HomeMy WebLinkAboutbocc.con.181.2014 Rev. 08-30-11 jls
COUNTY CLERK'S
CONTRACT COVERSHEET
CONTRACT #: / o.0/7
ORIGINATING DEPARTMENT: , % d
PROCUREMENT OFFICER:/ , PHONE #: 7 4 ' /90 S
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PROJECT NAME: CON RACTOR: �° d ' D
DOLLAR AMOUNT: 2,yy/I, . LINE ITEM# / ,_givio �/
CONTRACT EXECUTION DATE: e! M/(/ CONTRACT END DATE: yo/a2.7 ��yam'
AUTOMATIC RENEWAL: ❑ YES ,NO TERM:
❑ BOCC AGENDA ITEM (Grants, IGA) �J 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 most 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 (if applicable)
✓ ❑ All Original Signatures Affixed ✓❑ Notice of Award/Notice to Proceed Attached (if applicable)
✓ ❑ All Dates Filled In ✓❑ Warranty,(if pplicabl e24ti /
✓ ❑ Special Instructions for Finance Department: t/ c4a f
✓ ❑ Authorized Procurement Officer's Name: 5f-74N/lg 4/^
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!
Contract# Rev. 12/27/10 jls
Ledger#
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LETTER OF ENGAGEMENT
May 29, 2014
Project Name: Solar Science Fun
Business Name: Solar Energy International
c/o Andrea Wang - Solar In the Schools Coordinator
39845 Mathews Lane
Paonia, CO 81428
Re:Summer Children's Program 2014
Dear Andrea,
The purpose of this letter is tor 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.
Solar Energy International will bring its Solar Science Fun program for children
ages 5-10 to the Pitkin County Library on Tuesday, June 24 at 1:00 p.m. You will
arrive at least 30 minutes in advance. The program will last approximately one
hour. The cost for this event will be $200 covering time and mileage. A check
for the amount of$200.00 will be issued to you and paid at the time of the event.
All other expenses shall be yours.
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 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.
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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.
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Contract# Rev. 12/27/10 jls
Ledger#
Sincerely,
Susan Keenan, Childre 's Librarian
STATE OF COLORADO )
) ss.
COUNTY OF PITKIN )
The forgoing instrument was acknowledged before me this /?day of(. e, 470/9'by
Susan Keenan
Witnessed my hand and official seal. �
My commission expires:
7.—/7-1(/ �1
Notary Pub I c 4 :-w `•:...
AGA D: / ••�.�',
Andrea Wang r
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STATE OF COLORADO ) �'sd'O 31W'
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COUNTY OF )
The forgoing instrument was acknowledged before me this 64 day of , a t'-1 by
Andrea Wang. Month year
AMBER VOIGHT•BYERS
Witnessed my hand and official seal. NOTARY PUBLIC
STATE OF COLORADO
My commission expires: to 9S lab'LI My 5010n Explres 10125/2014
Notary Public U
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