HomeMy WebLinkAboutbocc.con.amended.092.2010ACLERK'S CHECK LIST
FOR CONTRACTS SUBMITTED TO CLERK AND RECORDER FOR
SCANNING/ARCHIVING
CONTRE�CT #: 0 -2�� / � ZO//)
Originating Department/Division: Health & Human Services
Contact Person: Mitzi Ledingham Phone #: 920-5766
Project Name: Heaithy Community Fund Grant Programs
❑ BOCC AGENDA ITEM �STAFF AUTHORIZED SIGNATIIRE
(BOCC signature requ�red) (per Revised Procurement Code 7/2005)
Check procurement type:
�None ❑Informal �FormalOSole Source �Emergency OState Bid ❑
Check Contract Tvae:
Dollar Amount: $65,000
Budget Line Item/Ledger Number 113.85.00000.84010
(for county employees)
ental Agreement (Requires BOCC Action)
, Equipment, Supplies
(e.g. revenue)
Profit
Agreements (Requires BOCC Action)
;e Order/Contract Amendment
ContractorBusiness Complete Legal Name: Mountain Valley
Developmental Services, Inc.
Contract Execution k�64$�Z /9/// Contract End Date: 12/31/12
Automatic Renewal Term of Contract: l 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
� �
I �
DAII Legal Descriptions Attached (ifappTOpriate)
QNotice of Award/Proceed Attached (�taPpropria�e�
�Special Instructions for Finance Department: see grant payment worksheet
❑Sent to Clerk and Recorder for Scanning/Archiving
�Authorized Staff Person's Name: Mitzi Ledingham
❑Wananty, if applicable
BY CHECHING ABOVE AND ENTERING NAME, THE AUTHORIZED STAFF
PERSON INDICATES THAT DOCUMENT HAS BEEN PROOFED AND READY
FOR SCANNING.
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CHANGE ORDER/CONTRACT
Change Order Number. 1
OWNER: Pitkin County HHS
do Mitzi Ledingham
0405 Castie Creek Rd. suite 7
Aspen, CO 81611
CONTRACI'OR: Mountain Valley Developmental Services
P.O. Box 338
Glenwood Springs, CO 81602
do ED Bruce Christemsen
The 2010-2012 Moutttain Valley Developmental Services partnership grant agreement (the "AgreemenY')
dated J_anuarv lst, 2010 between the Boazd of County Commissioners of Pitkin County (the
"County") and Mountain Valley Developmentai Services (the "Contractor"), is hereby amended as
foltows:
Descrintion of Chanee: continuation of coniract t�ns for 2011 with funding level of $65,000
Reason for Chanee: second year of three yeaz partnership ageement
Original Contract Price
Net Increase/Decrease in Contract Price (this change order)
Total Adjusted Contract Price (including this change order)
$ sazne level throueh Dec 2011
$ same Ievel throu� Dec 201 ]
In all other respects the Agreement is in full force and effect and reenains unchanged by this Amendment.
BRUCE CHRISTENSEN
�,,�. .� �. EXECUTIVE DIRECTOR � a���
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Contrador Date
V \ n���� �
Authorized County epresentative
$ 65.000
Z-�- � �
Date
1�
Contract # 092-ZO10 -A