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Task Order Number: 2023*0019 Page 1 of 3 Version 02.24.2022
TASK ORDER
State Agency
State of Colorado for the use & benefit of the
Department of Public Health and Environment
Office of Public Health Practice, Planning & Local Partnerships
4300 Cherry Creek Drive South
Denver CO 80246
Contractor
Board of County Commissioners of Eagle County
(a political subdivision of the state of Colorado)
500 Broadway
Eagle, Colorado 81631-0850
for the use and benefit of the
Eagle County Public Health Agency
551 Broadway
Eagle, Colorado 81631
Master Task Order Contract Number
23 FAA 00016
Task Order Number
2023*0019
Task Order Performance Beginning Date
The later of the Task Order Effective Date or July 1,
2022
Task Order Maximum Amount
Initial Term
State Fiscal Year 2023 $260,031.00
Total for All State Fiscal Years $260,031.00
Task Order Expiration Date
June 30, 2023
Except as stated in §2.D., the total duration of this
Contract, including the exercise of any options to
extend, shall not exceed 5 years from its Performance
Beginning Date.
Pricing/Funding
Price Structure: Fixed Price
Contractor Shall Invoice: Quarterly
Funding Source:
Federal $53,210.00
State $206,821.00
Miscellaneous:
Authority to enter into this Contract exists in:
C.R.S. 25-1.5-101 – C.R.S. 25-1.5-113
Law Specified Vendor Statute (if any): Enter Program
specific
Procurement Method: Exempt
Solicitation Number (if any): Not Applicable
State Representative
Michele Shimomura
Director
Administration Division, Office of Public Health Practice,
Planning, and Local Partnerships
Colorado Department of Public Health and Environment
4300 Cherry Creek Drive South
Denver, CO 80246
Michele.Shimomura@state.co.us
Contractor Representative
Heath Harmon
Public Health Director
Eagle County Public Health Agency
551 Broadway
Eagle, Colorado 81631
heath.harmon@eaglecounty.us
Exhibits and Order of Precedence
The following Exhibits and attachments are included with this Contract:
Exhibit A Statement of Work
Exhibit B Budget
Exhibit C Federal Provisions
Contract Purpose
The district public health agency shall participate in assessment and planning effort at the state, regional, and
local level facilitated by the Office of Public Health Practice, Planning, and Local Partnerships. These efforts shall
include maintaining and improving local capacity to provide services as established by the State Board of Health.
DocuSign Envelope ID: D1BD628E-5819-4919-B6FB-A780ED808EABDocuSign Envelope ID: 3F59BA61-B7E8-4F74-8E9E-48D6DA8B7C6A
OPTION LETTER #1
State Agency:
Colorado Department Of Public Health and Environment
4300 Cherry Creek Drive South
Denver,Colorado 80246
Original Contract Number:
2023*0019
Option Letter Contract Number:
2023*0019 Option Letter #1Contractor:
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:
July 1,2022
Current Contract Expiration Date:
June 30,2024
CONTRACT MAXIMUM AMOUNT TABLE
Document
Type
Contract
Number
Federal Funding
Amount
State Funding
Amount
Other Funding
Amount
Term (dates)Total
Original Contract 2023*0019 $53,210.00 $206,821.00 0.00 7/1/2022-
6/30/2023 $260,031.00
Option Letter
#1
2023*0019
Option Letter
#1
$53,210.00 $96,429.00 0.00 7/1/2023 -
6/30/2024 $149,639.00
Current Contract Maximum
Cumulative Amount
$409,670.00
1)OPTIONS
A.Option to extend for an Extension Term
B.Option to change quantity of services under the Contract
2)REQUIRED PROVISIONS:
A.In accordance with Section 2.C.of the Master Task Order Contract,the State hereby
exercises its option for an additional term,beginning July 1,2023 and ending on the current
contract expiration date shown above,at the rates stated in the Original Contract,as amended for
the following reason:renew for FY24.
B.In accordance with Section 5.B.v.of the Master Task Order Contract,the State hereby
exercises its option to increase the quantity of services at the rates stated in the Original Contract
as amended.Exhibit B,Budget,is deleted and replaced in its entirety with Exhibit B,Budget,
attached to this Option Letter,for the following reason:update for FY24 renewal.
C.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 July 1,
Page 1 of 3
Option Letter Contract Number:2023*0019 Option Letter #1 Ver.27.01.20
DocuSign Envelope ID: 3F59BA61-B7E8-4F74-8E9E-48D6DA8B7C6A
2023,whichever is later.
Page 2 of 3
Option Letter Contract Number:2023*0019 Option Letter #1 Ver.27.01.20
DocuSign Envelope ID: 3F59BA61-B7E8-4F74-8E9E-48D6DA8B7C6A
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 --
Page 3 of 3
Option Letter Contract Number:2023*0019 Option Letter #1 Ver.03.01.20
DocuSign Envelope ID: 3F59BA61-B7E8-4F74-8E9E-48D6DA8B7C6A
2023-06-08
Lisa McGovern
Procurement & Contracts Section Director ft
2023-06-12
Chief Financial Officer
Jannette Scarpino
EXHIBIT B
BUDGET
I.ENTITY NAME:EAGLE COUNTY PUBLIC HEALTH AGENCY
II.BUDGET:
Quarter Local Planning and
Support Amount
Maternal Child Health
Amount
Total Payment
July 1 through September
30
$37,409.75 $13,302.50 $50,712.25
October 1 through
December 31
$37,409.75 $13,302.50 $50,712.25
January 1 through March
31
$37,409.75 $13,302.50 $50,712.25
April 1 through June 30 $37,409.75 $13,302.50 $50,712.25
Total $96,429.00 $53,210.00 $149,639.00
Task Order Number:2023*0019 Option Letter #1 Page 1 of 1 Version 04.15.2022
DocuSign Envelope ID: 3F59BA61-B7E8-4F74-8E9E-48D6DA8B7C6A
