OPTION EFFECTIVE DATE Clause Samples

OPTION EFFECTIVE DATE. The effective date of this Option Letter is upon approval of the State Controller or  , whichever is later. STATE OF COLORADO ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇▇▇▇, Governor INSERT-Name of Agency or IHE INSERT-Name & Title of Head of Agency or IHE ______________________________________________ By: Name & Title of Person Signing for Agency or IHE Date: _________________________ In accordance with §▇▇-▇▇-▇▇▇, C.R.S., this Option is not valid until signed and dated below by the State Controller or an authorized delegate. STATE CONTROLLER ▇▇▇▇▇▇ ▇▇▇▇▇, CPA, MBA, JD By:___________________________________________ Name of Agency or IHE Delegate-Please delete if contract will be routed to OSC for approval Option Effective Date:_____________________ The Agreement to which these Federal Provisions are attached has been funded, in whole or in part, with an Award of Federal funds. In the event of a conflict between the provisions of these Federal Provisions, the Special Provisions, the agreement or any attachments or exhibits incorporated into and made a part of the agreement, the provisions of these Federal Provisions shall control.

OPTION EFFECTIVE DATE. A. The effective date of this Option Letter is upon approval of the State Controller or , whichever is later. Option Letter Effective Date: By: Department of Transportation By: Name: Title: Date:

OPTION EFFECTIVE DATE. The effective date of this option letter is upon approval of the State Controller or delegate. ▇▇▇▇▇ ▇. ▇▇▇▇▇, Governor By: Date: Executive Director, Colorado Department of Transportation A. Cost of Work Estimate *The Local Agency should not begin work until all three of the following are in place: 1) Phase Performance Period Start Date; 2) The execution of the document encumbering funds for the respective phase; and

OPTION EFFECTIVE DATE. The effective date of this Option Letter is upon approval of the State Controller or , whichever is later. STATE OF COLORADO ▇▇▇▇▇ ▇. ▇▇▇▇▇, Governor INSERT-Name of Agency or IHE INSERT-Name & Title of Head of Agency or IHE By: Name & Title of Person Signing for Agency or IHE Date: In accordance with §▇▇-▇▇-▇▇▇, C.R.S., this Option is not valid until signed and dated below by the State Controller or an authorized delegate. STATE CONTROLLER ▇▇▇▇▇▇ ▇▇▇▇▇, CPA, MBA, JD By: Name of Agency or IHE Delegate-Please delete if agreement will be routed to OSC for approval Option Effective Date:

OPTION EFFECTIVE DATE. A. The effective date of this Option Letter is upon approval of the State Controller or , whichever is later. Option Letter Effective Date: By: Department of Transportation ▇▇▇▇▇ ▇. ▇▇▇▇▇, Governor Department of Transportation ▇▇▇▇▇▇▇▇ ▇. ▇▇▇, Executive Director By: Name: Title: Date: 1. APPLICABILITY OF PROVISIONS 1.1. The Contract to which these Federal Provisions are attached has been funded, in whole or in part, with an Award of Federal funds. In the event of a conflict between the provisions of these Federal Provisions, the Special Provisions, the body of the Contract, or any attachments or exhibits incorporated into and made a part of the Contract, the provisions of these Federal Provisions shall control.

OPTION EFFECTIVE DATE. The Option Effective Date is the date the proceeds become payable.

OPTION EFFECTIVE DATE. A. The effective date of this Option Letter is upon approval of the State Controller or , whichever is later. STATE OF COLORADO ▇▇▇▇▇ ▇. ▇▇▇▇▇, Governor Department of Transportation ▇▇▇▇▇▇▇▇ ▇. ▇▇▇, Executive Director By: Name: Title: Date: In accordance with §▇▇-▇▇-▇▇▇, C.R.S., this Option Letter is not valid until signed and dated below by the State Controller or an authorized delegate. STATE CONTROLLER ▇▇▇▇▇▇ ▇▇▇▇▇, CPA, MBA, JD By: Department of Transportation Option Letter Effective Date: The Parties shall not exclude from participation in, deny the benefits of, or subject to discrimination any person in the United States on the ground of race, color, national origin, sex, age or disability. During the performance of this Agreement, the Grantee, for itself, its assignees and successors in interest (hereinafter referred to as the “Grantee”) agrees as follows:

OPTION EFFECTIVE DATE. The effective date of this Option Letter is upon approval of the State Controller or , whichever is later. STATE OF COLORADO ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇▇▇▇, Governor Department of Health Care Policy and Financing ▇▇▇▇▇ ▇. ▇▇▇▇▇, MBA, BSN, RN; Executive Director By: ▇▇▇▇▇ ▇. ▇▇▇▇▇, MBA, BSN, RN; Executive Director Date: In accordance with §▇▇-▇▇-▇▇▇ C.R.S., this Option is not valid until signed and dated below by the State Controller or an authorized delegate. STATE CONTROLLER ▇▇▇▇▇▇ ▇▇▇▇▇, CPA, MBA, JD By: ▇▇▇▇ ▇▇▇▇▇▇, Controller; Department of Health Care Policy and Financing Option Effective Date: The following are the principles of the Medical Home model.

OPTION EFFECTIVE DATE. The effective date of this option letter is upon approval of the State Controller or delegate. ▇▇▇▇▇ ▇. ▇▇▇▇▇, Governor By: Date: Executive Director, Colorado Department of Transportation A. Cost of Work Estimate *The Local Agency should not begin work until all three of the following are in place: 1) Phase Performance Period Start Date; 2) The execution of the document encumbering funds for the respective phase; and 3) Local Agency receipt of the official Notice to Proceed. Any work performed before these three (3) milestones are achieved will not be reimbursable. 1. BUDGETED FUNDS a. Federal Funds (80.00% of Participating Costs) $280,595.00 b. Local Agency Matching Funds (20.00% of Participating Costs) $70,149.94 c. State Funds – MMOF (100% of MMOF Funds) $208,884.00 TOTAL BUDGETED FUNDS $559,628.94 2. OMB UNIFORM GUIDANCE a. Federal Award Identification Number (▇▇▇▇): TBD b. Federal Award Date (also Phase Performance Start Date): See Below c. Amount of Federal Funds Obligated: $0.00 d. Total Amount of Federal Award: $280,595.00 e. Name of Federal Awarding Agency: FHWA f. CFDA# - Highway Planning and Construction CFDA 20.205 g. Is the Award for R&D? No h. Indirect Cost Rate (if applicable) N/A 3. ESTIMATED PAYMENT TO LOCAL AGENCY a. Federal Funds Budgeted $280,595.00 b. State Funds Budgeted $208,884.00 c. Less Estimated Federal Share of CDOT-Incurred Costs $0.00 TOTAL ESTIMATED PAYMENT TO LOCAL AGENCY $489,479.00 4. FOR CDOT ENCUMBRANCE PURPOSES a. Total Encumbrance Amount $559,628.94 b. Less ROW Acquisition 3111 and/or ROW Relocation 3109 $0.00 Net to be encumbered as follows: $559,628.94 Note: No funds are currently available. Construction funds will become available after execution of an Option letter (Exhibit B) or formal Amendment. WBS Element 16810.20.10 Performance Period Start*/End Date TBD / TBD Const. 3301 $0.00 B. Matching Funds