Exhibit G - CDHS Original Contract Template v 4.13- Signature and Cover Pages Final.docx
DOCX document 1 MB Posted
- Attached to
- FY27;Cash;CJ Diversion PREVAIL
- Solicitation number
- RFP IBEH 2027000023 3
- Issued by
- Denver County, Denver City, Colorado
About this file
This is a contract template document issued by the State of Colorado Department of Human Services (CDHS) for use in executing state and local contracts. The template establishes the framework for contract execution between CDHS and contractors, including signature pages and cover pages. The contract document does not specify particular products or services, quantities, response dates, due dates, site visits, bidder meetings, or award dates, as it serves as a blank template for future use. Contract terms are to be inserted on an as-needed basis depending on the specific solicitation and procurement method, with provisions for initial contract periods and extension options subject to approval. The template accommodates various contract durations and includes signature authority lines for the contractor, CDHS Executive Director, the Colorado Attorney General's office, and the State Controller or authorized delegate, with an effective date to be determined upon full execution.
The template provides flexible pricing structure options including fixed price, cost reimbursement, fixed unit price, or other arrangements, with invoicing frequency to be specified for each individual contract. Funding sources may include state general funds, cash, federal programs or grants, and associated fund identification numbers. The template requires specification of insurance requirements, which may include worker's compensation, general liability, automobile liability, professional liability, cyber/network security-privacy liability, and crime insurance as applicable. The contract incorporates exhibits by reference and allows for documentation of the procurement method used, which may include exemptions, discretionary procurements, documented quotes, invitations for bids, requests for proposals, competitive negotiation, price agreements, or sole source awards. The template establishes that contract validity requires signature and dating by the State Controller or an authorized delegate in accordance with C.R.S. 24-30-202.
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Text version
State of Colorado Department of Human Services Contract v.4.13
Signature and Cover Pages
V 4.13
CMS #:
[Insert Full CMS # (FY ProgramCode CMS#)] State Agency Colorado Department of Human Services [Insert Office] [Insert Division] Contract Maximum Amount Initial Term [State Fiscal Year 20xx $0.00] Extension Terms [Edit/delete this section as needed, or put “None”
| State Fiscal Year 20xx | $0.00 |
| State Fiscal Year 20xx | $0.00 |
| State Fiscal Year 20xx | $0.00 |
| State Fiscal Year 20xx | $0.00] |
Maximum Amount for All Fiscal Years [$0.00] Pricing/Funding Price Structure: [Fixed Price or Cost Reimbursement or Fixed Unit Price or Other] Contractor shall invoice: [Monthly or Quarterly or Bi-Weekly (twice per month) or Upon delivery and acceptance of performance or As specified elsewhere] Fund Source: [Insert name of funding source, whether it’s state general funds, cash, Federal Program / Grant and Funds ID#, if none, put NA] eClearance#:
[Insert eClearance #] Contractor [Insert Contractor’s Full Legal Name, including “Inc.”, “LLC”, etc...] Contractor’s State of Incorporation: [Insert State] Contract Performance Beginning Date The later of the Effective Date or [Month Day, Year] Initial Contract Expiration Date [Month Day, Year] Except as stated in §2.D, the total duration of this Contract, including the exercise of any options to extend, shall not exceed [Insert Contract’s Maximum Amount of Years or Months as required by solicitation, or otherwise] Years from its Performance Beginning Date.
Options The State shall have the following options if indicated with “Yes,” as further described in §2.C and §5.B.v:
Option to Extend Term per §2.C: [Yes or No].
Option to Increase or Decrease Maximum Amount per §5.B.v: [Yes or No].
Insurance Contractor shall maintain the following insurance if indicated with “Yes,” as further described in §10:
Worker’s Compensation: Yes General Liability: Yes Automobile Liability: [Yes or No].
Protected Information: [Yes or No].
Professional Liability Insurance: [Yes or No].
Cyber/Net. Security-Privacy Liability Insurance: [Yes or No].
Crime Insurance: [Yes or No].
State Representative [Insert State Representative Name Title Department Street Address City, State Zip Phone Email]
Miscellaneous Authority to enter into this Contract exists in: [Insert statutory and/or other legal authority here.] Law-Specified Vendor Statute (if any): [Insert Statute, otherwise put NA] Procurement Method: [Exempt or Discretionary or Documented Quote (DQ) or Invitation for Bids (IFB) or Request for Proposals (REP) or Grant Specified or Law Specified or Competitive Negotiation or Price Agreement or Sole Source] Solicitation Number (if any): [Insert Solicitation #, otherwise put NA] Contractor Representative [Insert Contractor Representative Name Title Contractor name Street Address City, State Zip Phone Email] Exhibits The following Exhibits are attached and incorporated into this Contract:
[List Exhibits here] Contract Purpose [Insert brief description of the purpose of the Contract.] Signature Page Begins on Next Page The rest of this page is intentionally left blank.
The parties hereto have executed this contract Each person signing this Contract represents and warrants that he or she is duly authorized to execute this Contract and to bind the Party authorizing his or her signature.
Contractor [Insert Contractor’s Full Legal Name, including “Inc.”, “LLC”, etc...] By: [Name & Title of Person Signing for Contractor] Date: _________________________ [2nd State or Contractor Signature if Needed] By: [Name & Title of Person Signing for Signatory] Date: _________________________ State of Colorado Jared S. Polis, Governor Department of Human Services Michelle Barnes, Executive Director By: [Name & Title of Person Signing for CDHS] Date: _________________________ Legal Review Philip J. Weiser, Attorney General By: [Name], Assistant Attorney General Date: _________________________
In accordance with §24-30-202 C.R.S., this Contract is not valid until signed and dated below by the State Controller or an authorized delegate.
State Controller Robert Jaros, CPA, MBA, JD
By: Telly Belton/Toni Williamson/Amanda Rios/Nina Douglass/Michelle Bourell Effective Date:_____________________ -- Signature and Cover Pages End --image1.png
File details come from the government source that posted it. Updated .