HomeMy WebLinkAboutbocc.con.023.2003 CHECK LIST
FOR CONTRACTS SUBMITTED TO CLERK AND RECORDER EOR
SCANNING/ARCHIVING
Originating Department/Division: /]/4
Contact Person: 'Ed no_d~r-ct-,, ¢, / drz~~
Phone #:
BOCC AGENDA ITEM (BOCC signature required)
STAFE AUTHORIZED SIGNATURE (as per Procurement Code)
Check Contract Type: Dollar Amount:
Services
Maintenance
__License/Use CONTRACT
Lease
Construction
Purchase
Employment
Intergovernmental Agreement (Requires BOCC Action)
Non Profit
___Quasi-Public
Grant A~reements (Requires BOCC Action) _
_/ Other o~,-~b~x/C~z.~ o--,7-(q,~a.'7-rLa&T/~- r~7~-~
Signatures Required:
Under 25K - Department Head
25-50K - Department [lead (if appropriate), Section Leader
Over 50 K - Department Head (if appropriate), Section Leader, County Manager
Contractor/Business (Complete Name): 7-~' t~
Contract Start Date: ff/..W./' ff~ff~r~ .
End Date:
Automatic Renewal (Y/N):/-J~de~d
AllContracts should be proofed for the following:
· No Pages Missing
· If a Page is Left Intentionalls, Blank - Note on Page
· Page manbered consecutively
· All Signatures Affixed
· All Dates Filled In
· All Other Blanks Filled In
· All Exhibits Attached
· All Legal Descriptions Attached (if appropriate)
· Notice of Award/Proceed Attached (if appropriate)
Sent to Clerk and Recorder for Scanning/Archiving
Date: I,/,_~ I/8
Authorized Staff Person
Signature of authorized staff person indicate that document has been proofed and ready
tbr scanning.
Note: Clerk's Office will keep original documents in compliance with Colorado
State Archives retainage schedule.
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0004 ° ............ - -- 'trot.er,,~,l,=,6t ~ [ s2-'lZ6TZ
~ ~ 7. ADMINISTERED D~' t '
Transportation Security Administration
~tm: Office of Acquisition OON'r~A{~'~'
GSA Building
301 7th Street, S.W., Suite 5100
Washington, DC 20590
(202)493-1289 (~) 9A. AIVlENDMENT OF SOLICITATION NO.
8. NAME AND ADDRESS OF CONTRACTOR (No, street, count)', Stme and ZIP Code/
Aspen Pitkin County Airport ot~. DATED {,cc ilem l I)
233 East Airport Road, Suite A
Aspen Co. 81611
10A. MODIFICATION OF CONTI~.ACT/ORDER NO.
Attn: :...~'McK ?L/.d-~--'z{', I~ DTSA20-02-P-50060
10B. DATED (see item 13)
TIN: 84-6000794
CODE 31902 ]'~C1L1TY CODE g~ 01-May-02
1 l, THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS
WThe above mwnbered solicitation is amended as set forth in itern 14. The hour and date specified I~r ,eceipt of Offers ~is extended' ~is n°t extended'
Offers must acknowledge receipt of'this amendment prior to the hour and date specified in the solicitation or as amended, by one of fi~e following methods:
By completing Iterrtg 8 and 15 and rerun no copies of tt~e an~ndment; (bi By acknowledging receipt of Ibis amendment on eacl copy of the offer
submined; or (c) By separate letter or teleg'ram which includes a reference to the sobcitation and amendmenl ntm~bcrs. FAILURE OF YOUR ACKNOWLEDGMENT
TO BE RECEIVED AT TIlE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO TIlE ttOUR AND DATE SPECIFIED MAY RESULT
IN REJECTION OF YOUR OFFER. If by vi~ue of Ibis amendment you desire ti) change an offer already submitted such change may be made by telegq'am
letter, provided each telegram or letter makes reference to the solicitation and dfis amelldlIlent, and is received prior to file opening hour alld date specified
12. ACCOUNTING AND APPROPRIATION DATA (If ~equired)
06X2801000 2003 06102 BLEF 000 2B13 ASE 000 25305 99.10.01LE NET INCREASE $53,360.00
13. THIS ITEM APPLIES ONLY TO MODIFICATION OF CONTRACTS/ORI)ERS,
IT MODIFIES THE CONTRACT/ORDER NO. AS DESCR.IBED IN 1TEM 14.
1~ A, THIS CHANGE ORDER IS 1SSUED PURSUANT '10: /Specie' atahority) TItE CHANGE SET FORTH IN ITEM 14 ARE MADE IN TIlE CONTRACT
ORDEP, NO. IN FfEM 10A.
TIlE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED '10 1t2dFLECT I'ttE ADMINISTRATIVE C11ANGES {sudl as cbanges in llaying office,
B. · ...... FAR 43.103(bi
appropriation date. etc.} SliT FORTH IN ITEM 14, FURSUAN'I 30 3 lie AU 1 ttORI]'~ OF
X
~ C. IHIS SUI~PI-EMEN I'A1, AGREEMENT IS ENTERED IN'In PURSUANT TO AUTIIORITY OF:
~ D O.FltER (Specify type of mt~dification and aulbority)
E. I~MPORTANT: Contractor ~ is required te sil,m this doclm~nt and return copies tr~ the issuing office.
14. DESCRIPTION OI ~MENDMFNrD'MODIPICATION (Organized bx IICF sectiml heading, including snlicitalioWconlracl sul~leel n~llter where ikasible).
A The purpose of this modification is In provide additional lhnding for the period of performance of 01 November 2002 through
31 January 2003 in the amount of $53,360.00. The daily rate is $$80.00/day.
B. The total value of this purchase order is hereby increased by $53,360.00 from $119,045.00 to $172,405.00.
C. This modification hereby corrects the organizational code from 2BI 1 to 2B13 in Modification 0003.
D. All other terms and conditions remain unchanged, fierce and effect
Except as provided herein, all terms and conditimls of the document referenced in Item 9A or IOA as beretotore chan~ed remains unchanged and m full
] 6A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print
I ND TITLE OF SIGNER,, (T~mr print) ,~,
~ -(~ (.L 0.~z4.~,~44__' Susan Moroni - Contracting Officer
r 16B. UNITED STATES OF AMEPdCA
(Signature of person authorized to sign)
ln-I nq STANDARD FORM 30 (REV. 10-83)
NSN 7540-01-152-8070 Prescribed by GSA
PREVIOUS EDITION UNUSABLE
FAR (48 CFR) 53.243