HomeMy WebLinkAboutbocc.con.303.2008/170.2006 CLERK'S CHECK LIST
FOR CONTRACTS SUBMTTTED TO CLERK AND RECORDER FOR SCANNING/ARCHIVING
CONTRACT
303. ~oos~7o . 2os ~
ORIGINATING DEPARTMENT/DIVISION: OST '
CONTACT PERSON: Gary Tennenbaum PHONE 920-5355 a ~ti6~,vat
PROJECT NAME: Crystal River Design and Engineering _ C~w•rRacr : i 70 , Z QD
? BOCC AGENDA ITEM ?STAFF AUTHORIZED SIGNATURE
(Requires BOCC Signature) (per Revised Procurement Code 7/2005)
? Over $50,000 (Requires County Manager's Signature)
? CHECK PROCUREMENT TYPE•
?None ?Informal ®Fonnal ?Sole Source ?Emergency ?State Bid ?
?Compliance with House Bills 06-1343 and 07-1073 - Inunigration Form (Under $10,000, Letters of Engagement, etc
DOLLAR AMOUNT: BUDGET LINE ITEM/LEDGER NUMBER:
? CHECK CONTRACT TYPE:
?Services/Maintenance ?Employment (for county employees)
?License/Use ?Intergovemmental Agreement (Requires BOCC Action)
?Lease ?Non-Profit
?Construction ?Quasi-Public
?Goods, Equipment, Supplies ?Grant Agreements (Requires BOCC Action)
?Other (e.g. revenue) ®Change Order/Contract Amendment
CONTRACTOR: JR Engine~n$ COMPLETE LEGAL OF NAME OF BUSINESS (if different from contractor)
9// 7/08"
Contract Execution Date:9L28f296f Contract End Date: 12-31-2008
Automatic Renewal: ?Yes ®No Term of Contract:
All Contracts should be proofed for the following:
? ®No Pages Missing
? ?If a Page is Left Intentionally Blank -Note on Page
? ?Page numbered consecutively
? ®All Signatures Affixed
? ?All Dates Filled In
? ?All Other Blanks Filled In
? ?All Exhibits Attached
? ?HB 06-1343 and 07-1073 (Immigration Legislation) Included in RFP and/or Contract
? ?All Legal Descriptions Attached (if applicable)
? ?Notice of Awazd/Notice to Proceed Attached (if applicable)
? ?Warranty (if applicable)
? ?Special Instructions for Finance Department:
? ?Sent to Clerk and Recorder for Scanning/Archiving
? ®Authorized Staff Person's Name: Gary Tennenbaum
BY CHECKING ABOVE AND ENTERING NAME, THE AUTHORIZED STAFF PERSON INDICATES THAT
THE ATTACHED DOCUMENT HAS BEEN PROOFED AND READY FOR SCANNING.
NOTE: CLERK'S OFFICE WILL KEEP ORIGINAL DOCUMENTS IN COMPLIANCE WITH COLORADO STATE ~
ARCHNES RETAINAGE SCHEDULE. ~h V
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MINOR SERVICES CONTRACT / R ENGINEERING
ADDITIONAL SERVICES REQUEST "J J
(970)491.9888 ~ (970)491-9984 fax
Date: Se terxber 17. 2008
Company Name: Pitkin Coantr
Attention: Gnn~ Tennenbaraa
Fax No : 970-920-5374 / 970-927-0196
From: Mlcbrre! Brake
Per your request, please acknowledge the following agreement:
JR Engineering Project No.: 39537.00 Original Contract $109,950.0
Prior Service Request $5,000.0
Revised Contact Amount 5182,180.0
Project Name: Crystal Valley Trail This Service Request $4,756.0
New Contract Amount 5186,936.0
Change Order #1a Revised hrigation and Trail Easements
Estimated Fee: 54,756.00
Description of Service: Revised existing drainage and trail easements due to the establishment of the right of way
boundaries. Original easements were written assuming that the fence line was the established boundary line per
prior discussion with staff.
Please verify the Sco and fax back a copy with your signature.
Sincer
la~sl~~
roe ,t anager ate Client Signature Date
1
Note: The services listed above are subject to the standard terms and conditions of the JR Engineering Professional
Services Agreement, or the existing project contract.
The information contained in this facsimile is confidential and intended only for the use of the individual or
entity to whom this cover sheet is addressed. If the reader of this message is not the intended recipient or
the employee or agent responsible to deliver it to the intended recipient, you are hereby notified that use.
dissemination, distributions or copying of this conununication is strictly prohibited. if you have received
this communication in error, please immediately notify the transmitter by telephone.
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