HomeMy WebLinkAboutbocc.con.195.2011A Rev. 08 -30 -11 jls
iser COUNTY CLERK'S
C ONTRACT COVERSHEET
CONTRACT #: 195-2011A
ORIGINATING DEPARTMENT: Engineering
PROCUREMENT OFFICER: G.R. Fielding PHONE #: 5206
PROJECT NAME: County Wide Patching CONTRACTOR: American Asphalt
DOLLAR AMOUNT: $550.52 LINE ITEM # 110.54.96200.87000
CONTRACT EXECUTION DATE: 10/13/2011 CONTRACT END DATE: 11/20/2011
AUTOMATIC RENEWAL: ❑ YES ® NO TERM:
❑ BOCC AGENDA ITEM (Grants, IGA) ® STAFF AUTHORIZED SIGNATURE
(Requires BOCC Signature) (Per Revised Procurement Code 7/2005)
❑ OVER $50,000 (Requires Section Leader & County Manager's Signature)
✓ CHECK PROCUREMENT TYPE:
❑ None ® Informal ❑ Formal ❑ Sole Source ❑ Emergency ❑ Outside Agency /State Bid
❑ Compliance with C.R.S. 8 -17 -5 -101, 102 as amended (Immigration Form) ❑ Exempt
❑ Contract Renewal
✓ CHECK CONTRACT TYPE:
❑ Services/Maintenance ❑ Employment
❑ License/Use ❑ Intergovernmental Agreement (Resolution Required)
❑ Lease 0 Non - Profit
❑ Construction ❑ Quasi - Public (e.g. -AVH)
❑ Goods, Equipment, Supplies ❑ Grant Agreements (Notify Finance & Resolution Required)
❑ Other (e.g. revenue) ® Change Order /Contract Amendment
(C /O: 10% or $25K whichever is the lesser must have County Manager signature)
All Contracts should be proofed and all exhibits and notices must be attached for the following:
✓ ® No Pages Missing ✓® All Other Blanks Filled In
✓ ® If Page Left Intentionally Blank —Note on Page ✓® All Exhibits Attached
✓ / 1 Page numbered consecutively ✓❑ All Legal Descriptions attached (if applicable)
✓ ® All Original Signatures Affixed ✓❑ Notice of Award/Notice to Proceed Attached (if applicable)
✓ ® All Dates Filled In ✓❑ Warranty (if applicable)
✓ ❑ Special Instructions for Finance Department:
✓ ® Authorized Procurement Officer's Name: Gerald Fielding
BY CHECKING ABOVE AND ENTERING NAME, THE AUTHORIZED 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. ALL ATTACHMENTS MUST BE WITH THIS CHECKLIST!
Contract # 195 -2011 Rev. 8.31.11 jaa/js
Budget Line Item # 110.54.96200.87000
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CHANGE ORDER/CONTRACT AMENDMENT
Change Order Number: 195 -2011 A
OWNER: Pitkin County
76 Service Center Road
Aspen, Colorado 81611
CONTRACTOR:
The County Wide Patching Contract (the "Agreement ") dated 10/13/2011 between the Board of County
Commissioners of Pitkin County (the "County ") and American Asphalt. (the "Contractor "), is hereby
amended as follows:
Description of Change:
Addition of 2 patching areas on Frying Pan Road.
Additional quantity of asphalt only as lined out in field visit on 10/21/2011.
This will change order is not to increase the price of the contract above $49,999.
The cost for the work on the Frying Pan Road shall be $24,388. The work on West Sopris Creek shall be
amended the contract as lined out by Pitkin County Staff. Some Areas originally planned for remove and
replace shall be just paved or patched, as decided in the field.
Reason for Change
Additional work needed for safety repairs.
Original Contract Price $ 48,448.48
Net Increase/Decrease in Contract Price (this change order) $ 550.52
*Total Adjusted Contract Price (including this change order) $ 49,999
This change order extends the time to complete work by N/A no working to be completed after November
20.
In all other respects the Agreement is in full force and effect and remains unchanged by this
Amendment.
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Procurement Officer Date