The URL can be used to link to this page

Home My WebLink Aboutbocc.con.175.2013 Rev. 08-30-11 jls COUNTY CLERK'S CONTRACT COVERSHEET CONTRACT #: / '7 - V a/3 ORIGINATING DEPARTMENT: Library PROCUREMENT OFFICER: Genevieve Smith PHONE#: -9704291948 PROJECT NAME: Red Cross Babystter Training CONTRACTOR: Georgina Levey DOLLAR AMOUNT: $480.00 LINE ITEM # 166-62-00000-82000 CONTRACT EXECUTION DATE: 6/14/2013 CONTRACT END DATE: 6/14/2013 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) it IV CLERK'S V CHECK PROCUREMENT TYPE: \..i. cOvi•i�-lil•:•••• ® None ❑ Informal ❑ Formal in Sole Source ❑ Emergency ❑ Outside Agency/State Bid ❑ Compliance with C.R.S. 8-17 15L 101,1102tas amended(Immigration Form) ❑ Exempt. ❑ Contract Renewal . . . • I II't.r ■ ✓ CHECK CONTRACT TYPE: :v v nii i I'IIl1NI•: 4: -9704291';45 ® Services/Maintenance ❑ Employment ❑ License/Use I ❑ Intergovernmental Agreement(Resolution Required) ❑ Lease ❑ Non-Profit ❑ Construction ❑ Quasi-P.ublice(e.g.-AVH)wu,r ❑ Goods, Equipment, Supplies' ❑ Grant Agreements (Notify Finance &Resolution Required) ❑ Other(e.g.revenue) \ I I : (. B Change Order/Contract Amendment I : t. ' • (C/O: 10%or$25K whichever is the lesser must have County Manager signature) All Contracts should be proofed and all exhibits and notices must be attached for the following: " r , `,, , ii.„ ,. R. , t:l Si AiF At ; ()KI/.i- Ht ✓ No Pages Missing ,,,, ; t Pc 11,<Z A11.Other Blanks Filled In ✓ Z If Page Left Intentionally Blank—Note on Page �1 ®✓ All Exhibits Attached ✓ ® Page numbered consecutively "u" ""C` .✓® All legal Descriptions attached(if applicable) it ® All Original Signatures Affixed.' ✓®Notice of Award/Notice to Proceed Attached Of applicable ✓ ® All Dates Filled In 'L I ' t-' ✓® Warranty(if applicable) ✓ ® Special Instructions for Finance Department,:Please give check to Genevieve Smith at Library ource L ✓ ® Authorized Procurement Officers Name?": j l 1 etgency, as amended (Immlaration i LP".. utnil I BY CHECKING ABOVE'AND ENTERING NAME,THE AUTHORIZED STAFF PERSON INDICATES THAT THE ATTACHED DOCUMENT HAS BEEN PROOFED AND READY FOR SCANNING. NOTE: CLERK'S OFFICE WILL KEEP ORIGINAL DOCUMENTS IN COMPLIANCE WITH COLORADO STATE ARCHIVES RETAINAGE SCHEDULE. ALL ATTACHMENTS MUST BE WITH THIS CHECKLIST! ,iris;"n 1, m crnnrontai -\grremr+n (It(•,.+nr.,"nl'nrfu a : ,i-I'ublir (e -:1\'II) ,.,,... .,..lyn.; " I.difit .■grecntenls•(\o!it;. itdcr'('tmtracl Ann:nwncnr Contract # Rev. 12/27/10 jls Ledger# ,40 00. h 1 \,� �, , �, C ` 't" C 1't r J. ;Pitte. p' x ' .� s.�if$:� r !�G'=.:wy<ix:41 15-:- %. LETTER OF ENGAGEMENT May 7, 2013 Georgina Levey 94 Cinnamon Ct. Aspen, CO 81611 Re:American Red Cross Babysitter Instruction Course Dear Ms. Levey: 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. • As a certified American Red Cross Instructor, you will work with young adults ages 11-15 on Friday, June 14 in a program entitled "American Red Cross Babysitter Training". The program will last 6 % hours from 10 am until 4:30 pm. Your fee will be $480 for the class. Students will be responsible for paying for the cost of materials to you at the time of the course. • 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 preceding paragraph. The County representative signing this letter is available to you to discuss any details related to this engagement. This letter of engagement will terminate on December 31'" 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. • 1 Contract # Rev. 12/27/10 jls Ledger # Illegal 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 contract for services. 2. Contractor shall not enter into a contract with a subcontractor 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. 2 Contract # Rev. 12/27/10 jls Ledger# Sine' KATHLEEN M. TOLLE NOTARY PUBLIC STATE NOTARY ID#19905051 Gen rev 7 mit.!YMIlril It Services Librarian MY Commission Expires January 27,2017 STATE OF COLORADO ) ss. COUNTY OF PITKIN ) The forgoing instrument was acknowledged before me this day of H gut. , 2013 by Genevieve Smith. Witnessed my hand and official seal. My commission expires: I -7 I I Wan" 4 _ Notary Public 41, ED: ev STATE OF COLORADO ) ss. COUNTY OF PITKIN r(n The forgoing instrument was acknowledged before me this H day of , 2013 by Georgina Levey. Witnessed my hand and official seal. •� !!''" " ° A t01ii ' • My commission expires: A• . otary Puslc '�% � rC 3