HomeMy WebLinkAboutbocc.con.225.2016 ft't KIN Pitkin County
Lou NT4* 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�a)pitkincounty.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. e'
Project Name Summer Programs for children 2016
Contractor Matthew Gurnsey
Budget Line Item 16662-00000-82008
Additional Budget Line Item(s) Give check to Susan Keenan. Do not mail.
and special notes to Finance
Contract Start Date 7/19/2016
Contract End Date 7/19/2016
Automatic Renewal Yes 0 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 Library
Project Manager Susan Keenan Project Manager 429-1925
Phone
Provide a brief description of the contract:
Performance of Celtic Music with Matthew Gurnsey for elementary school aged children
Contract Value Summary:
Contract Amount 350.00
This Change order/Amendment amount(if applicable)
New Contract Total 350.00
Procurement Method:
None 0 Informal® Formal 0 Sole Source 0 Emergency 0 Contract Renewal 0
Contract Type:
Services/Maintenance ® Construction 0 Goods,Equipment, Supplies 0
Change Order/Amendment 0 Other,please explain 0 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#
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LETTER OF ENGAGEMENT
May 2, 2016
Project Name: Celtic Music with Matthew Gurnsey
Business Name: The Kilted Man
Matthew Gurnsey
P.O. Box 23
Jamestown, CO 80455
Re:Summer Children's Program 2016
Dear Matthew,
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 perform"Celtic Music with Matthew Gurnsey" for children ages 5-10
on Tuesday, July 19, 2016 at 1:00 p.m. at the Pitkin County Library. You will
arrive at least 30 minutes in advance. The program will last approximately one
hour. Your fee will be $350,payable at the time of the performance. 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 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.
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Contract# Rev. 12/27/10 jis
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, Assistant Library Director/Programming
STATE OF COLORADO )
) ss.
COUNTY OF PITKIN )
The forgoing instrument was acknowledged before me this 2, Aday of An,,,k, Zv Flo ,by
Susan Keenan
Witnessed my hand and official seal. AMY CARTER
NOTARY PUBLIC-STATE OF COLORADO
My commission expires: 5 13t I I°i, 4 IdExpirs May 31,2011927
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Notary Pu. is
AGREE : quip.j�
Xi
Matthew urnsey
STATE OF COLORADO )
) ss.
COUNTY OF Pi/61e--- )
it
The forgoing instrument was acknowledged before me this I6 day of May , )4'/6 by
Matthew Gurnsey. Month year
Witnessed my hand and official seal.
My commission expires: 0 7/ / '/201!
Adadir
N•417;Public
MARK NELSON
NOTARY PUBLIC
STATE OF COLORADO
NOTARY ID#20064036999
MY COMMISSION EXPIRES SEPTEMBER 13,2018
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