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HomeMy WebLinkAboutbocc.con.194.2017A 7/2015 kjm pif KIN Pitkin County CouNTit Contract Cover Sheet Please complete the Contract Cover Sheet when the contract is completed and signed by Contractor/Vendor and Pitkin County Representative. 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. Contract Information Contract Number 194.2017 A Project Name Leadership Development for Supervisors and Managers Contractor Succeed at Management Budget Line Item 404.67.00000.82000 $ 7347.25 Additional Budget Line Click here to enter text. $ Item(s) $ (Please fully allocate New $ Contract Total) $ Contract Start Date 10/4/2017 Contract End Date 10/5/2017 Automatic Renewal Yes ❑ No® _ If Construction: Retainage Yes $ or % No If this is a new contractor,please request they complete and submit to Finance a New Vendor Request Form. Contact Information: Department Airport Project Manager John Kinney Project Manager (970)429-2851 Phone Provide a brief description of the contract: Individual meetings with Airport Leadership to strengthen effectiveness and improve team performance. Contract Value Summary: Original Contract Amount $ 8,000.00 Previous Change Order/Amendment Amount(if applicable) $ 7,347.25 This Change order/Amendment amount(if applicable) $ New Contract Total $ 15,347.25 Procurement Method: None ❑X Informal❑ Formal ❑ Sole Source ❑ Emergency ❑ Contract Type: Services/Maintenance ® Construction ❑ Goods,Equipment, Supplies ❑ Change Order/Amendment ❑ Contract Renewal ❑ 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# 194.2017 Rev. 8.31.11 jaa/js Budget Line Item#404.67.00000.82000 41) iTKIN COUNT CHANGE ORDER/CONTRACT AMENDMENT Change Order Number: 194.2017 A OWNER: Pitkin County 123 Emma Rd., Suite#106 Basalt, Colorado 81621 CONTRACTOR: Succeed at Management The Provision of Leadership Development for Supervisors and Managers (the "Agreement") dated June 23, 2017 between the Board of County Commissioners of Pitkin County (the "County") and Succeed at Management(the "Contractor"), is hereby amended as follows: Description of Change: See Attachment for Additional Scope of Work for October 4th and 5th, 2017. Reason for Change: Additional Services to compliment the Leadership Development Sessions Original Contract Amount $ 8,000.00 Previous Change Order/Amendment Amount(if applicable) $ 0.00 This Change Order/Amendment Amount (if applicable) $ 7,347.25 New Contract Total $ 15,347.25 "Increases over $25,000 and/or 10% (single increase or accumulative) of original contract must have County Manager signature. Contract# 194.2017 Rev. 8.31.11 jaa/js Budget Line Item#404.67.00000.82000 In all other respects the Agreement is in full force and effect and remains unchanged by this Amendment. SUCCEED AT MANAGEMENT S.makt,a-Ait4ixapiwtt Sep-28-2017 Succeed at Management Date President PITKIN COUNTY,COLORADO RECOMMENDED FOR APPROVAL: C-V Oct-02-2017 Chris Padi I I a Date Airport Controller joLA, i Oct-03-2017 John Kinney Date Airport Director MANAGER APPROVAL: Jot, Prod, Oct-03-2017 Jon Peacock Date County Manager "Increases over $25,000 and/or 10% (single increase or accumulative) of original contract must have County Manager signature. 2 SUCCEED AT MAN AN.G EMENT PITKIN COUNTY AIRPORT SCOPE OF WORK September 25, 2017 Type of Service: Leadership Development and Coaching Scope of Work: This service will involve individual one hour meetings with Aspen Airport leadership over two days. Meetings to cover individual's DISC and Motivators assessments, discuss challenges, identify solutions to strengthen individual's effectiveness and improve team performance. Projected Date of Work: October 4 and 5, 2017 Costs: $6,000 ($3,000 per day) Expenses: Hotel: 3 nights estimated at $225 per night, not to exceed $350 per night Per Diem: 2 days at $56 County provides lunch and 2 days at $74 totals $260 Mileage: 350 miles at .535 per mile totals $187.25 www.succeedatmanagement.coml 970.261.30251 stefani@succeedatmanagement.com 2813 Grand View Drive, Grand Junction, CO 81506 Docu 5i ,. - SECURED Certificate Of Completion Envelope Id:51A0E6CA3DFD4A208AC9B7A7ED52CA6B Status:Completed Subject:SAM Pitkin County Contract 194.2017 Amendment A for Review and Signature Source Envelope: Document Pages:4 Signatures:4 Envelope Originator: Certificate Pages:5 Initials:0 Procurement Mailbox AutoNav: Enabled Procurement@PitkinCounty.com Envelopeld Stamping: Disabled IP Address: 10.103.101.11 Time Zone: (UTC-07:00)Mountain Time(US&Canada) Record Tracking Status:Original Holder:Procurement Mailbox Location: DocuSign Sep-27-2017 Procurement@PitkinCounty.com Signer Events Signature Timestamp Chris Padilla /� Sent:Sep-27-2017 chris.padilla@aspenairport.com � 1 Viewed:Oct-02-2017 Airport Controller Signed:Oct-02-2017 Security Level: Email,Account Authentication (None) Using IP Address: 174.209.4.142 Signed using mobile Electronic Record and Signature Disclosure: Accepted:Oct-02-2017 ID:7c151078-042e-425e-abe5-clfd5dbb4b49 Company Name:Pitkin County,Colorado Succeed at Management Sent:Sep-27-2017 stefani@succeedatmanagement.com Sika.f l Viewed:Sep-28-2017 President Signed:Sep-28-2017 Security Level: Email,Account Authentication (None) Using IP Address:65.125.159.14 Electronic Record and Signature Disclosure: Accepted:Sep-28-2017 ID:903f4eab-34cb-43b8-a873-ed0a86e00f74 Company Name:Pitkin County,Colorado John Kinney I Sent:Oct-02-2017 john.kinney@aspenairport.com ^ �1tn.It.U1 Viewed:Oct-03-2017 Airport Director Signed:Oct-03-2017 Security Level: Email,Account Authentication (None) Using IP Address: 198.233.197.98 Electronic Record and Signature Disclosure: Accepted:Oct-03-2017 ID: 17353a31-ba14-44f6-aad6-cc8dc4ff50d1 Company Name:Pitkin County,Colorado Jon Peacock Sent:Oct-03-2017 Jon.Peacock@PitkinCounty.com jbl^' Pt,Atigt Viewed:Oct-03-2017 County Manager Signed:Oct-03-2017 Security Level: Email,Account Authentication (None) Using IP Address: 198.233.197.98 Electronic Record and Signature Disclosure: Accepted:Oct-03-2017 ID:7881a369-cf0b-4f80-8e21-017b94969d0a Company Name:Pitkin County,Colorado In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp Jennifer Mitchley COPIED Sent:Oct-03-2017 jennifer.mitchley@aspenairport.com Viewed:Oct-03-2017 Procurement Aspen/Pitkin County Airport Security Level: Email,Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Accounts Payable COPIED Sent:Oct-03-2017 AP@pitkincounty.com Accounts Payable Pitkin County Security Level: Email,Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Jeanette Jones COPIED Sent:Oct-03-2017 Jeanette.jones@pitkincounty.com Viewed:Oct-09-2017 BOCC Clerk Pitkin County Security Level: Email,Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Procurement Mailbox COPIED Sent:Oct-03-2017 Procurement@pitkincounty.com Resent:Oct-03-2017 Procurement Mailbox Viewed:Oct-03-2017 Pitkin County Security Level: Email,Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted Oct-03-2017 Certified Delivered Security Checked Oct-03-2017 Signing Complete Security Checked Oct-03-2017 Completed Security Checked Oct-03-2017 Payment Events Status Timestamps Electronic Record and Signature Disclosure Electronic Record and Signature Disclosure created on:Mar-17-2017 Parties agreed to:Chris Padilla,Succeed at Management,John Kinney,Jon Peacock ELECTRONIC RECORD AND SIGNATURE DISCLOSURE From time to time, Pitkin County(we, us or Pitkin County) may be required by law to provide to you certain written notices or disclosures. 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