A ddi t i o n a l i n f o r ma t i o n r e l e v a n t t o t h e r e qu e s t e d v … ·...

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Application for Variance Name of County: Name of Submitter: Phone Number of Submitter: Email of Submitter: ________________________________ County requests a variance from the following restrictions in Executive Order D 2020 044 and/or Public Health Order 20-28. List the sections of Executive Order D 2020 044 and/or Public Health Order 20-28 that a variance is being sought for: Summarize alternate restrictions being proposed to replace the above-referenced restrictions and indicate where in the Plan these alternate restrictions are addressed: Upload your county COVID-19 Suppression Plan and documentation demonstrating approval by the county commissioners, and confirmation from all impacted local hospitals that they can serve all individuals needing their care. Provide a brief summary of each of the following elements contained in the county COVID-19 Suppression Plan and indicate where in the Plan more information can be found for each element. 1. Prevalence of COVID -19 within the county 2. Hospital Capacity DocuSign Envelope ID: 984E2611-7C6C-41FE-99FF-686DC67E1700 Please see attachment 719-583-6564 Garrison Ortiz, Chairman Pueblo Please see attachment Pueblo Please see attachment Appendix F.5 Section I.C Section II Section II A.4 Section II A.5 Section III Section III A-3 [email protected]

Transcript of A ddi t i o n a l i n f o r ma t i o n r e l e v a n t t o t h e r e qu e s t e d v … ·...

Page 1: A ddi t i o n a l i n f o r ma t i o n r e l e v a n t t o t h e r e qu e s t e d v … · 2020-06-02 · 3 . L o ca l co n t a i n me n t me a s u r e s 4 . Co n di t i o n s t o

Application for Variance  

 

Name of County: 

Name of Submitter: 

Phone Number of Submitter: 

Email of Submitter: 

________________________________ County requests a variance from the following 

restrictions in Executive Order D 2020 044 and/or Public Health Order 20-28. 

 

List the sections of Executive Order D 2020 044 and/or Public Health Order 20-28 that a 

variance is being sought for: 

 

 

 

 

Summarize alternate restrictions being proposed to replace the above-referenced restrictions 

and indicate where in the Plan these alternate restrictions are addressed: 

 

 

 

 

Upload your county COVID-19 Suppression Plan and documentation demonstrating approval by 

the county commissioners, and confirmation from all impacted local hospitals that they can 

serve all individuals needing their care. Provide a brief summary of each of the following 

elements contained in the county COVID-19 Suppression Plan and indicate where in the Plan 

more information can be found for each element. 

 

1. Prevalence of COVID -19 within the county 

 

 

2. Hospital Capacity 

 

 

 

 

DocuSign Envelope ID: 984E2611-7C6C-41FE-99FF-686DC67E1700

Please see attachment

719-583-6564

Garrison Ortiz, Chairman

Pueblo

Please see attachment

Pueblo

Please see attachment

Appendix F.5Section I.CSection IISection II A.4Section II A.5Section IIISection III A-3

[email protected]

Page 2: A ddi t i o n a l i n f o r ma t i o n r e l e v a n t t o t h e r e qu e s t e d v … · 2020-06-02 · 3 . L o ca l co n t a i n me n t me a s u r e s 4 . Co n di t i o n s t o

3. Local containment measures  

 

 

4. Conditions to determine the variance is not providing adequate COVID-19 protection 

and the triggers for tightening restrictions. 

 

 

 

Confirm that the variance requested does not lessen or eliminate the protections for 

Vulnerable Individuals in the Safer at Home Order and PHO 20-28. 

Confirm that the county will collect and monitor data to evaluate the impacts of the 

variance. and make such data available upon request by CDPHE. 

 

Additional information relevant to the requested variance 

 

 

 

By signing below, I attest that I am authorized pursuant to the adoption of the COVID-19 

Suppression Plan by the Board of County Commissioners to submit this variance request to 

CDPHE for consideration.   

 

 

________________________________ ___________________________ 

Signature Date 

 

DocuSign Envelope ID: 984E2611-7C6C-41FE-99FF-686DC67E1700

Please see attachment

2020-05-29

Please see attachment

Please see attachment

Page 3: A ddi t i o n a l i n f o r ma t i o n r e l e v a n t t o t h e r e qu e s t e d v … · 2020-06-02 · 3 . L o ca l co n t a i n me n t me a s u r e s 4 . Co n di t i o n s t o

DocuSign Envelope ID: 984E2611-7C6C-41FE-99FF-686DC67E1700

Page 4: A ddi t i o n a l i n f o r ma t i o n r e l e v a n t t o t h e r e qu e s t e d v … · 2020-06-02 · 3 . L o ca l co n t a i n me n t me a s u r e s 4 . Co n di t i o n s t o

DocuSign Envelope ID: 984E2611-7C6C-41FE-99FF-686DC67E1700

Page 5: A ddi t i o n a l i n f o r ma t i o n r e l e v a n t t o t h e r e qu e s t e d v … · 2020-06-02 · 3 . L o ca l co n t a i n me n t me a s u r e s 4 . Co n di t i o n s t o

DocuSign Envelope ID: 984E2611-7C6C-41FE-99FF-686DC67E1700

Page 6: A ddi t i o n a l i n f o r ma t i o n r e l e v a n t t o t h e r e qu e s t e d v … · 2020-06-02 · 3 . L o ca l co n t a i n me n t me a s u r e s 4 . Co n di t i o n s t o

DocuSign Envelope ID: 984E2611-7C6C-41FE-99FF-686DC67E1700

Page 7: A ddi t i o n a l i n f o r ma t i o n r e l e v a n t t o t h e r e qu e s t e d v … · 2020-06-02 · 3 . L o ca l co n t a i n me n t me a s u r e s 4 . Co n di t i o n s t o

DocuSign Envelope ID: 984E2611-7C6C-41FE-99FF-686DC67E1700

Page 8: A ddi t i o n a l i n f o r ma t i o n r e l e v a n t t o t h e r e qu e s t e d v … · 2020-06-02 · 3 . L o ca l co n t a i n me n t me a s u r e s 4 . Co n di t i o n s t o

DocuSign Envelope ID: 984E2611-7C6C-41FE-99FF-686DC67E1700

Page 9: A ddi t i o n a l i n f o r ma t i o n r e l e v a n t t o t h e r e qu e s t e d v … · 2020-06-02 · 3 . L o ca l co n t a i n me n t me a s u r e s 4 . Co n di t i o n s t o

DocuSign Envelope ID: 984E2611-7C6C-41FE-99FF-686DC67E1700

Page 10: A ddi t i o n a l i n f o r ma t i o n r e l e v a n t t o t h e r e qu e s t e d v … · 2020-06-02 · 3 . L o ca l co n t a i n me n t me a s u r e s 4 . Co n di t i o n s t o

DocuSign Envelope ID: 984E2611-7C6C-41FE-99FF-686DC67E1700

Page 11: A ddi t i o n a l i n f o r ma t i o n r e l e v a n t t o t h e r e qu e s t e d v … · 2020-06-02 · 3 . L o ca l co n t a i n me n t me a s u r e s 4 . Co n di t i o n s t o

DocuSign Envelope ID: 984E2611-7C6C-41FE-99FF-686DC67E1700

Page 12: A ddi t i o n a l i n f o r ma t i o n r e l e v a n t t o t h e r e qu e s t e d v … · 2020-06-02 · 3 . L o ca l co n t a i n me n t me a s u r e s 4 . Co n di t i o n s t o

DocuSign Envelope ID: 984E2611-7C6C-41FE-99FF-686DC67E1700

Page 13: A ddi t i o n a l i n f o r ma t i o n r e l e v a n t t o t h e r e qu e s t e d v … · 2020-06-02 · 3 . L o ca l co n t a i n me n t me a s u r e s 4 . Co n di t i o n s t o

DocuSign Envelope ID: 984E2611-7C6C-41FE-99FF-686DC67E1700

Page 14: A ddi t i o n a l i n f o r ma t i o n r e l e v a n t t o t h e r e qu e s t e d v … · 2020-06-02 · 3 . L o ca l co n t a i n me n t me a s u r e s 4 . Co n di t i o n s t o

DocuSign Envelope ID: 984E2611-7C6C-41FE-99FF-686DC67E1700

Page 15: A ddi t i o n a l i n f o r ma t i o n r e l e v a n t t o t h e r e qu e s t e d v … · 2020-06-02 · 3 . L o ca l co n t a i n me n t me a s u r e s 4 . Co n di t i o n s t o

DocuSign Envelope ID: 984E2611-7C6C-41FE-99FF-686DC67E1700

Page 16: A ddi t i o n a l i n f o r ma t i o n r e l e v a n t t o t h e r e qu e s t e d v … · 2020-06-02 · 3 . L o ca l co n t a i n me n t me a s u r e s 4 . Co n di t i o n s t o

DocuSign Envelope ID: 984E2611-7C6C-41FE-99FF-686DC67E1700

Page 17: A ddi t i o n a l i n f o r ma t i o n r e l e v a n t t o t h e r e qu e s t e d v … · 2020-06-02 · 3 . L o ca l co n t a i n me n t me a s u r e s 4 . Co n di t i o n s t o

DocuSign Envelope ID: 984E2611-7C6C-41FE-99FF-686DC67E1700

Page 18: A ddi t i o n a l i n f o r ma t i o n r e l e v a n t t o t h e r e qu e s t e d v … · 2020-06-02 · 3 . L o ca l co n t a i n me n t me a s u r e s 4 . Co n di t i o n s t o

DocuSign Envelope ID: 984E2611-7C6C-41FE-99FF-686DC67E1700

Page 19: A ddi t i o n a l i n f o r ma t i o n r e l e v a n t t o t h e r e qu e s t e d v … · 2020-06-02 · 3 . L o ca l co n t a i n me n t me a s u r e s 4 . Co n di t i o n s t o

DocuSign Envelope ID: 984E2611-7C6C-41FE-99FF-686DC67E1700

Page 20: A ddi t i o n a l i n f o r ma t i o n r e l e v a n t t o t h e r e qu e s t e d v … · 2020-06-02 · 3 . L o ca l co n t a i n me n t me a s u r e s 4 . Co n di t i o n s t o

DocuSign Envelope ID: 984E2611-7C6C-41FE-99FF-686DC67E1700

Page 21: A ddi t i o n a l i n f o r ma t i o n r e l e v a n t t o t h e r e qu e s t e d v … · 2020-06-02 · 3 . L o ca l co n t a i n me n t me a s u r e s 4 . Co n di t i o n s t o

DocuSign Envelope ID: 984E2611-7C6C-41FE-99FF-686DC67E1700

Page 22: A ddi t i o n a l i n f o r ma t i o n r e l e v a n t t o t h e r e qu e s t e d v … · 2020-06-02 · 3 . L o ca l co n t a i n me n t me a s u r e s 4 . Co n di t i o n s t o

DocuSign Envelope ID: 984E2611-7C6C-41FE-99FF-686DC67E1700

Page 23: A ddi t i o n a l i n f o r ma t i o n r e l e v a n t t o t h e r e qu e s t e d v … · 2020-06-02 · 3 . L o ca l co n t a i n me n t me a s u r e s 4 . Co n di t i o n s t o

DocuSign Envelope ID: 984E2611-7C6C-41FE-99FF-686DC67E1700

Page 24: A ddi t i o n a l i n f o r ma t i o n r e l e v a n t t o t h e r e qu e s t e d v … · 2020-06-02 · 3 . L o ca l co n t a i n me n t me a s u r e s 4 . Co n di t i o n s t o

DocuSign Envelope ID: 984E2611-7C6C-41FE-99FF-686DC67E1700

Page 25: A ddi t i o n a l i n f o r ma t i o n r e l e v a n t t o t h e r e qu e s t e d v … · 2020-06-02 · 3 . L o ca l co n t a i n me n t me a s u r e s 4 . Co n di t i o n s t o

DocuSign Envelope ID: 984E2611-7C6C-41FE-99FF-686DC67E1700

Page 26: A ddi t i o n a l i n f o r ma t i o n r e l e v a n t t o t h e r e qu e s t e d v … · 2020-06-02 · 3 . L o ca l co n t a i n me n t me a s u r e s 4 . Co n di t i o n s t o

DocuSign Envelope ID: 984E2611-7C6C-41FE-99FF-686DC67E1700

Page 27: A ddi t i o n a l i n f o r ma t i o n r e l e v a n t t o t h e r e qu e s t e d v … · 2020-06-02 · 3 . L o ca l co n t a i n me n t me a s u r e s 4 . Co n di t i o n s t o

DocuSign Envelope ID: 984E2611-7C6C-41FE-99FF-686DC67E1700

Page 28: A ddi t i o n a l i n f o r ma t i o n r e l e v a n t t o t h e r e qu e s t e d v … · 2020-06-02 · 3 . L o ca l co n t a i n me n t me a s u r e s 4 . Co n di t i o n s t o

DocuSign Envelope ID: 984E2611-7C6C-41FE-99FF-686DC67E1700

Page 29: A ddi t i o n a l i n f o r ma t i o n r e l e v a n t t o t h e r e qu e s t e d v … · 2020-06-02 · 3 . L o ca l co n t a i n me n t me a s u r e s 4 . Co n di t i o n s t o

DocuSign Envelope ID: 984E2611-7C6C-41FE-99FF-686DC67E1700

Page 30: A ddi t i o n a l i n f o r ma t i o n r e l e v a n t t o t h e r e qu e s t e d v … · 2020-06-02 · 3 . L o ca l co n t a i n me n t me a s u r e s 4 . Co n di t i o n s t o

DocuSign Envelope ID: 984E2611-7C6C-41FE-99FF-686DC67E1700

Page 31: A ddi t i o n a l i n f o r ma t i o n r e l e v a n t t o t h e r e qu e s t e d v … · 2020-06-02 · 3 . L o ca l co n t a i n me n t me a s u r e s 4 . Co n di t i o n s t o

DocuSign Envelope ID: 984E2611-7C6C-41FE-99FF-686DC67E1700

Page 32: A ddi t i o n a l i n f o r ma t i o n r e l e v a n t t o t h e r e qu e s t e d v … · 2020-06-02 · 3 . L o ca l co n t a i n me n t me a s u r e s 4 . Co n di t i o n s t o

DocuSign Envelope ID: 984E2611-7C6C-41FE-99FF-686DC67E1700

Page 33: A ddi t i o n a l i n f o r ma t i o n r e l e v a n t t o t h e r e qu e s t e d v … · 2020-06-02 · 3 . L o ca l co n t a i n me n t me a s u r e s 4 . Co n di t i o n s t o

DocuSign Envelope ID: 984E2611-7C6C-41FE-99FF-686DC67E1700

Page 34: A ddi t i o n a l i n f o r ma t i o n r e l e v a n t t o t h e r e qu e s t e d v … · 2020-06-02 · 3 . L o ca l co n t a i n me n t me a s u r e s 4 . Co n di t i o n s t o

DocuSign Envelope ID: 984E2611-7C6C-41FE-99FF-686DC67E1700

Page 35: A ddi t i o n a l i n f o r ma t i o n r e l e v a n t t o t h e r e qu e s t e d v … · 2020-06-02 · 3 . L o ca l co n t a i n me n t me a s u r e s 4 . Co n di t i o n s t o

DocuSign Envelope ID: 984E2611-7C6C-41FE-99FF-686DC67E1700

Page 36: A ddi t i o n a l i n f o r ma t i o n r e l e v a n t t o t h e r e qu e s t e d v … · 2020-06-02 · 3 . L o ca l co n t a i n me n t me a s u r e s 4 . Co n di t i o n s t o

DocuSign Envelope ID: 984E2611-7C6C-41FE-99FF-686DC67E1700

Page 37: A ddi t i o n a l i n f o r ma t i o n r e l e v a n t t o t h e r e qu e s t e d v … · 2020-06-02 · 3 . L o ca l co n t a i n me n t me a s u r e s 4 . Co n di t i o n s t o

DocuSign Envelope ID: 984E2611-7C6C-41FE-99FF-686DC67E1700

Page 38: A ddi t i o n a l i n f o r ma t i o n r e l e v a n t t o t h e r e qu e s t e d v … · 2020-06-02 · 3 . L o ca l co n t a i n me n t me a s u r e s 4 . Co n di t i o n s t o

DocuSign Envelope ID: 984E2611-7C6C-41FE-99FF-686DC67E1700

Page 39: A ddi t i o n a l i n f o r ma t i o n r e l e v a n t t o t h e r e qu e s t e d v … · 2020-06-02 · 3 . L o ca l co n t a i n me n t me a s u r e s 4 . Co n di t i o n s t o

DocuSign Envelope ID: 984E2611-7C6C-41FE-99FF-686DC67E1700

Page 40: A ddi t i o n a l i n f o r ma t i o n r e l e v a n t t o t h e r e qu e s t e d v … · 2020-06-02 · 3 . L o ca l co n t a i n me n t me a s u r e s 4 . Co n di t i o n s t o

DocuSign Envelope ID: 984E2611-7C6C-41FE-99FF-686DC67E1700

Page 41: A ddi t i o n a l i n f o r ma t i o n r e l e v a n t t o t h e r e qu e s t e d v … · 2020-06-02 · 3 . L o ca l co n t a i n me n t me a s u r e s 4 . Co n di t i o n s t o

DocuSign Envelope ID: 984E2611-7C6C-41FE-99FF-686DC67E1700

Page 42: A ddi t i o n a l i n f o r ma t i o n r e l e v a n t t o t h e r e qu e s t e d v … · 2020-06-02 · 3 . L o ca l co n t a i n me n t me a s u r e s 4 . Co n di t i o n s t o

DocuSign Envelope ID: 984E2611-7C6C-41FE-99FF-686DC67E1700

Page 43: A ddi t i o n a l i n f o r ma t i o n r e l e v a n t t o t h e r e qu e s t e d v … · 2020-06-02 · 3 . L o ca l co n t a i n me n t me a s u r e s 4 . Co n di t i o n s t o

DocuSign Envelope ID: 984E2611-7C6C-41FE-99FF-686DC67E1700

Page 44: A ddi t i o n a l i n f o r ma t i o n r e l e v a n t t o t h e r e qu e s t e d v … · 2020-06-02 · 3 . L o ca l co n t a i n me n t me a s u r e s 4 . Co n di t i o n s t o

DocuSign Envelope ID: 984E2611-7C6C-41FE-99FF-686DC67E1700

Page 45: A ddi t i o n a l i n f o r ma t i o n r e l e v a n t t o t h e r e qu e s t e d v … · 2020-06-02 · 3 . L o ca l co n t a i n me n t me a s u r e s 4 . Co n di t i o n s t o

DocuSign Envelope ID: 984E2611-7C6C-41FE-99FF-686DC67E1700

Page 46: A ddi t i o n a l i n f o r ma t i o n r e l e v a n t t o t h e r e qu e s t e d v … · 2020-06-02 · 3 . L o ca l co n t a i n me n t me a s u r e s 4 . Co n di t i o n s t o

DocuSign Envelope ID: 984E2611-7C6C-41FE-99FF-686DC67E1700

Page 47: A ddi t i o n a l i n f o r ma t i o n r e l e v a n t t o t h e r e qu e s t e d v … · 2020-06-02 · 3 . L o ca l co n t a i n me n t me a s u r e s 4 . Co n di t i o n s t o

DocuSign Envelope ID: 984E2611-7C6C-41FE-99FF-686DC67E1700

Page 48: A ddi t i o n a l i n f o r ma t i o n r e l e v a n t t o t h e r e qu e s t e d v … · 2020-06-02 · 3 . L o ca l co n t a i n me n t me a s u r e s 4 . Co n di t i o n s t o

DocuSign Envelope ID: 984E2611-7C6C-41FE-99FF-686DC67E1700

Page 49: A ddi t i o n a l i n f o r ma t i o n r e l e v a n t t o t h e r e qu e s t e d v … · 2020-06-02 · 3 . L o ca l co n t a i n me n t me a s u r e s 4 . Co n di t i o n s t o

DocuSign Envelope ID: 984E2611-7C6C-41FE-99FF-686DC67E1700

Page 50: A ddi t i o n a l i n f o r ma t i o n r e l e v a n t t o t h e r e qu e s t e d v … · 2020-06-02 · 3 . L o ca l co n t a i n me n t me a s u r e s 4 . Co n di t i o n s t o

DocuSign Envelope ID: 984E2611-7C6C-41FE-99FF-686DC67E1700