The URL can be used to link to this page

Home My WebLink Aboutbocc.con.309.2016 I rKlN Pitkin County COI)" 111 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@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 309.2016 Project Name Amendment to Child Care Fiscal Agreement Contractor Little Red School House Budget Line Item Click here to enter text. Additional Budget Line Item(s) Click here to enter text. and special notes to Finance Contract Start Date 9/12/2016 Contract End Date Click here to enter a date. 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 Health and Human Services Project Manager Ledingham Project Manager 5766 Phone Provide a brief description of the contract: 2016-2017 CCAP Fiscal Agreement Contract Value Summary: Contract Amount $ This Change order/Amendment amount(if applicable) $ New Contract Total S Procurement Method: None ® Informal❑ Formal ❑ Sole Source ❑ Emergency ❑ Contract Renewal ❑ Contract Type: Services/Maintenance El Construction 0 Goods,Equipment, Supplies ❑ Change Order/Amendment❑ 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. Amendment to Child Care Services Fiscal Agreement tk This Amendment between Pitkin County Little Red School House Herein referred to as"Department"and'(herein referred to as PO Box 6385 Provider")who will provide child care at the following address: Snowmass Village, CO 81616 is made to amend the Fiscal Agreement entered Into by these parties effective the 17"day of February, 2014 and incorporated herein by reference. This amendment is In effect as of the 12"day of September, 2016 and remains In effect until the termination of the above-referenced Fiscal Agreement. In addition to all provision of the Agreement,Provider agrees to: Comply with the provisions of the Illegal Aliens-Public Contracts for Services Act found at C.R.S. Section 8-17,5-101 et. sey, By execution of the Agreement and this Amendment, Provider certifies that it does not knowingly employ or contract with an illegal alien who will perform work under the Agreement and that Provider will participate in either the E-Verify Program or Department Program in order to confirm the eligibility of all employees who are newly hired for employment to perform work under the Agreement. The rates to be paid to the provider are amended to be as follows: Per the provisions of House Bill 14-1317, State and County reimbursement rates must include a system of tiered reimbursement for child care providers based on Colorado Shines Quality Rating. See County Rate Reimbursement Chart/Page two Rate Information: Ely signing the amendment, the provider acknowledges that rates will be amended based on the provider's Colorado Shines Quality Level to pay either the county rate limit or the provider's private pay, whichever Is less. The County reimbursement Chart Is attached which will be compared to the Provider's Private Pay rate sheet on file with current fiscal agreement. (Provider will supply the most current rate sheet with this amendment If previous submission is not the most current.) Provider type: _Day Care Home _School-Age Center/Day Camp Out-of-Home Exempt Relative X Child Care Center In-home Non-Relative _Out-of-Home Exempt Non-relative Preschool _in-home Relative _,-,Other Exempt License/Certificate No .46707 Date License Expires: C71 • Provider Social Security or Tax I.D. No.: 4, ^b . , n pILD C RE PROVIDERDEPARTMENT OF SOCIALIHHUMANSERVICES Provider Signature Dale Authors •► Represe alive Signature Date 1V4V iks N/)C7 / ?. D. box aiJ .. K atv n Mailing Address, Department Address .)CLW .. '3 V 14141-67 -6 ' i/('!5 -Ea l.C_i gl(r13, 6'1e), 2g • Mg City,Zip Phone City, 1p Phone CCri0) gZ3 -6ozd Fiscal Agreement Amendment 54508810-80 394-25-18-5707 (05/2016) Full Time Center Rates ' 6-12 18-24 24-30 30-36 'Tier 0-6 months months 12-18 months months months months 36 months•5yrs School Age 1 $65.00 65.00 65.00 65.00 65.00 65.00 65.00 65.00 2 $ 65.00 65.00 65.00 65.00 65.00 65.00 65.00 65.00 3 $76.00 76.00 76.00 76.00 76.00 76.00 76.00 76.00 4 $78.00 78.00 78.00 78.00 78.00 78.00 78.00 78.00 5 $78.00 78.00 78.00 78.00 78.00 78,00 _ 78.00 _ 78.00 -1 Part Time Center Rates P6.12 18-24 24-30 30-36 Tier 0.6 months months 12-18 months months W months months 36 months-5yrs School Age 1 $ 35.75 35.75 35,75 35.75 35,75 35.75 35.75 35,75 2 $ 35.75 35.75 35,75 35.75 35,75 35.75 35.75 35.75 3 $41.80 41.80 41.80 41.80 41.80 41.80 41.80 , 41.80 4 $42.90 42.90 _ 42.90 42.90 42.90 42.90 42.90 42.90 5 $42.90 42.90 42.90 42,90 42.90 42.90 42.90 42.90 BI Time Home Rates Tier 0-6 months 6-12 12-18 months 18-24 24-30 30-36 36 months-5yrs School Age months months months months 1 $70.00 70.00 70.00 70.00_ 70.00 70.00 70.00 70.00 2 $70.00 70.00 70.00-1 70.00 70.00 70.00 70.00 70.00 3 $71.00 71.00 71.00 71.00 71.00 71.00 71,00 71.00 4 $72.00 72.00 72.00 72,00 72.00 72.00 72.00 72.00 5 $72.00 72.00 72.00 72.00 72.00 72,00 72.00 72.00 Part Time Home Rates Tier 0-6 months 6.12 y.. 12-18 months 18-24 24-30 30-36 36 months-Syrs School Age months months months months 1 $38.50 38.50 38.50 38.50 38.50 38.50 38.50 38.50 2 $38.50 38.50 38.50 38.50 38.50 38.50 38.50 38.50 3 $39.05 * 39.05 39.05 39.05 39.05 39.05 39.05 39.05 4 $39.60 39.60 39.60 39.60 39.60 mmM 39.60 39.60 . .M 39.60 5 $39.60 39.60 39.60 39.60 39,60 39.60 39.60 39.60 CHILD CARE PROVIDER DEPARTMENT OF SOCIAUHUMAN SERVICES V.r..-0 ‘1 1 ,0.A2N SA//0 ,ThIT'0:11T11 . fit g , Provider Signature Date Authorizei_bpresenta ive Signature Date/ Mid A,u/JceAi 12C . Oaf a Po1Ln Mailing Address Department Address t-043te 1 S+'n3/ qriv-32g, $F Fiscal Agreement Amendment 54508810-80 394-25-18-5707 (05/2016) if* e-6 (Or 5 .6. ol / /70 City,Zip Phone City,Zit/ I Phone ( c170)cI3 . a-oz.0 Fiscal Agreement Amendment 54508810-80 394-25-18-5707 (05/2016)