HomeMy WebLinkAboutbocc.con.017.2010ACLERK'S CHECK LIST
FOR CONTRACTS SUBMITTED TO CLERK AND RECORDER FOR SCANNING/ARCHIVING
CONTRACT #: 017-2010A
ORIGINATING DEPARTMENT/DIVISION: Facilities management
CONTACT PERSON: Jodi Smith PHONE #: x5396
PROJECT NAME: Conduit Installation
❑ 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 ❑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: 5,664.25 BUDGET LINE ITEM/LEDGER NUMBER: 00134.92834.66202
✓ CHECK CONTRACT TYPE:
, Equipment, Supplies
(e.g. revenue)
❑Employment (for county employees)
❑Intergovemmental Ageement (Requires BOCC Action)
�Non-Profit
❑Quasi-Public
❑Grant Agreements (Requires BOCC Action)
�Change Order/Contract Amendment
CONTRACTOR: ICM Group, LLC COMPLETE LEGAL OF NAME OF BUSINESS (if different from
coutractor)
Contract Execution Date:6/24/2010
Automatic Renewal: ❑Yes �No
�
Contract End Date: 9/31/10
Term of Contract: 30 days
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
3 °�
�
��
✓�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(ifapplicable)
✓ ❑Special Instructions for Finance DepartmenL•
✓ �Sentto Clerk and Recorderfor Scanning/Archiving
✓�Authorized Staff Person's Name: Jodi Smith
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.
Project Coding 001.34.92834.66202
Original Contract # 17.2010
CHANGE ORDER/CONTRACT AMENDMENT
Change Order Number: 017.2010A
OWNER: Pitkin County Facilities Management
485 Rio Grande Place #101
Aspen CO 81611
CONTRACTOR: ICM Group, LLC
Rev 12/10/09js
T'he Conduit Installation Project (the "AgreemenY') dated 6/24/2010 between the Boazd of County
Commissioners of Pitkin County (the "County") and ICM Group, LLC (the "Contractor"), is hereby
amended as follows:
Descrin6on of Chan�
See attached Change Order dated 8/11/2010
Reason for Chanee
See attached
Original Contract Price
Net Increase in Contract Price (this change order)
Total Adjusted Contract Price (including this change order)
This contract will be extended to September 3Q 2010.
18 000
5 664.25
S 23.664.25
In all other respects the Agreement is in full force and effect and remains unchanged by this
Amendment.
See attached si¢nature and date
ICM Group, LLC Date
�I �i 1( �
Facilities M Date
1
ICM Group, LLC
PO Box 3433
Basatt CO 81621
970-927-7699
License: 5524
To: Pitkin County
485 Rio Grand Place, #101
Aspen CO 81611
The contractor agrees to perform and the owner agrees to
pay for the following changes to this contract.
Ordered By: Customer Order:
Description of Work
Costs for AddYl Work to Run into Courthouse
Exlend Conduit Into Building
Open and Patch Wall for Box in Conference Room
Core 3, 5" holes into Cort House , 18" Deep
Cost Due to Unforseen Conditions
Upsize Conduit, 3" to 4"
Found Old Oil Tank , Old Gas Main
Change Pull Box to Manhole
Ran additional +/_ 100 cf of 4" conduit
Negative changes will lower ihe overall contrad RB uested Amount of Chan B
price requiring no additional payment by owner. 4 9
The original Contract Sum was .....................................................................................
Net change by previous Change Orders ........................................................
The Contract Sum prior to this Change Order ....................................
The Contract Sum will be changed by this Change Order ,,
The new Contract Sum including this Change Order will be
The Contract Time will be changed by ..............................................................
Owner:
Amount
4,000.00
1,664.25
5,664.25
18,000.00
0.00
18,000.00
5,66425
23, 664.25
0 Days
Date:
Date: l
Change Order
Order#: 1
Order Date: 08/11/2010
Project: 87
Conduit Installation
485 Rio Grand Place #101
Aspen CO 81611
Plans Attached �
Specifications Attached ❑
r1