HomeMy WebLinkAboutbocc.con.amended.064.2010B Rev. 08 -30 -11 jls
110°Ifir COUNTY CLERK'S
CONTRACT COVERSHEET
CONTRACT
CT #. 064 - 2010 -B - P°164"
ORIGINATING DEPARTMENT: Health & Human Services
PROCUREMENT OFFICER: Mitzi Ledingham PHONE #: 9205766
PROJECT NAME: HCF Grant Programs CONTRACTOR: Roaring Fork Family Resource
Centers
DOLLAR AMOUNT: $40,000.00 LINE ITEM # 113.85.00000.84015
CONTRACT EXECUTION DATE: 1/1/2012 CONTRACT END DATE: 12/31/2012
AUTOMATIC RENEWAL: ❑ YES ® NO TERM: partnership
❑ 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:
E 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 ® 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 ✓ -1 All Other Blanks Filled In
✓ ❑ If Page Left Intentionally Blank —Note on Page ✓❑ All Exhibits Attached
✓ ® Page numbered consecutively ✓❑ All Legal Descriptions attached (if applicable)
✓ ® All Original Signatures Affixed ✓❑ Notice of Award/Notice to Proceed Attached (f applicable
✓ ® All Dates Filled In ✓❑ Warranty (if applicable)
✓ ® Special Instructions for Finance Department: see contract payment worksheet
✓ ® Authorized Procurement Officer's Name: Mitzi Ledingham
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!
01/17/2012 09 :53 9703845795 RF FAMILY RESOURCE C PAGE 02
Contract # 064 -2010 -B
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CHANGE ORDER/CONTRACT AMENDMENT
Change Order Number: 2 Ledger No. 113.85.00000.84015
OWNER: Pitkin County 1-11-IS
c/o Mitzi Ledingham
0405 Castle Creek Rd. suite 7
Aspen, CO 81611
•
CONTRACTOR: Roaring Fork Family Resource Centers
P.O. Box 1833
Carbondale, CO 81623
c/o Kerry Ach
The 2010 -2012 Roaring Fork Family Resource Centers partnership grant agreement (the "Agreement ")
dated January 1st, 2010 between the Board of County Commissioners of Pitkin County (the "County ")
and Roaring Fork Family Resource Centers (the "Contractor "), is hereby amended as follows:
Descriutign of Chance: continuation of contract terms for 2012 with funding level of $40,000
Reason for Change; third year of three year partnership agreement
Original Contract Price $ 40.000
Net Increase/Decrease in Contract Price (this change order) $ same level through Dec 2012
Total Adjusted Contract Price (including this change order) $ same level tbrough Dec 2012
In all other respects the Agreement is in full force and effect and remains unchanged by this
Amendment.
c alog / AV
Contrac or Date
Authorized County eprescntative Date
1