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Home My WebLink Aboutbocc.con.073.2015Rev. 08-30-11 jls COUNTY CLERK'S CONTRACT COVERSHEET CONTRACT #: 073.2015 ORIGINATING DEPARTMENT: Senior Services PROCUREMENT OFFICER: Marty Ames PHONE #: -9205432 PROJECT NAME: Aging Well Strategic Plan Coordinator CONTRACTOR: IMPACT Marketing - Mary E Kenyon, President DOLLAR AMOUNT: $7.200.00 LINE ITEM # 00179.95027.82009 CONTRACT EXECUTION DATE: 2/27/2015 CONTRACT END DATE: 12/31/2015 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 (ifapplieable) ✓ ® All Original Signatures Affixed ✓❑ Notice of Award/Notice to Proceed Attached (f applicable) ✓ ® All Dates Filled In ✓❑ Warranty (if applicable) ✓ ® Special Instructions for Finance Department: ✓ ® Authorized Procurement Officer's Name: Marty Ames 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! r T K I N Coding: 001.79.95027.82009 COUNT Contract: 073-2015 PITKIN COUNTY STANDARD FORM OF AGREEMENT AGREEMENT made as of F71day of February 201 FJ , BETWEEN the Board of County COMMISSIONERS OF PITKIN COUNTY (the "BOCC") and IMPACT Marketing -Mary E. Kenyon, President _ --- (herein after called the "Contractor" to provide services for: Board of County Commissioners of Pitkin County C/O Marty Ames Address Senior Services Director 0275 Castle Creek Road Phone Aspen, CO 81611 970-920-5432 And the Professional (Contractor Info): Name IMPACT Marketing Address Mary E. Kenyon, President P.O. Box 9640, Aspen, CO 81612 Phone 970-274-2632 E-mail mary@impactmarketingaspen.com Contract Amount: $ 7,20071 Project Aging Well Plan Coordinator Name: as as appended and made a part of this Agreement: cope ot services Exhibit F [ This agreement will terminate on 12/31/2015 ] and will require a new documentation in succeeding years to be effective. 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, 51,000,000 1 General Aggregate and $1,000,000 I 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 indemnify the County for the activities and services of this of this arrangement. You are not relieved of any liability or other obligations assumed pursuant to this arrangement by reason of your failure to obtain or maintain insurance or by reason of your failure to procure or maintain insurance in sufficient amounts, durations, or types. A,re .m ro, Se,ittn P... I 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 fiord 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. 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 presen i e United State ursuant to federal law, (b) shall comply with the provisions of CRS §24-76.5-101 et seq., and (c) hasp t ed one f identification required by CRS §24-76.5-103 prior to the effective date of this contract. Name of Representa[i e for Pitkin County SUS N MARI R KWOOD STATE OF COLORADO ) STATE BLIC D COLORADO NOTARY ID #19974015819 ss. My Corrinssion Expires January 26, 2017 COUNTY OF PITKIN ) r ACXAq The forgoing instrument was acknowledged before me this day of Cr 20i(, by ` Witnessed my hand and official seal. My commission expires: 1 a-�f aU L40�'K_A" Notary Public A REED: SUSAN MARKWOOD NOTARY PUBLIC Na e of [ orize o ra t r Representative S1,&-0__ OF COLORADO NO -i ARY ID #19974015819 STATE OF COLORADO ) _My Comnusslai Expires January 26, 2017 ss. COUNTY OF PITKIN ) 2 A The forgoing instrument was acknowledged before me this) ` day of Ba_ffl 201by O Witnessed my hand and official seal. , My commission expires: ay/ 44� 01(da, Notary Public Aereemem for Services Pae EXHIBIT A Pitkin County Senior Services Part-time Aging Well Strategic Plan Coordinator This person will: • Become expert on goals, objectives and action steps of the Aging Well plan • Determine an organized approach to accomplish these goals • Identify, solicit and convene community individuals to work on action steps • Determine and track desired outcomes • Provide regular verbal and written reports to Senior Services • Create public awareness updates on plan progress The Aging Well Plan is a strategic community plan that will make Pitkin County a place where residents through all stages of aging will have access to the comprehensive activities and services they need. To see the final plan & report go to www.aspenpitkin.com/seniorservices