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HomeMy WebLinkAboutC02-151 CDPHEc� 5/-z z- `� STATE OF COLORADO Bill Owens, Governor Jane E. Norton, Executive Director Dedicated to protecting and improving the health and environment of the people of Colorado 4300 Cherry Creek Dr. S. Laboratory and Radiation Services Division Denver, Colorado 80246-1530 8100 Lowry Blvd. Phone (303) 692-2000 Denver, Colorado 80230-6928 TDD Line (303) 691-7700 (303) 692-3090 Located in Glendale, Colorado httpAvww.cdphe.state.co.us July 1, 2002 State Fiscal Year 2002 — 200-1 Contract Renewal Letter Number 03, Colorado Department of Public Health and Environment Contract Routing Number 03-00011 Pursuant to Section C, 8. of the Contract with contract routing number 00 FHA 00017 and contract encumbrance number PO FHA EPI 0000017. (as amended by Contract Renewal Letter number 01 contract routing number 01-00013 and Contract Renewal Letter number 02, contract routing number 02-00011) hereinafter referred to as the "Original Contract"(a copy of which is attached hereto and by this reference incorporated herein and made a part hereof) between the State of Colorado, DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT and the EAGLE COUNTY HEALTH AND HUMAN SERVICES, for the renewal term from July 1. 2002, through June 30, 2003, the parties agree that the maximum amount payable by the State for the eligible services referenced in: Section B. of the Original Contract is increased by SEVEN ($6,080.00); and, that the Blanket Encumbrance amount in Section C.1, B. of the Original Contract is decreased to TWENTY TWO THOUSAND EIGHT HUNDRED FIFTY DOLLARS ($22,850.00) for Tuberculosis Direct Observed Therapy for State Fiscal Year 2003 Statewide for a new total financial obligation of the State of TWENTY FIVE THOUSAND FOUR HUNDRED EIGHTY TWO DOLLARS, ($25,482.00). The revised reimbursement schedule is outlined in the budget below. The first sentence in Section C,1. of the Original Contract is hereby modified accordingly. All other terms and conditions of the Original Contract are hereby reaffirmed. This amendment to the Original Contract is intended to be effective as of July 1, 2002. However, in no event shall this amendment be deemed valid until it shall have been approved by the State Controller or such assistant as he may designate. Budget TB Control July 1, 2002 - June 30, 2003 Description of Reimbursement Tuberculosis Control Services Direct Observed Therapy @ $12.50/visit Amount Fundina Source $6,080.00 State As Administered State Total $6,080.00 Please sign, and return all 4 originals of this Contract Renewal Letter to the attention of Marti Wood, Colorado Department of Public Health and Environment, 4300 Cherry Creek Drive South, Denver, Colorado 80246, Mail Code: DCEED TB A-3. One original of this Contract Renewal Letter will be returned to you when fully approved. Page 1 of 2 Pages H:IContractslTBContracts02&031Eagle03.doc Created by Marti Wood Last printed 5/15/02 10:30 AM EAGLE COUNTY HEALTH AND HUMAN SERVICES (a political subdivision of State o olo By: Print Name: !� Title: FEIN: 846000762 OFFICE OF THE STATE CONTROLLER: Arthur L. Barnhart, State Controller By: H:1Contracts\TBCantracts02&031Eagle03.doc Created by Marti Wood Last printed 5115102 10:30 AM STATE OF COLORADO ...-_ ,6'Bill Owens, Governor UO �G By: * For the Executive Director aE.ORPp0 DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT APPROVALS: By: Page 2 of 2 Pages PROGRAM: Eric Schleiger, Fiscal Officer DISTRIBUTION Originals to: 1. Contract Book 2. 3. 4. Copies to: I. Accounting 2. 3. 4