HomeMy WebLinkAboutbocc.con.amended.075.2010A�
CLERK'S CHECK LIST
FOR CONTRACTS SUBMITTED TO CLERK AND RECORDER FOR
SCANNING/ARCHIVING
CONTRACT #: o7s-zo o-a
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Originating DepartmentlDivision: Health & Human Se tces
Contact Person: Mitzi Ledingham Phone #: 920-5766
Project Name: Healthy Community Fund Grant Programs
❑ BOCC AGENDA ITEM �STAFF AUTHORIZED SIGNATURE
(BOCC signature required) (per Aevised Procutetnent Code 712005)
Check procurement type:
�None DInformalOFormal �Sole Source �Emergency �State Bid ❑
Check ContraM Tvoe:
Dollar Amount: $70,000
Budget Line Item/Ledger Number 113.85.00000.84007
(for county empioyees)
�ental Agreement (Requires BOCC Action)
,, Equipment, Supplies
(e.g. revenue)
ContractorBusiness
Contract Execution il1f2010
Automatic Renewal
Agreements (Requires BOCC Action)
;e Order/Contract Amendment
Complete Legal Name: Family Visitor Programs �)
Contract End Date: 12/31112
Term of Contract: 1 extension year of 3
year contract
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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Il Legal Descriptions Attached pt'aPpropdate)
otice of Award/Proceed Attached (,faPpropriace)
pecial Instructions for Finance Department: see grant payment worksheet
�nt to Clerk and Recorder for Scanning/Archiving
uthorized Staff Person's Name: Mitzi Ledingham
UWananty, if applicable
BY CHECHING ABOVE AND ENTERING NAME, THE AUTHORIZED STAFF
PERSON INDICATES THAT DOCUMENT HAS BEEN PROOFED AND READY
FOR SCANNING.
Note: Clerk's Office will keep original docuxnents in compliance with Colorado State
Archives retainage schedule.
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Change Order Number: 1
OWNER: Piticin County HHS
c/o Mitzi Ledingham
0405 Castle Creek Rd. suite 7
Aspen, CO 81611
CONTRACTOR: Family Visitor Programs
P.O. Box 1845
Glenwood Springs, CO 81602
c/o ED Sandy Swanson
Contract # 075-2010 -A
Rev 12/10/09js
The 2010-2012 Family Visitor Programs partnership grant agreement (the "AgreemenY') dated Januarv
lst, 2010 between the Boazd of County Commissioners of Pitkin Counry (the "Counry") and Family
Visitor Programs (the "Contractor"), is hereby amended as follows:
Description of Chanee: continuation of contract terms for 2011 as written at same funding level
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)
In all other respects the Agreement is in full force
Amendment.
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! Contractor �
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Authorized County epresentative
$ 70.000
$ same level throu�h Dec 2011
$ same level throueh Dec 2011
and effect and remains unchanged by this
1 ���11
Date
2- `�-�\
Date
1
CHANGE ORDER/CONTRACT AMENDMENT