prevent denial of the moneys or to eliminate the inconsistency with Federal requirements (CRS 8-19-101 and 102). GENERAL 7. The laws of the State of Colorado and rules and regulations issued pursuant thereto shall be applied in the interpretation, execution, and enforcement of this contract. Any provision of this contract whether or not incorporated herein by reference which provides for arbitration by any extra judicial body or person or which is otherwise in conflict with said laws, rules, and regulations shall be considered null and void. Nothing contained in any provision incorporated herein by reference which purports to negate this or any other special provision in whole or in part shall be valid or enforceable or available in any action at law whether by way of complaint, defense, or otherwise. Any provision rendered null and void by the operation of this provision will not invalidate the remainder of this contract to the extent that the contract is capable of execution. 8. At all times during the performance of this contract, the Contractor shall strictly adhere to all applicable federal and state laws, rules, and regulations that have been or may hereafter be established. 9. Pursuant to CRS 24-30-202.4 (as amended), the state controller may withhold debts owed to state agencies under the vendor offset intercept system for: (a) unpaid child support debt or child support arrearages; (b) unpaid balance of tax, accrued interest, or other charges specified in Article 22, Title 39, CRS; (c) unpaid loans due to the student loan division of the department of higher education; (d) owed amounts required to be paid to the unemployment compensation fund; and (e) other unpaid debts owing to the state or any agency thereof, the amount of which is found to be owing as a result of final agency determination or reduced to judgment as certified by the controller. 10. The signatories aver that they are familiar with CRS 18-8-301, et seq., (Bribery and Corrupt Influences) and CRS 18-8401, et seq., (Abuse of Public Office), and that no violation of such provisions is present. 11. The signatories aver that to their knowledge, no state employee has any personal or beneficial interest whatsoever in the service or property described herein. IN WITNESS WHEREOF, the parties hereto have executed this Contract on the day first above written. Board of County Commissioners, Contractor: State of Colorado (F .egal N ) Eag.}2 =•County.____.'. ROY ROMER, GOVERNOR i By - _ .7 P . ition (Title) Chairperson, Eagle Cou ty BOCC gy i� � 84-6000762 Social Security Number or Federal I.D. Number If Corporation, Town/City/County, or Equivalent: Attest (A eal) �- By _�Q Count op. A,,O ATTORNEY GENERAL By Gale A. Norton Department of PUBLIC HEA AND ENV RONM 01 PROGRAM APPROVAL: 61 I heroby cortity this to be a truo and exact copy of tho original. APPROVALS CONTROLLER By By Clifford W. Hall 7 Focm 6 -AC -02C (GEN060197) Revised 06/01/97 Page which is the last of 7 pages a, O •ri w�J b N rd (D t-) 4 m ri U) ani 4J �4 x00)tn0 .,i Q) a r•I 00 134 w .,- °a� Il 4.) �� k 41 rd rl a°i u° A O VO (13 �i O ri O u 4 >~ x A H x M H 1= m I �I -u H U II II II N • W to O M CJS N In a0i H Ix b) H -rl JJ �' as 41 II II II N II � a0i -ra)i b) H -rl JJ �' 11 b 41 w d a u � a� u � u ,--1 w w v .L) O a r_1 11 4J ri rd IA w F' O H :� >~ tr� H 0 N 3i -H � a A II II II N II � II � II 11 b u � u � u ,--1 a 11 4J w F' O ° � H 0 04 � II � � II II JJ r. if O u 11 II 4J if � 04 II �F,ii •A U � u � a) y4 EQu Q) a ,� N r r= 0) Ul ii �4 W w 00444 II -ri b' Q) aT O 0 II 4-) r' EO > E ii ro A Eaii 4J 0 b U -N II H y4 O 4Jk n u rd If v 4J rd U II 0 4�I N if 4-1 -N -r1 N 41 p 11 u >r w 0 4 } O U II •rl 4„1 jJ 3-I .. II 14 11 d) ° P4 II O N U y,i 1J p W I II A m ii 3 if vU0 r b z z II O O 11 U P •.q .c �4 to ° a (dd E-4 r caU II H U a a .d V BUDGET FORM ATTACHMENT "B" FCHSC Divison APPLICANT: PROJECT: DETAILED BUDGET FOR THF PFRinn- _ Annual Number Total DIRECT COST Salary Months % Time Amount Rate Budget Required PERSONNEL SERVICES FTE= Contractual/Fee for Service: Supervising Personnel: Fringe Benefits Total Personnel Services OPERATING EXPENSES: (includes Building/Facility Cost not part of Indirect) Subtotal Operating TRAVEL: Subtotal Travel EQUIPMENT: Subtotal Equipment Total Direct Costs Pers.+O eratin +Travel+E ui Administrative/indirect Cost Tam PROJECT CM ource of Funding or pp scant an er' LOCAL" $ Medicaid $ Patient Fees $ Patient Donations $ Other $ Total Applicant and Other $ "Are these local funds used to match any other grant? Yes No Signature of uirector or Authorized Representative rr STATE OF COLORADO Roy Romer, Governor Patti Shwayder, Executive Director C!dicated to protecting and improving the health and environment of the people of Colorado 4300 Cherry Creek Dr. S. Laboratory and Radiation Services Division D Inver, Colorado 80246-1530 8100 Lowry Blvd. Phone (303) 692-2000 Denver CO 80220-6928 1 c sated in Glendale, Colorado (303) 692-3090 littp://www.cdphe.state.co. us ATTACHMENT "C" CONTRACT CHANGE LETTER #_ STATE FISCAL YEAR Date TO H � s * ra76 Colorado Department of public Health and Environment In accordance with Paragraph_ of the contract with routing number and contract number (as amended by Change Order Letter route g number , and/or Renewal Letter routing number ], hereinafter referred to as the OO irginal Contract (copy attached and by this ret-erence made a part hereof) between the State of Colorado, Department of Public Health and Environment ( Division) and , covering the period , 199 to ,199 --t-Fe- the ethe parties agree that the maximum amount payabl—e-Ey the State for t e eligible services in Paragraph of the Original Contract is being increased/decreased by Dollars (S— ) to a new total of Dollars (S The number of patients to be served is to be increased/decreased by patients to a new total of patients; This contract change letter is intended to be effective but in no event validAhall -it be dermed Please sign, date, and return all copies of this notification as soon as possible to: Colorado Department of Public Health & Environment Mail Code: 4300 Cherry Creek Drive out Denver, Colorado 80222-1530 A fully executed copy will be returned to you when fully approved. Contractor Full Contractor Name By: Print Name: Title APPROVALS: PROGRAM BY: State of Colorado: Roy Romer, Governor Signature By: For the Executive Director Colorado Department of Public Health and Environment APPROVALS: CONTROLLER BY: Clittord W. Hall STATE OF COLORADO RoyRomer, 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.cdphestate.co.us September 19, 1997 State Fiscal Year 1998 Contract Renewal Letter No. Contract Routing Number Colorado Department of Public Health and Environment ATTACHMENT "D" In accordance with Paragraph of the contract with routing number And contract number (as amended by renewal letter, routing number ), hereinafter referred to as the Original Contract (copy attached and by this reference made a part hereof) between the state of Colorado, Department of Public Health and Environment, Prenatal Program and the parties hereby agree the Original Contract is hereby renewed for the period October 1, 1997 through September 30, 1998. The parties agree that the maximum amount payable by the State for the eligible services during this renewal period is Dollars ($ ). The state will pay Dollars ($ ) to administer the program, purchase medical supplies and pharmaceuticals and to provide medical, laboratory, education and counseling services for low income women, Dollars ($ ) for diagnostic tests and, Dollars ($ ) for Prenatal Plus Enhanced services to women. The terms of conditions of the original contract are hereby reaffirmed and shall continue in full force and effect throughout this renewal period unless otherwise stated. This amendment to the Original Contract is intended to be effective October 1, 1997, but in no event shall it be deemed valid until it shall have been approve tiv the State Controller or such assistant as he may designate. Please sign, date and return all originals of this letter as soon as possible to: Gleneda Hayes Colorado Department of Public Health & Environment Prenatal Program 4300 Cherry Creek Drive South Denver, CO 80222-1530 One original of this letter will be returned to you when fully approved. Contractor Full Contractor Name By: Signature Print Name: Title APPROVALS: PROGRAM By: State of Colorado: ' Roy Romer, Governor By: For the Executive Director Colorado Department of Public Health & Environment APPROVALS: CONTROLLER By: Clifford W. Hall