HomeMy WebLinkAboutbocc.con.amended.064.2010ACLERK'S CHECK LIST
FOR CONTRACTS SUBMITTED TO CLERK AND RECORDER FOR
SCANNING/ARCHIVING
CONTRL�CT #: 064-2010-A
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Originating Department/Division: 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 7/2005)
Check procurement type:
�None �Informal ❑FormalOSole Source �Emergency �State Bid ❑
Check Contract Twe:
Dollar Amount: $40,000
Budget Line Item/Ledger Number :113.85.00000.84015
(for county employees)
ental Agreement (Requires BOCC Action}
�, Equipment, Supplies
(e.g. revenue)
ContractorBusiness
Resource Centers
Contract Execution
Automatic Renewal z 9 ��
Agreements (Requires BOCC Action)
;e Order/Contract Amendment
Complete Legal Name: Roaring Fork Family
Contract End Date: 12/31/12
Term of Contract: l s` extension yeaz of 3
year contract
All Contracts should be proofed for the foilowing:
�No Pages Missing
QIf a Page is Left Intentionally Blank —Note on Page
�Page numbered consecutively
Signatures Affixed
Dates Filied In
Other Blanks Filled In
i � 11`
Exhibits Attached
Legal Descriprions Attached �ttappropda�e�
ice of Award/Proceed Attached �;eapPropaace�
�cial Instructions for Finance Department: see grant payment worksheet
t to Clerk and Recorder for Scanning/Archiving
horized Staff Person's Name: Mitzi Ledingham
LJWatraz�ty, if applicable
BY CHECHING ABOVE AND ENTERING NAME, THE AUTHORIZED STAFF
PERSON INDICATES THAT DOCUMENT HAS BEEN PROOFED AND READY
FOR SCANNING.
�01/26/2011 11:59
9703845795
Change Order Number: _�
RF FAMILY RESOURCE C
COTItiHCt !E 064-2010 -A
O WNER: Pitldn County HHS
Go Mitzi Ledingham
0405 Casfle Creek Rd. suite 7
Aspen, CO 81611
CONIR.ACTOA: Roazing Fork Family Resource C�nters
P.O. Box �3% �ffi33
.�e, co � lr�.�� 8tto 23
c/o Kerry Ach
PAGE 01
Rcv 12/IOI09 js
The 2010-2012 Roazing Fork Family Resource Centers partnership grant agreement (the "Agreement")
dated Janua�v 1 st, 2010 between the Board of County Commissioners of Pitkin County (the "Counry")
and Roaring Fork Family Resource Center4 (the "Contractor"}, is hereby amended a,a follows:
Descrintion uf Chanee: continuation of contract terms for 2011 with funding level of $40,000
Reason for ChanQe: second yeaz of three year partnership agreement
Oagina] Contract Ptice
Net Increase/Decrease in Con�act Ariee (tEus change ozder)
Total Adjusted Conhact Price (including this change order)
$ 40.000
$ same level throueh Dec 20 ] 1
$ same level thmut�h Dec 2011
in all other respects the Agreement is in full force and effeci and remaihs unchanged by this
Amendment.
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Date
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CHANGE pRD�R/CONTRACT AMENDMENT