HomeMy WebLinkAboutCORRESPONDENCE - AGREEMENT MISC - NORTH RANGE BEHAVIORAL HEALTH PKA ISLAND GROVE REGIONAL TREATMENT CENTER (9)Nov 10 04 05:07p ISLAND GROVE TX CENTER 970-356-1349 p•2
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Atitninisfsalive Services
Purchasing TAvi5ion
November 10, 2004
B.J. Dean
Island Grove Regional Treatment Center, Inc.
1140 M Street
Greeley, CO 80631
Re: Inpatient Substance Abuse Detoxification
The City of Fort Collins has elected to renew Inpatient Substance Abuse Detoxification for the
City of Fort Collins with your fine. The term will be extended for one (1) additional year, January
1, 2005 through December 31, 2005 per negotiations with the Community Mental Health and
Substance Abuse Partnership. The City shall pay the Service provider for the performance of
this contract, subject to additions and deletions provided within the above reference services
agreement, the sum of Ninety -Two Thousand Three Hundred Forty Three Dollars ($92,343).
This total is broken down as follows:
Basic Services - $11,685 plus additional onetime payment of $18,633 for total of $30,318.
Transportation - $11,215 plus additional onetime payment of $50,810 for a total of $62,025.
if the renewal is acceptable to your firm, please sign this letter in the space provided and return
along with a current copy of your insurance to the City of Fort Collins, Purchasing Division,
before December 8, 2004. If delivered, please deliver to 215 North Mason Street, 2nd Floor,
Fort Collins, CO 80524. If mailed, the mailing address is P.O. Box 580. Fort Collins. Colorado
80522-0580.
if this renewal is not acceptable with your firm, please send us a written notice stating that you
do not wish to renew the bid. If you have any questions regarding this renewal, please contact
John Stephen, CPPO, CPPB, Senior Buyer at 970-221-6777.
Sincerely,
}taIDBJs S. O'Neill II, CPPO, FNIGP
Director of Purchasing and Risk Management
Cc: John Pino, Police Lieutenant f
Slgna a Date
(Please indicate your desire to renew by signing this letter and returning it with a current copy of
insurance forms to Purchasing Division on or before December 8, 2004_)
335 !north Mason Street • 2nd Floor I P.O. Box 580 • Fort Collins, CO 80522W580 • (970) 221-6775 • FAX (970) 221.6707
Nov 10 04 05:07p ISLAND GROVE TX CENTER 970-356-1349 p.1
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6RAVE1140 M Street
iL Greeley, CO 80631
ENT C NTER, INC. 970-356-6664
1. FAX 970-356-1349
Fax Transmission
Warning. This FAX is a legal document. It is privileged and confidential. If you have
received this transmission in error, please call our office immediately to arrange for its return.
Date: DilI)q FAX # Q7Q �D-� -�n707
To: _ Tour ` 4�op rhion Agency: T G CU
FYI
�n response to your request
Please reply
From:
✓ BJ Dean, Executive Director (970-313-1186)
Pages �--
(including this page)
Kathryn Rusch, Administrative Assistant/Personnel Specialist (970-313-1180)
Administrative Secretary (970-356-6664 ext. 1090)
Jim Marcy, Director of Business Services (970-313-1188)
Dale Lengel, Fiscal Manager (970-313-1185)
Linda Sample, Accountant (970-313-1187)
Kim Sloan, Accounting Assistant (970-313-1184)
Comments: ! Tl, "rQ Vs ( I 1�e(n- - 01(eati h- _ _ ( I
This information has been disclosed to you from records whose confidentiality is protected by Federal Confidentiality
Laws and Regulations. Federal Regulation 42 CFR, Part 2, PROHIBITS you from making any further disclosure of it
without the written consent of the person to whom it pertains, or as otherwise permitted by such regulations. A
general authorization for the release of medical or other information is not sufficient for this purpose.
0AKathrynlF0RM-MISWAX form Admin.doa 6104