HomeMy WebLinkAboutC07-364 CDPHE immunizationsTASK ORDER CHANGE ORDER LETTER
November 21.2006
Task Order Change Order Letter Number 01,
State Fiscal Year 2007 - 2007,
Contract Routing Number 07 FHA 00133
Immunization Program
This Task Order Change Order Letter is issued pursuant to paragraph F_3 of the Master Contract identified as
contract routing number 05 FAA 00132 and paragraph C3 of the Task Order identified as contract routing number
06 FHA 00140 and contract encumbrance number PO FHA IMM0600140. This Task Order Change Order Letter
is between the COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT and BOARD
for the use and benefit of the Eagle County Nursing Service. The Task Order, as amended, if applicable, is
referred to as the "Original Task Order". This Task Order Change Order Letter is for the renewal term of January
01, 2007, through June 30, 2007. The maximum amount payable by the State for the work to be performed by the
Contractor during this renewal term is increased by Four Thousand Seven Hundred Thirty -Nine Dollars,
($4,739.00) for an amended total financial obligation of the State of Fourteen Thousand Two Hundred Sixteen
DOLLARS, ($14,216.00). The revised specifications to the original Scope of Work and the revised Budget are
incorporated herein by this reference, made a part hereof, and attached hereto as "Attachment F" and "Attachment
G". The first sentence in paragraph C.I.. of the Original Task Order is modified accordingly. All other terms and
conditions of the Original Task Order are reaffirmed. This change to the Task Order shall be effective upon
approval by the State controller, or designee, or on January 1, 2007, whichever is later.
Please sign, date, and return all 4 originals of this Task Order Change Order Letter by December 20, 2006, to the
attention of: IMMUNIZATION PROGRAM, Attn: Erikka Avolinar, Colorado Department of Public Health
and Environment, 4300 Cherry Creek Drive South, Mail Code DCEED, IMM -A4, Denver, Colorado 80246.
One original of this Task Order Change Order Letter will be returned to you when fully approved.
BOARD OF COUNTY COMMISSIONERS OF
EAGLE COUNTY STATE OF COLORADO
(a political subdivision of the state of Colorado), Bill Owens, Governor
for the use and benefit of the
Eagle County Nurs(n ivic -
By: 4 By:
Name: or the Executive Director
Title: oJ., m0_R DEPARTMENT OF PUBLIC HEALTH
FEIN: 84_6000762 AND ENVIRONMENT
PROGRAM APPROVAL:
(Seal -Require bi
co1oPPu�
ATTEST (required),
By:
ALL CONTRACTS MUST BE APPROVED BY THE STATE CONTROLLER
CBS 24-30-202 requires that the State Controller approve all state contracts. This contract 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 the goods and/or services provided.
TE CONTROLLER:
eslie M. Sh M
By:
Date: / } w
Revised: 11/5/04
C o-,-3t< y- a4
. \ �✓ ATTACHMENT F
Statement of Work
Immunization Program 01/01/07-06/30/07
A. The contractor shall perform an assessment of the available immunization services within their
jurisdiction and monitor the health of their communities and children at risk for under immunization by:
Collaborating with one or more agencies to:
1. determine the availability of immunization services within their communities.
2. ensure immunization services are readily accessible at sites other than the
Contractor's site.
3. provide community education regarding vaccines and immunization through
distribution of immunization educational materials, provision of educational
workshops, submission of press releases with relevant news and updates,
providing technical advice and assistance for providers and other appropriate
activities.
B. The contractor shall formulate public policies, in collaboration with community leaders designed to
solve local immunization access issues by:
• promoting, educating and sponsoring providers regarding the value of active participation in
reminder and recall activities through:
4. community and provider trainings regarding implementing clinic and practice
based reminder and recall systems.
5. collaboration with community providers to implement clinic and practice
based reminder and recall systems (i.e. Colorado Immunization and
Information System — CIIS).
6. implementation of Contractor clinic based reminder and recall systems.
C. The contractor shall assure all populations have access to appropriate immunization services and
evaluate the effectiveness of that service in their communities by:
• conducting onsite clinical services with optimal access such as:
1. Expanding clinic hours at a minimum of one (1) of the Contractor's clinics to
permit clients to obtain necessary vaccinations during evening or weekend hours.
2. Providing "express lane" and or drop -in appointments at the Contractor's
clinic(s).
• conducting clinic, practice or school based assessment for immunization coverage rates and
implementing appropriate strategies to improve coverage rates as necessary.
D. The contractor shall assure all populations have access to appropriate immunization services in their
communities by:
• providing support for immunization initiatives through the Colorado Supplemental Nutrition
program — Women, Infants and Children (WIC) and/or the Colorado Department of Human
Services Supplemental Food program (CSF) by:
1. providing vaccinations on site
2. assessing immunization histories and referring children appropriately
3. distributing educational materials regarding immunizations and locally available
clinic services.
ATTACHMENT G
BUDGET
APPLICANT: Eagle County Public Health Nursing Service
PROJECT: Immunization Program
FOR THE PERIOD: January 1, 2007 through June 30, 2007
Funded
by
CDPHE
Total Budget for Renewal Term
$4,739
Monthly Payment $790
tiG pop
GAO
STATE OF COLORADO
Bill Ritter, Jr., Governor
James B. Martin, 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
hftp://www.cdphe.state.co.us
February 21, 2007
Laboratory Services Division
8100 Lowry Blvd.
Denver, Colorado 80230-6928
(303) 692-3090
Re: Immunization Program
Calendar Year 2007 Service Delivery Contract
Dear Immunization Program Participants:
Op'COGp
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Colorado Department
of Public Health
and Environment
Enclosed please find a fully executed copy of the above referenced Contract for your files. This
Contract covers the period from January 1, 2007 through and including June 30, 2007.
Should you have any questions please contact me.
Sincerely,
Beth Hoffman,
Fiscal Officer
Immunization Program
303-692-2314
beth.hoffmana,state.co.us
Enclosure
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