HomeMy WebLinkAboutbocc.con.amended.041.2010A�..�..__.
CLERK'S CHECK LIST
FOR CONTRACTS SUBMITTED TO CLERK AND RECORDER FOR
SCANNING/ARCHIVING
CONTRACT #: oai-ZOio-A
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Originating DepartmentlDivision: Health & Human Services ""' '
Contact Person: Mitzi Ledingham
Phone #: 920-5766
Project Name: Healthy Community Fund Grant Programs
❑ BOCC AGENDA ITEM �STAFF AUTHORIZED SIGNATURE
(BOCC signature required) (per Revised Procurement Code 7l2005)
Check procurement type:
�None �Informal QFormal QSole Source QEmergency OState Bid ❑
Check Contract Tvoe:
Dollar Amount: $300
Budget Line Item/Ledger Numher 113.85.00541.82163
(for county employees)
ental Agreement (Requires BOCC Action)
OLease �Non-Profit
❑Construction ❑Quasi-Public
�Goods, Equipment, Supplies ❑Grant Agreements (Requires BOCC Action)
❑Other (e.g. revenue) ❑Change Order/Contract Amendment
ContractorBusiness Complete Legal Name: Aspen High School
Project Graduation
Contract Execution -�f�26�0�' Contract End Date: 12/31/12
Automatic Renewal OZ OQ�2�' E� Term of Contract: 1 extension year of 3
year contract
All Contracts should be proofed for the following:
�No Pages Missing
DIf a Page is Left Intentionally Blank —Note on Page
�Page numbered consecutively
Signatures Affixed
Dates Filled [n
Other Blanks Filled In
Exhibits Attached
2 1�
LJAIl Legal Descriptions Attached (�rap
�Notice of Award/Proceed Attached i�eaPpropriace�
�Special Instructions for Finance Department: see grant payment worksheet
❑Sent to Clerk and Recorder for ScanningfArchiving
�Authorized Staff Person's Name: Mitzi Ledingham
❑Warranty, if applicable
BY CHECHING ABOVE AND ENTERING NAME, THE AUTAORIZED STAFF
PERSON INDICATES THAT DOCUMENT HAS BEEN PROOFED AND READY
FOR SCA�NNING.
Retirement Planning 970 922 -2221
p.1 oy' i Rev 12/10/09 js
Contract # 928 -2010 -A
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N.
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CHANGE ORDER/CONTRACT AMENDMENT
Change Order Number: 1
OWNER: Pitkin County HHS
c/o Mitzi Ledingham
0405 Castle Creek Rd. suite 7
Aspen, CO 81611
CONTRACTOR: Patrice Thomas
Aspen High School Project Graduation
0335 High School Road
Aspen, CO 81611
The 2010 -2012 Aspen Project Graduation partnership grant agreement (the "Agreement") dated
_January 1st. 2010 _ between the Board of County Commissioners of Pitkin County (the "County ") and
Aspen Project Graduation (the "Contractor"), is hereby amended as follows:
Description of Change: continuation of contract terms for 2011 with funding level of $300
Reason for Change: second year of three year partnership agreement
Original Contract Price $ 300
Net Increase/Decrease in Contract Price (this change order) $ same level through Dec 2011
Total Adjusted Contract Price (including this change order) $ same level through Dec 2011
In all other respects the Agreement is in full force and effect and remains unchanged by this
Amendment.
Contractor _ .. \ Date
(./A. Z-1 9 l
Authorized County R resentative Date
1