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Option Letter Contract Number: 2021*2571 Option Letter #2 Ver. 27.01.20
OPTION LETTER #: 2
State Agency :
Colorado Department Of Public Health and Environment
4300 Cherry Creek Drive South
Denver, CO 80246
Original Contract Number
18 FHLA 104025
Contractor
Board Of County Commissioners Of Eagle County
(a political subdivision of the state of Colorado)
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
2021*2571 Option Letter #2
Contract Performance Beginning Date :
The later of the Effective date or October 1, 2017
Current Contract Expiration Date :
September 30, 2021
CONTRACT MAXIMUM AMOUNT TABLE
Document Type Contract Number Federal Funding
Amount
State Funding
Amount
Other Funding
Amount
Term (dates) Total
Original Contract 18 FHLA 104025 $217,974.00 $0 $0 10/1/2017 -
9/30/2018
$217,974.00
Grant Funding
Change Letter #1
18 FHLA 111389 $2,218.00 $0 $0 6/30/2018 -
9/30/2018
$2,218.00
Option Letter #1 19 FHLA 112093 $234,969.00 $0 $0 10/1/2018 -
9/30/2019
$234,969.00
Grant Funding
Change Letter #2
19 FHLA 139978 $30,500.00 $0 $0 6/28/2019 -
9/30/2019
$30,500.00
Amendment #1 20 FHLA 140869 $241,186.00 $0 $0 10/1/2019 -
9/30/2020
$241,186.00
Amendment #2 2020*2208
Amendment #2
$31,000.00 $0 $0 8/24/20 -
9/30/2020
$31,000.00
Option Letter #2 2021*2571
Option Letter #2
$236,569.00 $0 $0 10/1/2020 –
9/30/2021
236,569.00
Current Contract Maximum
Cumulative Amount
$994,416.00
1)OPTIONS
A.Option to extend for an Extension Term
2)REQUIRED PROVISIONS:
A.In accordance with Section(s) 5 of the Original Contract referenced above, the State hereby
exercises its option for an additional term, beginning October 1, 2020 and ending on the current
DocuSign Envelope ID: A5BC2BE1-8887-477D-9D78-8AE16DC453C4
C20-337
Page 2 of 2
Option Letter Contract Number: 2021*2571 Option Letter #2 Ver. 27.01.20
contract expiration date shown above, at the rates stated in the Original Contract, as amended for
the following reason: Renewal
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 October 1,
2020 , whichever is later.
DocuSign Envelope ID: A5BC2BE1-8887-477D-9D78-8AE16DC453C4
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Option Letter Contract Number: 2021*2571 Option Letter #2 Ver. 03.01.20
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 §24-30-202 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: A5BC2BE1-8887-477D-9D78-8AE16DC453C4
Procurement & Contracts Section Director
2020-09-15
Lisa McGovern Travis Yoder
2020-09-17
Controller
EXHIBIT G
Option Letter Contract Number: 2021*2571 Option Letter #2
BUDGET
To Contract Dated 08/4/2017 - Contract Routing Number 18 FHLA 104025
Option Letter Contract Number: 2021*2571 Option Letter #2
Contract - FFY 2018 Budget (October 1, 2017 – September 30, 2018) $217,974.00
Grant Funding Letter #1 - LMS Training Funds Increase $2,218.00
Option Letter #1 - FFY 2019 Budget (October 1, 2018 – September 30, 2019) $234,969.00
Grant Funding Letter #2 – Computer Replacement Funds Increase $10,500.00
Grant Funding Letter #2 – Additional Funds Increase $20,000.00
Amendment #1 - FFY 2020 Budget (October 1, 2019 – September 30, 2020) $237,316.00
Amendment #1 – State Meeting Funds $3,870.00
Amendment #2 – Additional Funds Increase $31,000.00
Option Letter #2 - FFY 2021 Budget (October 1, 2020 – September 30, 2021) $232,569.00
Assistance with Summit County $4,000.00
TOTAL CONTRACT $994,416.00
DocuSign Envelope ID: A5BC2BE1-8887-477D-9D78-8AE16DC453C4
