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HomeMy WebLinkAboutC23-086 CDPHE_WIC Page 1 of 2 Option Letter Contract Number: 2023*2222 Option Letter #1 Ver. 27.01.20 RROPTION LETTER #: 1 State Agency: Colorado Department of Public Health and Environment 4300 Cherry Creek Drive South Denver, Colorado 80246 Original Contract Number: 2023*2222 Option Letter Contract Number: 2023*2222 Option Letter #1 Contractor: Board of County Commissioners of Eagle County a political subdivision of the state of Colorado 500 Broadway Eagle, CO 81631-0850 for the use and benefit of the Eagle County Public Health Agency 551 Broadway Eagle, CO 81631 Contract Performance Beginning Date: October 1, 2022 Current Contract Expiration Date: September 30, 2023 CONTRACT MAXIMUM AMOUNT TABLE Document Type Contract Number Federal Funding Amount State Funding Amount Other Funding Amount Term (dates) Total Original Contract 2023*2222 $244,350.00 $0.00 $0.00 10/01/2022 - 09/30/2023 $244,350.00 Option Letter #1 2023*2222 Option Letter #1 $.00 $0.00 $0.00 1/13/2023 – 9/30/2023 $10,500.00 Current Contract Maximum Cumulative Amount $254,850.00 1)OPTIONS A.Option to change quantity of services under the Contract 2)REQUIRED PROVISIONS: A.In accordance with Section(s) 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, C. Budget, is deleted and replaced in its entirety with Exhibit, C, Budget, attached to this Option Letter, for the following reason: computer replacement funds. 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 January 13, 2023 , whichever is later. DocuSign Envelope ID: 3D8371EC-9A5A-434A-BB61-C1FCE212CD0C Page 2 of 2 Option Letter Contract Number: 2023*2222 Option Letter #1 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: 3D8371EC-9A5A-434A-BB61-C1FCE212CD0C Procurement & Contracts Section Director ft 2023-01-17 Lisa McGovern Justin Weigle Health Divisions Controller 2023-01-17 Exhibit C Contract No. 2023*2222 Option Letter No. 1 Eagle County Public Health Agency BUDGET To Contract Dated 10/01/2022 - Contract Routing Number 2023*2222 Option Letter #1 Contract - FFY 2023 Budget (October 1, 2022 – September 30, 2023) $244,350.00 Computer Replacement Funds $10,500.00 TOTAL CONTRACT $254,850.00 DocuSign Envelope ID: 3D8371EC-9A5A-434A-BB61-C1FCE212CD0C