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HomeMy WebLinkAboutC22-378 CDPHE_WIC Option Letter No. 5 Page 1 of 3 Option Letter Contract Number: 2022*2346 Option Letter #5 Ver. 27.01.20 OPTION LETTER #: 5 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 2022*2346 Option Letter #5 Contract Performance Beginning Date : The later of the Effective date or October 1, 2017 Current Contract Expiration Date : September 30, 2022 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 Option Letter #3 2021*2571 Option Letter #3 $45,000.00 $0 $0 7/9/2021 – 9/30/2021 $45,000.00 Option Letter #4 2022*2346 Option Letter #4 $237,230.00 $0 $0 10/1/2021 – 9/30/2022 $237,230.00 DocuSign Envelope ID: 941A8F1D-3D16-4032-8B18-0C6C18403D18 Page 2 of 3 Option Letter Contract Number: 2022*2346 Option Letter #5 Ver. 27.01.20 Option Letter #5 2022*2346 Option Letter #5 $20,000.00 $0 $0 7/1/2022 – 9/30/2022 $20,000.00 Current Contract Maximum Cumulative Amount $1,296,646.00 1) OPTIONS A. Option to change the quantity of services under the Contract 2) REQUIRED PROVISIONS: A. In accordance with Section 5. 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 G, Budget, is deleted and replaced in its entirety with Exhibit G, Budget, attached to this Option Letter, for the following reason: To increase funding. 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. DocuSign Envelope ID: 941A8F1D-3D16-4032-8B18-0C6C18403D18 Page 2 of 2 Option Letter Contract Number: 2022*2346 Option Letter #5 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: 941A8F1D-3D16-4032-8B18-0C6C18403D18 Procurement & Contracts Section Director ft 2022-07-06 Lisa McGovern 2022-07-15 Health Divisions Controller Justin Weigle EXHIBIT G Option Letter Contract Number: 2022*2346 Option Letter #5 BUDGET To Contract Dated 08/4/2017 - Contract Routing Number 18 FHLA 104025 Option Letter Contract Number: 2022*2346 Option Letter #5 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 Option Letter #3 – Additional Funds Increase $45,000.00 Option Letter #4 - FFY 2022 Budget (October 1, 2021 – September 30, 2022) $237,230.00 Option Letter #5 - FFY 2022 Additional Funds Increase $20,000.00 TOTAL CONTRACT $1,296,646.00 DocuSign Envelope ID: 941A8F1D-3D16-4032-8B18-0C6C18403D18