HomeMy WebLinkAboutbocc.con.241.2017 Pitkin County
„. Contract Cover Sheet
Please complete the Contract Cover Sheet when the contract is completed and signed by C'ontractorNendor and Pilkui
County Representative.
Return all Contract Cover Sheets and Contracts/Change Ot ders/Amendments to Procurement
help a,mhircourt: :i 3.Any contracts 550M00 and over will be routed for signatures to Coun•y Manager
and Attorney's Office(if required)by Procurement.
Contract Information
Contract Number T. Lrf/, Zori
Project Name ,� ' fir J 4a_, jtn--r__
Contractor
Budget Line Item n . . + $
Additional Budget Line ._ _. 1 $_ ._
Realist
(Please fully allocate New __ _ $ _
Contract Total) 9
Contract Start Date ' '1/61/17J
Contract End Date - -- it
Automatic Renewal Yes ❑ N _
1f Construction.Retainage Yes S or No"
If this is a new contractor,please request they complete and submit to Finance a New Vendor Request Form
Contact Information:
Department1
l Project Manager C'. 5 L(•JJ ' I Project Manager 1970)9W-
I, Phone
970).:134.` Phone
Provide a brief description of the contract:
Contract Value Summary: 678 D nu
Original Contract Amount S24
Previous Change Order/Amendment Amount(,fappbcabiei
This Change order/Amendment amount(if applicable) _ $
New Contract Total $00.00
Procurement Met
None ^ Inforo:al' Formal ^ Sole Source ^ Emergency ^_
Contract Type:
Services/Maintenance Constriction " Goods,Equipment,Supplies
Change Order/Amendment ❑ Contract Renewal I] Other,please explain D . ' r * _
NOTE: CLERKS OFFICE WILL KEEP ORIGINAL DOCUMENTS IN COMPLIANCE WITH COLORADO STATE
ARCHIVES RETAINAGE SCHEDUI.E ALL ATTACHMENTS MUST BE WITH THIS CIIECKLIST.
Contract# Rev. 12/27/10 jIs
Ledger#
if-
•
LETTER OF ENGAGEMENT
April 25, 2017
Project Name: Build a Better World with LEGO rI
Business Name: Caroline Hanson • _\�D 8�x `fl� �I,- • 1;5
137 Crescent Drive
Woody Creek, Co 51656 \t>ech . CID q,1 S,
Re: Summer Children's Program 2017
Dear Caroline.
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 "Budd a Better World with LEGO" for children ages 5-10 on
Tuesday, July 11, 2017 at I L00 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 $100, 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 31"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. 12/27110 jlc
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 shalt 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 sereices 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 he required to:
(al Notify the subcontractor and the County within three days
that the contractor has actual knowledge that the subcontractor
is etnployins or contracting with an illegal alien;
(b) Terminate the subcontract with the subcontractor if within
three days of recciving 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;
b. 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(5i
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.
r
Contract# Rev. 12/27/10 jls
Ledger#
Sinccr ly,
Susan Keenan, Assistant ibrary Director/Programming
STATE OF COLORADO
ss.
COUNTY OF PITKIN
The forgoing instrument was acknowledged before me this day of ,by
Susan Keenan
Witnessed my hand and official seal.
My commission expires:
Notary Public
7
AGREED:
_i. . Z.-c i !. .i
Caroline Hanson
STATE OF COLORADO
ss.
COUNTY OF 1
The forgoing instrument was acknowledged before me this day of by
Caroline Hanson. Month year
Witnessed my hand and official seal.
My commission expires:
Notary Public
3