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Home My WebLink Aboutbocc.con.089.2012A Rev. OS-30-11 jls COUNTY CLERK'S CONTRACT COVERSHEET �� / CONTRACT #: 089-2012A ORIGINATING DEPARTMENT: Airport PROCUREMENT OFFICER: Dustin Havel PHONE#: 970-429-1867 PROJECT NAME: Airfield Pavement Striping Service-Re-mobilization charge coNT�cTOx: Kolbe Striping Inc. DOLLAR AMOUNT: $1,500.00 LINE ITEM# 404.25.00000.82869 CONTRACT EXECUTION DATE: 5/I 1/2012 CONTRACT END DATE: 12/31/2012 AUTOMATIC RENEWAL: � YES ❑NO TERM: 5/11/12 to 12/31/2012 ❑ 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/LJse ❑ Intergovernmental Agreement(Resolution Required) ❑ Lease ❑Non-Profit ❑ Construction ❑ Qu i-Public(e.g.-AVH) ❑ Goods, Equipment, Supplies ❑ rant Agreements(Notify Finance&Resolution Required) ❑ Other(e.g. revenue) Change Order/Contract Amendment (GO: 10%or$25K whichever is the lesser must have County Manager signature) All Contracts should be proofed and all e�ibits and notices must be attached for the following: ✓ �No Pages Missing ✓�All Other Bianks Filled In ✓ ❑ If Page Left Intentionally Blank Note on Page ✓�All Exhibits Attached ✓ �Page numbered consecutively ✓� All Legal Descriptions attached ('fapplicable) ✓ � 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: ✓ � Authorized Procurement Officer's Name: Dustin Havel BY CHECHING 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 ATTACHMENT5 MUST BE WITH THIS CHECKLTST! Contract#089.2012 Rev. 8.3111 jaa/js Budget Line Item#404.25.00000.82869 �� t�t� ��"� C�- :..�. �, ;,� CHANGE ORDER/CONTRACT AMENDMENT Change Order Number: 089.2012A �� OWNER: Pitkin County Airport 0233 East Airport Rd Aspen, Colorado 81611 CONTRACTOR: Kolbe Striping Inc. 550 Topeka Way Castle Rock, CO 80109 The Airfield Pavement Striping Services for the Aspen/Pitkin County Airport (the "Agreement") dated May 11 th, 2012 between the Board of County Commissioners of Pitkin County(the "County")and Kolbe Striping Inc.. (the"Contractor"), is hereby amended as follows: Description of Chan�e: Re-mobilization for paint removal equipment. Description of change outlined in attachment from Kolbe Striping. Reason for Chan�e: Change in advisory circular requires moving some additional markings on the airfield. Net Increase/Decrease in Contract Price(this change order) $ 1,50Q.00 In all other respects the Agreement is in full force and effect and remains unchanged by this Amendment. Contractor Date �=.� /z Procurement O�cer Date i Contract#Q89.2U t2 Rev. 8.3l.1 l janfjs Budget Line Ife�n#4fl4.2S.fl0�OQ.8�859 �"� � �� _ _ _ �_ . _ ��,y,� ,�_ �� CHAN��ORD�R/eONTRACT AMENDMENT Change C)rder Numbei° Q89.2012t� aWNER: Piticin County Airpoi't a233 East Ai�po�-�Rd As�en,Calorado 81 b 11 CQNTRACTOR; Kolbe Striping Inc. 550 To�eka Way Castle Rock,CO 80109 The Aii•fielct Pavemen# Striping Services for the AspenlPitkin Caunty Airpai:t (�he "Agreement") dated May 11`�',2012 betweer�the Baard of Cotmty Conui�issioners of Pitkiii Co�nty(tlie"County"} anci Kolbe Stripii�g Inc.. {tlie"Cotitractor"),is l�ereby amended as fallows: Deseri�tion of Chan�e: Re-i3�c�biliz�tia�i fot �aint ��inoval ec�«iprn�nt. Descriptian af cT�a��ge outl�i�e�i in attachment from Koibe�tri�ing. Reasan for Cl�an�e; Change in advisory circula��•equires moving saine additional markings oii the airf`ield. Net Increase/Dectease in Co�itract P��ice(this et�ange order� $ l,saa.DO In all atlier �•espects the Agr•eement is in fiitl force and effect and remains unchanged by this A1�iendment. i � '."`""_. - , � - G - rZ Confractor Date ___-��`� �� , F�oeure�nent Officer �� v F i� x 3$4�o�ek�w�y Change �rc�e�r Reque�t � Castle Rack,CO 80709 Change Order Wumber: 1 ; �� Main: 343-688-9516 Change Order Date: 7/�5�012 Fax: 303-688-5478 KSI Jab Cocfe: 12113 f � KO�L�B $T R 1 Rl N�� 1 NC w www.KolbeStriping.com page 1 flf 1 � In regards to the below referenced praject, please find our Change 4rder Request If yau have questions regarding this K change, please cantact the KSI �stimating Departmeht at 303�68&-9516 or Blds(c�Ko{beStriping.com. ; Project Information: ' ' ProjeCt NBme. 12113-Aspen Pitkin Coun#y Airport � This Chan e Order Es bein E g g requested for the fo!lowing reason: ' Mobilization for remova3 of additional pvmt m�Cgs a � . ; r . . :� G i i {tem Discriptian Estimated Unit af F�er Unit Total Estimated Quantity Measure Price I�rice Per Line ltem , �' Mobilization for Removal 1 LS 1,500.00 9,50U.04 ; � � C k � i II ,; ' Na other changes to#he Contract or Pay ttams have been made or are propased to be rnade. i Pfease make any acc�ptance of this Change Order in wiriting prior ta ninety(90)days after th�date written above. KSI may be � unable to honor any acceptance ofi this Change Order after that date. This Chan,ge C7rder Request is not a contract for seNices '' or matan�al, nor will KSI proceed an the listed items, uness the"Accept�nce of Chang�4rder"'below is cample#ed by both parti+es, � which at that#ime,this Change Order Request bEOOmes a binding add�ndum to the Con#ract between th�Customer and Knibe �� Striping, Inc. Acceptance of th[s Change Order Request in otF�er forms, cont�ining both parNes signatures, is acceptable as well, h � ACCENTAPiC�Q�CHANGE ORD�R '� By signature below,Customer acknowledges and egrees to pay the above unit prices in accordanc$with the terms and � conditions an the Contract/Purchase Order. No ather terms vr conditions of the Contract/Purchase Order between Custamer � and Kalbe Striping, !nc have ehanged unless specifcally stated abave or�this ehang8 Order Request. This page becames a 1ega1, bind{rig addendum to#he Contract/Purchase 4rder once signed by boti� parties. � ; Customer Authorized 5ignature and Tit�e printed Name Date � . I � Kolbe 5triping, Inc Authorized Signature and Title nate il ;: