HomeMy WebLinkAboutbocc.con.amended.063.2010ACLERK'S CHECK LIST
FOR CONTRACTS SUBMITTED TO CLERK AND RECORDER FOR
SCANNING/ARCHIVING
CONTRACT #: o63-ZO� A
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Originating DepartmentlDivision: Health & Human Services
Contact Person: Mitzi Ledingham
Budget Line Item/Ledger Number 113.85.00000.84011
Project Name: Healthy Community Fund Grant Programs
❑ BOCC AGENDA ITEM �STAFF AUTHORIZED SIGNATURE
(BOCC signamre required) (per Revised Procurement Code �I2005)
Check procurement type:
�None QInformal QFormal QSole Source �Emergency QState Bid ❑
Check Contract Tvue:
Dollar Amount: $28,000
,, Equipment, Supplies
(e.g. revenue)
ContractorBusiness
Battered Women
Contract Execution
Automatic Renewal �-�9' /D
Phone #: 920-5766
(for county employees)
ental Agreement (Requires BOCC Action)
Agreements (Requires BOCC Action)
;e OrderlContract Amendment
Complete Legal Name: RESPONSE: Help for
Contract End Date: 12/31/11
Term of Contract: 2" extension of 2 year
contract
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 Fiiled In
Exhibits Attached
I
, c� �
Legal Descriptions Attached (ifappropriate)
ice of AwazdlProceed Attached (teapProPr[ate�
cial Instructions for Finance Department: see grant payment worksheet
t to Clerk and Recorder for ScanningiArchiving
horized Staff Person's Name: Mitzi Ledingham
LJWarranty, ifapplicable
BY CHECHING ABOVE AND ENTERING NAME, THE AUTHORIZED STAFF
PERSON INDICATES THAT DOCUMENT HAS BEEN PROOFED AND READY
FOR SCANNING.
Contract # 063-2010 -A
Change Order Number: 1
OWNER: Pitkin County HHS
cio Mitzi Ledingham
0405 Castle Creek Rd. suite 7
Aspen, CO 81611
CONTRACTOR: RESPONSE
P.O. Box 1340
0405 Castle Creek Rd, Suite 5
Aspen, CO 81612
Rev 12/10/09�5
The 2010-2011 RESPONSE partnership grant ageement (the "AgreemenY') dated Januar,y lst, 2010
between the Board of County Commissioners of Pitkin County (the "Count}�') and RESPONSE (the
"Contractor"), is hereby amended as follows:
Descrintion of Chanae: continuarion of contract terms far 20ll as written at same funding level
Reason for ChanQe; second yeaz of two year partnership agreement
Original Contract Price
Net IncreasefDecrease in Contract Price (this change order)
Total Adjusted Contract Price (including this change order)
$ 28.000
$ same level throueh Dec 2011
$ same level throueh Dec 2011
In all other respects the Agreement is in full force and effect and remains unchanged by this
Amendment.
1111/�: � � �
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Authorized County R resentative
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Date
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Date
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CHANGE ORDER/CONTRACT AMENDMENT