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HomeMy WebLinkAboutbocc.con.415.2016 STAFF AUTHORIZED SIGNATUdRE CONTRACT AVV/Ir‘ Ol6 ll�l ^r lFwtr r k RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS("BOCC")OF PITKIN COUNTY, COLORADO,APPROVING AN INTERGOVERNMENTAL AGREEMENT AMENDMENT BETWEEN PITKIN COUNTY ("PITKIN") AND THE COLORADO DEPARTMENT OF HUMAN SERVICES,OFFICE OF EARLY CHILDHOOD ("OEC")FOR THE SFY 17 INFANT TODDLER QUALITY AND AVAILABILITY PROGRAM RESOLUTION NO. )31' ,2016 RECITALS: I. Pursuant to Title 29,Article I, part 2,Colorado Revised Statutes, as amended (the "Intergovernmental Relations Statutes")and Article XIV, Section 18 of the Colorado Constitution,governments may contract with one another to provide any function, service or facility lawfully authorized to each of the contracting units and any such contract may provide for the joint exercise of the function, service or facility, including the establishment of a separate legal entity to do so. 2. Pitkin and(OEC)wish to enter into an intergovernmental agreement for the purposes of the provision of a Child Care Assistance Program Family Engagement Coordinator for Pitkin, Western Eagle and Garfield Counties as well as continuation of the Pitkin County Smart Start program, and: 3. Both Pitkin and(OEC) are governments authorized to enter into agreements pursuant to C.R.S. §29-1-203 for purposes including the provision of any function, sere ice, or facility lawfully authorized to each: and 4. The BOCC finds that it is in the best interests of the citizens of Pitkin and OEC to enter into this agreement in order to insure the health and welfare of the low income families in Pitkin, Western Eagle and Garfield Counties. NOW, THEREFORE, 13E IT RESOLVED by the Board of County Commissioners of Pitkin County, Colorado that Pitkin County is authorized to enter into an Intergovernmental Agreement with CDI IS in substantially the same form satisfactory to the County Attorney:and authorizes the Chair or the Director of Health and Human services to sign the agreement on behalf of the County and further,authorization for the Director of Health and I Inman services to sign all future amendments to this intergovernmental agreement with approval of such by the County Manager. INTRODUCED AND FIRST READ ON THE ,27 DAY OF 1d, k / , 2016 AND SET FOR SECOND READING AND PUBLIC HEARING ONIUE ',25'DAY OF 2016. NOTICE OF PUBLIC HEARING AND TITLE AND SHORT SUMMARY OF THE RESOLUTION PUBLISHED IN THE ASPEN TIMES WEEKLY ON THE /j DAY OF aG ,2016. NOTICE OF PUBLIC HEARING AND THE FULL TEXT OF THE RESOLUTION POSTED ON THE OFFICIAL P11- IN COUNTY WEBSITE(\escw,piitkincounty.com ) ON THE /7 DAY OF Y `w,- 2016. ADOPTED AFTER FINAL READING AND PUBLIC HEARING ON THE DAY OF g 6), 2016. PUBLISHED BY TITLE AND SHORT SUMMARY, AFTER ADOPTION, IN THE ASPEN TIMES WEEKLY ON THE',' DAY OF (-J '//`Z ,2016. POSTED BY TITLE AND SHORT SUMMARY ON THE OFFICIAL) PITKIN COUNTY WEBSITE (www.phkineountr.com ) ON THE„7d DAY OF 2016. ATTEST: BOARD OF COUNTY COMMISSIONERS BY I .,. ./.., � ,, By: -- � , �. 1.� ette Jones I Ruche E. Richards, Chair puty County Cl-k 7fiii� Date: APPROVED AS TO FORM: MANAGER APPROVAL ;an Ely, County A • ncy Jon Pew. k,County Mknager 2 CONTRACT#) 1/(571°74 PITKIN COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES CONTRACT AMENDMENT Amendment 03 Original Contract CMS(CLIN)8 14 IHIA Amendment CMS 017 IHIA 62063 89702 I) PARTIES This Amendment to the above-referenced Original Contract(hereinafter called the Contract)is entered into by and between Fulda County Department of Health and Human Services(hereinafter called"Contractor"), and the STATE OF COLORADO(hereinafter called the"State")acting by and through the Department of Human Services,Office of Early Childhood,(hereinafter called the"CDHS'OEC"). 2) EFFECTIVE DATE AND ENFORCEABILITY This Amendment shall not be effective or enforceable until it is approved and signed by the Colorado State Controller or designee(hereinafter called the"Effective Date").The State shall not be liabk to pay or reimburse Contractor for any performance hereunder including,but not limited to,costs or expenses incurred,or be bound by any provision hereof prior to the Effective Date. 3) FACTUAL RECITALS The parties entered into the contract for/to develop and administer a Tiered Reimbursement system that supports child care facilities building and maintaining quality programs for the low-income infants and toddlers they serve 4) CONSIDERATION-COLORADO SPECIAL PROVISIONS The Parties acknowledge that the mutual promises and covenants contained herein and other good and valuable consideration are sufficient and adequate to support this Amendment.The Panics agree to replacing the Colorado Special Provisions with the most recent version(if such have been updated since the Contract and any modification thereto were effective)as pan consideration for this Amendment.If applicable,such Special Provisions are attached hereto and incorporated by reference herein as Exhibit N/A. 5) LIMITS OF EFFECT This Amendment is incorporated by reference into the Contract,and the Contract and all prior amendments thereto,if any,remain in full force and effect except as specifically modified herein. 6) MODIFICATIONS. The Contract and all prior amendments thereto,if any,are modified as follows: 1. The amount of the contract value is increased by 597,010 for to as consideration for services/gaodsardered under the contract for State fiscal year 2016-2017 beginning on July 1,2016 expiring on June 30,2017. 2. Contract price not to exceed on page I of the contract document changed to read as follows:5300,526. 3. The maximum amount available pet Fiscal Year on Page 1 changed to read as follows: FY 2014 556,546;FY 2015 549,960;FY 2016597,010;FY 2017;597,010. 4. Contract Exhibit A is amended by the addition of Exhibit A Statement of Work 5. Exhibit B-Amendment 03-Budget is hereby added and incorporated into contract. 6. Exhibit G Option Letter Provision is hereby added and incorporated into the contract. 7. Exhibit H Sample Option Letter is hereby added and incorporated into the contract. 7) START DATE This Amendment shall take effect on the later of its Effective Date or July 1,2016. 8) ORDER OF PRECEDENCE Except for the Special Provisions,in the event of any conflict,inconsistency,variance,or contradiction between the provisions of this Amendment and any of the provisions of the Contract,the provisions of this Amendment shall in all respects supersede,govern,and control.The most recent version of the Special Provisions incorporated into the Contract or any amendment shall always control other provisions in the Contract or any amendments. 9) AVAILABLE FUNDS Financial obligations of the state payable after the current fiscal year are contingent upon funds for that purpose being appropriated,budgeted,or otherwise made available. Page I of 2 CMS Routing 817 IBIA 89702 THE PARTIES HERETO HAVE EXECUTED THIS AMENDMENT •Persons signing for Contractor hereby swear and affirm that they are authorized to act on Contractor's behalf and acknowledge that the State I relying on their representations to that effect. CONTRACTOR STATE OF COLORADO Pitkin County Department of Health and Human John IV.Hkkealooper,Governor Services Colorado Department of Human Services Nan Sundeen Reggie B' - . 've Director •Sicnature By:Ary Anne Snyder,Director Dale: (O(2-I I DV O0 Zy C4d hood ate: ALL CONTRACTS REO{HRE APPROVAL BY THE STA E CONTROLLER CRS§24-30-202 requires the State Controller to approve all State contracts.This Amendment k not valid until signed and dated below by the State Coatrolkr or delegate.Contractor Is not authorised to begin performance until such time.If Contractor begins performing prior thereto,the State of Colorado is not obligated to pay Contractor for such performance or for any goods and/or services provided hereunder. STATE CONTROLLER Robertbe� Sores,CPA,MBA,JD BY y Clint W mRN� -__- Date: 4s/-T/J/..10/4__ Page 2 of 2 . , I � Z7\ > k £ , 4.1 40_ - ! r® t \ � � )kms go ae ae § %22 § 1f k ) E 7�! !at Zt $ \ ] 7 ! - 3 \! ! ; 0Ect f, ■ c - BP , a o o k & ( k ^, z. n 2 . , g ; ; % { ; ) \\ | El) § \ f 0 - k) ) � § k \ �F3 az / Eno r 3 t in- ill § \8 {} \\\ , C CU- \ 1 �� _ ` !! / k � «- ® o o § ! , FAk nr _ ;� - 0. Z tea; | t :! FA to el km Eu § -22 ma .. id k ) f k )! ! k £ # 7 !, k}t) � k (/)& D. ( ... k -541 7 1a%! QiO k} { § . ! !! � ■ $ f Pk $ ( § $= I i ) ) . !| | ' 212 ! %! . t !! Man 0 gjgc { ff a E k - _ II Fmt% - ` 7ff (\ f $ { k k 's ,n0 4,c - © ! f | ! 0 ! 5 k §7 motow r 0 - \ k2 ® f ® ® §} ) !\% 2r; ! / \ & ! 7 { § 7 | ` , |� ; c � ! f ! t !f | - u . § - | ■ § ! | ! kk7 $i } | So k k - V k S & i = 2#&! ! t ! & or ow ! # Vi /7237 ■£ E t 0 K 2 anis" ` 1 § ; a , , ■ B . £ k / | � 2 g. } ni \ $lK | E | M Vi \Ei 3 ƒ I k|272 ! !a AP } , a5 oo / � 7 ( � t- 3! i u. . a� g , ! 01 \ \\a | J/ { ; /fa 0 ma k ) \ X . } §! { ; | f 03 n k| § § | - !2a! /\"0 \ƒ# ^] § , ® § -, § ; ! «¥ . . l, Kiva \ ( a-ga , ID• a. /� ` ) ! 2 ) Egg � _0. rr � E : Ji � \ / 5. ® g to ^ ! %� � (( ; , ( `} ( J . ; a ! I >i mn mo ! £ ! 7 ( � ( aim Inc { fes k \ § ( ( etctID §! 7R � : . � a. / , - - > ,mq , '4 F,--06,..- .. ..5. 0 . j § E ! . }! EI z \ a } 3 2 ,0 , - )} =} }\m\ 2 n fl i . # ! m ; . a : ; � E \M ; I Sr " -,/ 2f[i ; ( E ®] ! ! - $ i | § $ - | § } k' a ( ! ! Ro ' - § !_ §! � / i 5. \� \ / } Q. k \ 9\ ) fp ° ; ( !; § J . 3 3 � � � Qli ] ( r9 rit • 2S ! @ ! ; © ` \ \\} f /�/�ƒ\ , ! , - - - - - 9 ! \\/ /}\ \5 , • k k§ ( ` 'A92 , ° ƒT. , k } ! -o - }} � �/- rt� � " - ! 2 FahIW O Colorado Department of Human Services C CL O R A D O Office of Lady Childhood A, Mk,el Gutty Childhood BUDGET WITH JUSTIFICATION FORM CaninelaNenb PMLM County Hubbard Human Xnkas Program Detect Mae. orae Suntan taetbrXWWbedhnw Sento. lkk Prwaaed Emil 1741011*eana.Matepb *yrpn Ebol Conlin Nast Tide. CsWtGinI Wdtal gnaw t60100t holed July 1,2(06-lune 30.1011 Mame teed fmr0 17011115Th aoai.prgabedlr*oumy con Palest Plum Wain and Toddler Quaky AnWWRty(nM) Qua6Fbap.ovement Pmeom Expenditure Categories Personnel Sacks Salaried Employes SFY2017 11/4011100 1100/101.0102 Mme Patein of The an Thal Amount Name Dna**.of Work Aan.S Way MASS Papa Requested from OK Ileaeora WO%FTEnbxtlompbyee;Salary kidudes current plus prelaead Pally Engagement Increase In Fernery 017;I0p buLdm baaa,retirement beat, Tmrwner Insurance.0taubeellneu.and bonus. S64.000 $33.00 100% $51.000 Total Personnel Services(including fringe benefits) MOM Contractors/Consultants(payments to Wrd parties or waffles) SFY 2017 Total Amount Name Decdytlw of Item Aaquened rem OEC Other Adwnbinp5000SM 31.e00 Total Contraeron/ConsWuw Siem Trawl SPY 2017 Total Amount item Daatstloo MMm pe.fld Irma OK Tend&Telae Indoors mileage relmbwMmenn for won related travel and lyddre Mated expenses 3410 Total Tavel Sell Supplies&Operating Expenses SPY 2017 NM Mimeo Nam Oaplplm MItem I4e04a00 renes Nmnr Ndude temwle.Oit as MK.office wpplle etc. $300 TOW supple&Opratig tysua WS MOanio TOTAL OMKT COSTS(MDC) Snout Indirect Costs Not to exceed 10%edea Ngetiawd Federal Induct Cat rate or Negotiated State Indirect Cost rate b attached] SPY 2017 Tall MINA no, eeaiptbn onion .490,01•1110111 CCC or 10%Indirect me: no man will be nFi6unel by CONS in this category. $0 Total Wilmot so Pap 1 aft Exhibit G OPTION LETTER PROVISION The Slate may require continued performance for a period of up to four additional years from the Original Contract date at the same rates and same terms sped0ed In the Contract. If the State exercises the option, it will provide written notice to Contractor at least 30 days prior to the end of the current contract term in a form substantially equivalent to Exhibit H. If exercised,the provisions of the Option Letter shall become part of and be Incorporated Into the original contract. The total duration of this Contract, including the exercise of any options under this clause, shall not exceed Five(5)years. The State may increase or decrease the quantity of goods/services described In section/schedule/exhibit based upon the rates established In the Contract If the State exercises the option, It will provide written notice to Contractor es least 30 days prior to the end of the current contract term in a form substantially equivalent to Exhibit H. Delivery/performance of the goods/service shall continue at the same rates and terms. If exercised, the provisions of the Option Letter shall become part of and be incorporated Into the original contract. Page 1of1 EXHIBIT H SAMPLE OPTION LETTER Date: I Original Contract CMS it: I Option Letter# I CMS Routing* I) OPTIONS:Choose all applicable options listed in¢I and in§2 and delete the rest. a.Option to renew only&ran additional term) b.Change in the amount of goods within current term e. Change in amount of goods in conjunction with renewal for additional term d.Level of service change within current term e. Level of service change in conjunction with renewal for additional term f. Option to Initiate next phase of a contract 2) REQUIRED PROVISIONS.All Option Letters shall contain the appropriate provisions set forth below: a.For use with Outlet's Uwe);In accordance with Section(s) of the Original Contract between the State of Colorado,Insert Name of Department or Higher Ed Institution,and Contnctofs Name,the State hereby exercises its option for an additional term beginning Insert start date and ending on Insert ending date ata cost/price specified in Section ,AND OR an increase decrease in the amount of goods'services at the same rate(s)as specified in Identify the Section,Schedule,Attachment.Exhibit etc. b.For me with Ooden UM Meese use the fallowitn•In accordance with Section(s) of the Original Contract between the State of Colorado,Insert Name of Department or Higher Ed Institution,and Contractor's Name,the Slate hereby exercises its option to initiate Phase indicate which Phase 2,3,4,etc for the term beginning Insert start date and ending on Insert ending date at the cosUprice specified in Section c.for use with all Outten,Ifo-11•The amount of the current Fiscal Year contract value is Increased/decreased by S amount of change to a new contract value of Insen New S Amt to as consideration for services/goods ordered under the contract for the current fiscal year indicate Fiscal Year.The first sentence in Section is hereby modified accordingly.The total contract value including all previous amendments,option letters,etc.is Insert New S Amt. 3) Effective Date.The effective date of this Option Letter is upon approval of the State Controller or , whichever is later. STATE OF COLORADO John W.Hickenlooper,Governor Department of Human Services Reggie Bicho, Executive Director By:Insert Name&Title of Person Signing for Agency or DIE Date: ALL CONTRACTS REOUIRE APPROVAL BY TRE STATE CONTROLLER CRS 124-30102 requires the State Controller to approve a0 State contracts.This Option Letter is not valid anal signed and dated below by the State Controller or delegate.Cementer h not authorized to begin performance cam such rise.If Contractor begins performing prior thereto,the State of Colorado is not ebllpWN to pay Contractor for soeb performance or for any goods and/or orrvlcce provided hereunder. STATE CONTROLLER Robert Janos,CPA,MBA,JD By: Insert Name of Agency or DIE Delegate-Please delete if contract will be routed to OSC for approval Date: Page 1 of 1 i„f,SU 03..1 - 7-.oLL PITKIN COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES CONTRACT AMENDMENT FCF/Ve Amendment#3 Original Contract CMS(CLIN)8141HIA Amendment CMS 817 IIMA CI 62063 89702N. � "w( Ili 1) PARTIES "-MLT 6�.. This Amendment to the above-referenced Original Contract(hereinafter called the Contract)is entered intk 'Ity and between Pitkin County Department of Health and Human Services(hereinafter called"Contractor). and the STATE OF COLORADO(hereinafter called the"State")acting by and through the Department of Human Services,Office of Early Childhood,(hereinafter called the"CDHS/OEC'). 2) EFFECTIVE DATE AND ENFORCEABILITY This Amendment shall not be effective or enforceable until it is approved and signed by the Colorado State Controller or designee(hereinafter called the"Effective Date").The Slate shall not be liable to pay or reimburse Contractor for any performance hereunder including,but not limited to,costs or expenses incurred,or be bound by any provision hereof prior to the Effective Date. 3) FACTUAL RECITALS The panics entered into the contract for/to develop and administer a Tiered Reimbursement system That supports child care facilities building and maintaining quality programs for the low-income infants and toddlers they serve 4) CONSIDERATION-COLORADO SPECIAL PROVISIONS The Parties acknowledge that the mutual promises and covenants contained herein and other good and valuable consideration are sufficient and adequate to support this Amendment.The Parties agree to replacing the Colorado Special Provisions with the most recent version(if such have been updated since the Contract and any modification thereto were effective)as part consideration for this Amendment.If applicable,such Special Provisions are attached hereto and incorporated by reference herein as Exhibit NIA. 5) LIMITS OF EFFECT This Amendment is incorporated by reference into the Contract,and the Contract and all prior amendments thereto,if any,remain in full force and effect except as specifically modified herein. 6) MODIFICATIONS. The Contract and all prior amendments thereto,if any,arc modified as follows: I. The amount of the contract value is increased by$97,010 for to as consideration for services/goods ordered under the contract for State fiscal year 20162017 beginning on July 1,2016 expiring on June 30,2017. 2. Contract price not to exceed on page I of the contract document changed to read as follows:$300326. 3. The maximum amount available per Fiscal Year on Page 1 changed to read as follows: FY 2014 556,$46;FY 2015 549.960;FY 2016$97,010;FY 2017;$97,010. 4. Contract Exhibit A is amended by the addition of Exhibit A Statement of Work. 5. Exhibit B Amendment#3 Budget is hereby added and incorporated into contract. 6. Exhibit G Option Letter Provision is hereby added and incorporated into the contract. 7. Exhibit II Sample Option Letter is hereby added and incorporated into the contract. 7) START DATE This Amendment shall take effect on the later of its Effective Date or July I,2016. B) ORDER OF PRECEDENCE Except for the Special Provisions,in the event of any conflict,inconsistency,variance,or contradiction between the provisions of this Amendment and any of the provisions of the Contract,the provisions of this Amendment shall in all respects supersede,govern,and control.The most recent version of the Special Provisions Incorporated into the Contract or any amendment shall always control other provisions in the Contract or any amendments. 9) AVAILABLE FUNDS Financial obligations of the state payable after the current fiscal year are contingent upon funds for that purpose being appropriated,budgeted,or otherwise made available. Page I of 2 CMS Routing B 17 1111A 59702 THE PARTIES HERETO HAVE EXECUTED THIS AMENDMENT •Persons signing for Contractor hereby swear and affirm that they ere authorized to act on Contractor's behalf and acknowledge that the State Is relying on their representations to list effect. CONTRACTOR STATE OF COLORADO Pitkin County Depanment of Health and Human John W.Hickenlooper,Governor Services Colorado Depanment of Human Services t dun Sm Nann Reggi h 'vc Director lun ignalure By.Mary Anne Snyder,Director Office of Early Childhood Date: W2 ( ( c, N,Date: Le/Tall(( ALL CONTRACTS REQUIRE APPROVAL BY THE STATE CONTROLLER CRS$21-0-202 requires the State Controller to approve all State contracts.This Amendment Is not valid until signed and dated below by the Stale Controller or delegate.Contractor Is not authorized to begin performance until such time.If Contractor begins performing prior thereto,the State of Colorado Is not obligated to pay Contractor for such performance or for any goods and/or services provided hereunder. STATE CONTROLLER Robert Jams,CPA,MBA,JD 1 By. �.Rnf rvC Clint Wooden al' ample Date: 4/3%Wi , Page 2 of2 ro !/; \ 4 ,k f « {�! 3 ! CD 7a k X `C !7 ) ! ! m o ,!! ! ; | ia to \ ! - „at ) . � E ' ]) y ! E. It ■ 0 =i - / ! « k ;f!! 7ƒƒ \ ,�! ! ! ; To q {} )/R\ \g� \ } E } $ ! @2$! -t 2 � \ " -< © u C � �( 0-2 ) � = $ kk0 k\� k ) ) _ �` 0W f ! ' E-5 ° E 5 / { ƒ 5 } a. |; � ! § \; e = • I - 0. g a ! b uc c �� 3�E (! ( E ! tc ! hf )/ a | E | ) # { ! 7 | B !! # i§f ); / { y - ) ) f §! _! -I> 4 !y | § ; 4 (�§ o� 0.1 41 t } / g k k ( }\ i0I4! ))ki !{! , ° ° § .! _| ®| « \ Un $ E q | . « ; ■— ■! t ! ; 2 ) ■ { | `� § ! al t! !!! C -o » ■ 41 � g it■ )k\ \/\ / \ ( \ k 6 at )) {I $_a/ } CO LI n , lc cal \ VI10 10 7 ) § CU 0 ! _\k: , 8. | ! !rt ;r / 6\ -/aa/ .- ƒi6\ ) \ j{ E bit�f ( o - 0 \ ( ) # ( CO t n ai c UE \ er = ; k 4/1� ) !k / k / La • ( _ - ! J � \ c 2 )o k� a 111 k/\ a ( . { )f \} 5! ia ! !, \ ,• � ;± ! § f/} ( ocu to {2 kk /t)/ ({ o CI k } | C ! |• f 2 • \ k k of o o. § k .g ! }U § \ § ! !■ - Caa- ~ jk — U ¥{! w L-64 .4k \ ) ) \/ 4 " `\! ▪ On CLi !] )) k ) S !! 4, E . ; »\ k k:! |7k - `f \ Br /) )!}J ! ) �} iv CL 0 °? 28° CO IF. / S{�k n. o ° � ! La se \ 2as no 0 CE Ef\ \/ ƒ \ js\ a• s0. ea C. ` La ]/ • /) § . a k _ _ > ) a )! ! ]7 }} !! {!,£ !_ ` ! )t *) \ /kt \ k)\ \ k} \ § | it; 4Ef ! % -! _ tee | ! r . \j // ' ' .0 f. ° ° \\$k \}\} k } " CL\ 7 tmi CC;0 § {! �\ , = ! f )\ ) (\k 4 & {} t Exhibit 11. Colorado Department of Human SeMces COLORADO Office of Early Childhood ` Office al fatly OUNNwe BUDGET WITH JUSTIFICATION FORM Contractor Nene Pia WC aunty Health and Human Services Plane cone. Nn5un0aen WeMXupaHMun knees. TIN Nene andlmao 970920 SM.nen.In*nySSNmnnmm Wed canna Nana.Dile. CO GaSa4a'<CXDhow Budget bd wy I.2016-June 30,1017 pbeseatl Email5109105131 [eerie V mlabepdemmrry.um Project NameWant andToddler Quante anilDnl Ciller PI Quality lmnm'emenl hrynm Expenditure Categories Peno reel Service Salaried Employees SW 3017 pewee TW/Empoyee Grote or Penal of Tin en Total Amount Parr Description el We&S Annul Sale, Mese penial Requested fres DEC tl(b9onb, SWNFTEubrled employee.salary Includes current plus moms faMly!Apemen' sraeabin Felonry 3011:Mete Mhdn taxer tnlrtmn[health Coordinator nwnne.fivNn/welknu and bonus. S61p0O 523.000 1008 SIIpCO Total pelmet&Senbe QndudIng fringe beneflb) WA= Contractors/Consultants(payments to this part or endue) SFY 2017 Tell mime frees Name gwlNn 4 len el Rees free OK Other Lertisen.Smart Sure H.aW Total Contncton/Calul/Nnb SIAM Travel SFY 2017 Teel aware teem Mnipbe el nm Mqunbd free CNC Travel ITnWne ndedea mileage reimbursements lot wovt Maud travel and trainee.related expenses Seel Total Treed $10 Supplies&Operating 4pense SET 2017 Tal mews nem oumlNN.m mw Requested law OW MataRn nNdea computer,pMNs.mnc office supplier.etc. Soto To Supplies b OmangFyeee Slur 01001/3)TOTAL DIMLYCOSTS RAMC) SNAIO Indirect Costs (not ta emceed 10%unless Negotiated Federal Indirect Cwt ate or Nevdated State Indirect Cost rate Is attar edl SFY 3)17 Tetelearesum Item pselatsr al Nem Itegwats Fan OaC Of IO%In4Sett Me: con wig benfnboned NUNS IrNn['terry. SO Totalendkact SF TOTAL $971 110 Pan 2 of Exhibit G OPTION LETTER PROVISION The State may require continued performance for a period of up to four additional years from the Original Contract date at the same rates and same terms specified In the Contract. If the State exercises the option, It will provide written notice to Contractor at least 30 days prior to the end of the current contract term in a form substantially equivalent to Exhibit H. If exercised,the provisions of the Option Letter shall become part of and be Incorporated into the original contract. The total duration of this Contract, including the exercise of any options under this clause,shall not exceed Five(5)years. The State may Increase or decrease the quantity of goods/services described in secOONschedulelexhibh based upon the rates established In the Contract. If the State exercises the option,it will provide written notice to Contractor as least 30 days prior to the end of the current contract tern in a form substantially equivalent to Exhibit H. Delivery/performance of the goods/service shall continue at the same rates and terms. If exercised, the provisions of the Option Letter shall become part of and be incorporated into the original contract. Page 1 of 1 EXHIBIT II SAMPLE OPTION LETTER Date: I Original Contact CMS tt: I Option[Mier d j CMS Routing g I) OPTIONS:Choose all applicable options listed in§I and in§2 and delete the rest. a.Option to renew only(for an additional term) b.Change in the amount of goods within current term c.Change in amount of goods in conjunction with renewal for additional tens d.Level of service change within current tens e. Level of service change in conjunction with renewal for additional term f. Option to initiate next phase of a contract 2) REQUIRED PROVISIONS.All Option Letters shall contain the appropriate provisions set forth below: a.Fur use with Options I(a<l:In accordance with Section(s) of the Original Contact between the State of Colorado,Insert Name of Depanment or Higher Ed Institution,and Contractor's Name,the State hereby exercises its option for an additional term beginning Insert stun date and ending on Insert ending date at a cost/price specified in Section ,AND/OR an increase/decrease in the amount of goods/services at the same rate(s)as specified in Identify the Section,Schedule,Attachment,Exhibit etc. b.For use with Option 1(f1,olease use the followlne:In accordance with Section(s) of the Original Contract between the Slate of Colorado,Insert Name of Department or Higher Ed Institution,and Contractor's Name,the State hereby exercises its option to initiate Phase indicate which Phase:2,J,9,etc for the term beginning Insert start date and ending on'nun ending date at the cost/price specified in Section c.for use with all Options 16-fl The amount of the current Fiscal Year contract value is increased/decreased by S amount of change to a new contract value of Insen New S Amt to as consideration for servicestoods ordered under the contract for the current fiscal year indicate Fiscal Year.The first sentence in Section is hereby modified accordingly.The total contract value including all previous amendments,option letters,etc.is Insert New S Amt. 3) Effective Dale.The effective date of this Option Letter is upon approval of the State Controller or , whichever is later. STATE OF COLORADO John W.Hickenlooper,Governor Department of Human Services Reggie Bicha,Executive Director By:Insert Name&Title of Person Signing far Agency or ME Dale: ALL CONTRACTS REOUIRE APPROVAL BY THE STATE CONTROLLER CRS 614-34-2112 requires tae State Controller a ppn.e all Sure matrurx Thio Option later I.net valid until signed and dated below by the State Coatrelkr or delepk.Contractor is net aathorbed to begin performance until setime.If Contractor begins performing prior thereto,the State of Colorado Is not obligated to pay Contender for Such performance or for any goods and/or services provided Meader. STATE CONTROLLER Robert Jams,CPA,MBA,JD By: Insert Name of Agency or INE Delegate-Please delete if centrad will be mored to OSC for approval Date: Page I of I