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Home My WebLink Aboutbocc.con.168.2013 Rev. 08-30-1 I jls COUNTY CLERK'S CONTRACT COVERSHEET CONTRACT #: (6'�j -X'/3 ORIGINATING DEPARTMENT: PROCUREMENT OFFICER: PHONE #: -9205206 PROJECT NAME: Environmental Clearnace CONTRACTOR: ERO DOLLAR AMOUNT: $2,000.00 LINE ITEM# 110.54. ab bide: 0°2-°°U CONTRACT EXECUTION DATE: 3/22/2013 CONTRACT END DATE: 5/13/2013 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: ® 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$25K whichever is the lesser must have County Manager signature) All Contracts should be proofed and all exhibits and notices must be attached for the following: ✓ ® No Pages Missing ✓ ® All Other Blanks Filled In ✓ ® If Page Left Intentionally Blank—Note on Page ✓ ® All Exhibits Attached ✓ ® Page numbered consecutively ✓ ❑ All Legal Descriptions attached (ijapplicable) ✓ ® All Original Signatures Affixed ✓ ❑ Notice of Award/Notice to Proceed Attached (japplicabh ✓ N All Dates Filled In ✓ ❑ Warranty(if applicable) ✓ ❑ Special Instructions for Finance Department: ✓ ® Authorized Procurement Officer's Name: G.R. Fielding — BY CHECKING ABOVE AND ENTERING NAME,THE AUTHORIZED STAFF PERSON INDICATES THAT THE ATTACHED DOCUMENT HAS BEEN PROOFED AND READY FOR SCANNING. NOTE: CLERK'S OFFICE WILL KEEP ORIGINAL DOCUMENTS IN COMPLIANCE WITH COLORADO STATE ARCHIVES RETAINAGE SCHEDULE. ALL ATTACHMENTS MUST BE WITH THIS CHECKLIST! 1f h.1 Coding: 110.54.96200.82000 ,t111.1 N T191' Contract: — PQ't3 PITKN COUNTY STANDARD FORM OF AGREEMENT AGREEMENT made as of 22 day of March 2013 2012, BETWEEN the Board of County COMMISSIONERS OF PITKIN COUNTY (the "BOCC") and ERO (herein after called the "Contractor"to provide services for: Board of County Commissioners of Pitkin County Contract Amount:$ 2,000 C/O Address G.R.Fielding,PE Projcct Environmental Clearance assistance for the ABC/ 76 Service Center Road Name: Airport SH 82 Pedestrian Tunnel Phone Aspen,CO 81611 Scope of services detail attach as exhibit below • And the Professional(Contractor Info): - Exhibits as appended and made a part of this Agreement: Letter and research to assist in obtaining the Name CDOT environmental clearance on the SH 82 Courtney Sockwell/ERO Resources Corporation Exhibit A underpass at the ABC/Airport Address Y P P P 1842 Clarkson St Phone ' Denver CO80218 rr;; ,;r1,1_,;21(247, r, ' Ma 31,201 • This agreement will terminate on Y and+gill require L'-mail.• "' 1! -r r rrt " , `' ' " , a new documentation In suececding years to•be effective .`n• The purpose of this agreement is to summarize the pertinent terms of Pitkin County's arrangement with you.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. 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 work 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 scope of work. The County representative signing this letter is available to you to discuss any details related to this agreement. 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. You shall obtain,and maintain continuously for the term of this arrangement, at your own expense,occurrence form Commercial General Liability with limits of $1,000,000 Each Occurrence, $1,000,000 General Aggregate and $1,000,000 , Products/Completed Operations Aggregate including an endorsement naming the County as an additional • -insured-(for ongoing.operations and completed operations) and/or other insurance'to indeninify:the County for the activities and-services of-this of this_arrangement. You an ernof relieved-of any liability or-other-obligations assumed pursuant to this arrangement by reason of your failure to obtain or mainifam`msurance or`by reason;ofiyour failure to i. , - . e - procure or mam[am insurance in sufficient amounts, durations,or types. ... Pemmlfor Senices Page I •. I 2 • i iT KIN OF IN PUBLIC CONTRACTS FOR SERVICES. CRS§8-17.5-101. [Not Applicable to agreements relating to the offer,issuance, or sale of securities, investment advisory services or fund management services, sponsored projects, intergovernmental agreements, or information technology services or products and services] Contractor certifies, warrants, and agrees that it does not knowingly employ or contract with an illegal alien who will perform work under this contract and will confirm the employment eligibility of all employees who are newly hired for employment in the United States to perform work under this contract, through participation in the E-Verify Program or the Department program established pursuant to CRS §8-17.5-102 (5)(c), Contractor shall not knowingly employ or contract with an illegal alien to perform work under this contract or enter into a contract with a subcontractor that fails to certify to Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this contract. Contractor(a)shall not use E-Verify Program or Department program procedures to undertake pre-employment screening of job applicants while this contract is being performed,(b)shall notify the subcontractor and the contracting State agency within three days if Contractor has actual knowledge that a subcontractor is employing or contracting with an illegal alien for work under this contract,(c)shall terminate the subcontract if a subcontractor does not stop employing or contracting with the illegal alien within three days of receiving the notice, and (d) shall comply with reasonable requests made in the course of an investigation, undertaken pursuant to CRS §8-17.5-102(5), by the Colorado Department of Labor and Employment. if Contractor participates in the Department program, Contractor shall deliver to the contracting State agency, Institution of Higher Education or political subdivision a written,notarized affirmation,affirming that Contractor has examined the legal work status of such employee, and shall comply with all of the other requirements of the Department program. If Contractor fails to comply with any requirement of this provision or CRS §8-17.5-101 et seq., the contracting State agency, institution of higher education or political subdivision may terminate this contract for breach and, if so terminated,Contractor shall be liable for damages.. i.y PUBLIC CONTRACTS WITH NATURAL PERSONS. CRS §24-76.5-101. Contractor, if a natural person eighteen (18) years of age or older, hereby swears and affirms under penalty of perjury that he or she (a) is a citizen or otherwise lawfully present in the United States pursuant to federal law, (b) shall comply with the provisions of CRS §24-76.5-10I et seq., and(c) has produced one form of identification required by CR5 §24-76.5-103 prior to the effective date of this contract. I- 1_ ame o 'cpr At'hive • ` County t.._ MELISSA M SEVER STATE OF COLORADO ) Notary Public as. State of Colorado COUNTY OF PITKIN ) `` 1111 Myy CommIsslon Expires August 27. 2015 The forgoing instrument was acknowledged before me this I�day of Vv`.-'+ ,201by Q.l" " 1 1 Witnessed my hand and official seal. .. My commission expires: $12.x•\%5 1L •ta y Pub rc AtO (irtioezu___ •' NT Name of Authorized ontractor Representative ../A....° MP „f�q ••••.: �,1 A STATE OF COLORADO )55. '` NCTga} y1. Ct1 COUN1'YOFPttKYN DE'vvcra ) ••a; A� °rye y� 013 :i :. bet/ The forgoing instrument was acknowledged before me this day of ''14rer` .29-1-tby Y Az l-2 "-•.7;L•"•••...C•''•• ww .. Witnessed my hand and official seal. My commission expires: 1 l( d _ -,�.ia r �"�'� Agreement for s•rr ices Nojary Public "9