HomeMy WebLinkAboutbocc.con.121.2013 Rev. OS-30-lljls
COUNTY CLERK'S
CONTRACT COVERSHEET
coNTRacT #: l� l• 10l 3
ORIGINATING DEPARTMENT: L t � �� �y
PROCUREMENT OFFICER:K���� PHONE #: Q JO��d—���9� �'�
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PROJECTNAME: Ort LoK CONTRACTOR: Gste
DOLLAR AMOUNT:��I�DO.�INE ITEM# I(r(/6.��O�71O �/ .�OQ �
CONTRACT EXECUTION DATE: I I�.�� � CONTRACT END DATE: I�f 311 I .3
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: � �2c1� ���
�Services/Maintenance ❑ Employment
❑ License/Use ❑ Intergovemmental Agreement(Resolution Required)
❑ Lease ❑Non-Profit
❑ Construction ❑ Quasi-Public (e.g.-AVH)
❑ Goods, Equipment, Supplies ❑ Grant Agreements (Notify Finance &Resolution Required)
Q Other(e.g. revenue) ❑ Change Order/Contract Amendment
(C/O: 10%or$25K whichever is thc Icsser mus[have County Manager signature)
All Conuacts 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
✓ [�age numbered consecutively ✓❑ All Legal Descripfions attached(ifupplicnble)
✓ [v]�All Original Signatures AFfixed ✓❑ Notice of Award/Notice to Proceed Attached (rfapplicuble
� ✓ [r]^All Dates Filled In � � ✓❑ Warranty(if applicable)
✓ ❑❑ Special Instructions for Finance Departmen • `e �A �jNa n� � ,e �
✓ Authorized Procurement OfScer's Name: ��, �-
BY CHECKING ABOVF ANll ENTERING NAME, THE AUTHORIZED STAFF PERSON INDICATES THA7'
THE ATTACHED DOCUMENT HAS BF.EN t'ROOFED 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# 121-2013 Rev. 12/27/lOjls
Ledger# 16662-00710-82000
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LETTER OF ENGAGEMENT •
January 2, 2013
Janice Estey
2962 11`h Street
Boulder, Colorado 80304
Re:Literature out Loud
Dear Janice:
The purpose of this letter is to summarize the pertinent terms of Pitkin County's arrangement
with you to provide the specified services enumerated in the following paragraph. The
County's obligation under the Workers' Compensation Statute requires Pitkin County and
you to formalize the.terms of this engagement in a notarized writing.
The Pitkin County Library agrees to pay you $350 far each month that you prepare a
Literature out Loud program to be presented at the Pitkin County Library. This fee is
to compensate you for selecting appropriate readings and for making arrangements
with people to present the programs.
It is mutually agreed that the County does not have an exclusive right to your services and it
is contemplated that you may provide similar work to other businesses, governments and
non-profit organizations. You acknowledge that the work performed for Pitkin County will
be that of an independent contractor and that no employee-employer relationship is created.
You have full control over how the services are performed and it is expected that wark will
be conducted in accordance with industry standards by applying professional judgment. The
County will provide, if necessary, documents and information to complete the work
described in the preceding paragraph. The County representative signing this ]etter is
available to you to discuss any details related to this engagement. This letter of engagement
will terminate on December 3151 and will require a new document in succeeding years to be
effective. You acknowledge and agree that you shall not be entitled to workers'
compensation benefits in connection with this project and that you shall be responsible
for the payment of all state and federal income taxes.
Y'��'�
Contract # 121-2013 Rev. 12/27/10 jls
Ledger# 16662-00710-82000
Ille�al Aliens—Public Contracts for Services
In conformance with the provisions of C.R.S. § 8-17.5-101 and 102, as amended;
1. Contractor shall not knowingly employ or contract with an illegal alien to perform
work under the public confract for services.
2. Contractor shall not enter into a contract with a subconhactor that fails to certify to
the contractor that the subcontractor shall not knowingly employ or contract with an illegal
alien to perform work under the public contract for services.
3. Contractor has confirmed the employment eligibility of all employees who are newly
hired for employment to perform work under the public contract for services through
participation in either the E-Verify Program or the Department Program.
4. Contractor shall use either the E-Verify Program or the Department Program
procedures to undertake pre-employment screening of job applicants while the public
contract for services is being performed.
5. Should Contractor obtain actual knowledge that a subcontractor performing work
under the public contract for services knowingly employs or contracts with an illegal alien,
Contractor shall be required to:
(a) Notify the subcontractor and the County within three days
that the contractor has actual knowledge that the subcontractor
is employing or contracting with an illegal alien;
(b) Terminate the subcontract with the subcontractor if within
three days of receiving the required notice the subcontractor
does not stop employing or contracting with the illegal alien; •
except that the contractor shall not terminate the contract with
the subcontractor if the subcontractor provides information to
establish that the subcontractor has not knowingly employed or
contracted with an illegal alien;
6. Contractor shall comply with any reasonable request by the department made in the
course of an investigation that the department is undertaking pursuant to
C.R.S. 8-17.5-102(5).
If you are in agreement with the terms of this letter, please sign below in the presence of a
notary and return a copy to us for our files. We appreciate the opportunity of working with
you. �
Sincetety, �'
� �
Kathleen Chandler, County Librarian
2
Contract # 121-2013 Rev. 12/27/10 jls
Ledger# 16662-00710-82000
STATE OF COLORADO )
) ss.
COUNTY OF PITKIN )
The forgoing instrument was acknowledged before me this�day of /"G� , 2013
by Kathleen Chandler. a s S i� lr p�l o n �g r� 9 P � ,
�P.`RY•PUQ
Wimessed my hand and official seaL �Or •••.`{�n
� DEBAA � ��
My commission expires '� /' PAYNE ;
NJ,5, i O
9l.�•....... • ' PO
f Of CO���
Notary Publi
AG _
Janice� stey ,
STATE OF COLORADO )
) ss.
COLJNTY OF PITKIN )
The forgoing instrument was acknowledged before me this��day of N i , 2013
by Janice Estey.
Witnessed my hand and official seal.
My commission expires: l � � b
�
NOY3Cy PUUUC ERIC D.WEICH,iELBAUMER
NO7ARY PUBLIC
STATE OF COLORADO
NOiqRYID 20084027387
. MY COMMISSION EXPIRES NOV.18,2016
3