HomeMy WebLinkAboutbocc.con.127.2010CLERK'S CHECK LIST
FOR CONTRACTS SUBMITTED TO CLERK AND RECORDER FOR SCANNING/ARCHIVING
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ORIGINATING DEPARTMENT/DIVISION: Library
CONTACT PERSON: Susan Keenan PHONE #: 429-1925
PROJECT NAME: Children's Summer Programs 2010
^ BOCC AGENDA ITEM ®STAFF AUTHORIZED SIGNATURE
(Requires BOCCI' Signature) (per Revised Procurement Code 7/2005)
^ Over 550,000 (Requires County iVlanager's Signature)
/ CHECK PROCUREMENT TYPE:
^None ®Informal ^Formal ^Sole Source ^Emergency ^State Bid ^
^Compliance with House Bills 06-1343 and 07-1073 -Immigration Form (Under $10,000, Letters of Engagement,
:.,.
' DC)LLAR A~'IOIINT: $460.00 BCiDGET LINE ITEM/LEDGER NLr11'IBE12: 16662-00000-82008
/ CHECK CONTRACT TYPE:
®Services/Maintenance
^License/LTse
^Lease
^Construction
^Goods, Equipment, Supplies
^Other (e.g. revenue)
^Employment (for county employees)
^Intergovernmental Agreement (Requires E3C}CC Action.)
^Non-Profit
^Quasi-Public
^Grant Agreements (R.equires BOCC Action)
^Change Order/Contract Amendment
CONTRACTOR: Jessica Glick COMPLETE LEGAL OF NAME OF BUSINESS (if different from contractor)
Denver Zoo
Contract Execution Date:05/10/10 Contract End Date: 07/19/10
Automatic Renewal: ^Yes ®No Term of Contract: n/a
~~
STOP
~~ All Contracts should be proofed for the following:
/ ^No Pages Missing 3
/ ^If a Page is Left Intentionally Blank -Note on Page
/ ^Page numbered consecutively 1
/ ^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 Award/Notice to Proceed Attached (if applicable)
/ ^Wan anty (if applicable)
/ ^Special Instructions for Finance Department:
/ ^Sent to Clerk and Recorder for Scanning/Archiving
/ ^Authorized Staff Person's Name:
BY C'HECIIING ABOVF, AND ENTERING N.Ai11::E, THE AUTHORI7ED STAFF PF.,RSON INDICATES T}lA7'
'1 HE A`TTAC'HED DOC'C~:t1ENT HAS BEEN 1'I200FED AND READY FOR SCANNING.
NOTE: CLERK'S OFFICE WILL KEEP ORIGINAL DOCUMENTS IN COMPLIANCE WITH COLORADO STATE
ARCHIVES RETAINAGE SCHEDULE.
LETTER OF ENGAGEMENT
April 13, 2010
Jessica Glick
Outreach Logistics Specialist
Denver Zoo
2300 Steele Street
Denver, CO 80205
Re: Summer Children's Program
Dear Jessica:
The purpose of this letter is to summarize the pertinent terms of Pitkin County's
arrangement with you to provide the specified services enumerated in the following
paragraph. The County's obligation under the Workers' Compensation Statute requires
Pitkin County and you to formalize the terms of this engagement in writing.
The Denver Zoo Outreach staff will bring Denver Zoo's "Wetlands,
Rainforest, and Amphibians" assembly for children grades K-6 t_ o the Pitkinv ~_ ~ ~ ~~~ ~~,~
S ~~,~ County Library on Monday, July 19 at 2:00 p.m. They will arnve at lat least 30
--rhtS ~ a,~Ll~ minutes in advance. The program will last approximately one hours-' ~~~~~ ~~~~
y,np-e. ~ pro ram cost is 0.00. The travel costs are $220.00. A c ec fort e
~, , ,,~ O~ amount of $520.00 will be issued and paid at the time o t e ev ~ \`D~'"-' ~S~'~k ~~
~~~ ~ , s a e ours. ~ W ~iS~tl~'
.~ `~~ Al other expenses y ~ `~1oD .~}-~
~ 3~5~~ ~,,~~~
~~,~'1t is ~u~ually agreed that the County does not have an exclusive right to your services
and it is contemplated that you may provide similar work to other businesses,
governments and non-profit organizations. You acknowledge that the work performed
for Pitkin County will be that of an independent contractor and that no employee-
employer relationship is created. You have full control over how the services are
performed and it is expected that work will be conducted in accordance with industry
standards by applying professional judgment. The County will provide, if necessary,
documents and information to complete the work described in the preceding paragraph.
The County representative signing this letter is available to you to discuss any details
related to this engagement. You acknowledge and agree that you shall not be entitled
to workers' compensation benefits in connection with this project and that you shall
be responsible for the payment of all state and federal income taxes.
If you are in agreement with the terms of this letter, please sign below and return a copy
to us for our files. We appreciate the opportunity of working with you.
Sincerely, ~ /I~~ %~'~~
C ~U
~~ ~d
Susan Keenan 1~
Children's Services Librarian
AGREED:
~~a3 j»
Jessi Glick Date
Denver Zoo Community Outreach
PROGRAM CONFIRMATION & INVOICE
Please confirm that the following information is accurate and familiarize yourself with the accompanying
program policies sheet. Visit our website at www.denverzoo.orgloutreach.
Organization Pitkin County Library
Contact Susan Keenan
Program Address 120 N. Mill Street Aspen, CO 81611
Program Date: Monday 7/19/2010
Times: 2:00 PM
Program: Custom Assembly S ~ -~ d S
Total Audience: 200
Age Group: K - 8th grade
CHARGE S
Description Cost
1 Custom Assembly --~ 5fl S ~ ~.~- $ 400.00
Travel Costs -'~ ~~D~' ~-~ ~ v~ ~{,~, ~t$Ct,,l-~' $ 220.00
TOTAL AMOUNT DUE: 460.00
* Denver Zoo Outreach reserves the right to reschedule or cancel a program at any time.
* A cancellation fee of 50% the total program cost will be applied to any cancellations made with less than two
weeks notice. Zoo scholarship funding will not be applied to such fees.
* Payment is due at time of service.
y'nu may''confacf crs at ~03,378.~734 or autreach~denverzoo.org wlfli ariy quesflons ar changes
Please remit payment with this section
Program Date: Monday 7/19/2010 Custom Assembly
Organization/School: Pitkin County Library
Price: 460.00
Circle Method of Payment: Cash Check Visa
Credit Card Number:
Authorized Signature:
Amount to be Charged:
Expiration:
Make checks payable to Denver Zoological Foundation -Outreach
Send payments to: Denver Zoo, Outreach Coordinator, 2300 Steele Street, Denver, CO 80205
Master Card American Express
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