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COUNTY CLERK'S
CONTRACT COVERSHEET
CONTRACT #: 077.2012 �
ORIGINATING DEPARTMENT: Facilities
PROCUREMENT OFFICER: Jack Wheeler
PROJECT NAME: Elections remodel
PHONE #: -9205763
CONTRACTOR: CDM / Fleisher
DOLLAR AMOiJNT: 8 881.89 LINE ITEM # 110.18.92818.86237
CONTRACT EXECUTION DATE: 4/29/2012 CONTRACT END DATE: 5/1/2012
AUTOMATIC RENEWAL: ❑ YES � NO TERM: defined
❑ 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
n Contract Renewal
✓ CHECK CONTRACT TYPE:
❑ Services/Maintenance
❑ License/L1se
❑ Lease .
� Construction
❑ Goods, Equipment, Supplies
❑ Other (e.g. revenue)
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❑ Employment
❑ Intergovernmental Agreement (Resolution Required)
❑ Non-Profit
❑ Quasi-Public (e.g.-AVH)
❑ Grant Agreements (Notify Finance & Resolution Required)
❑ 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 e�chibits 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
✓� Page numbered consecutively ✓❑ All Legal Descriptions attached ('rf applicable)
✓� All Original Signatures Affixed ✓0 Notice of Award/Notice to Proceed Attached ('f applicable)
✓� All Dates Filled In ✓❑ Warranty (if applicable)
✓❑ Special Instructions for Finance Department:
✓� Authorized Procurement Officer's Name: Jack wheeler
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 WII,L KEEP ORIGINAL DOCUMENTS IN COMPLIANCE WITH COLORADO STATE
ARCHNES RETAINAGE SCHEDULE. ALL ATTACHMENTS MUST BE WITH THIS CHECKLIST!
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Contract #077.2012 �
Budget Line Item # 110.18.92818.86237
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CHANGE ORDER/CONTRACT AMENDMENT
Change Order Number: O1
OWNER:
CONTRACTOR:
Pitkin County
Aspen, Colorado 81611
Rev. 8.31.11 jacz/js
The Elections Remodel Contract dated March 15th 2012 between the Board of County Commissioners of
Pitkin County (the "County") and CDM Group (The Fleisher Company). (the "Contractor"), is hereby
amended as follows:
Description of Change:
Increase to data allowance for state mandated DMV line relocation and rerouting Clerk Data lines, replace
ceiling tiles, paint entire hallway, and patch drywall as requested by inspector.
Reason for Chan�e
Original Contract Price
Net Increase/Decrease in Contract Price (this change order)
*Total Adjusted Contract Price (including this change order)
$21,608.00
$8881.89
$30,489.89
This change order extends the time to complete work by 0 day/month/year.
In all other respects the Agreement is in full force and effect and remains unchanged by this
Amendment.
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