HomeMy WebLinkAboutbocc.con.134.2013A Rev. 08-30-1/jls
COUNTY CLERK'S
CONTRACT COVERSHEET
CONTRACT #: 134-2013 � I �(iy}1Q�YIGC��
ORIGINATING DEPARTMENT: OST
PROCUREMENT OFFICER: Gary Tennenbaum PHONE #: -9205355
PROJECT NAME: Brush Creek Bridge Project CONTRACTOR: Icon, lnc.
DOLLAR AMOUNT: 8,400 LINE ITEM# 1 18.58.02502.86120
CONTRACT EXECUTION DATE: CONTRACT END DATE:
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& Counry Managers 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: ✓ 1�� ��-�
❑ Services/Maintenance ❑ Employment
❑ License/Use - ❑ Intergovernmental Agreement (Resolution Required)
❑ Lease ❑ Non-Profit
❑ Construction ❑ Quasi-Public (e.g.-AVH)
❑ Goods, Equipment, Supplies ❑ Grant A�reements(Notify Finance & Resolution Required)
❑ Other(e.g. revenue) � Change Order/Contract Amendment
(C/O: 10%or$25K�ehichever is the lesser must have County Manager signawre)
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 Gxhibits Attached
✓ ❑ Page numbered consecutively ✓❑ All Legal Descriptions attached (ifupplicable)
✓ � All Original Signatures Affixed ✓❑ Notice of Award/Notice to Proceed Attached ("fapplicable)
✓ ❑ All Dates Filled In ✓❑ Warranty(if applicable)
✓ ❑ Special Instructions for Finance Department:
✓ � Authorized Procurement Officer's Name: Gary Tennenbaum
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 ATTACHMENTS MUST BE WITH THIS CHECKLIST!
Contract# 134-2013
Budget Line Item# I 18.58.02502.86120
��'I'KIN
+ CUUti1'�, •
- �.:,� ,��� - '
CHANGE ORDER/CONTRACT AMENDMENT
Change Order Number: Ol
OWNER: Pidcin County
530 East Main Street, Third floor
Aspen, Colorado 8161]
CONTRACTOR: Icon, Inc.
PO Box 81620
Avon, CO 81652
The Contract 134-2013: Trail Construction Services (the "AgreemenY') dated 4/29/2013 between the
Boazd of County Commissioners of Pitkin County (the "County") and Icon, Inc. (the "Con[ractor"), is
hereby amended as follows:
Descrintion of Chanae:
The concrete quantities in the contract and plan set omitted the approach slabs and some extra concrete
on the abutments. The total amount of extra concrete is 7 cubic yards. The contract price per cubic yard
is $1,200 per cubic yard.
This results in a total change order amount of$8,400.
Reason for Chanee
Items were not covered in the original contract amount.
Original Contract Price $ 378,243
Net Increase/Decrease in Contract Price (this change order) $ 8,400
*Total Adjusted Contract Price(including this change order) $ 386,643
In all other respects the eement is in full force and effect and remains unchanged by this
Amendment.
� :27��/ �
ontract r Date J
- ( -�.7 -� �3
Pro ement Officer Date
1