HomeMy WebLinkAboutbocc.con.amended.030.2018 B2017-11-13 btf
Contract Information
Contract Number
Project Name
Contractor
Budget Line Item 112.41.00000.82000
Procurement Method:
Type:
Contract Start Date
Contract End Date
Contract Type
Retainage
If this is a new contractor, please request they complete and submit to Finance a New Vendor Request Form.
Contact Information:
Department
County Representative Nan Sundeen County Representative
Phone (970) 920-5209
Provide a brief description of the contract:
Contract Value Summary:
$ 3,668.00
$3,666.00
$7,000.00
$ 14,334.00
NOTE: Clerks Office will keep original documents in compliance with Colorado State Archives retainage schedule.
Human Services
Extension of Emergent Medical Transportation Component of Health First Colorado
Original Contract Amount
Previous Change Order/Amendment Amount
This Change order/Amendment amount
New Contract Total
No
Administration of the Non Emergent Medical Transportation Component of Health First
Northwest Colorado Council of Governments
$-
Additional Budget Line
Item(s)
(Please fully allocate New Contract Total)
$-
$-
$-
$-
None
Services/Maintenance
1/1/2018
12/31/2019
Contract Extension
030.2018 B
Pitkin County
Procurement Cover Sheet
Please complete the Contract Cover Sheet when the contract/task order is complete and fully executed.
Return all Contract Cover Sheets and Contracts/Change Orders/Amendments/Task Orders to Procurement
9.25.11 jls
1
Contract #: 030.2018 B
Budget Line Item #: 112.41.00000.82000
SERVICE CONTRACT RENEWAL
May 11, 2018
Northwest Colorado Council of Governments
P.O. Box 2308
Silverthorne, CO 80498
(970) 468-0295
RE: Administration of the Non Emergent Medical Transportation Component of Health
First Colorado
Renewal of Contract # 030.2017
Pitkin County has elected to renew the Administration of the Non Emergent Medical
Transportation Component of Health First Colorado Services Contract with Northwest
Colorado Council of Governments, which is set to expire on December 31, 2018. Per the
terms of the contract it states that, “At the expiration of the initial term, the contract may
be extended for an additional term of five (5) additional one 1-year terms by the express
written consent of both parties.”
If the renewal of this contract is agreeable to Northwest Colorado Council of
Governments, 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 # 030.2017 with Northwest
Colorado Council of Governments, for a period of twelve (12) months from contract
expiration date; new expiration date is now December 31, 2019.
All rates will remain the same for the extension ending December 31, 2019 with a project
budget not to exceed $7,000.00 for the term.
Any changes in rates thereafter will be by an amendment.
9.25.11 jls
2
Contract #: 030.2017
Budget Line Item #: 112.41.00000.82000
In all other respects the Service Contract is in full force and effect and remains unchanged by
this Renewal.
NORTHWEST COLORADO COUNCIL OF GOVERNMENTS
________________________________________________
!#VENDOR SIGNATURE#! Date
PITKIN COUNTY, COLORADO
________________________________________________
!#COUNTY MANAGER#! Date
Executive Director
Jan-16-2019
Jon Stavney
Nan Sundeen
Director
Jan-16-2019