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HomeMy WebLinkAboutbocc.con.112.2017A 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 Project Lead. 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 112.2017 A Project Name Court Reporting and Monitoring Services Contractor Colorado West Regional Mental Health,Inc. dba Mind Springs Health, Inc Budget Line Item 001.33.00330.82000 $ Additional Budget Line $ Item(s) $ (Please fully allocate New $ Contract Total) $ Contract Start Date 1/1/2017 Contract End Date 12/31/2018 Automatic Renewal Yes ❑ No If Construction: Retainage Yes $ or % No 0 If this is a new contractor,please request they complete and submit to Finance a W-9 Form. Contact Information: Department Jail Project Manager Don Bird Project Manager (970)429-2057 Phone Provide a brief description of the contract: Pre-trail services and Court reporting Contract Value Summary: Original Contract Amount $25,498.00 Previous Change Order/Amendment Amount(if applicable) $ 0.00 This Change order/Amendment amount(if applicable) $25,498.00 New Contract Total $ 50,996.00 Procurement Method: None ❑ Informal❑ Formal ❑ Sole Source © Emergency ❑ Contract Renewal El Contract Type: Services/Maintenance ❑x Construction El Goods,Equipment, Supplies El Change Order/Amendment ❑ 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. 9.25.11 jls Contract#: 112.2017 Budget Line Item#: 001.33.00330.82000 41)iTKIN COUNT SERVICE CONTRACT RENEWAL November 22, 2017 Colorado West Regional Mental Health, Inc. dba Mind Springs Health, Inc. 715 Horizon Drive, Suite 225 Grand Junction, CO 81506 (970) 241-6023 RE: Court Reporting and Monitoring Services Renewal of Contract# 112.2017 Pitkin County has elected to renew the Court Reporting and Monitoring Services Services Contract with Colorado West Regional Mental Health, Inc. dba Mind Springs Health, Inc., which is set to expire on December 31, 2017. If the renewal of this contract is agreeable to Colorado West Regional Mental Health, Inc. dba Mind Springs Health, Inc.,please sign this letter in the space provided below and return it, along with a current copy of your certificate of insurance, naming Pitkin County as additionally insured on the Certificate as required. Pitkin County hereby authorized the renewal of Contract# 112.2017 with Colorado West Regional Mental Health, Inc. dba Mind Springs Health, Inc., for a period of twelve (12) months from contract expiration date; new expiration date is now December 31, 2018., at which time the County will go out to bid for the services. All rates will remain the same for the extension ending December 31, 2018.. Any changes in rates thereafter will be by an amendment. 1 9.25.11 jls Contract#: 112.2017 Budget Line Item#: 001.33.00330.82000 In all other respects the Service Contract is in full force and effect and remains unchanged by this Renewal. COLORADO WEST REGIONAL MENTAL HEALTH, INC. DBA MIND SPRINGS HEALTH, INC. M.idu&, lkobi) VV,, Prt SidaAld Nov-28-2017 Michelle Hoy, Vice President Date Executive vice President PITKIN COUNTY,COLORADO Von, bird. Nov-22-2017 Don Bi rd Date Jail Administrator 2 Docu�i , - SECURED Certificate Of Completion Envelope Id:AB496E9CBA2841 B5A2F0C86A2902E051 Status:Completed Subject:Colorado West Regional Mental Health I Pitkin County Extension 112.2017 A for Review and Signature Source Envelope: Document Pages:3 Signatures:2 Envelope Originator: Certificate Pages:5 Initials:0 Procurement Mailbox AutoNav: Enabled 1860 Michael Faraday Dr.Suite 100 Envelopeld Stamping: Disabled Reston,VA 20190 Time Zone: (UTC-07:00)Mountain Time(US&Canada) Procurement@PitkinCounty.com IP Address: 198.233.197.98 Record Tracking Status:Original Holder:Procurement Mailbox Location: DocuSign Nov-22-2017 Procurement@PitkinCounty.com Signer Events Signature Timestamp Don Bird Sent:Nov-22-2017 Don.Bird@PitkinSheriff.com Pot& biri, Viewed:Nov-22-2017 Jail Administrator Signed: Nov-22-2017 Security Level: Email,Account Authentication (None) Using IP Address: 198.233.197.98 Electronic Record and Signature Disclosure: Accepted:Nov-22-2017 ID:c3da5a45-d5ee-491c-986c-c7576c2841ca Company Name:Pitkin County,Colorado Michelle Hoy,Vice President ' I' Sent:Nov-27-2017 mhoy@mindspringshealth.org G.u.u,t �O �� ��Si�1 Viewed:Nov-28-2017 Executive Vice President Signed: Nov-28-2017 Security Level: Email,Account Authentication (None) Using IP Address:67.230.215.69 Electronic Record and Signature Disclosure: Accepted:Nov-28-2017 ID:371111cf-000a-4cab-8ac7-3ca212c66ec7 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 Amy Becktell COPIED Sent:Nov-27-2017 ABecktell@MindSpringsHealth.org Viewed:Nov-27-2017 Security Level: Email,Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Carbon Copy Events Status Timestamp Jeanette Jones COPIED Sent:Nov-28-2017 Jeanette.jones@pitkincounty.com Viewed:Nov-30-2017 BOCC Clerk Pitkin County Security Level: Email,Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Procurement Mailbox COPIED Sent:Nov-28-2017 procurement@pitkincounty.com Resent:Nov-28-2017 Procurement Mailbox 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 Nov-28-2017 Certified Delivered Security Checked Nov-28-2017 Signing Complete Security Checked Nov-28-2017 Completed Security Checked Nov-28-2017 Payment Events Status Timestamps Electronic Record and Signature Disclosure Electronic Record and Signature Disclosure created on:Mar-17-2017 Parties agreed to:Don Bird,Michelle Hoy,Vice President 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. Described below are the terms and conditions for providing to you such notices and disclosures electronically when we send you documents for electronic signature. Acknowledging your Access,Intent,and Consent to Receive and Sign Materials Electronically To confirm to us that you can access this information electronically, which will be similar to other electronic notices and disclosures that we will provide to you, please verify that you were able to read this electronic disclosure and that you also were able to print on paper or electronically save this page for your future reference and access or that you were able to e-mail this disclosure and consent to an address where you will be able to print on paper or save it for your future reference and access. Further, if you consent to receiving notices and disclosures exclusively in electronic format on the terms and conditions described above, please let us know by clicking the 'I agree'button below. By checking the 'I Agree'box, I confirm that: • I am establishing my intent to be bound to the transaction, and indicating that I am fully aware of the purpose for which the signature is being provided. • I can access and read this Electronic CONSENT TO ELECTRONIC RECEIPT OF ELECTRONIC RECORD AND SIGNATURE DISCLOSURES document; and • I can print on paper the disclosure or save or send the disclosure to a place where I can print it, for for future reference and access; and • Until or unless I notify Pitkin County as described above, I consent to receive from exclusively through electronic means all notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to me by Pitkin County during the course of my relationship with you. Signing Documents without a Pitkin County DocuSign Account: Pitkin County may not require all document signers to be authorized users of the Pitkin County DocuSign Account. Please read the information below carefully and thoroughly, and if you can access this information electronically to your satisfaction and agree to these terms and conditions, please confirm your agreement by clicking the 'I agree'button at the bottom of this document. When you don't have a DocuSign Account, you will be provided the opportunity to agree to the Legal Disclosure each time you open an "envelope" for signing, at this time, you can download and retain this disclosure. Pitkin County will forward completed documents that you've reviewed, processed or signed via email. Should you require copies of these signed documents (e.g., if they get deleted from your email account) you should request those documents from Pitkin County under the Colorado Open Records Act by contacting the Pitkin County custodian who sent you the document for signature. Signing Documents with a Pitkin County DocuSign Account: Please read the information below carefully and thoroughly, and if you can access this information electronically to your satisfaction and agree to these terms and conditions, please confirm your agreement by clicking the 'I agree'button at the bottom of this document. Getting paper or electronic copies At any time, you may request from us a paper or electronic copy of any record provided or made available electronically to you by us. For such copies, as long as you are an authorized user of the DocuSign system you will have the ability to download and print any documents we send to you through your DocuSign user account for a limited period of time (usually 30 days) after such documents are first sent to you. After such time, if you wish for us to send you paper or electronic copies of any such documents from our office to you, you will be charged a$0 per-page fee. You may request delivery of such paper or electronic copies from us by following the procedure described below. Withdrawing your consent If you are an authorized DocuSign Account holder, you can decide to receive notices and disclosures from us electronically, you may at any time change your mind and tell us that thereafter you want to receive required notices and disclosures only in paper format. Described below is the process for informing us of your decision to receive future notices and disclosure in paper format and also how to withdraw your consent to receive notices and disclosures electronically. Consequences of changing your mind If you elect to receive required notices and disclosures only in paper format, it will slow the speed at which we can complete certain steps in transactions with you and delivering services to you because we will need first to send the required notices or disclosures to you in paper format, and then wait until we receive back from you your acknowledgment of your receipt of such paper notices or disclosures. To indicate to us that you are changing your mind, you must withdraw your consent using the DocuSign 'Withdraw Consent' form on the signing page of your DocuSign account. This will indicate to us that you have withdrawn your consent to receive required notices and disclosures electronically from us and you will no longer be able to use your DocuSign user account to receive required notices and consents electronically from us or to sign electronically documents from us. All notices and disclosures will be sent to you electronically Unless you tell us otherwise in accordance with the procedures described herein, we will provide electronically to you through your DocuSign user account all required notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you during the course of our relationship with you. To reduce the chance of you inadvertently not receiving any notice or disclosure, we prefer to provide all of the required notices and disclosures to you by the same method and to the same address that you have given us. Thus, you can receive all the disclosures and notices electronically or in paper format through the paper mail delivery system. If you do not agree with this process, please let us know as described below. Please also see the paragraph immediately above that describes the consequences of your electing not to receive delivery of the notices and disclosures electronically from us. How to contact Pitkin County: You may contact us to let us know of your changes as to how we may contact you electronically, to request paper copies of certain information from us, and to withdraw your prior consent to receive notices and disclosures electronically as follows: To contact us by email send messages to: susan.sullivan@pitkincounty.com To advise Pitkin County of your new e-mail address To let us know of a change in your e-mail address where we should send notices and disclosures electronically to you, you must send an email message to us at susan.sullivan@pitkincounty.com and in the body of such request you must state: your previous e-mail address, your new e-mail address . In addition, you must notify DocuSign, Inc to arrange for your new email address to be reflected in your DocuSign account by following the process for changing e-mail in DocuSign. To request paper or electronic copies from Pitkin County To request delivery from us of paper or electronic copies of the notices and disclosures previously provided by us to you electronically, you should request those documents from Pitkin County under the Colorado Open Records Act by contacting the Pitkin County custodian who sent you the document for signature. . To withdraw your consent with Pitkin County To inform us that you no longer want to receive future notices and disclosures in electronic format you may: i. decline to sign a document from within your DocuSign account, and on the subsequent page, select the check-box indicating you wish to withdraw your consent, or you may; ii. send us an e-mail to susan.sullivan@pitkincounty.com and in the body of such request you must state your e-mail, full name, Postal Address, telephone number, and account number. 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