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HomeMy WebLinkAboutC02-126 CDPHEG�-/2�, - zz
STATE OF COLORADO
Bill Owens, Governor
Jane E. Norton, Executive Director
Dedicated to protecting and improving the health and environment of the People w Cololdo
i
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 ,J �j i _ 2 3 20N
Located in Glendale, Colorado
http✓/www.cdphe.state.co.us HE,,�:— ....,.... ,,::410ES
April 15, 2002 Contract Change Order Letter
Contract Change Order Letter Number 1,
State Fiscal Year 2001 - 2002,
Colorado Department
of Public Health
andEnvironment
Contract Routing Number 02 FAA 00948
Public Health Nursing Program
This Contract Change Order Letter is issued pursuant to paragraph D3 of the Contract with contract routing number 02 FAA 00063 and
contract encumbrance number PO FAA OLL0200063. This contract change order letter is between the DEPARTMENT OF PUBLIC
HEALTH AND ENVIRONMENT and the BOARD OF COUNTY COMMISSIONERS OF EAGLE COUNTY, for the use and
benefit of the Eagle County Public Health Nursing Service. -,T`.eEentfaet-has -been -amended -by Gentfaet- Renewal -Letter ** eentFeet
.** ***** a
renting -number " , andfer 6entrcet�henge�Ar er-Letter ** , eenttaet-rea.ner** *** ****., Warty. The Contract, as
amended, if applicable, is referred to as the "Original Contract." A copy of the Original Contract is incorporated herein by this reference,
made a part hereof, and attached hereto unless a Letter of Compliance has been submitted with this Contract Change Order Letter. This
Contract Change Order Letter is for the current term of July 1, 2001, through June 30, 2002. The maximum amount payable by the State
for the work to be performed by the Contractor during this current term is decreased by 8$92.50 for an amended total financial obligation
of the State of $57,149.50. The revised Seepe of Werl� and the Fevised Budget are ineeFpefe4ed hefein by this refefenee, fflade a part
hefeef, and a�--`ed- hereto -aA"aekment •"---m,a—n taehma:t *." The first sentence in paragraph D of the Original Contract is
modified accordingly. All other terms and conditions of the Original Contract are reaffirmed. The proposed effective date of this Contract
Change Order Letter is May 13, 2002. However, in accordance with section 24-30-202, C.R.S., as amended, in no event shall this Contract
Change Order Letter be deemed valid until it shall have been avoroved by the State Controller or such assistant as he may designate.
Please sign, date, and return all 4 originals of this Contract Change Order Letter by April 30` . 2002, to the attention of: Stephen
Holloway, Office of Local Liaison, A-3, Colorado Department of Public Health and Environment, 4300 Cherry Creek Drive South,
Denver, Colorado 80246-1530. One original of this Contract Change Order Letter will be returned to you when fully approved.
BOARD OF COUNTY COMMISSIONERS OF EAGLE STATE OF COLORADO
COUNTY, for the use and benefit of �cte ` Bill Owens, Governor
Eagle County Pu95W
By: 4 By:Name: For the Executive rectorTitle: DEPARTMENT OF PUBLIC HEALTH
FEIN: 84-6AND ENVIRONMENT
FOR THE STATE CONTROLLER: PROGRAM APPROVAL
Arthur L. Barnhart, State Controller Karen O'Brien, Director of Public Health Nursing.
By: Anw�fy - By: Gk4�Il
Date: ''- �2N/� 2
6 vz-��
E OrCOLORADO
Bill Owens, Governor
Jana E. Norton, Executive Director ,oF•co
Denicated to protecting and improving the health and environment of the people of Coloraot,
4300 Cherry Creek Dr. S.
Denver, Colorado 80246-1530
Phone (303) 692-2000
TDD Line (303) 691-7700
Located in Glendale, Colorado
hilt iV1www.cdphe.state.co.us
April 15, 2002
Laboratory and Radiation Services Division
8100 Lowry Blvd.
Denver, Colorado 80230-6928
(303) 692-3090
Contract Change Order Letter Number 1
State Fiscal Year 2001- 2002,
Contract Change Order Letter
Colorado Department
of Public Health
and Environment
Contract Routing Number 02 FAA 00948
Public Health Nursing Program
This Contract Change Order Letter is issued pursuant to paragraph D.3 of the Contract with contract routing number 02 FAA 00063 and
contract encumbrance number PO FAA OLL0200063. This contract change order letter is between the DEPARTMENT OF PUBLIC
HEALTH AND ENVIRONMENT and the BOARD OF COUNTY COMMISSIONERS OF EAGLE COUNTY for the use and
benefit of the Eagle County Public Health Nursing Service. The Gentmet has been amended by Gentraet Renewal Letter. ** eentmet
, ifany. The Contract, as
amended, if applicable, is referred to as the "Original Contract." A copy of the Original Contract is incorporated herein by this reference,
made a part hereof, and attached hereto unless a Letter of Compliance has been submitted with this Contract Change Order Letter. This
Contract Change Order Letter is for the current term of July 1.2001, through June 30, 2002. The maximum amount payable by the State
for the work to be performed by the Contractor during this current term is decreased by $892.50 for an amended total financial obligation
of the State of $57,149.50. The revised Seepe ef Werk and the revised Budge! efe ineer-pomted herein by this r-efennee, made a pfft
hereof-, and a#aehed hefele a.-R�ehme„` *" and -aebment *A The first sentence in paragraph D of the Original Contract. is
modified accordingly. All other terms and conditions of the Original Contract are reaffirmed. The proposed effective date of this Contract
Change Order Letter is May 13, 2002. However, in accordance with section 24-30-202, C.R.S., as amended, in no event shall this Contract
Change Order Letter be deemed valid until it shall have been approved by the State Controller or such assistant as he ma ►Ldesignate.
Please sign, date, and return all 4 originals of this Contract Change Order Letter by April 30`a, 2002, to the attention of. Ste hen
Holloway, Office of Local Liaison, A-3, Colorado Department of Public Health and Environment, 4300 Cherry Creek Drive South,
Denver, Colorado 80246-1530. One original of this Contract Change Order Letter will be returned to you when fully approved.
BOARD OF COUNTY COMMISSIONERS OF
COUNTY, for the use and benefit of VAGZ E r
Eagle County u 'c Hea Nursing Se
V �
By: 4
Name:
Title: toR�,o°
FEIN: 84-6000762
FOR THE STATE CONTROLLER:
Arthur L. Barnhart, State Controller
By:
iDate:
STATE OF COLORADO
Bill Owens, Governor
By:
For the Executive Director
DEPARTMENT OF PUBLIC HEALTH
AND ENVIRONMENT
PROGRAM APPROVAL
Karen O'Brien, Director of Public Health Nursing.
By:
EAG OARD OF COUNTY COMMISSk... tERS
AGENDA REQUEST & STAFF RECOMMENDATION FORM
TITLE Contract between the Colorado Department of Public Health and Environment
and Eagle County.
LOCATION Eagle County Room
STAFF CONTACT/PRESENTER Kathleen Forinash
DEPARTMENT Health & Human Services
REQUESTED HEARING DATE 5/28/01 (1ST CHOICE)1 (2ND CHOICE)
CHECK ONE:
CONSENT CALENDAR X ON THE RECORD WORK SESSION
LENGTH OF TIME REQUESTEDIREQUIRED NA
THE DOCUMENTS TO BE SIGNED HAVE BEEN REVIEWED & APPROVED BY THE
COUNTY ATTORNEY
Attorney
IF THIS IS A CONTRACT OR OTHER ITEM REQUIRING AN EXPENDITURE, IS THE
FULLAMOUNTTO COVERTHIS REQUEST IN THE CURRENTAPPROVED BUDGET?
Revenue for 001-2210-0660-0000-1540 will be changed
PROJECT/CONTRACT DESCRIPTION
This annual contract with the Department of Public Health and Environment provides
partial funding for 0 iblir, health nursingservices. The amount of the grant for the current
e fiscal year has been changed by to $ 57,149.50. The amount budgeted for the
current year is $ 56,892. (Eagle County had estimated a lower amount in the 2002 budget
based on information available at the time of budget development.)
STAFF RECOMMENDATION To sign the change order.
BASIS FOR RECOMMENDATION This contract assists in funding basic public health
services for Eagle County.
PROPOSED MOTION To sign the change order for the current state fiscal year enter
into the contract with the Colorado Department of Health and Environment.
Revised 8/15/2000
(ATTACH ALL BACK UP DOCUMENTS TO THIS FORM)
Jack Ingstad, County Administrator