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HomeMy WebLinkAboutbocc.con.amended.102.2015 E 2019-12-17 CDD iTKIN Pitkin County Procurement Cover Sheet COUNT Q/D.CM 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 Contract Information Contract Number 102.2015 E Project Name Fire Protection Equipment Testing & Inspections Contractor Western States Fire Protection Budget Line Item Various (TBD per Invoice) $ $Additional Budget Line $ _ Item(s) $ _ (Please fully allocate New Contract Total) Procurement Method: _Formal Type: Services/Maintenance Contract Start Date 6/15/2015 Contract End Date 6/14/2020 Contract Type Change Order/Contract Amendment Retainage No If this is a new contractor, please enter the New Vendor information into Munis for workflow approval. Contact Information: Department Facilities County Representative Mike Fleagle County Representative (970) 920-5383 Phone Provide a brief description of the contract: Increase in contract value to reflect the correction of additional deficiencies found during the 2019 year. Contract Value Summary: Original Contract Amount $ 7,350.00 Previous Change Order/Amendment Amount $ 41,975.00 This Change order/Amendment amount $ 12,025.00 New Contract Total $ 61,350.00 Contract#: 102.2015 E Rev. 2018.06.13 btf Budget Line Item#:Various 1/441)iTKIN COUNT - c�� CHANGE ORDER/CONTRACT AMENDMENT Change Order Number: 102.2015 E OWNER: CONTRACTOR: Pitkin County, Colorado Western States Fire Protection 530 E. Main St., Suite#302 7026 South Tuscon Way Aspen, CO 81611 Centennial, CO 80112 The Provision of Fire Protection Equipment Testing & Inspections (the "Contract") dated June 15, 2015 between the Board of County Commissioners of Pitkin County, Colorado (the "County") and Western States Fire Protection(the "Contractor"), is hereby amended as follows: Description of Change: Increase in contract value to reflect the corrective action taken on additional deficiencies found within multiple county buildings. The breakout for this work is included in the table below. LINE ITEM DESCRIPTION OF WORK COST Pitkin County Courthouse Install repair kit into backflow preventer. $1,330.00 Misc Repairs $1,805.00 Health&Human Services Seal assembly in DDX Dry valve. $2,400.00 Bldg Replace backflow preventer $6,490.00 Reason for Change: Additional scope found during schedule inspections. Original Contract Amount $ 7,350.00 Previous Change Order/Amendment Amount $ 41,975.00 This Change Order/Amendment Amount $ 12,025.00 New Contract Total $ 61,350.00 *Increases over$25,000 and/or 10%(single increase or accumulative)of original contract must have County Manager signature. 1 Contract#: 102.2015 E Rev. 2018.06.13 btf Budget Line Item#:Various In all other respects, the Contract is in full force and effect and remains unchanged by this Amendment. WESTERN STATES FIRE PROTECTION DocuSigned by: '-4441, ,OWL Jan-27-2020 707CRF9DD5AR4R9 Todd Lowe Date Service Manger PITKIN COUNTY, COLORADO RECOMMENDED FOR APPROVAL: p-DocuSigned by: 7 Jan-24-2020 \ Ra RQORA(191nitl A Mike Fl eagl e Date Facilities Operations Manager MANAGER APPROVAL: DocuSigned b Feb-02-2020 F Z A 1Z A Jon PeacockDate County Manager *Increases over$25,000 and/or 10%(single increase or accumulative)of original contract must have County Manager signature. 2 WebApps (ll Western States App "` fire Protection Co. Protecting Lives and Pro e�rty Home I GP I AP I AR I Gi] IV I JC I OE I PO I PR Log Out Back A/R Customer Statements 0 6 Search Parameters: • Cust#: 142535 • Ending Date:01-08-20 • Aging Date:01-31-20 • Print FAX: N WESTERN STATES FIRE PROTECTION CO. 7026 S TUCSON WAY 116 CENTENNIAL, CO 80112 Western States 970-618-3294 STATEMENT Fire Protection Co. k P'cotcetiag 4ioe4 a..cd Pralrezty OF 142535 ACCOUNT PITKIN COUNTY 485 RIO GRANDE PL # 101 ASPEN, CO 81611-1431 Statement Date: 01-08-20 Salesman: R-M Job Reference: Invoice# Date Amount Retainage$ [*] Net Due Cust PO# CS1451 PITKIN COUNTY MULTI BLDGS WSF242122 10-30-19 7,820.00 7,820.00 Over 3 Months CS1500 PITKIN COUNTY COURTHOUSE WSF247003 11-22-19 1,805.00 1,805.00 Over2 Months CS1519 PITKIN COUNTY HEALTH WSF250480 12-18-19 2,400.00 2,400.00 Over 1 Month Over 1 Over 2 Over 3 Over 4 Retainage Current Month Months Months Months 0.00 0.00 2,400.00 1,805.00 7,820.00 0.00 Previous Month Current Month Current Month Current Month New Balance Balance Invoices Payments/Discounts/Adjustments Finance Charge Due 12,025.00 0.00 0.00 0.00 12,025.00 Total Due: 12,025.00 Retainage 0.00 Net Due 12,025.00 Docu�i , SECURED Certificate Of Completion Envelope Id:8EBE094BC1864B9382FB06E452C8446D Status:Completed Subject:Western States Fire Protection I Pitkin County Contract 102.2015 D for Review and Signature Source Envelope: Document Pages:4 Signatures:3 Envelope Originator: Certificate Pages:5 Initials:0 Pitkin County Procurement AutoNav: Enabled 530 East Main Street Envelopeld Stamping: Disabled Suite 203 Time Zone: (UTC-07:00)Mountain Time(US&Canada) Aspen,CO 81611 Procurement@PitkinCounty.com IP Address:65.38.144.66 Record Tracking Status:Original Holder:Pitkin County Procurement Location: DocuSign 1/24/2020 2:58:09 PM Procurement@PitkinCounty.com Signer Events Signature Timestamp Mike Fleagle r-0ocuS,gnedby. Sent: 1/24/2020 2:59:32 PM mike.fleagle@pitkincounty.com Viewed: 1/24/2020 3:39:14 PM \-63692BA021D1458... Facilities Operations Manager Signed: 1/24/2020 3:39:24 PM Pitkin County Security Level: Email,Account Authentication Signature Adoption: Drawn on Device (None) Using IP Address:63.246.134.187 Signed using mobile Electronic Record and Signature Disclosure: Accepted:6/12/2019 10:32:04 AM ID:0c7abdc0-4a67-4e86-aa67-2696a58877e5 Company Name:Pitkin County,Colorado Todd Lowe r—DocoSignedby: Sent: 1/27/2020 8:39:15 AM todd.lowe@wsfp.us I , (,bWt, Viewed: 1/27/2020 8:45:44 AM Service Manger �202CBF9DD5AB469. Signed: 1/27/2020 8:46:42 AM Western States Fire Protection Security Level: Email,Account Authentication Signature Adoption: Pre-selected Style (None) Using IP Address:50.203.80.78 Electronic Record and Signature Disclosure: Accepted: 1/27/2020 8:45:44 AM ID:c1a98df1-b712-435d-9c32-d8ff27e8543e Company Name:Pitkin County,Colorado Jon Peacock r—Docu5lgeed b: Sent: 1/27/2020 8:46:45 AM Jon.Peacock@PitkinCounty.com � Viewed:2/2/2020 8:24:43 AM County Manager DEES78DA0,36445 Signed:2/2/2020 8:25:13 AM Pitkin County Signature Adoption: Drawn on Device Security Level: Email,Account Authentication (None) Using IP Address:75.71.107.170 Signed using mobile Electronic Record and Signature Disclosure: Accepted:6/12/2019 9:29:00 AM ID:917e30ed-8186-40bf-b2f9-0336f129484c 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 Western States Fire COPIED Sent: 1/27/2020 8:39:18 AM julie.delimont@wsfp.us Viewed: 1/27/2020 9:03:30 AM DIVISION MANAGER Security Level: Email,Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Pitkin County Procurement COPIED Sent:2/2/2020 8:25:15 AM procurement@pitkincounty.com Resent:2/2/2020 8:25:23 AM Procurement Viewed:2/19/2020 11:13:40 AM Pitkin County Security Level: Email,Account Authentication (None) Electronic Record and Signature Disclosure: Accepted:6/21/2019 11:35:47 AM ID:f4b0c7d5-e378-4bad-8806-08d16f6ff44c Company Name:Pitkin County,Colorado Accounts Payable COPIED Sent:2/2/2020 8:25:17 AM AP@pitkincounty.com Accounts Payable Pitkin County Security Level: Email,Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Wendy Elkin COPIED Sent:2/2/2020 8:25:19 AM wendy.elkin@pitkincounty.com Viewed:2/3/2020 3:33:52 PM Facilities Admin Specialist Pitkin County Colorado Security Level: Email,Account Authentication (None) Electronic Record and Signature Disclosure: Accepted:6/13/2019 2:06:56 PM ID:2edff8c7-df16-408a-9ad6-ac9fa4309629 Company Name:Pitkin County,Colorado Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 2/2/2020 8:25:19 AM Certified Delivered Security Checked 2/2/2020 8:25:19 AM Signing Complete Security Checked 2/2/2020 8:25:19 AM Completed Security Checked 2/2/2020 8:25:19 AM Payment Events Status Timestamps Electronic Record and Signature Disclosure Electronic Record and Signature Disclosure created on:6/11/2019 12:14:06 PM Parties agreed to:Mike Fleagle,Todd Lowe,Jon Peacock,Pitkin County Procurement,Wendy Elkin 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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