HomeMy WebLinkAboutbocc.con.092.2011 CLERK'S CHECK LIST
FOR CONTRACTS SUBMITTED TO CLERK AND RECORDER FOR SCANNING /ARCHIVING
CONTRACT #: 0 gar 2O//
ORIGINATING DEPARTMENT/DIVISION: Library
CONTACT PERSON: Susan Keenan PHONE #: 429 -1925
PROJECT NAME: Summer Reading Program/One World, Many Stories with Mary Sue and Cari
❑ BOCC AGENDA ITEM ZSTAFF AUTHORIZED SIGNATURE
(Requires BOCC Signature) (per Revised Procurement Code 7/2005)
❑ Over $50,000 (Requires County Manager's Signature)
✓ CHECK PROCUREMENT TYPE:
❑None ®Informal ❑Formal ❑Sole Source ❑Emergency ❑State Bid ❑
[2] Compliance with House Bills 06 -1343 and 07 -1073 — Immigration Fonn (Under $10,000, Letters of Engagement, g
DOLLAR AMOUNT: $500.00 BUDGET LINE ITEM/LEDGER NUMBER: 1662- 00000 -82008
✓ CHECK CONTRACT TYPE:
ZServices/Maintenance ❑Employment (for county employees)
❑License/Use ❑Intergovernmental Agreement (Requires BOCC Action)
❑Lease ❑Non- Profit
❑Construction ❑Quasi - Public
❑Goods, Equipment, Supplies ❑Grant Agreements (Requires BOCC Action)
❑Other (e.g. revenue) ❑Change Order /Contract Amendment
CONTRACTOR: Mary Sue Rogers COMPLETE LEGAL OF NAME OF BUSINESS (if different from contractor)
Mary Sue and Cari
Contract Execution Date:5 /13/11 Contract End Date: 7/11/11
Automatic Renewal: ❑Yes ®No Term of Contract: n/a
S� All Contracts should be proofed for the following:
‘t
✓ ❑No Pages Missing
✓ ❑If a Page is Left Intentionally Blank —Note on Page
✓ ❑Page numbered consecutively
✓ ❑A11 Signatures Affixed
✓ ❑A11 Dates Filled In
✓ ❑A11 Other Blanks Filled In
✓ ❑A11 Exhibits Attached
✓ EBB 06 -1343 and 07 -1073 (Immigration Legislation) Included in RFP and/or Contract
✓ ❑A11 Legal Descriptions Attached (if applicable)
✓ ❑Notice of Award/Notice to Proceed Attached (if applicable)
✓ ❑Warranty (if applicable)
✓
ZSpecial Instructions for Finance Department: Make check out to Mary Sue Rogers. Do not
mail check, give to Susan Keenan
✓ ❑Sent to Clerk and Recorder for Scanning/Archiving
✓
ZAuthorized Staff Person's Name: Susan Keenan
BY CHECKING ABOVE AND ENTERING NAME, THE AUTHORIZED STAFF PERSON INDICATES THAT
THE ATTACHED DOCUMENT HAS BEEN PROOFED AND READY FOR SCANNING.
Contract # Rev. 12/27/10 jls
Ledger #
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I� f hews
LETTER OF ENGAGEMENT
March 14, 2011
Project Name: One World Many Stories with Mary Sue and Cari
Business Name: Mary Sue and Cari
c/o Mary Sue Rogers
Address: P.O. Box 3761
City, State Zip Code: Boulder, CO 80307
Re: Summer Children's Program 2011
Dear Mary Sue,
The purpose of this letter is to summarize the pertinent terms of Pitkin County's arrangement
with you to provide the specified services enumerated in the following paragraph. The
County's obligation under the Workers' Compensation Statute requires Pitkin County and
you to formalize the terms of this engagement in a notarized writing.
You will perform the "One World, Many Stories with Mary Sue and Cari" event
for children ages 5 -10 on Monday, July 11 at 2:00 p.m. at the Pitkin County
Library. You will arrive at least 30 minutes in advance. The program will last
approximately one hour. Your fee will be $500 including mileage. It will be paid
to you at the time of the performance. All other expenses shall be yours.
It is mutually agreed that the County does not have an exclusive right to your services and it
is contemplated that you may provide similar work to other businesses, governments and
non - profit organizations. You acknowledge that the work performed for Pitkin County will
be that of an independent contractor and that no employee - employer relationship is created.
You have full control over how the services are performed and it is expected that work will
be conducted in accordance with industry standards by applying professional judgment. The
County will provide, if necessary, documents and information to complete the work
described in the preceding paragraph. The County representative signing this letter is
available to you to discuss any details related to this engagement. This letter of engagement
will terminate on December 31 and will require a new document in succeeding years to be
effective. You acknowledge and agree that you shall not be entitled to workers'
compensation benefits in connection with this project and that you shall be responsible
for the payment of all state and federal income taxes.
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Contract # Rev. 12/27/10 jls
Ledger #
Illegal Aliens — Public Contracts for Services
In conformance with the provisions of C.R.S. § 8- 17.5 -101 and 102, as amended;
1. Contractor shall not knowingly employ or contract with an illegal alien to perform
work under the public contract for services.
2. Contractor shall not enter into a contract with a subcontractor that fails to certify to
the contractor that the subcontractor shall not knowingly employ or contract with an illegal
alien to perform work under the public contract for services.
3. Contractor has confirmed the employment eligibility of all employees who are newly
hired for employment to perform work under the public contract for services through
participation in either the E -Verify Program or the Department Program.
4. Contractor shall use either the E -Verify Program or the Department Program
procedures to undertake pre - employment screening of job applicants while the public
contract for services is being performed.
5. Should Contractor obtain actual knowledge that a subcontractor performing work
under the public contract for services knowingly employs or contracts with an illegal alien,
Contractor shall be required to:
(a) Notify the subcontractor and the County within three days
that the contractor has actual knowledge that the subcontractor
is employing or contracting with an illegal alien;
(b) Terminate the subcontract with the subcontractor if within
three days of receiving the required notice the subcontractor
does not stop employing or contracting with the illegal alien;
except that the contractor shall not terminate the contract with
the subcontractor if the subcontractor provides information to
establish that the subcontractor has not knowingly employed or
contracted with an illegal alien;
6. Contractor shall comply with any reasonable request by the department made in the
course of an investigation that the department is undertaking pursuant to
C.R.S. 8 -17.5- 102(5).
If you are in agreement with the terms of this letter, please sign below in the presence of a
notary and return a copy to us for our files. We appreciate the opportunity of working with
you.
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• Contract # Rev. 12/27/10 jls
Ledger #
Sincerely,
S usan Keenan, Ch'ldren's Librarian
STATE OF COLORADO )
) ss.
COUNTY OF PITKIN )
The forgoing instrument was acknowledged before me thisge day of/ha12L�F' , at/ / by
Susan Keenan.
Witnessed my hand and official seal.
.CttiR ? r
My commission expires: 7' ._14 ' ..
Ap e SPRY
Not. Irrubr \ P r
tl • ED: ' �E OF �--
Mary S e / gers
STATE OF COLORADO )
Pti,,..A.Al ) ss.
COUNTY OF PI-T-KIN )
The forgoing instrument was acknowledged before me this 1 day of Apt; 1 . r 1 ,
by Mary Sue Rogers.
•
Witnessed my hand and official seal.
My Commission Expires
My commission expires: 08/08/2012
iv,: V_ C
Not Public
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NOTARY PUBLIC y
j 1�'E OF COLORADO y
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