HomeMy WebLinkAboutbocc.con.amended.073.2010A.,.��.
CLERK'S CHECK LIST
FOR CONTRACTS SUBMITTED TO CLERK AND
SCANNING/ARCHIVING
FOR
CONTRACT #: o�3-aoio-A
f�lhp.N,A�kory� �,70//,
Originating DepartmenUDivision: Health & Human Services
Contact Person: Mitzi Ledingham Phone #: 920-5766
Project Name: Heaithy Community Fund Grant Programs
❑ BOCC AGENDA ITEM �STAFF AUTHORIZED SIGNATURE
(BOCC signature required) (per Revised Procurement Code 7/2005)
Check procurement type:
�None ❑Informal ❑Formal ❑Sole Source ❑Emergency ❑State Bid ❑
Check Contract Twe:
Dollar Amount: $8,000
:Ya
Budget Line Item/Ledger Number 113.85.00000.84058
(for county employees)
ental Agreement (Requires BOCC Action)
, Equipment, Supplies
(e.g. revenue)
ContractorBusiness
Contract Execution 1/3/2011
Automatic Renewal
Ageements (Requires BOCC Action)
e Order/Contract Amendment
Complete Legal Name: Sopris Therapy Services
Contract End Date: 12/31/11
Term of Contract: automatic extension of
annual grant
All Contracts should be proofed for the following:
❑No Pages Missing
❑If a Page is Left Intentionally Blank —Note on Page ., A,
�Page numbered consecutively /� �� O��
�All Signatures A�xed � �
�All Dates Filled In �
�All Other Blanks Filled In
�All Exhibits Attached
❑All Legal Descriptions Attached (fappropriate)
❑Notice ofAward/Proceed Attached (rapp�opda�e)
�Special Instructions for Finance Department: see grant payment worksheet
�Sent to Clerk and Recorder for Scanning/Archiving
�Authorized StaffPerson's Name: Mitzi Ledingham
❑Warranty, 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 documents in compliance with Colorado State
Archives retainage schedule.
Contract # 73-2010-A
Change Otder Number: 1
OWNER: Pitkin County HHS
c% Mitzi Ledingham
0405 Castle Creek Rd. suite 7
Aspen, CO 81611
CONT1tACTOR: Sopris Therapy Services
P.O. Box 2080
Cazbondaie, CO 81623
Rev 12/10/09js
The 2010 Sopris Therapy Services annual agreement (the "AgreemenY') dated Januarv lst, 2010
between the Boazd of County Commissioners of Pitkin County (the "County'� and Sopris Therapy
Services (the "Contractor"), is hereby amended as follows:
Descrintion of Chanee: continuation of conhact terms for 2011 with fimding at $8,000
Reason for Chan¢e; additiona112 month extension of 2010 Agreement
Origwal Contract Price
$ 12.000
Net Increase/Decrease in Coutract Ptice (tlus change order) $-4.000
Total Adjusted Contract Price (including t}us change order) $ 5.000
In all other respects the Agreement is in full force and effect and remains unchanged by ttus
Amendment.
�w��,., ��� � �-� ll���-�, �z=n,✓, c� � - � 7 — � I
Contractor � � Date
% ��J��C�✓� �,— Z.—l�
Authorized County epresentative Date
1
CHANGE ORDER/CONTRACT AMENDMENT