The URL can be used to link to this page

Home My WebLink Aboutbocc.con.116.2011 CLERK'S CHECK LIST FOR CONTRACTS SUBMITTED TO CLERK AND RECORDER FOR SCANNING /ARCHIVING CONTRACT #: /( 201 1 ORIGINATING DEPARTMENT/DIVISION: Pt`17(.41) (� ORS CONTACT PERSON: /GM 014 P il5 PHONE #: 4' ti q y3 PROJECT NAME: ..r iNir C ❑ BOCC AGENDA ITEM RTAFF AUTHORIZED SIGNATURE (Requires BOCC Signature) (per Revised Procurement Code 7/2005) ❑ Over $511,000 (Requires County Manager's Signature) ✓ CHECK PROCUREMENT TYPE: U N9ne klinformal ❑Formal ❑Sole Source ❑Emer EState Bid ❑ I itompliance with House Bills 06 -1343 and 07 -1073 — Immigration Form (Under $10,000, Letters of Engagement, e t'1) la DOLLAR AMOUNT:57)00. oO BUDGET LINE ITEM /LEDGER NUMBER: 1 / a• V , OOW° J 260 1 um-wally ��,//✓ CHECK CONTRACT TYPE: L'�Services /Maintenance ❑Employment (for county employees) ❑License /Use ❑Intergovernmental Agreement (Requires BOCC Action) ELease [Non-Profit ['Construction ❑Quasi - Public ❑Goods, Equipment, Supplies ❑Grant Agreements (Requires BOCC Action) ['Other (e.g. revenue) EChange Order /Contract Amendment S6C4 CONTRACTOR: %ANL COMPLETE LEGAL OF NAME OF BUSINESS (if different from contractor) Contract Execution Date: 3-d1-I Contract End Date: 13- - 31 - 1o13 Automatic Renewal: 175'es [No Term of Contract: 3 yec_.ts' STU All Contracts should be proofed for the following: V ✓ [4o Pages Missing ✓ [✓]If a Page is Left Intentionally Blank —Note on Page ✓ ❑✓'Page numbered consecutively ✓ [;tAII Signatures Affixed ✓ n✓AIl Dates Filled In ✓ E'AII Other Blanks Filled In ✓ E Exhibits Attached ✓ OHB 06 -1343 and 07 -1073 (Immigration Legislation) Included in RFP and /or Contract ✓ ❑AII Legal Descriptions Attached (if applicable) ✓ ❑Notice of Award/Notice to Proceed Attached (if applicable) ✓ ['Warranty (if applicable) ✓ [15pecial Instructions for Finance Department: ✓ p: nt to Clerk and Recorder for Scanning/Archiving ✓ [✓Authorized Staff Person's Name: /�4jln S y d a ' --, BY CHECKING ABOVE AND ENTERING NAME, THE AUTHOR STAFF PERSON INDICATES THAT THE ATTACHED DOCUMENT HAS BEEN PROOFED AND READY FOR SCANNING. NOTE: CLERK'S OFFICE WILL KEEP ORIGINAL DOCUMENTS IN COMPLIANCE WITH COLORADO STATE ARCHIVES RETAINAGE SCHEDULE. AMENDED 04/23/08 I • Rev 03/05/08js ,x r LETTER OF ENGAGEMENT March 1, 2011 Project Name TANF (Temporary Aid to Needy Families): TANF Individual Therapy Provider Business Name Joel Karr Address: 48 Casa Del Monte Ct. City, State, Zip Code: Glenwood Springs CO 81601 Re: Provision of Counseling tdfiliying TANF Funding Dear Joel: 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. Therapist will provide up to 12 sessions of therapy for approved individuals. Provider of service and/or qualified individuals can apply for funding through Pitkin County Youth and Family Services Manager. Services must be approved prior to provision of services. Qualified individuals must meet the following requirements: Applicant has income less than $75,000.00 Applicant is lawfully present. Applicant has children. Monthly invoices will be provided by provider of services to be paid through Pitkin County Human Services. Monthly invoice will include # of sessions and rate of payment for each session (not to exceed $100.00/hourly session). 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 1 H • Rev 03 /05 /08js 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' 2011 and will require a new document in succeeding years to be effective, Contract will not exceed a total of $5000.00 in any given calendar year unless an updated agreement is generated. 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. Compliance with House Bill 06 -1343 and House Bill 07 -1073 A. In compliance with House Bill 06 -1343 and House Bill 07 -1073 amending Title 8 of the Colorado Revised Statutes by the addition of Article 17.5, Illegal Aliens- Public Contract for Services, enacted by the General Assembly of the State of Colorado, the Contractor shall not: 1. Knowingly employ or contract with an illegal alien to perform work under this contract or; 2. 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 this conntract. B. In compliance with House Bill 06 -1343 and House Bill 07 -1073 enacted by the General Assembly of the State of Colorado: 1. The Contractor has confirmed or attempted to confirm the employment eligibility of all employees who are newly hired for employment in the United States through participation in the Basic Pilot Program [created in Public Law 208, 104th Congress, or its successor and expanded in Public Law 156, 108 Congress, or its successor, that is administered by the United States Department of Homeland Security] and, if the Contractor is not accepted into the Basic Pilot Program prior to entering into this contract, the Contractor shall apply to participate in the Basic Pilot Program every three months until the Contractor is accepted or this contract has been completed, whichever is earlier. This provision shall not be required or effective if the Basic Pilot Program is discontinued. 2. The Contractor shall be prohibited from using Basic Pilot Program procedures to undertake pre - employment screening of job applicants while this contract is being performed. 3. If the Contractor obtains actual knowledge that a subcontractor performing work under this contract knowingly employs or contracts with an illegal alien, the 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; and 2 • Rev 03/05/08js b. Terminate the subcontract with the subcontractor if within three days of receiving the notice required pursuant to subparagraph (a) of this paragraph (3) the subcontractor does not stop employing or contracting with the illegal aliens; except that the Contractor shall not terminate the contract with the subcontractor if during such three days the subcontractor provides information to establish that the subcontractor has not knowingly employed or contracted with an illegal alien. 4. The Contractor shall comply with any reasonable request by the Department of Labor and Employment made in the course of an investigation that the Department of Labor and Employment is undertaking pursuant to the authority established in Subsection (5) of C.R.S. § 8 -17.5 -102_ In all other respects the Agreement is in full force and effect and remains unchanged by this Amendment. 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. Sincerely, Kimberly Hilderbrand DuBois Adult and F. "Iy Services Manger oun m. - ,p °- ices STATE OF COLORADO ) ) ss. COUNTY OF PITKIN ) The forgoing instrument was acknowledged before me this — day of by Witnessed my hand and official seal. My commission expires: Notary Public AGREED: Joel Karr Qtly /Party's dame to Agreement 3 Rev O3/OS /OBjs STATE OF COL �CA j ss. COUNTY OF ) � C «1V , W th \ \ The forgoing instrument was acknowledged before i e this\ day of Month; ¥eer, by Witnessed my hand and official seal. e, 0 My commission expires: \ . t2- j ' \� �j�° �� tr hf s Notary Public F' e 1 66;6917.5-14:. 4 • Exhibit to Pitkin County Contract # 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). Signed and dated this 1 day of Marc(, 20 ( 1 CONTRACTOR: PITKINC By By' 1) l/ �'!/4V I Cam -- - (C. S� 1 \ ' Autht rind Signer �( Title: ��a✓ Dopurtmcnt: POO 1 Company Name :