HomeMy WebLinkAboutbocc.con.amended.037.2010ACLERK'S CHECKLIST
FOR CONTRACTS SUBMITTED TO CLERK AND RECORDER FOR
SCANNING/ARCHIVING
CONTRACT #: o3�-ZOio-a
Originating Department/Division: Health & Human Services
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Contact Person: Mitzi Ledingham Phone #: 920-5766
Project Name: Healthy Community Fund Grant Programs
❑ BOCC AGENDA ITEM �STAFF AUTHORIZED SIGNATURE
(BOCC sig�ature required) (per Revised Procurement Code 7/2005)
Check procurement type:
�None �Informal QFormal �Sole Source QEmergency QState Bid ❑
Check Contract Tvne:
Dollar Amount: $21,000
Budget Line Item/Ledger Number 113.85.00541.82180
(for county employees}
enTal Agreement (Requires BOCC Action)
on-Profit
�, Equipment, Supplies
(e.g. revenue)
ContractorBusiness
Television
Contract Execution
Automatic Renewal Z <j' //
Agreements (Requires BOCC Action)
;e Order/Contract Amendment
Complete Legal Name: Grassroots Community
Contract End Date: 12/31/12
Term of Contract: l extension year of 3
year grant
All Contracts should be proofed for the following:
�No Pages Missing
�If a Page is Left Intentionally Blank —Note on Page
�Page numbered consecutively
Signatures Affixed
Dates Filled In
Other Blanks Filled In
Exhibits Attached
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Legal Descriptions Attached ��taPproPriace�
ice of Awazd/Proceed Attached (fappropriate)
�cial Instructions for Finance Department: see grant payment warksheet
t to Clerk and Recorder for Scanning/Archiving
horized Staff Person's Name: Mitzi Ledingham
UWarranty, if applicable
BY CHECHING ABOVE AND ENTERING NAME, THE AUTHORIZED STAFF
PERSON INDICATES THAT DOCUMENT HAS BEEN PROOFED ANb READY
FOR SCANNING.
Contract # 037-2010 -A
Change Order Number: 1
OWNER: Pitkin County HHS
c/o Mitzi Ledingham
0405 Castle Creek Rd. suite 7
Aspen, CO 81611
CONTRACTOR:
GRASSROOTSTV
110 E. Hallam, Suite 132
Aspen, CO 81611
Rev 12/10/09js
The 2010-2012 GRASSROOTS TV partnership grant agreement (the "AgreemenY') dated Januarv lst.
2010 between the Board of County Commissioners of Pitkin County (the "County") and
GRASSROOTS TV (the "Contractor"), is hereby amended as follows:
Descrintion of Chanee: continuation of contract terms for 2011 with funding level of $ 21,000
Reason for Chanee: second year of three year partnership agreement
Original Contract Price
Net Increase/Decrease in Contract Price (this change order)
Total Adjusted Contract Price (including this change order)
$ 21.000
$ same level throueh Dec 2011
$ same level throueh Dec 2011
In a11 other respects the Agreement is in full force and effect and remains unchanged by this
Amendment. ^
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�Date
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Date
1
CHANGE ORDER/CONTRACT AMENDMENT