HomeMy WebLinkAboutbocc.con.amended.034.2010ACLERK'S CHECKLIST
FOR CONTRACTS SUBMTTTED TO CLERK AND RECORDER FOR
SCANNING/ARCHIVING
C�NTRf�CT #: 034-2010-A
�f�yI�N�Y�1ENl �o//�
Originating Department/Division: Health & Human Services
Contact Person: Mitzi L,edingham Ahone #: 920-5766
Project Name: Healthy Community Fund Grant Programs
❑ BOCC AGENDA ITEM �STAFF AUTHORIZED SIGNATURE
(BOCC signamre required) (per Revised Procutement Code 7/2005)
Check procurement type:
�None �Informal �Formal �Sole Source �Emergency ❑State Bid ❑
Check Contract Tvne:
Dollar Amount: $6,000
Budget Line Item/Ledger Number 113.85.00541.82184
{for county employees)
ental Agreement (Requires BOCC Acrion)
on-Profit
o, Equipment, Supplies
(e.g. revenue)
ContractorBusiness
Contract Execution 1/3/2011
Automatic Renewal
Agreements (Requires BOCC Action)
e Order/Contract Amendment
Complete Legal Name: Challenge Aspen
Contract End Date: 12/31/11
Term of Contract: automatic extension of
annual grant
All Contracts should be proofed for the following:
� Pages Missing
a Page is Left Intentionally Blank —Note on Page
ge numbered consecutively
Signatures Affixed
Dates Filled In
Other Blanks Filled In
Exhibits Attached
i �/
�
i '
DAII Legal Descriptions Attached �;fapproP,;ace�
ONotice ofAward/Proceed Attached (tappropr;ace�
�Special Instructions for Finance Department: see grant payment worksheet
�Sent to Clerk and Recorder for Scanning/Archiving
�Authorized StaffPerson's Name: Mitzi Ledingham
❑Warranty, if applicable
BY CHECHING ABOVE AND ENTERING NAME, THE AUTHORIZED STAFF
PERSON INDICATES THAT DOCUMENT HAS BEEN PROOFED AND READY
FOR SCANNING.
Note: Clerk's Office will keep original documents in compliance with Colorado State
Archives retainage schedule.
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Ct-4F-1t:01.39PM:
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Change OrderNumber. 1
g�0-op3-733B
Contract # 0342010 -A
ORDERICONTRACT AMENDMENT
OWNER: Pitkin County HHS
c/o Mitzi I.edingham
04�5 Castle Creek Rd. suite 7
Aspen, CO 81611
CONTRACTOR:
Challenge Aspen
P.O. Box 6639
5nowmass Village, CO 81615
n � � �
Rev 171IOI09js
The 2010 Challenge Aspen grant agreement (the "AgteemenY') dated Januarv IsL 2010 between the
Boazd of County Commissioners of Pitkin County (the "County") aad Challenge Aspen (the
"Contractor"), is hereby amended as follows:
Descrintion of Chanr�e: condnuation of contract terms for 2011 as written at same funding level
Reason for Chanee; additional 12 month extension of 2010 Agreement
Original Contract Price
Net IncreaselDecrease in Contract Price (this change order)
Total Adjusted Contract Price (including this change order)
$ 6.000
$ same level throu�h Dec 2011
$ same level tkuoueh Dec 2011
In all other respects the Agreement is in full force and effect and remains unchanged by this
Amendment.
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Authorized County epresentative
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Date
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