No preview available
HomeMy WebLinkAboutC24-284 CDPHE_tobacco prevention grant Page 1 of 2 Option Letter Contract Number: 2024*0208 Option Letter #1 Ver. 27.01.20 OPTION LETTER #1 State Agency: Colorado Department of Public Health and Environment 4300 Cherry Creek Drive South Denver, Colorado 80246 Original Contract Number: 2024*0208 Option Letter Contract Number: 2024*0208 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: July 1, 2023 Current Contract Expiration Date: June 30, 2025 CONTRACT MAXIMUM AMOUNT TABLE Document Type Contract Number Federal Funding Amount State Funding Amount Other Funding Amount Term (dates) Total Original Contract 2024*0208 $0.00 $50,000.00 $0.00 07/01/2023- 06/30/2024 $50,000.00 Option Letter #1 2024*0208 Option Letter #1 $0.00 $50,000.00 $0.00 07/01/2024- 06/30/2025 $50,000.00 Current Contract Maximum Cumulative Amount $100,000.00 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 2C of the Original Main Task Order Contract referenced above, the State hereby exercises its option for an additional term, beginning July 1, 2024 and ending on the current contract expiration date shown above, at the rates stated in the Original Task Order Contract, as amended for the following reason: To extend the contract into Fiscal Year 2025. B. In accordance with Section 5Bv of the Original Main Task Order Contract referenced above, the State hereby exercises its option to Increase the quantity of the Services at the rates stated in the Original Task Order 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: To add funds supporting the renewal term Statement of Work activities and deliverables. 2) OPTION EFFECTIVE DATE: A. The effective date of this Option Letter is upon approval of the State Controller or July 1, 2024, whichever is later. DocuSign Envelope ID: 24F11F69-9E98-4CF9-8303-76E4EE8D2FCD Page 2 of 2 Option Letter Contract Number: 2024*0208 Option Letter #1 Ver. 27.01.20 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 ยง24-30-202 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: 24F11F69-9E98-4CF9-8303-76E4EE8D2FCD 2024-05-14 Chelsea Gilbertson Director of Procurement and Contracts 2024-05-15 Jannette Scarpino Chief Financial Officer Exhibit C Budget Option Letter Contract Number: 2024*0208 Option Letter #1 Page 1 of 2 Version 6.2023 Contractor Name Eagle County Public Health & Environment Budget Period 07/01/2024 - 06/30/2025 Project Name Tobacco Control and Prevention Position Title Description of Work Gross or Annual Salary Fringe Percent of Time on Project Total Amount Requested from CDPHE Partnerships Strategist The Partnerships Strategist will provide project oversight to include strategic planning and visioning, project management, budget oversight and oversight of future implementation strategies of local tobacco prevention work. Fringe calculation is based on actual benefit costs for this position that includes taxes, health insurance, workers comp and retirement. 81,965.00$ 37,725.06$ 37.77%45,204.54$ Position Title Description of Work Hourly Wage Hourly Fringe Total # of Hours on Project Total Amount Requested from CDPHE Line not open -$ 45,204.54$ Item Rate Quantity Total Amount Requested from CDPHE -$ -$ Total Supplies & Operating Total Personal Services (including fringe benefits) Supplies & Operating Expenses Description of Item Line not open Contract (CT or PO) Number CT FHLA 2024*0208 Expenditure Categories Personal Services Salaried Employees Personal Services Hourly Employees PREVENTION SERVICES DIVISION- 12 MONTH BUDGET WITH JUSTIFICATION FORM Original Contract Routing # 2024*0208 Program Contact Name, Title, Phone and Email Chelsea Carnoali, Partnerships Strategist, 970-471-4827, chelsea.carnoali@eaglecounty.com Fiscal Contact Name, Title, Phone and Email Danielle Lettice, Admin & Finance Manager, 970-328-2607, danielle.lettice@eaglecounty.us DocuSign Envelope ID: 24F11F69-9E98-4CF9-8303-76E4EE8D2FCD Exhibit C Budget Option Letter Contract Number: 2024*0208 Option Letter #1 Page 2 of 2 Item Rate Quantity Total Amount Requested from CDPHE Mileage $ 0.67 373.13 250.00$ 250.00$ Subcontractor Name Rate Quantity Total Amount Requested from CDPHE -$ -$ 45,454.54$ Item Total Amount Requested from CDPHE De minimis Indirect Cost Rate $ 4,545.46 4,545.46$ $50,000.00 Total Indirect TOTAL Total Travel Contractual Description of Item Line not open Total Contractual Indirect Description of Item 10% of modified total direct costs Travel Description of Item Cost for Partnerships Strategist to travel to, but not limited to, tobacco prevention and control training, schools, and other community partner organizations for professional development, community partnerships, and other educational opportunities. Travel rate at $0.67/mile x approximately 373.13 miles = $250 SUB-TOTAL OF DIRECT COSTS DocuSign Envelope ID: 24F11F69-9E98-4CF9-8303-76E4EE8D2FCD