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HomeMy WebLinkAboutC04-040 CDPHE_immunization programa0q-tc-zz DEPARTMENT OR AGENCY NAME COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT (IMMUNIZATION PROGRAM) DEPARTMENT OR AGENCY NUMBER FHA CONTRACT ROUTING NUMBER 04-00182 LIMITED AMENDMENT #01 This Limited Amendment is made this 16th day of December, 2003, by and between the State of Colorado, acting by and through the DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT, whose address or principal place of business is 4300 Cherry Creek Drive South, Denver, Colorado 80246, hereinafter referred to as the "State"; and, the BOARD OF COUNTY COMMISSIONERS OF EAGLE COUNTY& political subdivision of the state of Colorado), whose address or principal place of business is 551 BROADWAY, EAGLE COLORADO 81631, for the use and benefit of the Eagle County Nursinn Service, whose address or principal place of business is 551 Broadway, Eagle, Colorado 81631, hereinafter referred to as the "Contractor". FACTUAL RECITALS The parties entered into a contract dated December 29, 2000, with contract encumbrance number PO FAA IMM 0100973, and contract routing number 01 FAA 00973, whereby the Contractor was to provide to the State the following: To increase and enhance availability of age appropriate immunizations for vaccine preventable diseases, provide educational offerings about immunizations, and comply with all requirements of the Vaccines for Children Program. The State promises to pay the Contractor the sum of Nine Thousand Four Hundred Seventy -Seven Dollars, 9 477.00 in exchange for the promise of the Contractor to continue to perform the work identified in the Original Contract for the renewal term of one year, ending on December 31, 2004. NOW THEREFORE, in consideration of their mutual promises to each other, stated below, the parties hereto agree as follows: 1. Consideration for this Limited Amendment to the Original Contract consists of the payments and services that shall be made pursuant to this Limited Amendment, and promises and agreements herein set forth. 2. It is expressly agreed to by the parties that this Limited Amendment is supplemental to the original contract, contract routing number 01 FAA 00973, as amended by Contract Renewal Letter Number 01, 02 FAA 00783 and Contract Renewal Letter Number 02, 03 FAA 00637, collectively referred to herein as the Original Contract, which is by this reference incorporated herein. All terms, conditions, and provisions thereof unless specifically modified herein, are to apply to this Limited Amendment as though they were expressly rewritten, incorporated, and included herein. 3. It is expressly agreed to by the parties that the Original Contract is and shall be modified, altered, and changed in the following respects only: A. This Limited Amendment is issued pursuant to paragraph C. 4. of the Original Contract identified by contract routing number 01 FAA 00973. This Limited Amendment is for the renewal term of January 1, 2004, through and including December 31, 2004. The maximum amount payable by the State for the work to be performed by the Contractor during this renewal term is Nine Thousand Four Hundred Seventy -Seven Dollars, $9 477.00 for an amended total financial obligation of the State of THIRTY-ONE THOUSAND FIVE HUNDRED SIXTY-THREE DOLLARS, ($31,563.00). This is an increase of Nine Thousand Four Hundred Seventy - Page 1 of 2 .. Seven Dollars $9 477.00 of the amount payable from the previous term. The revised Budget, for this renewal term is incorporated herein by this reference and identified as "Attachment A". The first sentence in paragraph C. of the Original Contract is modified accordingly. All other terms and conditions of the Original Contract are reaffirmed. 4. The effective date of this Amendment is January 1, 2004, or upon approval of the State Controller, or an authorized delegate thereof, whichever is later. 5. Except for the General Provisions and Special Provisions of the Original Contract, in the event of any conflict, inconsistency, variance, or contradiction between the terns and provisions of this Amendment and any of the terms and provisions of the Original Contract, the terms and provisions of this Amendment shall in all respects supersede, govern, and control. The Special Provisions shall always control over other provisions of the Original Contract or any subsequent amendments thereto. The representations in the Special Provisions to the Original Contract concerning the absence of personal interest of state of Colorado employees is presently reaffirmed. 6. FINANCIAL OBLIGATIONS OF THE STATE PAYABLE AFTER THE CURRENT FISCAL YEAR ARE CONTINGENT UPON FUNDS FOR THAT PURPOSE BEING APPROPRIATED, BUDGETED, AND OTHERWISE MADE AVAILABLE. IN WITNESS WHEREOF, the parties hereto have executed this Form Amendment on the day first above written. CONTRACTOR STATE: BOARD OF COUNTY COMMISSIONERS OF EAGLE COUNTY STATE OF CO RADO (a political subdivision of the state of Colorado) Bill Owens, a vor By. By: Name: 'fo, @. i ah Fo t aecutive Director Title: Chao DEPARIMENT OF PUBLIC HEALTH FEIN: 84-6000762 AND EMMONMENT �C r'o ATTEST: (Seal) PBROG APPR V If the Contractor is a goverome < an attestation is u' d. "y: R, goo By: County Clerk ALL CONTRACTS MUST BE APPROVED BY THE STATE CONTROLLER CRS 24-30-202 requires that the State Controller approve all state contracts. This limited amendment is not valid until the State Controller, or such assistant as he may delegate, has signed it. The contractor is not authorized to begin performance until the contract is signed and dated below. If performance begins prior to the date below, the State of Colorado may not be obligated to pay for goods and/or services provided. STATE CONTROLLER Arthur L. Barnhart By: Date: Form: LAT10.31-03GN Page 2 of 2 \%pop, Attachment A BUDGET APPLICANT: Eagle County Public Health Nursing Service PROJECT: Immunization Program FOR THE PERIOD: January 1, 2004 through December 31, 2004 Funded by CDPHE Total Budget for Renewal Term $99477 Monthly Payment (See 1. and 2. below for payment requirements) $790 1. June 2004 payment is contingent upon receipt of the narrative progress report 2. December 2004 payment is contingent upon receipt of the narrative progress report and the "Yearly Contract Reimbursement Statement." r •� � �� 09 STATE OF COLORADO Bill Owens, Governor Douglas H. Benevento, Executive Director Dedicated to protecting and improving the health and environment of the people of Colorado 4300 Cherry Creek Dr. S. Denver, Colorado 80246-1530 Phone (303) 692-2000 TDD Line (303) 691-7700 Located in Glendale, Colorado http:11www. cdphe.state. co. us March 17, 2004 Laboratory and Radiation Services Division 8100 Lowry Blvd. Denver, Colorado 80230-6928 (303) 692-3090 Kathleen Forinash, Director Eagle County Health & Human Services 551 Broadway Eagle, CO 81631 Re: Immunization Program Limited Amendment Contract Routing Number 04 FHA 00182 Dear Ms. Forinash: r Colorado Department of Public Health and Environment MAR 2 5 2004 HEALTH & HUMAN SERVICES Enclosed please find a fully executed copy of the above referenced Limited Amendment for your files. This Limited Amendment covers the period from January 1, 2004 through and including December 31, 2004. Should you have any questions please contact me. Sincerely, Ms. Erikka Apolinar Immunization Program Disease Control and Environmental Epidemiology Division 303-692-2447 Erikka. Apolinar @state. co.us Enclosure