HomeMy WebLinkAboutbocc.con.078.2008A CLERK'S CHECK LIST
FOR CONTRACTS SUBMITTED TO CLERK AND RECORDER FOR SCANNING/ARCHIVING
CONTRACT 4 ~ ~ oo ~
ORIGINATING DEPARTMENT/DIVISION: ~r s
CONTACT PERSON: ~N G, l~Co~;~,,~ PHONE o ~ ~3
PROJECT NAME: -
? 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:
[QNone ?Informal ?Formal ?Sole Source ?Emergency ?State Bid ?
?Compliance with House Bills 06-1343 and 07-1073 -Immigration Form (Under $10,000, Letters of Engagement, etc
DOLLAR AMOUNT: ~i ICU BUDGET LINE ITEM/LEDGER NUMBER: ODOt~D , S t 7
? HECK CONTRACT TYPE: ~
ervices/Maintenance ?Employment (for county employees)
?License/Use ?Intergovernmental Agreement (Requires BOCC Action}
?Lease ?Non-Profit
?Construction ?Quasi-Public
?Goods, Equipment, Supplies rant Agreements (Requires BOCC Action)
?Other (e.g. revenue) Change Order/Contract Amendment
CONTRACTOR: COMPLETE LEGAL OF NAME OF BUSINESS (if different from contractor)
Contract Execution Daterl~ ~e<«`~on~ract End Date: ' ~''d
Automatic Renewal: Yes ?No Term of Contract: ~et~~ ~ S~~'s
ST
~ All Contracts ould be proofed for the following:
? o Pages Missing
? f a Page is Left Intentionally Blank -Note on Page
? age numbered consecutively
? 1 Signatures Affixed
? ~ All Dates Filled In
? [All Other Blanks Filled In
? [All Exhibits Attached
N 1~ ? ?HB 06-1343 and 07-1073 (Immigration Legislation) Included in RFP and/or Contract
?All Legal Descriptions Attached (if applicable)
?Notice of Award/Notice to Proceed Attached (if applicable)
l~? ?Warranty (if applicable)
?S ecial Instructions for Finance Department: 'j,
? [ ~ ent to Clerk and Recorder for Scanning/Archiving
? ?Authorized Staff Person's Name:
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
ARCHIVES RETAINAGE SCHEDULE.
AMENDED 04/23/08
It ~
Ol1Ilty FM I TV Translator Department
CONTRACT # o ? aoo ~
January 27, 2009
DBS Helicopters
375 County Road 352, Building 3060
Rifle Co. 81650
RE: Contract Renewal # 78-2008
Dear Mr. Doug Sheffer
- Pitkin County hereby authorized the renewal of contract Number 78-2008 with
DBS Helicopters for a period of up to 5 years with a annual written consent.
All rates will remain the same for the year 2009
Any changes in rates thereafter will be by an addendum. ~
Thank you
By Ga~.~ Date: ' /'a ~
Dan Chicoine
Communication Site Manager
B Date
Doug Sheffer
Owner
~ S
100 Elk Run Drive, Suite 124 (970) 927-6813
Basalt, Colorado 81621 fax 927-6814
www.pitkingov.com
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