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Home My WebLink Aboutbocc.con.422.2016 4)1i-'`t' Pitkin County Cot'T' 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 Click here to enter text. 17.9. - Project Name Community Service Block Grant Contractor State of Colorado Dept. of Local Affairs Budget Line Item 001.72.94612.82000 expenditures Additional Budget Line Item(s) 001.72.94612.62374 revenue and special notes to Finance Contract Start Date 3/1/2015 Contract End Date 9/30/2018 Automatic Renewal Yes E NoZ If Construction: Retainage , Click hereto 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 Mitzi Ledingham Project Manager 970-920-5766 Phone Provide a brief description of the contract: Rental Assistance and Oral Health Assistance to low income families Contract Value Summary: Contract Amount $12,042.00 This Change order/Amendment amount(if applicable) I New Contract Total J $26,653.00 Procurement Method: None Z Informal❑ Formal E Sole Source E Emergency E Contract Renewal E Contract Type: Services/Maintenance Z Construction E Goods, Equipment. Supplies E Change Order/Amendment Z 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. CSBG 25—Pitkin County 2015-2018 CONTRACT AMENDMENT Amendment#: 1 Encumbrance #: L15CSBG25 Original Contract CMS#: 80243, 85303, Amendment CMS #: 90145 89711 1) PARTIES This Amendment to the above-referenced Original Contract (hereinafter called the Contract) is entered into by and between PITKIN COUNTY (hereinafter called "Grantee" or "Contractor"), and the STATE OF COLORADO (hereinafter called the "State") acting by and through the Department of Local Affairs, Division of Local Governments, (hereinafter called the "DOLA"). 2) EFFECTIVE DATE AND ENFORCEABILITY This Amendment shall not be effective or enforceable until it is approved and signed by the Colorado State Controller or designee (hereinafter called the "Effective Date"). The State shall not be liable to pay or reimburse Contractor for any performance hereunder including, but not limited to, costs or expenses incurred, or be bound by any provision hereof prior to the Effective Date. 3) FACTUAL RECITALS The Parties entered into the Contract to deliver services and/or provide assistance to low income families and individuals. Grantee requests a revision to Eligible Expenses to enable them to utilize CSBG Grant Funds for subgrantee case management support services costs. No new Grant Funds are requested. This Amendment revises Eligible Expenses as requested. 4) CONSIDERATION - COLORADO SPECIAL PROVISIONS The Parties acknowledge that the mutual promises and covenants contained herein and other good and valuable consideration are sufficient and adequate to support this Amendment. The Parties agree to replacing the Colorado Special Provisions with the most recent version (if such have been updated since the Contract and any modification thereto were effective) as part consideration for this Amendment. 5) LIMITS OF EFFECT This Amendment is incorporated by reference into the Contract, and the Contract and all prior amendments thereto, if any, remain in full force and effect except as specifically modified herein. 6) MODIFICATIONS. The Contract and all prior amendments thereto, if any, are modified as follows: a. Exhibit B, 1. Project Description Subsection 1.1.1 is modified by deleting the last sentence of the subsection: "Eligible expenses are: dental care services;rent assistance for eligible families." and inserting the following in lieu thereof: "Eligible expenses are: dental care services; rent assistance for eligible families,mileage reimbursement, staff time, and supplies to support case management services." 7) START DATE This Amendment shall take effect on the later of its Effective Date or May 15, 2016. Pagel of - — CSBG 25—Pitkin County 2015-2018 8) ORDER OF PRECEDENCE Except for the Special Provisions, in the event of any conflict, inconsistency, variance, or contradiction between the provisions of this Amendment and any of the provisions of the Contract, the provisions of this Amendment shall in all respects supersede, govern, and control. The most recent version of the Special Provisions incorporated into the Contract or any amendment shall always control other provisions in the Contract or any amendments. 9) AVAILABLE FUNDS Financial obligations of the state payable after the current fiscal year are contingent upon funds for that purpose being appropriated, budgeted, or otherwise made available. THE REST OF THIS PAGE INTENTIONALLY LEFT BLANK Page2of3 ) CSBG 25—Pitkin County 2015-2018 THE PARTIES HERETO HAVE EXECUTED THIS AMENDMENT *Persons signing for Contractor hereby swear and affirm that they are authorized to act on Contractor's behalf and acknowledge that the State is relying on their representations to that effect. CONTRACTOR STATE OF COLORADO PITKIN COUNTY John W. Hickenlooper, GOVERNOR /�' / �" DEPARTMENT OF LOCAL AFFAIRS By: l 14 L�'-o�t/ 31/1A/h �. Name of Authorized Individual By: /1 r1l�L /4t1Lj4 cttL� IryH-f-r x: utre Director Title: G I/ f-h-t -co Je/L2w5.- 7, I Offcia Titl of Authorized lr4dividual Date: ( /CA /"' PRE-APPROVED F• COIOTRACVREVIEWER *Signature (//, i �/�a' By `-'a "- 7� �- �(o Date: '.ch- arlow-Schal Financial Assistance Director Date:7 ' (// ALL CONTRACTS REQUIRE APPROVAL BY THE STATE CONTROLLER CRS§24-30-202 requires the State Controller to approve all State Contracts.This Contract is not valid until signed and dated below by the State Controller or delegate. Contractor is not authorized to begin performance until such time. If Contractor begins performing prior thereto, the State of Colorado is not obligated to pay Contractor for such performance or for any goods and/or services provided hereunder. STATE CONTROLLER Robert Jaros, CPA • BY r�rr eb Janet Mks, CPA, Controller Delegate Date: 1/Pin Page 3 of 3 J