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Home My WebLink Aboutbocc.con.254.2015 7:2( g tin) • T .E N Pitkin County Contract Cover Sheet Please complete the Contract Cover Sheet when the contract is completed and signed by Contractor and Pitkin County Project Manager. Return all Contract Cover Sheets and Contracts/Change Orders/Amendments to Procurement (procurement help(apitkincounty.com). Any contracts$50,000 and over will be routed for signatures to County Manager and Attorney's Office(if required)by Procurement&Contracts Manager. Contract Information Contract Number Click here to enter text. �L�� kr 5 Project Name (#C,T C)e ot-m P°repr—Ado n Secs;7n S Contractor I/J; k f Budget Line Item Click here to enter text. /(alv(vZ. t20000 -3 Op 0 Additional Budget Line Item(s) Click here 10 enter text. and special notes to Finance Contract Start Date Click here to enter a date. y/9/i5 Contract End Date Click here to enter a date. /12 /Z/ //s Automatic Renewal Yes ❑ No.®' If Construction: Retainage Click here to enter text. If this is a new contractor, please request they complete and submit to Finance a W-9 Form. Contact Information: Department Click here to enter text. Li,brA.rj Project Manager Click here to enter text. Project Manager Click here to enter text. to f(�Yis Ke[y Phone 9t9 -`12-9-/92-0 Provide a brief description of the contract: Click here to enter text. rCT Tes-I- preps --ea_ Sec c,o{ S -- high SckooI S'hAda- JS. Contract Value Summary: Contract Amount y 900. 0, This Change order/Amendment amount(if applicable) New Contract Total Procurement Method: None ❑ Informalg Formal ❑ Sole Source ❑ Emergency ❑ Contract Renewal ❑ • Contract Type: Services/Maintenance Construction ❑ Goods,Equipment, Supplies ❑ Change Order/Amendment ❑ Other,please explain ❑ Click here to enter text. NOTE: CLERKS 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# • fir' :F1'• Lt�h�i' a:.rd'£rw .ifs M;a,i. .d Yi,"M1. ue i1 .6 '^: � -� ilk.' _..d ,y,. •_ �`•, 1 may. �.r„, �,�,7 yy xt..`,s�a - 'h*a' 4�^'"*x``*+^- ref v�`� .. LETTER OF ENGAGEMENT September 25, 2015 Kalfas Educational Services do Philip Kalfas 42 Mining Stock Parkway#101 Aspen, CO 81611 Re:ACT Test Prep Workshops Dear Mr. Kalfas: 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. You will work with and instruct young adults on September 9th, and on October 14th and 21st Pin a three-part program entitled"ACT Test Prep Workshops." These programs will last a combined total of 7 hours, 2 hours each night, plus an additional hour of prep work. Your fee will be $900 and will be paid at the time of the October 14th class. The library will provide any requested materials. 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 31St 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# Sincerel. , Collins C. Kelly, Young A ult Servi s Librarian STATE OF COLORADO ) ) ss. COUNTY OF PITKINiN„) C The forgoing instrument was acknowledged before me this 6day of0 ,2-erei ZAP(ir by Collins C. Kelly Witnessed my hand and official seal. My commission expires: 4-313 I) /9 Notary Public AMY CARTER AGREED: " NOTARY PUBLIC-STATE OF COLORADO My Identification#20114032790 Expires May 31,2019 Philip Kalfas for Kalfas E ational Services STA 1'E OF COLORADO ) ) ss. COUNTY OF PITKIN ) 1- The forgoing instrument was acknowledged before me this b day of fed-b4, , 2014 by Philip Kalfas for Kalfas Educational Services Witnessed my hand and official seal. My commission expires: Notary Public DORIAN EMERY NOTARY PUBLIC STATE OF COLORADO NOTARY ID#19924007567 My Commission 3