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bocc.con.amended.013.2009A
CLERK'S CHECK LIST FOR CONTRACTS SUBMITTED TO CLERK AND RECORDER FOR SCANNINGIARCHIVING CONTRACT #: 13-2009-A ~.?o~p) ORIGINATING DEPARTMENT/DIVISION: Health and Human Sexvices CONTACT PERSON: Mitzi Ledingham PHONE #: 970-920-5766 PROJECT NAME: Healthy Community Fund Grant Programs ^ 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 DInformal ~Formal ~Sole Source ~Emergency OState Bid ^ ^Compliance with House Bills 06-1343 and 07-1073 - Immigration Form (Under $10,000, Letters of Engagement, etc DOLLAR AMOUNT: $10,500 BUDGET LINE ITEM/LEDGER NUMBER: / CHECK CONTRACT TYPE: ^Services/Maintenance ^Employment (for county employees) ^LicenselUse ^Intergovernmental 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: COMPLETE LEGAL OF NAME OF BUSINESS (if different from contractor) Roaring Fork Valley Early Learning Fund Contract Execution Date:12/31/07 Contract End Date: 12/31/2010 Automatic Renewal: ^Yes []No Term of Contract: contract amendment; Last year of 3 year parinership . ~;, ., ~EIlilEP 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 ~4ttached (if applicable) / ~Notice of Award/Notice to Proceed Attached (if applicable) / ^Warranty (if applicable) /~Special Instructions for Finance Department: see grant payment worksheet /~Sent to Clerk and Recorder for Scanning/Archiving /~Authorized Staff Person's Name: Mitzi Ledingham BY CHECKING ABOVE AND ENTERING NAME, THE AUTHORIZED STAFF PERSON INDICATES THAT THE ATTACHED DOCUMENT HAS BEEN PROOFED AND READY FOR SCAN1vING. n . C:han~e ()rder Nurrik}er: 1 l~WNI::R: Pitkin C~~urYty HI-~S c/o Mit~i T_:tdin~h~~m C)4C-5 t'astl~ Creek I~td. suiie 7 Aspen, C~ 816 ~ 1 . C;ol~tract# U13-~009-A ~:'ON'1'FZ~C'T(~F.: Rick Blauvelt Lx~;culive :L7irectar. Rc~r~.rir-g Fork Va11ey E~u•ly L,e~trxun~ F`L~t7d 1~849 Mc~untain Lat~rell)rive n~}~en, CC1 81fi11 kev 12r 10/09 _js ~l~e ~(~)08-2f~10 Raaring liork Va11ey Early Le,~arnin~Z Fund ~~~rtnersh.ip gt~.nt a~;r~en~ent (the "Elgreemen.t"~ clatecl __3anuarv. lst. 2048 _.. UeC~~een the I3vard. of C4)L1t1tS' COI~SlCL11S51C3ft~t'S bf ~ltl{.111 GUEISILV (the "C~oun.ty"') anct Roaring For~: Valley E~.rly I..e~zi°nin~; ~'ttrid, (the C'c~ntra.ctc~r"), is he:reby ame:nd~d ~is fi~Ilow~: I?c~scri li<»i. crEC:han,~;e: cc~ntir.-uati~n c~f contr~tct terms fc~r 201C1 as written at same fundi.n~ :levcl. I~easan ~or C~'.}~an,~e;_ last year oi'three ~~ear partncrshi.p agreement ().ri~in~tl. C`,ontrac;t Price ;6 10 5(~Cf ~ Net fnc;reasell(~ec:re::~se in C'ontract Price (th~s cli~ui~;e cyrcle.r) $ s~.tne le~_ellhruu~h Dec ~,01() 'I'c~tal ~djusr.ed C'ontract Price (i.ncluding ttus c~~n~,e or.cir;r j $ saixxe lev~l throug~~ D~~; ?(? 1(.) _ Iza all c~th~r resp~cts the A.greement is ut fu11 torce ~.-n~l. e~~ect ar~d re;n~~ins unch3ngc.cl hy tllis Ainencin~ei~t. C: antractar L?ate `~ ' ~ -> ,~,,; : ~~.r'_ .~~, y,: I)ate z( ~ ~ ~~~ , .,, ,:....~..,,_. ,~. -•. -~ „ ,.....~ `t_"•::ti"'c..~ ::%"' _..._~_.__ At~thorizeci Caunty ~epresentative ~~~ - ~~--~ ~~ ~~~2~~.~ ~ ~ C:~-i~-,NGE URT]-~R/C'C)NI'It~,CT.AM~I~UMEI'~'T