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HomeMy WebLinkAboutC20-309 Colorado Department of Public Health and Environment Immunizations Page 1 of 3 Option Letter Contract Number: 2020*3402 Option Letter #2 Ver. 13.03.20 OPTION LETTER #: 2 State Agency: Colorado Department Of Public Health and Environment 4300 Cherry Creek Drive South Denver, Colorado 80246 Original Contract Number: 19 FHHA 108876 Contractor: Board of County Commissioners of Eagle County 500 Broadway Eagle, Colorado 81631-0850 For the use and benefit of the Eagle County Public Health Agency 551 Broadway Eagle, Colorado 81631 Amendment Contract Number: 2020*3402 Option Letter #2 Contract Performance Beginning Date: July 1, 2018 Current Contract Expiration Date: June 30, 2021 CONTRACT MAXIMUM AMOUNT TABLE Document Type Contract Number Federal Funding Amount State Funding Amount Other Funding Amount Term (dates) Total Original Contract 19 FHHA 108876 $15,248.00 $54,945.00 $0.00 07/01/2018- 06/30/2019 $70,193.00 GFCL #1 19 FHHA 113314 $0.00 $6,365.00 $0.00 09/17/2018- 06/30/2019 $6,365.00 Contract Amendment #1 19 FHHA 126946 $6,136.00 $0.00 $0.00 03/11/2019- 06/30/2019 $6,136.00 Contract Amendment #2 2020*080 Amendment #2 $15,372.00 $60,083.00 $0.00 07/01/2019- 06/30/2020 $75,455.00 Contract Option Letter #1 2020*080 Option Letter #1 $0.00 $5,738.00 $0.00 03/01/2020- 06/30/2020 $5,783.00 Contract Amendment #3 2020*080 Amendment #3 $1,000.00 $0.00 $0.00 03/01/2020- 06/30/2020 $1,000.00 Contract Amendment #4 2020*3402 Amendment #4 $15,097.00 $58,662.00 $0.00 07/01/2020- 06/30/2021 $73,759.00 Contract Option Letter #2 2020*3402 Option Letter #2 $19,114.00 $19,114.00 $0.00 08/01/2020- 06/30/2021 $38,228.00 Current Contract Maximum Cumulative Amount $276,919.00 DocuSign Envelope ID: 2A3CD2C4-8C89-4DE2-8273-1C20E1E96666 C20-309 Page 2 of 3 Option Letter Contract Number: 2020*3402 Option Letter #2 Ver. 13.03.20 1) OPTIONS A. Option to change quantity of services under the Contract 2) REQUIRED PROVISIONS: A. In accordance with Section 8 of the Original Contract referenced above, the State hereby exercises its option to increase the quantity of services at the rates stated in the Original Contract as amended. Exhibit H, Budget, is deleted and replaced in its entirety with Exhibit H, Budget, attached to this Option Letter, for the following reason: to increase funds to support immunization core services activities. B. The Contract Maximum Amount table is deleted and replaced with the Current Contract Maximum Amount table shown above. 3) OPTION EFFECTIVE DATE: A. The effective date of this Option Letter is upon approval of the State Controller or August 1, 2020 whichever is later. DocuSign Envelope ID: 2A3CD2C4-8C89-4DE2-8273-1C20E1E96666 Page 3 of 3 Option Letter Contract Number: 2020*3402 Option Letter #2 Ver. 13.03.20 SIGNATURE PAGE STATE OF COLORADO Jared S. Polis, Governor Colorado Department of Public Health and Environment Jill Hunsaker Ryan, MPH, Executive Director ______________________________________________ By: Signature ______________________________________________ Name of Executive Director Delegate ______________________________________________ Title of Executive Director Delegate Date: _________________________ In accordance with ยง24-30-202 C.R.S., this Option is not valid until signed and dated below by the State Controller or an authorized delegate. STATE CONTROLLER Robert Jaros, CPA, MBA, JD ______________________________________________ By: Signature ______________________________________________ Name of State Controller Delegate ______________________________________________ Title of State Controller Delegate Option Effective Date: _________________________ -- Signature Page End -- DocuSign Envelope ID: 2A3CD2C4-8C89-4DE2-8273-1C20E1E96666 2020-08-13 Procurement & Contracts Section Director Lisa McGovern Travis Yoder Controller 2020-08-21 EXHIBIT H Page 1 of 1 Immunization Core Activities - Eagle Federal (FY21) Federal Funds $15,097 State (FY21) MSA Funds $18,197 Tobacco Tax Funds $40,465 Total Amount $73,759 Immunization Core Activities - Eagle Federal (FY21) Federal Funds $19,114 State (FY21) General Funds $19,114 Total Amount $38,228 Immunization Core Activities - Eagle Federal (FY21) Federal Funds $34,211 State (FY21) MSA Funds $18,197 Tobacco Tax Funds $40,465 General Funds $19,114 Total Amount $111,987 To Original Contract Routing Number: 19 FHHA 108876 Original Budget Additional Funds Revised Budget DocuSign Envelope ID: 2A3CD2C4-8C89-4DE2-8273-1C20E1E96666