HomeMy WebLinkAboutbocc.con.amended.016.2010B Rev. 08-30-11 jls
COUNTY CLERK'S
CONTRACT COVERSHEET ��J,��V J/YI P,IUT�
CONTRACT #: 016-2010B
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ORIGINATING DEPARTMENT: BGM
PROCUREMENT OFFICER: Jodi Smith PHONE#: -9205395
PROJECT NAME: Roofs CONTRACTOR: Pacific Sheet Metal Inc.
DOLLAR AMOUNT: $49,999.00 LINE ITEM# Varies
CONTRACT EXECUTION DATE: 7/1/2012 CONTRACT END DATE: 7/1/2013
AUTOMATIC RENEWAL: �YES ❑NO TERM: 1 year
❑ 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
✓ CAECK CONTRACT TYPE:
3 ��� ��-�
� 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 e�ibits 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 E�ibits 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:
✓ � Authorized Procurement Officer's Name: Jodi Smith
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
ARCHNES RETAINAGE SCHEDULE. ALL ATTACHMENTS MUST BE WITH THIS CHECKLIST!
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Original Contract# 016-2010
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FACILITIES MANAGEMENT
August 16, 2012
Pacific Sheet Metal, Inc
P.O. Box 70
Carbondale, Colorado 81623
970.963.6563
RE: Pitkin County Annual Roofing Service Contract
Renewal of Contract# 016-2010B
Pitkin County has elected to renew the Annual Roofing Service Contract for contract
with Pacific Sheet Metal, Inc., which has already expired on 07/O 1/2012. I apologize for
the oversight and delay for this renewal. Per the terms of the contract it states that"At
the expiration of the initial term,the contract may be extended for an additional term of
three (3) additional one 1-year terms by the express written consent of both parties."
If the renewal of this contract is agreeable to Pacific Sheet Metal, Inc., please sign this
letter in the space provided and return along with a current copy if your certificate of
insurance, naming Pitkin County has additionally insured on the Certificate.
Pitkin County hereby authorized the renewal of contract Number 016-2010B with
Pacific Sheet Metal, Inc., for a period of 1 year from contract expiration date; new
expiration date is now 07/O l/2013.
All rates will remain the same for the year 2011/2012
Any changes in rates thereafter will be by an addendum.
,'nf.^ Date: (.0
By �
Jodi Smith, Fa ' ' anager
By Date d?Zo �
Principal
Pitkin County Facilities Management,485 Rio Grande Place, Unit ioi,Aspen, CO 8i6ii I
97o-92O-5396� 970-920-5285 Fax or email:jodis@co.pitkin.co.us
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A�p—RQ� CERTIFICATE OF LIABILITY INSURANCE �ATE(MMID�M'Y1�
03119I12
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONIY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy�ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditlons of the policy, certaln policies may require an endorsement. A statement on this certfflcate does not confer rights to the
certificate holder in lieu of such endorsement s.
PRODUCER 970-945-9111
Neil-Garing Agency� IIIC. PHONE
PO Box 1576 970-945-235 ac No Ext: AIC No:
Glenwood Springs, CO 81602 nooRess:
Gian Baldrica Roouc R pACIF-1
cusrom i
INSURER(S)AFFOR�ING COVERAGE NAIC�
INSURED Pacific Sheet Metal Inc. �n,suReRa:Pinnacol Assurance
Lowell Walter INSURERB:EIII lo ers Mutual Casual CiO.
PO Box 70 INSURERC:C01Y1 anion S ecial Insurance
Carbondale,CO 81623
�r,suReRO:Chartis Insurance
INSURER E:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTUUITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOUVN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR 7ypE OF INSURANCE POLICY NUMBER MNII� EF ML LIMITS
GENERAL LIABILITY EACH OCCURRENCE $ 'I,OOO�OO
C X COMMERCIAL GENERAL LIABILITY X VGL1121449 D������Z 01l01113 pREMISES Ee occurrence $ 50,��
CLAIMS-MADE �X OCCUR MED EXP(Any one person) $ EXCLUDE
PERSONAL&ADV INJURY $ 'I�OOO�OO
X EB� VGL1121449 01l01112 01/01/13 GENER.4L AGGREGATE $ 2���Or��
GEML AGGREGATE LIMIT APPLIES PER�. PRODUCTS-COMP/OP AGG $ Z�OOO�OO
Poucv X PR� LOC Em Ben. $ 1 000 00
AUTOMOBILELIABILRY COMBINEDSWGLELIMIT $ ��OOO,OO
B X v,NV auTO 4X66119 12131111 12/31/12 �Ea accident�
BODILY INJURY(Per person) $
ALL OWNED AUTOS
BODILY INJURY(Per accldent) $
SCHEDULED AUTOS PROPERTY DAMAGE
X HIRED AUTOS (Per accidenq $
X NON-OWNED AUTOS $
$
X UMBRELLALIAB X OCCUR EACHOCCURRENCE $ S,OOO�OO
EXCESSLIAB CLAIMS-MADE AGGREGATE $ S�OOO,OO
D BE080675692 01/01/72 01l01113
DEDUCTIBLE $
X RETENTION �O OOO $ �
WORKERS COMPENSATION W A - H-
AND EMPLDYERS'LIABILITY X T RY IMITS X R
A ANY PROPRIETORlPARTNERfEXECUTNE Y❑ N I A 4053382 01I01112 01/01I13 E.L EACH ACCIDENT $ �����i��
OFFICERIMEMBER EXCLUDED?
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ �,OOO,OO
If yes,describe under
DE CRIPTI N F OP RATIONS b I w E.L DISEASE-POLICY LIMIT $ 'I OOO OO
�ESCRIPTION OF OPERATIONS!LOCAl10N3!VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) �
Holder is included as Additional Insured under General Liability in
respects to ongoing and completed operations perFormed by insured on behalf
f holder as required by written contract or agreement under the
G20261CG2037 additional insured forms.
PITKI-2
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Pitkin County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
P�OjeCt Manager ACCORDANCE YUITH THE POLICY PROVISIONS.
485 Rio Grande Place Unit 101
Aspen,CO 81611 AUTHORIZED REPRESENTATIVE
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ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD