HomeMy WebLinkAboutbocc.con.amended.057.2010ACLERK'S CHECKLIST
FOR CONTRACTS SUBMITTED TO CLERK AND RECORDER FOR
SCANNING/ARCffiVING
CONTRACT #: o �-zo�o-a � / l
n ���i7'I� C � � �/
Originating Deparhnent/Division: Health & Human Se ces
Contact Person: Mitzi Ledingham Phone #: 920-5766
Project Name: Healthy Community Fund Grant Programs
❑ BOCC AGENDA ITEM �STAFF AUTHOR�ZED SIGNATURE
(BOCC signature required) (per Revised Procurement Code 7/2005)
Check procurement type:
�None DInformai �Formal ❑Sole Source DEmergency OState Bid ❑
Check Contract Twe:
Dollar Amount: $13,650
Budget Line Item/Ledger Number 113.85.00000.84051
(for county employees)
ental Agreement (Requires BOCC Action)
, Equipment, Supplies
(e.g. revenue)
ContractorBusiness
Western Slope
Contract Execution -tf
Automatic Renewal Z�9 l/
Agreements (Requires BOCC Action)
�e Order/Contract Amendment
Complete Legal Name: Catholic Charities--
Contract End Date: 12/31/IZ
Term of Contract: 1 extension yeaz of 3
year contract
All Contracts shouid be proofed for the following:
� Pages Missing
a Page is Left Intentionally Blank —Note on Page � ,� �p 0�
�ge numbered consecutively h � ���U��
Il Signatures Affixed 0
Il Dates Filled In
Other Blanks Filled In
Exhibits Attached
UAII Legal Descriptions Attached ��eapp�opnace�
QNotice of Award/Proceed Attached (irapp�opriaze)
�Special Instructions for Finance Department: see grant payment worksheet
❑Sent to Clerk and Recorder for Scanning/Archiving
�Authorized Staff Person's Name: Mitzi Ledingham
❑Warranty, if applicable
BY CHECKING ABOVE AND ENTERING NAME, THE AUTHORIZED STAFF
PERSON INDICATES THAT DOCUMENT HAS BEEN PROOFED AND READY
FOR SCANNING.
Contract # 057-2010 -A
Change Order Number: 1
Date: January 2, 2011
OWNER: Pitkin County HHS
c/o Mitzi Ledingham
0405 Castle Creek I2d. Suite 7
Aspen, CO 81611
CONTRAC"1'OR: Catholic Charities-Western Slopc
1004 Grand Avenuc
Glenwood Springs, CO 81601
Arin: Director Marian McDonough
Rev 1?/IU/091s
The 2010-2012 Alpine Legal Services parincrship grant agreement (the "Agmement") dated Januar�-
Ist. 2010 between the Board of County Commissioners of Pitkin County (the "County") and Catholic
Charities (the "Contractor"), is hereby amendcd as follows:
Descrintion of Chan�e: continuation of contract tcrms lor 2011 as written at same runding Icvel
Reason for Chan¢e; second year oY three year partnership agreetnent
Origina] Contract Price
Net Increase/Decrease in Contract Price (this changc order)
Total Adjusted Contract Price (including this change order)
$ 13.650
$ same level throuah Dec 2011
$ same level throueh Dec 201 1
In all other respe s the Agreement is in full force and efiect and remains unchanged by this
Amendment.
�`
� fj"("ff6Li f /dN2ifr'Ert f �iM/na.f/.%`y
�Y�6�s <��.�,�fo S� s c n��
Contractor
,
�jJ��
Authorized County epresentative
/` `� le � � o �<
Date
Z- `l- \ 1
Date
1
CHANGE 012DEI2/CON7'RACT AMENDMENT